{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T17:10:21Z","timestamp":1792516221656,"version":"4.5.0"},"reference-count":60,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2025,3,6]],"date-time":"2025-03-06T00:00:00Z","timestamp":1741219200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Children"],"abstract":"<jats:p>Background\/Objectives: The definitions of feeding disorders of infants and young children were historically based on a dichotomic organic\/non-organic vision. Since 2019, a new definition of pediatric feeding disorders (PFDs) has reshaped the understanding of these disorders with a global vision. The aim of this study is to obtain a better understanding of the diagnostic criteria for general practice, both by exploring the evolution of classifications and by clearing the actual definition of PFDs and their possible treatments. Methods: We conducted a narrative review of the literature, including 36 articles about PFDs, excluding adolescents, anorexia nervosa, bulimia, pica, rumination, and specific neurodevelopmental or chronic pediatric disorders. We summarized these studies in three parts: the specific classifications for children before puberty, the current definition, and the clinical guidelines. Results: Concerning the history of the classifications, we summarized the studies of Chatoor and Kerzner and the older pediatric vision of failure to thrive. For the definition of pediatric feeding disorders, we presented this new category involving at least one out of four domains: medical, nutritional, feeding skills, or psychosocial. For the main clinical guidelines, we presented recommendations for both severe and common PFDs in each altered domain for use in daily practice. Conclusions: The new definition promotes a transdisciplinary vision of childhood feeding disorders, which considers each of the intricate domains of PFDs. Using common terminology for PFDs could help all healthcare providers, families, and researchers to better understand and address PFDs.<\/jats:p>","DOI":"10.3390\/children12030333","type":"journal-article","created":{"date-parts":[[2025,3,6]],"date-time":"2025-03-06T06:02:13Z","timestamp":1741240933000},"page":"333","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Diagnosis and Treatment of Pediatric Feeding Disorders: A Narrative Literature Review"],"prefix":"10.3390","volume":"12","author":[{"given":"Hugo","family":"Pergeline","sequence":"first","affiliation":[{"name":"Medical School, Aix-Marseille University, 13385 Marseille, France"},{"name":"Institut de Neurosciences de la Timone, UMR 7289, CNRS, Aix-Marseille University, 13005 Marseille, France"},{"name":"Department of Child Psychiatry, Sainte Marguerite Hospital, 13008 Marseille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L\u00e9o","family":"Gonnet","sequence":"additional","affiliation":[{"name":"Center for Diagnostic Evaluation of Child Development (CEDDE), 13008 Marseille, France"},{"name":"Institut d\u2019Histoire des Repr\u00e9sentations et des Id\u00e9es dans les Modernit\u00e9s, Ecole Normale Sup\u00e9rieure, UMR 5317, 69342 Lyon, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6326-9096","authenticated-orcid":false,"given":"Arnaud","family":"Fernandez","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Psychiatry, Children\u2019s Hospitals Lenval, 57 Bd Californie, 06200 Nice, France"},{"name":"Cognition Behaviour Technology (COBTEK) Lab, Universit\u00e9 C\u00f4te d\u2019Azur, 06100 Nice, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2735-5330","authenticated-orcid":false,"given":"Federico","family":"Solla","sequence":"additional","affiliation":[{"name":"Pediatric Surgery Department, Pediatric Hospitals of Nice CHU-Lenval (HPNCL), 57 Bd Californie, 06200 Nice, France"},{"name":"Healthcare Department, Link Campus University, 00165 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fran\u00e7ois","family":"Poinso","sequence":"additional","affiliation":[{"name":"Medical School, Aix-Marseille University, 13385 Marseille, France"},{"name":"Institut de Neurosciences de la Timone, UMR 7289, CNRS, Aix-Marseille University, 13005 Marseille, France"},{"name":"Department of Child Psychiatry, Sainte Marguerite Hospital, 13008 Marseille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3075-6098","authenticated-orcid":false,"given":"Jokthan","family":"Guivarch","sequence":"additional","affiliation":[{"name":"Medical School, Aix-Marseille University, 13385 Marseille, France"},{"name":"Institut de Neurosciences de la Timone, UMR 7289, CNRS, Aix-Marseille University, 13005 Marseille, France"},{"name":"Department of Child Psychiatry, Sainte Marguerite Hospital, 13008 Marseille, France"},{"name":"Department of Child and Adolescent Psychiatry, Children\u2019s Hospitals Lenval, 57 Bd Californie, 06200 Nice, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,3,6]]},"reference":[{"key":"ref_1","unstructured":"Couly, G. (2015). Oralit\u00e9 du Foetus; Neurog\u00e9n\u00e8se, Sensorialit\u00e9, Dysoralit\u00e9, Anoralit\u00e9, Echographie, Syndromes de Robin, Sauramps M\u00e9dical."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1016\/j.appet.2005.01.006","article-title":"A Prospective Study of Food Variety Seeking in Childhood, Adolescence and Early Adult Life","volume":"44","author":"Nicklaus","year":"2005","journal-title":"Appetite"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"713","DOI":"10.1016\/S0929-693X(10)70073-7","article-title":"D\u00e9terminants Pr\u00e9coces Du Comportement Alimentaire","volume":"17","author":"Issanchou","year":"2010","journal-title":"Arch. P\u00e9diatrie"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1097\/MPG.0000000000002188","article-title":"Pediatric Feeding Disorder: Consensus Definition and Conceptual Framework","volume":"68","author":"Goday","year":"2019","journal-title":"J. Pediatr. Gastroenterol. Nutr."},{"key":"ref_5","unstructured":"Roberts, M.C., and Steele, R.G. (2017). Pediatric Feeding Disorders. Handbook of Pediatric Psychology, The Guilford Press."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1016\/j.jada.2003.10.024","article-title":"Prevalence of Picky Eaters among Infants and Toddlers and Their Caregivers\u2019 Decisions about Offering a New Food","volume":"104","author":"Carruth","year":"2004","journal-title":"J. Am. Diet. Assoc."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"2159","DOI":"10.1007\/s10803-013-1771-5","article-title":"Feeding Problems and Nutrient Intake in Children with Autism Spectrum Disorders: A Meta-Analysis and Comprehensive Review of the Literature","volume":"43","author":"Sharp","year":"2013","journal-title":"J. Autism Dev. Disord."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"903","DOI":"10.1093\/jpepsy\/jsu040","article-title":"Systematic Review of Psychological Interventions for Pediatric Feeding Problems","volume":"39","author":"Lukens","year":"2014","journal-title":"J. Pediatr. Psychol."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"272","DOI":"10.1002\/eat.20925","article-title":"Feeding Disorders of Infancy: A Longitudinal Study to Middle Childhood","volume":"45","author":"Ammaniti","year":"2012","journal-title":"Int. J. Eat. Disord."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1136\/adc.63.1.5","article-title":"Long Term Follow up of Patients with Early Onset Anorexia Nervosa","volume":"63","author":"Knibbs","year":"1988","journal-title":"Arch. Dis. Child."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"1434","DOI":"10.1097\/00004583-200112000-00014","article-title":"Longitudinal Relationships Between Childhood, Adolescent, and Adult Eating Disorders","volume":"40","author":"Kotler","year":"2001","journal-title":"J. Am. Acad. Child Adolesc. Psychiatry"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1016\/j.jada.2011.08.030","article-title":"Permissive Parental Feeding Behavior Is Associated with an Increase in Intake of Low-Nutrient-Dense Foods among American Children Living in Rural Communities","volume":"112","author":"Hennessy","year":"2012","journal-title":"J. Acad. Nutr. Diet."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"261","DOI":"10.5223\/pghn.2013.16.4.261","article-title":"Clinical Characteristics of Failure to Thrive in Infant and Toddler: Organic vs. Nonorganic","volume":"16","author":"Yoo","year":"2013","journal-title":"Pediatr. Gastroenterol. Hepatol. Nutr."},{"key":"ref_14","first-page":"848","article-title":"Categorization of Etiology of Failure to Thrive","volume":"135","author":"Homer","year":"1981","journal-title":"Am. J. Dis. Child. 1960"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"391","DOI":"10.1177\/000992288902800901","article-title":"Failure to Thrive: A Continuing Problem of Definition","volume":"28","author":"Wilcox","year":"1989","journal-title":"Clin. Pediatr."},{"key":"ref_16","first-page":"76","article-title":"A Feeding Scale for Research and Clinical Practice to Assess Mother\u2014Infant Interactions in the First Three Years of Life. Infant Ment","volume":"18","author":"Chatoor","year":"1997","journal-title":"Health J."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"1217","DOI":"10.1097\/00004583-199811000-00023","article-title":"Attachment and Feeding Problems: A Reexamination of Nonorganic Failure to Thrive and Attachment Insecurity","volume":"37","author":"Chatoor","year":"1998","journal-title":"J. Am. Acad. Child Adolesc. Psychiatry"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"743","DOI":"10.1097\/00004583-200006000-00013","article-title":"Maternal Characteristics and Toddler Temperament in Infantile Anorexia","volume":"39","author":"Chatoor","year":"2000","journal-title":"J. Am. Acad. Child Adolesc. Psychiatry"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"595","DOI":"10.1097\/00004583-200105000-00020","article-title":"Observation of Feeding in the Diagnosis of Posttraumatic Feeding Disorder of Infancy","volume":"40","author":"Chatoor","year":"2001","journal-title":"J. Am. Acad. Child Adolesc. Psychiatry"},{"key":"ref_20","first-page":"700","article-title":"Les troubles du comportement alimentaire du nourrisson: Classification, s\u00e9miologie et diagnostic","volume":"172","author":"Cascales","year":"2014","journal-title":"Ann. M\u00e9d.-Psychol. Rev. Psychiatr."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1016\/S1056-4993(01)00002-5","article-title":"Feeding Disorders in Infants and Toddlers: Diagnosis and Treatment","volume":"11","author":"Chatoor","year":"2002","journal-title":"Child Adolesc. Psychiatr. Clin."},{"key":"ref_22","unstructured":"Chatoor, I. (2009). Diagnosis and Treatment of Feeding Disorders in Infants, Toddlers, and Young Children. Infants, Toddlers and Young Children, Zero to Three."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1002\/eat.20795","article-title":"Feeding and Eating Disorders in Childhood","volume":"43","author":"Markham","year":"2010","journal-title":"Int. J. Eat. Disord."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1177\/000992280604500101","article-title":"Failure to Thrive: Still a Problem of Definition","volume":"45","author":"Olsen","year":"2006","journal-title":"Clin. Pediatr."},{"key":"ref_25","doi-asserted-by":"crossref","unstructured":"American Psychiatric Association (2022). Diagnostic and Statistical Manual of Mental Disorders: DSM-5-TR, American Psychiatric Association Publishing. [5th ed.]. Text Revision.","DOI":"10.1176\/appi.books.9780890425787"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1016\/j.wpsyc.2012.05.005","article-title":"Classification of Feeding and Eating Disorders: Review of Evidence and Proposals for ICD-11","volume":"11","author":"Uher","year":"2012","journal-title":"World Psychiatry"},{"key":"ref_27","unstructured":"World Health Organization (WHO) (2025, February 10). International Classification Of Disease, Eleventh Edition (ICD-11). Available online: https:\/\/icd.who.int\/fr."},{"key":"ref_28","doi-asserted-by":"crossref","unstructured":"American Psychiatric Association (APA) (2022). Feeding and eating disorders. Diagnostic and Statistical Manual of Mental Disorders: DSM-5-TR, American Psychiatric Association Publishing.","DOI":"10.1176\/appi.books.9780890425787"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"842","DOI":"10.1016\/j.appet.2012.01.017","article-title":"Relationships between Sensory Sensitivity, Anxiety and Selective Eating in Children","volume":"58","author":"Farrow","year":"2012","journal-title":"Appetite"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1186\/s40337-014-0021-3","article-title":"Prevalence and Characteristics of Avoidant\/Restrictive Food Intake Disorder in a Cohort of Young Patients in Day Treatment for Eating Disorders","volume":"2","author":"Nicely","year":"2014","journal-title":"J. Eat. Disord."},{"key":"ref_31","unstructured":"World Health Organization (2001). International Classification of Functioning, Disability and Health (ICF), World Health Organization."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"960","DOI":"10.1177\/0009922809336074","article-title":"Clinical Investigation of Feeding Difficulties in Young Children: A Practical Approach","volume":"48","author":"Kerzner","year":"2009","journal-title":"Clin. Pediatr."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1111\/jan.13140","article-title":"Feeding Problems in Infancy and Early Childhood: Evolutionary Concept Analysis","volume":"73","author":"Estrem","year":"2017","journal-title":"J. Adv. Nurs."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"126","DOI":"10.1016\/j.jpeds.2020.07.047","article-title":"Pediatric Feeding Disorder: A Nationwide Prevalence Study","volume":"228","author":"Kovacic","year":"2021","journal-title":"J. Pediatr."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1002\/eat.20688","article-title":"Maternal Psychopathology and Child Risk Factors in Infantile Anorexia","volume":"43","author":"Ammaniti","year":"2010","journal-title":"Int. J. Eat. Disord."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"959","DOI":"10.1097\/00004583-199809000-00016","article-title":"Diagnosing Infantile Anorexia: The Observation of Mother-Infant Interactions","volume":"37","author":"Chatoor","year":"1998","journal-title":"J. Am. Acad. Child Adolesc. Psychiatry"},{"key":"ref_37","unstructured":"Zero to Three, National Center for Infants, Toddlers, and Families (2005). DC:0-3R: Diagnostic Classification of Mental Health and Developmental Disorders of Infancy and Early Childhood, Zero To Three Press. [Rev. ed.]."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"344","DOI":"10.1542\/peds.2014-1630","article-title":"A Practical Approach to Classifying and Managing Feeding Difficulties","volume":"135","author":"Kerzner","year":"2015","journal-title":"Pediatrics"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"626","DOI":"10.1002\/eat.20545","article-title":"Is Picky Eating an Eating Disorder?","volume":"41","author":"Jacobi","year":"2008","journal-title":"Int. J. Eat. Disord."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"940","DOI":"10.1056\/NEJM200408263510924","article-title":"Eosinophilic Esophagitis","volume":"351","author":"Noel","year":"2004","journal-title":"N. Engl. J. Med."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"2105","DOI":"10.1177\/1460458219898568","article-title":"PredictMed: A logistic regression-based model to predict health conditions in cerebral palsy","volume":"26","author":"Bertoncelli","year":"2020","journal-title":"Health Inform. J."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"318","DOI":"10.1016\/j.appet.2006.01.019","article-title":"\u2018Finish Your Soup\u2019: Counterproductive Effects of Pressuring Children to Eat on Intake and Affect","volume":"46","author":"Galloway","year":"2006","journal-title":"Appetite"},{"key":"ref_43","first-page":"e202310200","article-title":"Feeding Difficulties in Childhood: A Narrative Review","volume":"122","author":"Saure","year":"2024","journal-title":"Arch. Argent. Pediatr."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1016\/j.jpeds.2016.10.002","article-title":"A Systematic Review and Meta-Analysis of Intensive Multidisciplinary Intervention for Pediatric Feeding Disorders: How Standard Is the Standard of Care?","volume":"181","author":"Sharp","year":"2017","journal-title":"J. Pediatr."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"348","DOI":"10.1007\/s10567-010-0079-7","article-title":"Pediatric Feeding Disorders: A Quantitative Synthesis of Treatment Outcomes","volume":"13","author":"Sharp","year":"2010","journal-title":"Clin. Child Fam. Psychol. Rev."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1002\/imhj.21702","article-title":"Development of the Parent-Child Play Scale for Use in Children with Feeding Disorders","volume":"39","author":"Chatoor","year":"2018","journal-title":"Infant Ment. Health J."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1007\/s11894-019-0719-0","article-title":"A Functional Approach to Feeding Difficulties in Children","volume":"21","author":"Milano","year":"2019","journal-title":"Curr. Gastroenterol. Rep."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"875","DOI":"10.1002\/jaba.625","article-title":"Food Preferences before and during Treatment for a Pediatric Feeding Disorder","volume":"53","author":"Zeleny","year":"2020","journal-title":"J. Appl. Behav. Anal."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1177\/0115426506021002182","article-title":"Food Chaining: A Systematic Approach for the Treatment of Children with Feeding Aversion","volume":"21","author":"Fishbein","year":"2006","journal-title":"Nutr. Clin. Pract."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1097\/00004703-200504000-00008","article-title":"Use of Low-Dose Selective Serotonin Reuptake Inhibitors for Severe, Refractory Choking Phobia in Childhood","volume":"26","author":"Banerjee","year":"2005","journal-title":"J. Dev. Behav. Pediatr. JDBP"},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"466","DOI":"10.1016\/j.pedn.2014.04.001","article-title":"Posttraumatic Feeding Disorder in Low Birth Weight Young Children: A Nested Case\u2013Control Study of a Home-Based Intervention Program","volume":"29","author":"Wilken","year":"2014","journal-title":"J. Pediatr. Nurs."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"455","DOI":"10.1901\/jaba.2012.45-455","article-title":"A Comparison of Sensory Integrative and Behavioral Therapies as Treatment for Pediatric Feeding Disorders","volume":"45","author":"Addison","year":"2012","journal-title":"J. Appl. Behav. Anal."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"622","DOI":"10.1002\/jaba.562","article-title":"Noncontingent and Differential Reinforcement in the Treatment of Pediatric Feeding Problems","volume":"52","author":"Berth","year":"2019","journal-title":"J. Appl. Behav. Anal."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1016\/j.jpp.2018.01.004","article-title":"Nouvelles M\u00e9thodes de Stimulation de l\u2019oralit\u00e9 Chez Les Enfants N\u00e9s Pr\u00e9matur\u00e9ment","volume":"31","year":"2018","journal-title":"J. P\u00e9diatrie Pu\u00e9riculture"},{"key":"ref_55","doi-asserted-by":"crossref","unstructured":"Dunn, W. (2002). Infant\/Toddler Sensory Profile, Pearson.","DOI":"10.1037\/t52636-000"},{"key":"ref_56","unstructured":"(2008). Haute Autorit\u00e9 de la Sant\u00e9 \u00c9valuation de la Nutrition Parent\u00e9rale \u00e0 Domicile: \u00c9tat des Lieux Et modalit\u00e9 de Prise en Charge, HAS."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"1495","DOI":"10.1136\/bmj.a301","article-title":"Refeeding Syndrome: What It Is, and How to Prevent and Treat It","volume":"336","author":"Mehanna","year":"2008","journal-title":"BMJ"},{"key":"ref_58","doi-asserted-by":"crossref","unstructured":"Khelifa, M.S., Skov, L.J., and Holst, B. (2021). Biased Ghrelin Receptor Signaling and the Dopaminergic System as Potential Targets for Metabolic and Psychological Symptoms of Anorexia Nervosa. Front. Endocrinol., 12.","DOI":"10.3389\/fendo.2021.734547"},{"key":"ref_59","first-page":"22","article-title":"Parental Influence on Eating Behavior: Conception to Adolescence","volume":"35","author":"Savage","year":"2007","journal-title":"J. Law Med. Ethics J. Am. Soc. Law Med. Ethics"},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"351","DOI":"10.1097\/MPG.0000000000003519","article-title":"Toward Better Understanding of Pediatric Feeding Disorder: A Proposed Framework for Patient Characterization","volume":"75","author":"Sharp","year":"2022","journal-title":"J. Pediatr. Gastroenterol. 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