Evidence map›Paper›PMID 39679744›Full record

ArticleThe International journal of eating disorders2025

A US-Based Consensus on Diagnostic Overlap and Distinction for Pediatric Feeding Disorder and Avoidant/Restrictive Food Intake Disorder.

Hayley H Estrem, Jaclyn L Pederson, Pamela Dodrill, Cuyler Romeo, Kelsey Thompson, Jennifer J Thomas, Nancy Zucker, Richard Noel, Hana Zickgraf, Jessie Menzel and 4 more

Abstract readConsensus Statement
In one paragraph

Article in The International journal of eating disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Feeding characteristics in young children with IgE-mediated food allergies: A cross-sectional observational study.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2026
    Observational
  3. Review
  4. Article
  5. Article
  6. The role of re-presentation in the treatment of liquid expulsion.Journal of applied behavior analysis · 2026
    Article
  7. Observational
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Hayley H EstremSchool of Nursing, University of North Carolina at Wilmington, Wilmington, North Carolina, USA.ORCID 0000-0003-2599-8893
Jaclyn L PedersonFeeding Matters, Phoenix, Arizona, USA.ORCID 0000-0002-8934-8462
Pamela DodrillBrigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.ORCID 0000-0001-9748-5638
Cuyler RomeoBanner-University Medical Center South, Tucson, Arizona, USA.ORCID 0009-0006-7342-3882
Kelsey ThompsonThe University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.ORCID 0000-0002-3309-9516
Jennifer J ThomasMassachusetts General Hospital, Boston, Massachusetts, USA.ORCID 0000-0003-2601-581X
Nancy ZuckerDuke University Health Center, Durham, North Carolina, USA.ORCID 0000-0003-2278-5008
Richard NoelDuke Children's Hospital and Health Center, Durham, North Carolina, USA.
Hana ZickgrafRogers Behavioral Health Oconomowoc Main Campus, Atlanta, Georgia, USA.ORCID 0000-0002-9228-0139
Jessie MenzelEquip, California, USA.ORCID 0000-0003-4294-2680
Colleen T LukensThe Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.ORCID 0000-0003-3818-7686
Praveen S GodayNationwide Children's Hospital, Columbus, Ohio, USA.ORCID 0000-0001-6714-5173
Sarah MacLaughlinZero to Three, Washington, Columbia, USA.
William G SharpEmory Medical School, Children's Healthcare of Atlanta, Atlanta, Georgia, USA.ORCID 0000-0002-6651-144X

Funding

Marcus Foundation N/A
6 · The paper itself

Abstract

objectiveAs diagnoses covering dysfunctional feeding and eating in pediatrics, avoidant/restrictive food intake disorder (ARFID) and pediatric feeding disorder (PFD) contain inherent areas of overlap in their diagnostic criteria. Areas of overlap include criteria regarding nutritional consequences associated with feeding/eating dysfunction and shared emphasis on possible psychosocial impairment associated with restricted food intake. Complicating the differential diagnosis process is a lack of guidance regarding when the two conditions occur independently, co-qualify, and/or transition into the other. Feeding Matters' Research Initiatives Task Force planned and hosted a PFD-ARFID consensus meeting, with the aim of reaching a consensus regarding diagnostic clarity on PFD and ARFID.

methodCriteria for participation focused on US residents who either: (a) served as an author on the ARFID workgroup or PFD consensus papers, or (b) provided community representation via board or committee roles. The consensus process followed three stages: prework, the meeting, and post-work/writing. Twelve participants were present for the meeting, with 14 involved in pre- and post-work/writing.

resultsThe final panel included four psychologists representing the ARFID community and seven multidisciplinary members representing PFD's four domains (medical, nutrition, skill, and psychosocial) plus a Zero-to-Three community representative and two representatives from Feeding Matters. Results yielded 10 consensus statements and visuals to support the consensus statements. DISCUSSION: The consensus process and results underscore an ongoing need to improve diagnostic systems and reinforce calls for strengthening healthcare expertise for both PFD and ARFID. Community-based participatory research is recommended to advance both diagnoses and reduce ambiguity in practice settings.

Indexed as

Avoidant Restrictive Food Intake DisorderFeeding and Eating DisordersFeeding and Eating Disorders of ChildhoodChildDiagnosis, DifferentialHumansUnited StatesARFIDdiagnosisDSM‐5feeding and eating disorderICFPFDresearch diagnostic criteria

Identifiers

PMID39679744
PMCPMC11891627

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.