Evidence map›Paper›PMID 40860665›Full record

Observational studyPeerJ2025

Feeding challenges in early infancy: the role of reflexes, muscle tone, and developmental milestones.

Wiktoria Kowalska, Maria Tuczyńska, Jacek Kwiatkowski, Oskar Komisarek, Ewa Mojs, Mirosław Andrusiewicz, Tomasz Szczapa, Włodzimierz Samborski, Dorota Sikorska, Ewa Baum and 1 more

Abstract readObservational Study
In one paragraph

Observational study in PeerJ, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Extrinsic Environmental Factors Influencing the Achievement of Independent Oral Feeding in Preterm Infants.The American journal of occupational therapy : official publication of the American Occupational Therapy Association
    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

11 authors.

Wiktoria KowalskaDepartment and Clinic of Rheumatology, Rehabilitation and Internal Medicine, Poznan University of Medical Sciences, Poznań, Greater Poland, Poland.
Maria TuczyńskaDepartment and Clinic of Rheumatology, Rehabilitation and Internal Medicine, Poznan University of Medical Sciences, Poznań, Greater Poland, Poland.
Jacek KwiatkowskiStudents Scientific Society of Maxillofacial Orthopaedics and Orthodontics, Poznan University of Medical Sciences, Poznań, Greater Poland, Poland.
Oskar KomisarekClinic of Otolaryngology, Laryngological Oncology and Maxillofacial Surgery, Dr. Jan Biziel Hospital, Bydgoszcz, Kuyavian-Pomeranian, Poland.ORCID 0000-0002-1037-3711
Ewa MojsDepartment of Clinical Psychology, Poznan University of Medical Sciences, Poznań, Greater Poland, Poland.
Mirosław AndrusiewiczDepartment of Cell Biology, Poznan University of Medical Sciences, Poznań, Greater Poland, Poland.ORCID 0000-0002-8781-3447
Tomasz SzczapaNeonatal Biophysical Monitoring and Cardiopulmonary Therapies Research Unit, II Department of Neonatology, Poznan University of Medical Sciences, Poznań, Greater Poland, Poland.ORCID 0000-0002-5214-2719
Włodzimierz SamborskiDepartment and Clinic of Rheumatology, Rehabilitation and Internal Medicine, Poznan University of Medical Sciences, Poznań, Greater Poland, Poland.
Dorota SikorskaDepartment and Clinic of Rheumatology, Rehabilitation and Internal Medicine, Poznan University of Medical Sciences, Poznań, Greater Poland, Poland.
Ewa BaumDepartment of Social Sciences and the Humanities, Poznan University of Medical Sciences, Poznań, Greater Poland, Poland.
Roksana MalakDepartment and Clinic of Rheumatology, Rehabilitation and Internal Medicine, Poznan University of Medical Sciences, Poznań, Greater Poland, Poland.ORCID 0000-0003-0521-5249

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Problems with feeding are widespread in pre-term infants, but they also occur in full-term infants. Feeding skill is the first coordinated function a child acquires, providing him with nutrients and sensory stimulation needed for further proper development. The aim of the retrospective observational case-control study was to observe factors that may influence feeding problems in infants aged 0-3 months. The observed factors included the presence of oral reflexes, the differences in muscle tension, the advancement of motor development, the spontaneous movements, as well as the gestational age, and the pH value of the umbilical cord arterial. Methods: The study involved 60 infants. The study and the control groups included 30 infants each. Feeding problems were the major inclusion criteria for the study group. The infants' reflexes were checked, the muscle tone was palpated, the presence of general movements was visually assessed using Prechtl's method, then the Sensitivity Assessment of the Stomatognathic Complex (SOWKUT) questionnaire and Albert Infant Motor Scale (AIMS) scale were evaluated. Through the perinatal interview with the patient's parent, information regarding the pH of the umbilical cord arterial value was obtained. Results: The study involved 60 infants born between 24 and 41 gestational age (median and standard deviation: 35 ± 4.81). At the time of the study, their postconceptual age was 44 ± 7 weeks. The results showed that infants with problems regarding eating performance have their oral reflexes more often impaired, and their muscles more often show increased symmetrical tension, especially the frontal, orbicularis oris, and masseter muscles. The influence of delayed motor development, sensory hypersensitivity, and early gestational age on the occurrence of feeding problems was observed. No correlation was observed between the umbilical cord arterial's pH values and the feeding issues. Conclusions: Feeding problems are multifactorial, which implies that infants should be provided with quick intervention and necessary therapy. It will allow the babies to develop correctly and reduce the risk of future problems.

Indexed as

Child DevelopmentFeeding BehaviorMuscle TonusReflexCase-Control StudiesFemaleGestational AgeHumansInfantInfant, NewbornInfant, PrematureMaleRetrospective StudiesAIMS scaleFeeding problemsInfant motor developmentInfants’ developmentOral musculoskeletal systemOral reflexesSOWKUT questionnaire

Identifiers

PMID40860665
PMCPMC12377356

What OpenQuestion holds

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LicenceCC BY
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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.