ArticleNutrients2026
Investigation of Feeding Problems and Their Associated Factors in Children with Developmental Disabilities in Saudi Arabia.
Article in Nutrients, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Can AI Write MCQs? A Comparison of ChatGPT-Generated and Educator-Authored Multiple-Choice Questions in Graduate Nursing Education.Nursing reports (Pavia, Italy) · 2026Article
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Authors and funding
12 authors.
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Abstract
BACKGROUND/
objectivesChildren with developmental disabilities (DD) may experience feeding problems that increase their risk of malnourishment. However, data concerning factors linked to feeding problems in children with DD are lacking. The present study aimed to investigate feeding problems and their associated factors in children with DD who are fed orally. This cross-sectional study included data from 160 children with DD aged 2-18 years, recruited from 9 disability centers and schools located in Madinah, Saudi Arabia.
methodsA total of 666 envelopes were distributed randomly to children to take home. Caregivers were asked to provide sociodemographic, health, and nutrition information. Feeding problems were assessed using a validated screening tool for eating/feeding problems (STEP-AR), which included 17 items divided into 5 subdomains (Aspiration risk, Food refusal, Food selectivity, Nutrition behaviors, and Skill). Phone interviews were conducted with caregivers within two weeks of data collection for dietary assessment.
resultsThe most frequently reported feeding problems involved feeding skills and food selectivity, with 39.3% unable to feed themselves, 33.1% showing overeating behavior, and 31.2% exhibiting pica-like behavior. Chewing difficulties (28.7%), limited food intake (25.6%), and swallowing challenges (21.2%) were moderately reported, while aspiration-related problems were less common. Multiple linear regression analysis revealed significant positive associations between feeding problems and caregiver education level, family income, caregiver's relationship to the child, and the child's living arrangement. Dietary intake was not associated with feeding problems.
conclusionsThe findings of this study indicate a range of feeding problems and key sociodemographic factors associated with feeding problems in children with DD. These results highlight the need for targeted interventions such as behavioral support and caregiver education to effectively address and manage feeding challenges in children.
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