Nutritional risks of ARFID (avoidant restrictive food intake disorders) and related behavior.

F Feillet, A Bocquet, A Briend, J-P Chouraqui, D Darmaun, M-L Frelut, J-P Girardet, D Guimber, R Hankard, A Lapillonne, N Peretti, J-C Rozé, U Simeoni, D Turck, C Dupont

Journal: Archives de pediatrie : organe officiel de la Societe francaise de pediatrie 2020;26(7):437-441

PMID: 31500920

Full Text on Elsevier Science View on PubMed

Abstract

Avoidant/restrictive food intake disorder (ARFID) has recently been added to the DSM V (Diagnostic and Statistical Manual of Mental Disorders, 5th edition) as a new class of eating disorders (EDs). ARFID is characterized by a lack of interest in eating or avoiding specific types of foods because of their sensory characteristics. This avoidance results in decreased nutritional intake, eventually causing nutritional deficiencies. In severe cases, ARFID can lead to dependence on oral nutritional supplements, which interferes with psychosocial functioning. The prevalence of ARFID can be as high as 3% in the general population, and it is often associated with gastrointestinal symptoms and mainly appears in children with anxiety disorders. Given the high prevalence of ARFID, a rapid and systematic nutrition survey should be conducted during every pediatric consultation. Its treatment should also be adapted depending on the severity of the nutritional problem and may involve hospitalization with multidisciplinary care (pediatrician, nutritional therapist, dietitian, psychologists, and speech therapists).

Address: Université de Lorraine, 54000 Nancy, France. Electronic address: [email protected].; Université de Franche-Comté, 25000 Besançon, France.; Institut de recherche pour le développement, 13002 Marseille, France.; Université de Lausanne, 1011 Lausanne, Switzerland.; Universite Nantes-Atlantique, 44300 Nantes, France.; Université Paris-Sud, 75005 Paris, France.; Université Paris 6 Pierre et Marie Curien, 75005 Paris, France.; Université de Lille, 59000 Lille, France.; Université de Tours, 37000 Tours, France.; Université Paris Descartes, 75006 Paris, France.; Université de Lyon, 69000 Lyon, France.; Société française de pédiatrie, hôpital Necker Carré Necker, 149, rue de Sèvres, 75015 Paris, France.

DOI: 10.1016/j.arcped.2019.08.005

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MeSH Terms: Anxiety, Avoidant Restrictive Food Intake Disorder, Child, Humans, Malnutrition, Pediatrics, Risk Factors