Feeding problems in Silver-Russell syndrome

In order to identify the prevalence and severity of feeding problems in chi ldren with Silver-Russell syndrome (SRS) the feeding difficulties of 32 chi ldren with SRS and 32 age- and sex-matched control children were assessed u sing the Feeding Assessment Questionnaire (Harris and Booth 1992). Children 's ages ranged from a to 11 years, with 19 male and 13 female pairs. In a s ubset of matched pairs, parent-child interaction at mealtimes was examined using video recording; food intake was also assessed over a 3-day period us ing weighed food diaries, Children with SRS experienced significantly more feeding problems than children without growth disorders, Common feeding pro blems for children with SRS were poor appetite, fussiness, slow feeding, an d problems associated with oral-motor dysfunction, Feeding problems did not significantly affect intake of kilocalories, protein, fat, or carbohydrate s. Mealtime interaction between children with SRS and their parents was sig nificantly more negative than interactions between control-group children a nd their parents. The focus of intervention packages in SRS should be to re duce negative parent-child interactions and reduce parental anxiety about f eeding, growth, and weight.