Feeding Challenges in Children With Down Syndrome: The Role of Aspiration and Clinical Subgroups

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dc.contributor.authorTanrıverdi, Müberra
dc.contributor.authorZengin Yazıcı, Gülşah
dc.contributor.authorYılmaz, Güleser Güney
dc.contributor.authorUygur Şahin, Türkan
dc.date.accessioned2025-10-16T12:55:55Z
dc.date.available2025-10-16T12:55:55Z
dc.date.issued2025
dc.departmentFakülteler, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Çocuk Sağlığı ve Hastalıkları Ana Bilim Dalı
dc.description.abstractBackground: Feeding difficulties, including aspiration risk, are common in children with Down syndrome. Identifying factors affecting feeding modality is crucial. Method: This cross-sectional study included 335 children with Down syndrome (aged 4–12 years; mean 5.2). Feeding was assessed using the Functional Oral Intake Scale (FOIS), the Screening Tool of Feeding Problems (STEP), and clinical observation. Aspiration risk was identified through STEP items and clinician evaluation. FOIS scores categorised feeding as oral or non-oral. Results: Of participants, 74.1% were oral feeders and 25.9% received non-oral nutrition. Aspiration risk was present in 33.7%. Cluster analysis revealed distinct subgroups defined by aspiration, oral sensory issues, and behavioural problems. Younger age was significantly associated with higher aspiration risk (OR = 0.38, p = 0.001). Conclusions: Aspiration risk influences feeding modality and subgroup characteristics. Early multidisciplinary assessment is essential, especially for younger children, to detect risk and guide safe, individualised feeding strategies.
dc.identifier.citationTanrıverdi, M., Zengin Yazıcı, G., Güney Yılmaz, G., & Şahin, T. U. (2025). Feeding Challenges in Children With Down Syndrome: The Role of Aspiration and Clinical Subgroups. Journal of Applied Research in Intellectual Disabilities, 38(5), e70130. 10.1111/jar.70130
dc.identifier.doi10.1111/jar.70130
dc.identifier.issn1360-2322
dc.identifier.issn1468-3148
dc.identifier.issue5
dc.identifier.pmid40998760
dc.identifier.scopus2-s2.0-105017139919
dc.identifier.scopusqualityQ1
dc.identifier.urihttps://hdl.handle.net/20.500.12939/5963
dc.identifier.volume38
dc.identifier.wosWOS:001580861300001
dc.identifier.wosqualityQ2
dc.indekslendigikaynakPubMed
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.institutionauthorUygur Şahin, Türkan
dc.language.isoen
dc.publisherClevedon
dc.relation.ispartofJournal of Applied Research in Intellectual Disabilities
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectaspiration
dc.subjectdown syndrome
dc.subjectfeeding difficulties
dc.subjectoral intake
dc.subjectpaediatric dysphagia
dc.subjectswallowing
dc.subjecttrisomy 21
dc.titleFeeding Challenges in Children With Down Syndrome: The Role of Aspiration and Clinical Subgroups
dc.typeArticle

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