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Avoidant restrictive food intake disorder

MedGen UID:
825966
•Concept ID:
C3840121
•
Mental or Behavioral Dysfunction
Synonyms: ARFID; Avoidant Restrictive Food Intake Disorder; Food Neophobia; Food Neophobias; Neophobia, Food
SNOMED CT: Avoidant restrictive food intake disorder (700213005)

Definition

An eating or feeding disturbance (e.g., apparent lack of interest in eating or food; avoidance based on the sensory characteristics of food; concern about aversive consequences of eating) as manifested by persistent failure to meet appropriate nutritional and/or energy needs associated with one (or more) of the following: significant weight loss (or failure to achieve expected weight gain or faltering growth in children); significant nutritional deficiency; dependence on enteral feeding or oral nutritional supplements; or marked interference with psychosocial functioning. (from DSM-V) [from MeSH]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVAvoidant restrictive food intake disorder

Professional guidelines

PubMed

Assessment and Treatment of Avoidant/Restrictive Food Intake Disorder.
Kambanis PE, Thomas JJ
Curr Psychiatry Rep 2023 Feb;25(2):53-64. Epub 2023 Jan 14 doi: 10.1007/s11920-022-01404-6. PMID: 36640211Free PMC Article
Psychopharmacologic Management of Eating Disorders.
Muratore AF, Attia E
Curr Psychiatry Rep 2022 Jul;24(7):345-351. Epub 2022 May 16 doi: 10.1007/s11920-022-01340-5. PMID: 35576089Free PMC Article
ARFID-Strategies for Dietary Management in Children.
Białek-Dratwa A, Szymańska D, Grajek M, Krupa-Kotara K, Szczepańska E, Kowalski O
Nutrients 2022 Apr 22;14(9) doi: 10.3390/nu14091739. PMID: 35565707Free PMC Article

Recent clinical studies

Etiology

ARFID-Strategies for Dietary Management in Children.
Białek-Dratwa A, Szymańska D, Grajek M, Krupa-Kotara K, Szczepańska E, Kowalski O
Nutrients 2022 Apr 22;14(9) doi: 10.3390/nu14091739. PMID: 35565707Free PMC Article
Avoidant/restrictive food intake disorder: A systematic scoping review of the current literature.
Bourne L, Bryant-Waugh R, Cook J, Mandy W
Psychiatry Res 2020 Jun;288:112961. Epub 2020 Apr 4 doi: 10.1016/j.psychres.2020.112961. PMID: 32283448
Feeding and Eating Disorders in Children.
Bryant-Waugh R
Psychiatr Clin North Am 2019 Mar;42(1):157-167. doi: 10.1016/j.psc.2018.10.005. PMID: 30704636
Cognitive-behavioral treatment of avoidant/restrictive food intake disorder.
Thomas JJ, Wons OB, Eddy KT
Curr Opin Psychiatry 2018 Nov;31(6):425-430. doi: 10.1097/YCO.0000000000000454. PMID: 30102641Free PMC Article
Avoidant/Restrictive Food Intake Disorder: a Three-Dimensional Model of Neurobiology with Implications for Etiology and Treatment.
Thomas JJ, Lawson EA, Micali N, Misra M, Deckersbach T, Eddy KT
Curr Psychiatry Rep 2017 Aug;19(8):54. doi: 10.1007/s11920-017-0795-5. PMID: 28714048Free PMC Article

Diagnosis

Assessment and Treatment of Avoidant/Restrictive Food Intake Disorder.
Kambanis PE, Thomas JJ
Curr Psychiatry Rep 2023 Feb;25(2):53-64. Epub 2023 Jan 14 doi: 10.1007/s11920-022-01404-6. PMID: 36640211Free PMC Article
Eating disorders.
Treasure J, Duarte TA, Schmidt U
Lancet 2020 Mar 14;395(10227):899-911. doi: 10.1016/S0140-6736(20)30059-3. PMID: 32171414
Current approach to eating disorders: a clinical update.
Hay P
Intern Med J 2020 Jan;50(1):24-29. doi: 10.1111/imj.14691. PMID: 31943622Free PMC Article
The Neurobiology of Eating Disorders.
Frank GKW, Shott ME, DeGuzman MC
Child Adolesc Psychiatr Clin N Am 2019 Oct;28(4):629-640. Epub 2019 Jul 4 doi: 10.1016/j.chc.2019.05.007. PMID: 31443880Free PMC Article
Avoidant/Restrictive Food Intake Disorder (ARFID).
Zimmerman J, Fisher M
Curr Probl Pediatr Adolesc Health Care 2017 Apr;47(4):95-103. doi: 10.1016/j.cppeds.2017.02.005. PMID: 28532967

Therapy

Assessment and Treatment of Avoidant/Restrictive Food Intake Disorder.
Kambanis PE, Thomas JJ
Curr Psychiatry Rep 2023 Feb;25(2):53-64. Epub 2023 Jan 14 doi: 10.1007/s11920-022-01404-6. PMID: 36640211Free PMC Article
Psychopharmacologic Management of Eating Disorders.
Muratore AF, Attia E
Curr Psychiatry Rep 2022 Jul;24(7):345-351. Epub 2022 May 16 doi: 10.1007/s11920-022-01340-5. PMID: 35576089Free PMC Article
A Functional Approach to Feeding Difficulties in Children.
Milano K, Chatoor I, Kerzner B
Curr Gastroenterol Rep 2019 Aug 23;21(10):51. doi: 10.1007/s11894-019-0719-0. PMID: 31444689
Cognitive-behavioral treatment of avoidant/restrictive food intake disorder.
Thomas JJ, Wons OB, Eddy KT
Curr Opin Psychiatry 2018 Nov;31(6):425-430. doi: 10.1097/YCO.0000000000000454. PMID: 30102641Free PMC Article
Assessment and treatment of eating disorders in children and adolescents.
Mairs R, Nicholls D
Arch Dis Child 2016 Dec;101(12):1168-1175. Epub 2016 Jun 28 doi: 10.1136/archdischild-2015-309481. PMID: 27381185

Prognosis

Feeding and eating disorders.
Bhattacharya A, DeFilipp L, Timko CA
Handb Clin Neurol 2020;175:387-403. doi: 10.1016/B978-0-444-64123-6.00026-6. PMID: 33008539
Pediatric Prevention: Feeding Disorders.
Ibañez VF, Peterson KM, Crowley JG, Haney SD, Andersen AS, Piazza CC
Pediatr Clin North Am 2020 Jun;67(3):451-467. doi: 10.1016/j.pcl.2020.02.003. PMID: 32443986
Avoidant/Restrictive Food Intake Disorder.
Bryant-Waugh R
Child Adolesc Psychiatr Clin N Am 2019 Oct;28(4):557-565. Epub 2019 Jun 26 doi: 10.1016/j.chc.2019.05.004. PMID: 31443874
Avoidant/Restrictive Food Intake Disorder (ARFID).
Zimmerman J, Fisher M
Curr Probl Pediatr Adolesc Health Care 2017 Apr;47(4):95-103. doi: 10.1016/j.cppeds.2017.02.005. PMID: 28532967
A Systematic Review and Meta-Analysis of Intensive Multidisciplinary Intervention for Pediatric Feeding Disorders: How Standard Is the Standard of Care?
Sharp WG, Volkert VM, Scahill L, McCracken CE, McElhanon B
J Pediatr 2017 Feb;181:116-124.e4. Epub 2016 Nov 8 doi: 10.1016/j.jpeds.2016.10.002. PMID: 27843007

Clinical prediction guides

Avoidant Restrictive Food Intake Disorder Prevalent Among Patients With Inflammatory Bowel Disease.
Yelencich E, Truong E, Widaman AM, Pignotti G, Yang L, Jeon Y, Weber AT, Shah R, Smith J, Sauk JS, Limketkai BN
Clin Gastroenterol Hepatol 2022 Jun;20(6):1282-1289.e1. Epub 2021 Aug 11 doi: 10.1016/j.cgh.2021.08.009. PMID: 34389486
Feeding, Eating, and Emotional Disturbances in Children with Avoidant/Restrictive Food Intake Disorder (ARFID).
Iron-Segev S, Best D, Arad-Rubinstein S, Efron M, Serur Y, Dickstein H, Stein D
Nutrients 2020 Nov 4;12(11) doi: 10.3390/nu12113385. PMID: 33158087Free PMC Article
Beyond Picky Eating.
Lim TSH, Aw M, Slosky L, Nyp SS
J Dev Behav Pediatr 2020 Oct-Nov;41(8):656-658. doi: 10.1097/DBP.0000000000000846. PMID: 32826694
Food neophobia in children.
Łoboś P, Januszewicz A
Pediatr Endocrinol Diabetes Metab 2019;25(3):150-154. doi: 10.5114/pedm.2019.87711. PMID: 31769273
The Autism Managing Eating Aversions and Limited Variety Plan vs Parent Education: A Randomized Clinical Trial.
Sharp WG, Burrell TL, Berry RC, Stubbs KH, McCracken CE, Gillespie SE, Scahill L
J Pediatr 2019 Aug;211:185-192.e1. Epub 2019 May 3 doi: 10.1016/j.jpeds.2019.03.046. PMID: 31056202Free PMC Article

Recent systematic reviews

What do we know about the epidemiology of avoidant/restrictive food intake disorder in children and adolescents? A systematic review of the literature.
Sanchez-Cerezo J, Nagularaj L, Gledhill J, Nicholls D
Eur Eat Disord Rev 2023 Mar;31(2):226-246. Epub 2022 Dec 16 doi: 10.1002/erv.2964. PMID: 36527163Free PMC Article
The intersect of gastrointestinal symptoms and malnutrition associated with anorexia nervosa and avoidant/restrictive food intake disorder: Functional or pathophysiologic?-A systematic review.
Gibson D, Watters A, Mehler PS
Int J Eat Disord 2021 Jun;54(6):1019-1054. Epub 2021 May 27 doi: 10.1002/eat.23553. PMID: 34042203
FACTORS ASSOCIATED WITH FOOD NEOPHOBIA IN CHILDREN: SYSTEMATIC REVIEW.
Torres TO, Gomes DR, Mattos MP
Rev Paul Pediatr 2020;39:e2020089. Epub 2020 Nov 6 doi: 10.1590/1984-0462/2021/39/2020089. PMID: 33175005Free PMC Article
Use of cyproheptadine to stimulate appetite and body weight gain: A systematic review.
Harrison ME, Norris ML, Robinson A, Spettigue W, Morrissey M, Isserlin L
Appetite 2019 Jun 1;137:62-72. Epub 2019 Feb 27 doi: 10.1016/j.appet.2019.02.012. PMID: 30825493
A Systematic Review and Meta-Analysis of Intensive Multidisciplinary Intervention for Pediatric Feeding Disorders: How Standard Is the Standard of Care?
Sharp WG, Volkert VM, Scahill L, McCracken CE, McElhanon B
J Pediatr 2017 Feb;181:116-124.e4. Epub 2016 Nov 8 doi: 10.1016/j.jpeds.2016.10.002. PMID: 27843007

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