Inherited Metabolism Disease
Conditions
Keywords
Inherited Metabolism Disease, Paediatric eating disorders, Dietary treatment, Montreal feeding scale
Brief summary
The main objective of this study is to estimate the prevalence of Pediatric Eating Disorders (PED) in Inherited Metabolic Diseases (IMD) with dietary treatment between the age of 12 months and 6 years 11 months.
Detailed description
Inherited Metabolic Diseases (IMDs) are rare conditions, which are the consequence of a genetic defect affecting an enzyme or a transporter involved in metabolism. This enzymatic defect leads to the accumulation of a potentially toxic compound located upstream of the deficiency and/or the absence of a compound located downstream of the defect. Treatment is possible and it consists of dietary and/or drug treatment. Pediatric Eating Disorders (PED) cover all the difficulties of oral feeding. These may be disorders due to absence of spontaneous feeding behavior, or refusal to eat, and disorders which affect the child's entire psychomotor, language and emotional development. To date, the investigators note the absence of data on the prevalence of PED in IMDs and more generally on the quality of life and psychomotor development of these patients. The causes and mechanisms of PED are numerous and heterogeneous. Their origins can be endogenous and/or exogenous. Our main hypothesis is that the presence of PEDs varies depending on the different categories of IMDs with dietary treatment. Estimating their prevalence would enable awareness and early, better quality care. This study aims to obtain clear and consistent results from a validated scale. It is a single-site study prospectively including patients from the Necker-Enfants Malades hospital reference center. Parents will be informed of the study by an investigator (psychomotor therapist or dietician) during a phone call, by email or in hospital prior to the inclusion visit. On the day of inclusion, the parent's and the child's (depending on their age) non-opposition will be collected before carrying out any procedure and recorded in the patient's medical file. The MCH (Montreal children's hospital) scale and the parental questionnaire will be proposed by the study investigators at the same time, in a physical interview. The collection of medical data in the patient's file and the rating of the MCH scale will be done in parallel by the study investigators.
Interventions
OTHERMCH (Montreal Children's Hospital) feeding scale questionnaire and parental questionnaire
The patient's parents will answer the questionnaire and the investigator will complete the parental questionnaire while asking the questions.
Sponsors
URC-CIC Paris Descartes Necker Cochin
Assistance Publique - Hôpitaux de Paris
Study design
Observational model
CASE_ONLY
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
12 Months to 6 Years
Healthy volunteers
No
Inclusion criteria
* Patient from 12 months to 6 years and 11 months old * Patient with an Inherited Metabolic Diseases with dietary treatment * Patient having experimented a dietary diversification at least 6 month prior * Patient whose parents do not object to their participation in the study
Exclusion criteria
* Patient with an associated chronic disease * Patient with diagnosed Autistic Spectrum Disorder (ASD) or Pervasive Developmental Disorders (PDD) * Patient born before 36 weeks of amenorrhea * Patient with multiple disabilities * Patient with dystonia * Patient with absent or unstable head posture * Patient whose parents do not fully understand or speak French
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Feeding scale score | 1 day | MCH (Montreal Children's Hospital) feeding scale score between the age of 12 months and 6 years 11 months. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Disorders severity level differentiation | 1 day | Differentiation between severe/moderate/mild paediatric eating disorders (PED) using the MCH scale score. This scale makes it possible to differentiate the disorders severity level: mild PED with a score between 61 and 65, moderate PED with a score between 66 and 70 and severe PED with a score higher than or equal to 71. |
| Paediatric eating disorders prevalence for each pathology | 1 day | Estimate for each pathology the paediatric eating disorders prevalence using the MCH scale score |
| Risk factors identification | 1 day | Identify the paediatric eating disorders' risk factors which are inherent to the disease, environmental and psycho-affective based on the parental questionnaire created for this purpose and the data collected |
Countries
France
Contacts
Primary ContactManon Tessier
Backup ContactGael PLASTOW
Outcome results
None listed