(US Department of Agriculture/Flickr)

Picky eater or health problem? B.C. doctor talks about an unfamiliar disorder

Children with ARFID avoid certain foods based on their appearance, brand, smell and texture

For some children at the dinner table, it’s simply a matter of picky eating, but for others, it may be a legitimate eating disorder that brings anxiety, extreme weight loss and malnutrition.

To mark Eating Disorder Awareness Week, BC Children’s Hospital is focusing on a relatively unknown condition that only became a recognized diagnosis in 2013: avoidant/restrictive food intake disorder, also known as ARFID.

Dr. Jennifer Coelho, a psychologist at the Vancouver-based hospital, told Black Press Media that in its most serious form, the disorder can cause extreme iron deficiency and gastrointestinal and psychological problems.

“It’s really not picky eating. It’s quite normal for young children to have foods they avoid or not have preference for,” Coelho said.

“It’s different than other eating disorders. [These] kids don’t have issues with how they look, like how those with anorexia or bulimia nervosa may have.”

Children and youth with ARFID will avoid certain foods based on the appearance, brand, smell and texture.

Some children may also become extremely worried about eating outside of their normal routine, like on holidays or at a friend’s house.

“For example, if somebody has an allergic reaction, or gets sick and has a vomiting episode, they become very worried about eating,” Coelho said.

Before being designated as a disorder, most children who were struggling would be diagnosed as having an “eating disorder not otherwise specified.”

READ MORE: ‘Love you to life’: B.C. family shares desperate fight to save teen with eating disorder

READ MORE: Victoria woman shares her painful experience with opioid addiction

Since BC Children’s Hospital started a program five years go, she’s seen children of all ages take part in treatment, some as old as 18 years. The disorder can manifest in adults, too, but is more commonly found in children.

Exactly how many children on average suffer from ARFID in B.C., or Canada, isn’t known at this time. A 2014 study out of Penn State University found that 20 per cent of youth admitted to a day treatment program for eating disorders had similar symptoms of this particular disorder.

“There is some confusion in the community here – people who haven’t heard of it because it is so new,” Coelho said.

A first-of-its-kind treatment manual was created and released in 2018, which Coelho said will help doctors better understand the symptoms of ARFID, and the therapy needed to treat it.

BC Children’s Hospital has also been approved through a grant to survey doctors across the province to identify any knowledge gaps around understanding the disorder.

For parents concerned their child may be more than a picky eater, Coelho said important symptoms to look out for include a child failing to gain weight, nutritional deficiencies, or a struggle with eating interfering with their day-to-day. If there is any concern, she urged parents to visit their pediatrician or family doctor.


@ashwadhwani
ashley.wadhwani@bpdigital.ca

Like us on Facebook and follow us on Twitter.

Just Posted

Whitecaps’ Dalrymple part of soccer panel in Ridge

High Performance Pathway and Grassroots information session set

ElderDog looking to start ‘pawd’ in Maple Ridge

Non-profit group provides support for seniors and canine companions

Knights midgets win in another shutout

Bantams lose close game against Chilliwack

Liberal pamphlet criticizes NDP over Maple Ridge housing plan

Mail-out says city deserves better on homelessness

Man’s body found in downtown Maple Ridge

Death not suspicious: Ridge RCMP

What’s age got to do with it? B.C. couple with 45-year gap talks happy marriage

An Armstrong couple that has 45-year age gap began turning heads after being featured on show Extreme Love.

Tofino beckons Trudeau for quiet Easter vacation

Environmental group hopes latest Pacific Rim vacation inspires change in prime minister

B.C. man turned to dating site for pimp operation, court hears

In court the details of how Simon Rypiak lured 4 women into prostitution revealed

5 to start your day

Death in Surrey being probed by homicide investigators, FOI offers top dog names in White Rock and more

VIDEO: Vancouver Giants fall in overtime

Team still leads WHL series against Spokane

Should B.C. parents receive money if they make sure their kids are vaccinated?

New survey looks at public opinion around government’s role in forcing immunizations

Defence accuses officer of ‘incompetence’ in trial for B.C. man accused in daughters’ murder

Double murder trial for the Victoria father accused of killing his two young daughters continues

‘Cutthroat’ sport of wine tasting happening in B.C.

BC Tasting Games are underway with competitions in three Okanagan communities.

Loud jets from Abbotsford are annoying residents of tiny U.S. town

Flights out of Abbotsford airport turn over border town and annoy residents, Sumas mayor says

Most Read