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

(US Department of Agriculture/Flickr)

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

Lambing in full swing at Aveley Sheep Ranch

Spring is here and this may be most obvious at Aveley Heritage… Continue reading

RCMP looking for grain haulers dumping grain on roadside pull-outs

Illegal practice happening on Highway 5 between Valemount and Avola

Personal Development Weekend Retreat coming up

By K.A. Pendergast Have you ever been stressed? I am sure most… Continue reading

MayDay Parade Theme is “Clearwater Life”

Parade takes place May 18 and starts at Capostinsky Park

Back in Time

Historical Perspective

Dashcam captures close call between minivan, taxi at busy Vancouver intersection

To make the footage more nerve-wracking, a pedestrian can be seen standing at the corner

Waste not: Kootenay brewery leftovers feed the local food chain

Spent grains from the Trail Beer Refinery are donated to local farmers and growers, none go to waste

Deck collapses in Langley during celebration, 35 people injured

Emergency responders rushed to the Langley home

B.C. mom wages battle to get back four kids taken from her in Egypt

Sara Lessing of Mission has help from Abbotsford law firm

VIDEO: Fire guts Peachland home

Crews are still on scene pumping water onto the blaze in the Okanagan neighbourhood

$6K raised in one day’s time for family of woman gunned down in Penticton

GoFundMe launched for family of Darlene Knippelberg, to pay for funeral costs and other expenses

B.C. mountain biker sent home from hospital twice, despite broken vertebrae

Released in Maple Ridge to go home with three fractured vertebrae

Seven tips to travel safely this Easter long weekend

An average of three people are killed, and hundreds more injured, each Easter long weekend in B.C.

Seattle’s 4-20 ‘protestival’ enjoys tolerance, some support – and B.C. could do the same

Seattle’s Hempfest a large-scale occasions with vendors, prominent musical acts and thousands of attendees

Most Read