FAB RESEARCH COMMENT:
So-called 'fussy', 'picky' or selective eating affects around one in 5 of all children - and in toddlers and young children, resistance to trying new foods is almost unviersal.
In most cases, these difficulties reduce with age, and need not prevent the achievement of a reasonably well-balanced diet - provided that enough nutritious vs non-nutritious foods are made available to them (
and offered with no pressure, but repeated chances to try them, and to see others enjoying them).
For a small minority of children, however (around 1 in 33) selective eating difficulties are both more serious and more persistent, and may meet criteria for
Avoidant Restrictive Food Intake Disoder (ARFID). This condition reflects extreme fear and anxiety around food. S
ee:
The diets of individuals with ARFID are not only highly restricted - including only a very narrow range of specific foods they consider 'safe' or acceptable - but very importantly, the few foods they do eat are typically ultra-processed ones.
Over time, and without specialist help (usually including supplementation to ensure adequate intakes of all essential nutrients), ARFID can lead to serious malnutriiton, which unless identified and treated promptly, can have irreversible and devastating consequences - as in this tragic case.
Permanent loss of vision is one such possible consequence - and as the authors note, this has already documented in other case reports in the UK and Europe: See
For further information please see also:
For more information on selective eating, see:
See also:
- David Rex, RD, and Dr Alex Richardson discuss the latest evidence-based research into what shapes children’s food preferences – with a focus on the areas of selective (‘fussy’ or ‘picky’) eating, and Avoidant Restrictive Food Intake Disorder (ARFID).