(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

Canada Women’s Rugby 7s Team land at home after series triumph

Next stop at Langford offers Olympic qualification

Second earthquake in less than two hours strikes off Vancouver Island

The first earthquake happened at 1:27 p.m., the second at 2:44 p.m.

Two-sailing wait to get off Vancouver Island

Backlog continues despite extra sailings over Easter

Group aims to raise $250k ahead of Sarah Beckett Playground’s August opening

Not yet halfway to goal for equipment costs, but plans for upcoming fundraisers are underway

Saanich soccer player survives bout with flesh eating disease

Harinder Sandhu picked up the disease after soccer game

Homeless activists outside Notre Dame demand ‘a roof too’

Wealthy people have donated millions to effort to rebuild cathedral after devastating fire

POLL: How often does your family use BC Ferries?

Navigating the lineups for BC Ferries is a way of life for… Continue reading

Crime Stoppers most wanted for Greater Victoria for the week of April 16

Greater Victoria Crime Stoppers is seeking the public’s help in locating the… Continue reading

Sri Lanka invokes war-time military powers after nearly 300 killed in Easter bombings

Sri Lanka’s minister of tourism says 39 foreign tourists were killed in the Easter Sunday attacks

Man’s body found in popular Cowichan Valley hiking area

Police say death not suspicious after discovery in Stoney Hill area overlooking Saltspring Island

Multiple sailing waits as BC Ferries deals with Easter Monday traffic

89 extra sailings had been added to the long weekend schedule

Vancouver Island-based company provides glass alternatives to plastic straws

Enviro Glass Straws now producing more than 60,000 staws each year

Ex-mayor of northern village claims its drivers are overpaying ICBC $1,800 a year

Darcy Repen says data shows Telkwa households are being ripped off for car insurance

Most Read