Perspectiva atual do transtorno alimentar restritivo/evitativo em crianças
DOI:
https://doi.org/10.34119/bjhrv7n2-363Keywords:
pediatria, seletividade alimentar, transtorno da evitação ou restrição da ingestão de alimentosAbstract
O Transtorno Alimentar Restritivo/Evitativo (TARE) foi recentemente introduzido nos estudos psiquiátricos para substituir a nomenclatura de Transtorno Alimentar da Infância e da Primeira Infância. O objetivo deste artigo é sumarizar as informações atuais relacionadas ao Transtorno Alimentar Restritivo/Evitativo (TARE) na população pediátrica. Foi realizada pesquisa de artigos científicos nas bases de dados PubMed/MedLine, Bireme/BVS, SciELO, ResearchGate e incluídos artigos relacionados ao tema na população pediátrica nos últimos vinte anos, e excluídos os estudos que abordassem doenças crônicas, obesidade ou que se restringem a anorexia ou bulimia nervosa, também, aqueles que se referirem a antiga definição de transtornos alimentares da primeira infância. A partir da revisão dos estudos, foi observado que os Transtornos Alimentares (TA) são considerados uma desordem de origem mental complexa, que podem evoluir com complicações metabólicas importantes. O diagnóstico do TARE é relativamente novo, porém trata-se de um problema antigo e enfrentado por diversas famílias. O diagnóstico é dependente de informações provenientes dos cuidadores, avaliação minuciosa dos pacientes e acompanhamento rigoroso das famílias. As crianças acometidas apresentam mais frequentemente associação com outras comorbidades psiquiátricas como transtorno de ansiedade generalizada, transtornos depressivos, transtorno de déficit de atenção e hiperatividade, transtorno do espectro do autismo e podem manter o transtorno até a vida adulta. O manejo da doença é multidisciplinar e essencialmente clínico, é necessário agregar os cuidados de médicos, nutricionistas e psicólogos.
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