Feeding difficulties may be mild or transient with no adverse outcomes or severe and prolonged impacting on the health and development of the child and family relationships [9].

Children with severe feeding difficulties are at risk of nutritional deficiencies, poor growth, cognitive impairment, emotional dysfunction and even death [9, 10]. Early detection of feeding problems and appropriate intervention improves outcomes for children [10, 11].

Three to ten percent of children develop chronic feeding issues that exceed expected variations in development and are possibly associated with negative outcomes in terms of growth and development [5, 12].