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Avoidant/restrictive food intake disorder (ARFID): OverviewAAvoidant/restrictive food intake disorder (ARFID): OverviewAvoidant/restrictive food intake disorder (ARFID): OverviewEnglishPsychiatryToddler (13-24 months);Preschooler (2-4 years);School age child (5-8 years);Pre-teen (9-12 years);Teen (13-18 years)NANAConditions and diseasesCaregivers Adult (19+)NA2023-09-12T04:00:00Z10.000000000000050.1000000000000613.000000000000Health (A-Z) - ConditionsHealth A-Z<p>​Learn about the possible causes of ARFID and how it differs from picky eating.</p><h2>What is avoidant/restrictive food intake disorder?</h2><p>Avoidant/restrictive food intake disorder (ARFID) is an eating disorder that occurs when a child or teen doesn’t eat enough to meet their energy or nutritional needs. People with ARFID are not concerned about their body weight, shape or size.</p><p>Instead, they avoid foods due to worries about vomiting or choking; or dislike of certain food textures, smells or tastes; or because they are not interested in eating or food. Because of their problems with eating, they may lose weight or not grow as expected.</p><h2>Key points</h2><ul><li>​A child who has ARFID eats very little food or avoids certain foods for a range of reasons, for example because of concerns about food texture or not feeling well when eating.</li><li>​​Some people with ARFID have anxiety disorders that appear as a fear of vomiting or choking.</li><li> ​​ARFID is not the same as picky eating. It involves having a poor appetite overall,​ rather than a rejection of a few foods, and needs medical attention and psychological care.​ ARFID usually develops in childhood but can occur in people of all ages.</li>​</ul><h2>What causes ARFID?</h2> <p>Not a lot of information is currently known about the causes of ARFID. </p> <p>Some children and teens with ARFID will struggle with <a href="/Article?contentid=18&language=English">anxiety disorders</a> that appear as a fear of vomiting or choking. Other children and teens may experience eating issues as part of another disorder, for example <a href="/autism">autism</a>. They would only be diagnosed with ARFID, however, if their food issues were more severe than would be expected with the disorder.</p> <h2>Is ARFID the same as "picky eating"?</h2> <p>No, ARFID is not the same as "picky eating".</p> <ul> <li>Children with ARFID may refuse to eat foods of a certain texture, colour, taste, temperature or smell. Picky eating typically involves only a few foods.</li> <li>If a child has ARFID, they tend to have a poor appetite and experience delayed growth. So-called picky eaters have a normal appetite, eat enough food overall and develop normally.</li> <li>The problems that people with ARFID develop with food continue for a long time and need medical attention and psychological care. The eating patterns found among picky eaters usually resolve on their own eventually.</li> </ul> <h2>Who is affected by ARFID?</h2> <p>ARFID typically begins during childhood but can occur in people of all ages. Unlike those with <a href="/Article?contentid=268&language=English">anorexia nervosa</a> or <a href="/Article?contentid=282&language=English">bulimia nervosa</a>, people with ARFID do not have body image concerns or fears about gaining weight.</p><h2>At SickKids</h2><p>SickKids has an eating disorder program that treats children and teens who are struggling with symptoms of anorexia nervosa, bulimia nervosa and avoidant restrictive food intake disorder. For more information on our program visit: <a href="http://www.sickkids.ca/adolescentmedicine/eating-disorders-program">www.sickkids.ca/adolescentmedicine/eating-disorders-program</a></p><h2>Further information</h2><p>For more information on avoidant/restrictive food intake disorder (ARFID), please see the following pages:</p><p> <a href="/Article?contentid=275&language=English">ARFID: Signs and symptoms</a></p><p> <a href="/Article?contentid=273&language=English">ARFID: Medical complications</a></p><p> <a href="/Article?contentid=703&language=English">ARFID: Treatment options</a></p><p> <a href="/Article?contentid=272&language=English">ARFID: How to help your child at home</a><br></p> <p>Please visit our teen mental health hub for teen-specific resources on <a href="https://teens.aboutkidshealth.ca/Article?contentid=3789&language=English&hub=mentalhealthAZ#mentalhealth">avoidant/restrictive food intake disorder (ARFID)</a>.</p> <h2>Resources<br></h2><p> <a href="http://www.nedic.ca/" target="_blank">NEDIC – National Eating Disorder Infor​mation Centre</a> (Canada)</p><p> <a href="https://www.nationaleatingdisorders.org/" target="_blank">NEDA – National Eating Disorder Association</a> (United States)</p><p>American Academy of Pediatrics – <em><a href="https://www.healthychildren.org/English/health-issues/conditions/emotional-problems/Pages/Is-Your-Teen-at-Risk-for-Developing-an-Eating-Disorder.aspx" target="_blank">​Eating Disorders in Children</a> ​</em></p><p> <a href="https://www.beateatingdisorders.org.uk/" target="_blank">BEAT – Beating Eating Disorders</a> (United Kingdom)</p><p> <a href="https://keltyeatingdisorders.ca/" target="_blank">Kelty Eating Disorders​</a> (Kelty Mental Health Resource Centre, BC Children's Hospital)</p><p>Children's Hospital of Eastern Ontario – <a href="https://www.cheo.on.ca/en/eating_disorder_info" target="_blank"><em>Eating Disorders​</em></a></p><p> <a href="https://anad.org/">ANAD – National Association of Anorexia Nervosa and Associated Disorders</a> (United States)</p> ​​<strong>Virtual care services for children:</strong> <div> <b> <br></b> <strong></strong> <div>​Boomerang Health was opened by SickKids to provide communities in Ontario with greater access to community-based services for children and adolescents. For more information on virtual care services in Ontario to support eating disorders, visit <a href="http://www.boomeranghealth.com/services/nutrition/">Boomerang Health</a> powered by SickKids.<br></div></div>
Trouble d’alimentation sélective et/ou d’évitement : présentation généraleTTrouble d’alimentation sélective et/ou d’évitement : présentation généraleAvoidant/restrictive food intake disorder: OverviewFrenchPsychiatryToddler (13-24 months);Preschooler (2-4 years);School age child (5-8 years);Pre-teen (9-12 years);Teen (13-18 years)NANAConditions and diseasesCaregivers Adult (19+)NA2016-02-02T05:00:00Z000Health (A-Z) - ConditionsHealth A-Z<p>Les causes possibles de l’ARFID et les différences entre l’ARFID et faire la fine bouche.</p><h2>Qu’est-ce que le trouble d’alimentation sélective et/ou d’évitement?</h2> <p>Le trouble d’alimentation sélective et/ou d’évitement (ARFID, pour avoidant/restrictive food intake disorder) est un trouble de l’alimentation caractérisé par le fait qu’un enfant ou un adolescent ne s’alimente pas suffisamment pour satisfaire ses besoins énergétiques ou nutritionnels. Cela peut se produire pour diverses raisons, par exemple une aversion envers la texture de certains aliments ou un dégoût lors de la consommation de certains aliments.</p> <p>L’enfant ou l’adolescent aux prises avec ce trouble mangera très peu ou évitera carrément certains aliments. Cela peut entraîner notamment une perte de poids appréciable ou l’incapacité de prendre du poids.</p><h2>À retenir</h2> <ul> <li>L’enfant ou l’adolescent aux prises avec ce trouble mangera très peu ou évitera certains aliments et ce, pour diverses raisons, par exemple une aversion envers la texture de certains aliments ou un dégoût lors de la consommation de certains aliments.</li> <li>Certains présentent des troubles d’anxiété qui se manifestent par une phobie de vomir ou de s’étouffer.</li> <li>L’ARFID et faire la fine bouche sont deux phénomènes différents. Le premier est caractérisé par un faible appétit, alors que le second est plutôt caractérisé par un rejet de certains aliments seulement; l’ARFID requiert un suivi médical et des soins psychologiques.</li> <li>L’ARFID survient en principe durant l’enfance, mais peut également se manifester chez les personnes de tout âge.</li> </ul><h2>Qu’est-ce qui cause l’ARFID?</h2> <p>On sait peu de choses au sujet des causes de l’ARFID.</p> <p>Certains enfants et adolescents touchés par l’ARFID présentent en outre des <a href="/Article?contentid=18&language=French">troubles anxieux</a> qui se manifestent par une phobie de vomir ou de s’étouffer. D’autres présenteront un trouble de l’alimentation en concomitance avec un autre trouble comme <a href="/Article?contentid=21&language=French">l’autisme</a>, par exemple. Le diagnostic d’ARFID ne serait posé, le cas échéant, que si la problématique liée à leur alimentation était plus grave que celle normalement attendue pour le trouble concomitant.</p> <h2>L’ARFID et faire la fine bouche sont-ils deux phénomènes pareils?</h2> <p>Non, l’ARFID et faire la fine bouche ne sont pas des phénomènes pareils.</p> <ul> <li>L’enfant touché par l’ARFID refusera de manger des aliments d’une certaine texture, température, couleur ou odeur ou d’un certain goût alors que, règle générale, l’enfant qui fait la fine bouche a une aversion seulement envers quelques aliments.</li> <li>L’enfant touché par l’ARFID a généralement peu d’appétit et présente souvent un retard de croissance. L’enfant dont on dit qu’il fait la fine bouche a plutôt un appétit normal, mange suffisamment dans l’ensemble et se développe normalement.</li> <li>Les problématiques en lien avec les aliments des enfants touchés par l’ARFID persistent longtemps et nécessitent un suivi médical et des soins psychologiques. Les problématiques des enfants qui font la fine bouche se résorbent généralement d’elles-mêmes au fil du temps.</li> </ul> <h2>Qui est touché par l’ARFID?</h2> <p>L’ARFID survient en principe durant l’enfance, mais peut également se manifester chez les personnes de tout âge. Contrairement aux personnes aux prises avec <a href="/Article?contentid=268&language=French">l’anorexie mentale</a> ou la <a href="/Article?contentid=282&language=French">boulimie mentale</a>, celles touchées par l’ARFID n’ont pas de problème d’image corporelle ou une crainte de prendre du poids.</p><h2>En savoir plus</h2><p>Pour plus d’informations sur trouble d'alimentation sélective et/ou d’évitement (ARFID), consultez les pages suivantes:</p><p> <a href="/Article?contentid=275&language=French">L’ARFID : signes avant-coureurs</a></p><p> <a href="/Article?contentid=273&language=French">L’ARFID : complications médicales</a> </p><p> <a href="/Article?contentid=703&language=French">L’ARFID : options de traitements </a></p><p> <a href="/Article?contentid=272&language=French">L’ARFID : comment aider votre enfant à la maison​</a></p><h2>Ressources</h2><p> <a href="http://www.nedic.ca/" target="_blank"> <span>NEDIC – Centre d’information sur les troubles alimenta</span><span>ires</span></a> (Canada)</p><p> <a href="https://www.nationaleatingdisorders.org/">NEDA – Association nationale des troubles alimentaires</a> (États-Unis)</p><p>L'académie américaine de pédiatrie – <em> <a href="https://www.healthychildren.org/English/health-issues/conditions/emotional-problems/Pages/Is-Your-Teen-at-Risk-for-Developing-an-Eating-Disorder.aspx" target="_blank">​Eating Disorders in Children</a></em></p><p> <a href="https://www.beateatingdisorders.org.uk/" target="_blank">BEAT – Lutter contre les troubles alimentaires</a> (Royaume Uni)</p><p> <a href="https://keltyeatingdisorders.ca/" target="_blank">Troubles alimentaires Kelty</a> (Centre de ressources sur la santé mentale Kelty, Hôpital pour enfants de la Colombie-Britannique)</p><p>Le Centre hospitalier pour enfants de l’est de l’Ontario – <em> <a href="https://www.cheo.on.ca/fr/troubles_alimentaires_info" target="_blank">Troubles de l'alimentation</a></em>​</p>

 

 

 

 

Avoidant/restrictive food intake disorder (ARFID): Overview274.000000000000Avoidant/restrictive food intake disorder (ARFID): OverviewAvoidant/restrictive food intake disorder (ARFID): OverviewAEnglishPsychiatryToddler (13-24 months);Preschooler (2-4 years);School age child (5-8 years);Pre-teen (9-12 years);Teen (13-18 years)NANAConditions and diseasesCaregivers Adult (19+)NA2023-09-12T04:00:00Z10.000000000000050.1000000000000613.000000000000Health (A-Z) - ConditionsHealth A-Z<p>​Learn about the possible causes of ARFID and how it differs from picky eating.</p><h2>What is avoidant/restrictive food intake disorder?</h2><p>Avoidant/restrictive food intake disorder (ARFID) is an eating disorder that occurs when a child or teen doesn’t eat enough to meet their energy or nutritional needs. People with ARFID are not concerned about their body weight, shape or size.</p><p>Instead, they avoid foods due to worries about vomiting or choking; or dislike of certain food textures, smells or tastes; or because they are not interested in eating or food. Because of their problems with eating, they may lose weight or not grow as expected.</p><h2>Key points</h2><ul><li>​A child who has ARFID eats very little food or avoids certain foods for a range of reasons, for example because of concerns about food texture or not feeling well when eating.</li><li>​​Some people with ARFID have anxiety disorders that appear as a fear of vomiting or choking.</li><li> ​​ARFID is not the same as picky eating. It involves having a poor appetite overall,​ rather than a rejection of a few foods, and needs medical attention and psychological care.​ ARFID usually develops in childhood but can occur in people of all ages.</li>​</ul><h2>What causes ARFID?</h2> <p>Not a lot of information is currently known about the causes of ARFID. </p> <p>Some children and teens with ARFID will struggle with <a href="/Article?contentid=18&language=English">anxiety disorders</a> that appear as a fear of vomiting or choking. Other children and teens may experience eating issues as part of another disorder, for example <a href="/autism">autism</a>. They would only be diagnosed with ARFID, however, if their food issues were more severe than would be expected with the disorder.</p> <h2>Is ARFID the same as "picky eating"?</h2> <p>No, ARFID is not the same as "picky eating".</p> <ul> <li>Children with ARFID may refuse to eat foods of a certain texture, colour, taste, temperature or smell. Picky eating typically involves only a few foods.</li> <li>If a child has ARFID, they tend to have a poor appetite and experience delayed growth. So-called picky eaters have a normal appetite, eat enough food overall and develop normally.</li> <li>The problems that people with ARFID develop with food continue for a long time and need medical attention and psychological care. The eating patterns found among picky eaters usually resolve on their own eventually.</li> </ul> <h2>Who is affected by ARFID?</h2> <p>ARFID typically begins during childhood but can occur in people of all ages. Unlike those with <a href="/Article?contentid=268&language=English">anorexia nervosa</a> or <a href="/Article?contentid=282&language=English">bulimia nervosa</a>, people with ARFID do not have body image concerns or fears about gaining weight.</p><h2>At SickKids</h2><p>SickKids has an eating disorder program that treats children and teens who are struggling with symptoms of anorexia nervosa, bulimia nervosa and avoidant restrictive food intake disorder. For more information on our program visit: <a href="http://www.sickkids.ca/adolescentmedicine/eating-disorders-program">www.sickkids.ca/adolescentmedicine/eating-disorders-program</a></p><h2>Further information</h2><p>For more information on avoidant/restrictive food intake disorder (ARFID), please see the following pages:</p><p> <a href="/Article?contentid=275&language=English">ARFID: Signs and symptoms</a></p><p> <a href="/Article?contentid=273&language=English">ARFID: Medical complications</a></p><p> <a href="/Article?contentid=703&language=English">ARFID: Treatment options</a></p><p> <a href="/Article?contentid=272&language=English">ARFID: How to help your child at home</a><br></p> <p>Please visit our teen mental health hub for teen-specific resources on <a href="https://teens.aboutkidshealth.ca/Article?contentid=3789&language=English&hub=mentalhealthAZ#mentalhealth">avoidant/restrictive food intake disorder (ARFID)</a>.</p> <h2>Resources<br></h2><p> <a href="http://www.nedic.ca/" target="_blank">NEDIC – National Eating Disorder Infor​mation Centre</a> (Canada)</p><p> <a href="https://www.nationaleatingdisorders.org/" target="_blank">NEDA – National Eating Disorder Association</a> (United States)</p><p>American Academy of Pediatrics – <em><a href="https://www.healthychildren.org/English/health-issues/conditions/emotional-problems/Pages/Is-Your-Teen-at-Risk-for-Developing-an-Eating-Disorder.aspx" target="_blank">​Eating Disorders in Children</a> ​</em></p><p> <a href="https://www.beateatingdisorders.org.uk/" target="_blank">BEAT – Beating Eating Disorders</a> (United Kingdom)</p><p> <a href="https://keltyeatingdisorders.ca/" target="_blank">Kelty Eating Disorders​</a> (Kelty Mental Health Resource Centre, BC Children's Hospital)</p><p>Children's Hospital of Eastern Ontario – <a href="https://www.cheo.on.ca/en/eating_disorder_info" target="_blank"><em>Eating Disorders​</em></a></p><p> <a href="https://anad.org/">ANAD – National Association of Anorexia Nervosa and Associated Disorders</a> (United States)</p> ​​<strong>Virtual care services for children:</strong> <div> <b> <br></b> <strong></strong> <div>​Boomerang Health was opened by SickKids to provide communities in Ontario with greater access to community-based services for children and adolescents. For more information on virtual care services in Ontario to support eating disorders, visit <a href="http://www.boomeranghealth.com/services/nutrition/">Boomerang Health</a> powered by SickKids.<br></div></div><img alt="" src="https://assets.aboutkidshealth.ca/AKHAssets/avoidant_restrictive_food_intake_overview.jpg" style="BORDER:0px solid;" />https://assets.aboutkidshealth.ca/AKHAssets/avoidant_restrictive_food_intake_overview.jpgAvoidant/restrictive food intake disorder (ARFID): OverviewFalseARFID: Overview Learn about the possible causes of Avoidant/restrictive food intake disorder (ARFID) and how it differs from picky eating.

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