Version July 2025
| (A) Disturbance in oral intake of nutrients, inappropriate for age, lasting at least 2 weeks and associated with 1 or more of the following: |
| Medical dysfunction, as evidenced by any of the following*: |
| Cardiorespiratory compromise during oral feeding |
| Aspiration or recurrent aspiration pneumonitis |
| Nutritional dysfunction, as evidenced by any of the following¶: |
| Malnutrition |
| Specific nutrient deficiency or significantly restricted intake of 1 or more nutrients resulting from decreased dietary diversity |
| Reliance on enteral feeds or oral supplements to sustain nutrition and/or hydration |
| Feeding skill dysfunction, as evidenced by any of the followingΔ: |
| Need for texture modification of liquid or food |
| Use of modified feeding position or equipment |
| Use of modified feeding strategies |
| Psychosocial dysfunction, as evidenced by any of the following◊: |
| Active or passive avoidance behaviors by child when feeding or being fed |
| Inappropriate caregiver management of child’s feeding and/or nutrition needs |
| Disruption of social functioning within a feeding context |
| Disruption of caregiver-child relationship associated with feeding |
| (B) Absence of the cognitive processes consistent with eating disorders, and pattern of oral intake is not due to a lack of food or congruent with cultural norms |
* Medical dysfunction: impaired functions of the cardiovascular and respiratory systems.
¶ Nutritional dysfunction: any impaired body functions and structures or environmental factors (products and substances for personal consumption).
Δ Feeding skill dysfunction: limitations in activities/participation related to eating.
◊ Psychosocial dysfunction: limitations in activities/participation related to interpersonal interactions and relationships.