Which of the following is a component of treatment for infantile anorexia?

• A. Administering high-calorie supplements during feeds
• B. Understanding the child's temperament and level of arousal
• C. Initiating solid foods before 6 months
• D. Avoiding structured feeding schedules

Answer: (B)

Understanding how a baby regulates feeding based on temperament and arousal is central to treating infantile anorexia. Infants vary in how easily they become overstimulated, under-aroused, or unsettled during feeds. When caregivers tailor feeding to the baby’s state—feeding when calm, keeping the environment quiet, using gentle soothing, and maintaining a predictable, regular routine—the infant is more likely to engage with feeds, tolerate longer sessions if needed, and take in more milk. This approach targets the behavioral and regulatory aspects of feeding, helping improve intake without relying on extra calories or forcing feeds.

Calorie supplements during feeds focus on quantity rather than the infant’s ability to regulate and engage during feeding, so they don’t address the underlying regulatory challenge. Starting solid foods before six months isn’t developmentally appropriate, and avoiding structured feeding schedules can increase uncertainty and stress for both infant and caregiver.