When It's More Than Picky Eating

1 Hour
Credit (s)

Learning Objectives

At the end of this course, participants should be able to:

  • Understand the difference between general picky eaters and problem feeders in pediatrics
  • Identify common nutritional deficiencies in children with feeding problems
  • Describe how feeding skill factors impact the child’s feeding and eating experience
  • Utilize strategies to support children and their families with complex feeding challenges

Intended Audience:

This online course is designed for pediatricians, family physicians, and pediatric nurses.


Picky eating is a common concern for parents, with 20-30% of children around the world being reported to be picky eaters. While some picky eating may resolve on its own, others may be identified as problem feeders. Problem feeders present more complex feeding challenges, which impacts the child’s nutrition status, growth and development. This presentation will cover the most common nutritional deficiencies and feeding skill factors that impact children with feeding problems, as well as to provide strategies to support children with complex feeding challenges in order to expand food intake and food exploration.

Assessment and Earning CME Credit:

To receive CME credit for this episode in Armenia, you must take the CME quiz at the end of this course. You have 3 chances to get a 70% to pass. Once you pass the quiz, we will send your information to the Armenian Ministry of Health for credits.

Dr. Jenna Kobara

Dr. Jenna Kobara

Jenna Kobara, OTD, OTR/L, SWC is currently an Assistant Professor of Clinical Occupational Therapy at the USC University Center of Excellence in Developmental Disabilities (UCEDD) based at Children’s Hospital Los Angeles. At the UCEDD she is an occupational therapist in the Feeding Clinic as well as the Early Childhood Assessment Clinic, for diagnostic clarification for children 3-5 years old. She received her Masters of Arts degree in Occupational Therapy from the University of Southern California (USC), and completed the Doctoral Program at USC. The focus for her project was about encouraging inter-professional collaboration between Ghanaian Community Based Rehabilitation and Ghanaian Occupational Therapy. Jenna has an extensive amount of pediatric experience working with children with developmental delays and physical disabilities. She is certified in the Sensory Integration and Praxis Test (SIPT) and completed her Advanced Practice Certification in Swallowing Assessment, Evaluation, and Intervention. Jenna is passionate about working with children and their families and she is dedicated to providing therapy that is culturally fluid.

Anet Piridzhanyan, MS, RDN

Anet Piridzhanyan, MS, RDN

Anet Piridzhanyan is a clinical dietitian in the outpatient setting at Children’s Hospital Los Angeles (CHLA). Her focus areas include feeding development and obesity care. She also oversees community-based interventions and hospital wide policy to support healthy food environments and improved food
access at CHLA. Anet’s passion for nutrition, health equity, and sense of community coupled with her love of pediatrics has led to over 9 years of experience at CHLA. She holds a Bachelor of Arts in Sociology with a minor in Biology from the University of California, Irvine and a Master of Science in Food, Nutrition and Dietetic from California State University, Northridge. She completed her dietetic internship alongside a nutrition fellowship in Leadership Education in Neurodevelopmental Disabilities at CHLA. Anet is the current Vice President of Public Policy for the California Academy of Nutrition and Dietetics (CAND). She sits on the Steering Committee for Nutrition Access LA and Co-Chairs AUCD’s Nutrition Special Interest Group.