Sensory Processing and Eating Behaviours in Autism: A Systematic Review
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OBJECTIVES: The aim of this study was to assess the relationship between sensory processing and a broad range of eating behaviours across the lifespan. METHODS: Five electronic databases of published and unpublished quantitative studies were systematically searched, evaluated for risk of bias and synthesised according to identified eating outcomes. RESULTS: Across 25 studies, there was consistent evidence of a relationship between sensory processing and a range of eating behaviours. There was early evidence for the particular role of taste/smell sensitivities, as well as hypersensitivities, although future research is needed looking at different sensory patterns and modalities. There was also tentative evidence to suggest this relationship extends across development. DISCUSSION: Study findings are discussed in relation to implications for sensory-based eating and feeding interventions and the development of eating disorders. Methodological and conceptual limitations are discussed and suggestions for future research are made to address these limitations. A broader investigation of multi-sensory issues and clearly defined eating behaviours, including disordered eating in clinically diagnosed samples, will allow for a more comprehensive and robust understanding of the relationship between sensory processing and eating behaviours in autism.
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Children with toe walking were significantly more likely to exhibit selective or ritualized feeding behaviors.
“Children with TW were significantly more likely to exhibit selective or ritualized feeding behaviors [43].”
From The Prevalence and Clinical Significance of Toe Walking in Autism Spectrum Disorder: A Cross-Sectional Study in an Italian Pediatric Sample (2025) · cites this paper as [43]
The Food selectivity or fussiness and Ritualistic eating behaviours sections report associations with sensory processing, not toe walking. A search for “toe walking” found no passage linking it to selective or ritualized feeding behaviours; page numbers were unavailable in our copy. (LLM, conf=0.76)
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“Children with TW were significantly more likely to exhibit selective or ritualized feeding behaviors [43].”
- Authors
- Nimbley, E., Golds, L., Sharpe, H., Gillespie‐Smith, K., & Duffy, F.
- Affiliations
- University of Edinburgh (GB)
- NHS Lothian (GB)
- Corresponding author
- Nimbley, Emy
- Venue
- European Eating Disorders Review
- Publisher
- Wiley
- Published
- 2022-06-23
- Volume
- 30
- Issue
- 5
- Pages
- 538-559
- ISSN
- 1072-4133 (ISSN-L)
- 1099-0968
- PMC
- PMC9545673
- OpenAlex
- W4283324823
- Cited by
- 93
- References
- 80
- Citations by year
- 2026: 30 · 2025: 33 · 2024: 20 · 2023: 9 · 2022: 1
- FWCI
- 2.71
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- European Eating Disorders Review (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Edinburgh Research Explorer (University of Edinburgh) (submittedVersion, cc-by)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Keywords
- autism spectrum disorder, sensory processing, eating behaviour, sensory hypersensitivity, eating disorders, disordered eating, lifespan development
- MeSH terms
- Feeding and Eating Disorders, Autistic Disorder, Feeding Behavior, Humans, Perception, Taste
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