Relationships Between Feeding Problems, Behavioral Characteristics and Nutritional Quality in Children with ASD
Abstract
Many children with autism spectrum disorders (ASD) have co-occurring feeding problems. However, there is limited knowledge about how these feeding habits are related to other behavioral characteristics ubiqitious in ASD. In a relatively large sample of 256 children with ASD, ages 2-11, we examined the relationships between feeding and mealtime behaviors and social, communication, and cognitive levels as well repetitive and ritualistic behaviors, sensory behaviors, and externalizing and internalizing behaviors. Finally, we examined whether feeding habits were predictive of nutritional adequacy. In this sample, we found strong associations between parent reported feeding habits and (1) repetitive and ritualistic behaviors, (2) sensory features, and (3) externalizing and internalizing behavior. There was a lack of association between feeding behaviors and the social and communication deficits of ASD and cognitive levels. Increases in the degree of problematic feeding behaviors predicted decrements in nutritional adequacy.
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Some studies report a relationship between atypical oral sensory over-response and a rejection of the consumption of fruits and vegetables.
“Some studies report a relationship between atypical oral sensory over-response and a rejection of the consumption of fruits and vegetables [21,47].”
From Food Selectivity and Its Implications Associated with Gastrointestinal Disorders in Children with Autism Spectrum Disorders (2022) · cites this paper as [47]
Therefore, children with ASD who exhibit this atypical sensory response often prefer crunchy, uniform, and semi-dry textures.
“Therefore, children with ASD who exhibit this atypical sensory response often prefer crunchy, uniform, and semi-dry textures [45,47].”
From Food Selectivity and Its Implications Associated with Gastrointestinal Disorders in Children with Autism Spectrum Disorders (2022) · cites this paper as [47]
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- Authors
- Johnson, C. R., Turner, K., Stewart, P. A., Schmidt, B., Shui, A., Macklin, E., Reynolds, A., James, J., Johnson, S. L., Manning Courtney, P., & Hyman, S. L.
- Affiliations
- University of Pittsburgh (US)
- University of Rochester Medicine (US)
- Massachusetts General Hospital (US)
- Arkansas Children's Hospital (US)
- University of Colorado Denver (US)
- Corresponding author
- Johnson, Cynthia R.
- Venue
- Journal of Autism and Developmental Disorders
- Published
- 2014-03-25
- Volume
- 44
- Issue
- 9
- Pages
- 2175-2184
- ISSN
- 0162-3257 (ISSN-L)
- 1573-3432
- OpenAlex
- W2072611575
- Cited by
- 181
- References
- 78
- Citations by year
- 2026: 13 · 2025: 15 · 2024: 18 · 2023: 15 · 2022: 15 · 2021: 22 · 2020: 19 · 2019: 15 · 2018: 12 · 2017: 11 · 2016: 10 · 2015: 11 · 2014: 4
- FWCI
- 9.16
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Journal of Autism and Developmental Disorders (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Autism Speaks
- U.S. Department of Agriculture
- Massachusetts General Hospital
- Institut National de la Santé et de la Recherche Médicale
- National Institutes of Health
- Health Resources and Services Administration
- U.S. Public Health Service (UA3 MC11054)
- National Center for Research Resources (UL1RR024160)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Keywords
- autism spectrum disorder, feeding difficulties, mealtime behavior, nutritional adequacy, sensory behavior, externalizing problems, internalizing problems, social communication deficits, cognitive levels, children
- MeSH terms
- Child, Child Behavior, Child Development Disorders, Pervasive, Child, Preschool, Feeding Behavior, Female, Humans, Male, Nutritional Status
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