Correlates of Feeding Difficulties Among Children with Autism Spectrum Disorder: A Systematic Review
Abstract
Feeding difficulties related to selective intake, or eating a limited variety of foods, are very common in children with autism spectrum disorder (ASD). A systematic search of PubMed, Embase, PsycInfo, and CINAHL identified 29 studies that evaluated eight correlates: age, ASD symptoms and severity, cognitive and adaptive skills, sensory processing and perception, challenging behavior, weight status, gastrointestinal symptoms, and parenting stress. Feeding difficulties related to selective intake are consistently correlated with impaired sensory processing and perception and tend to be positively associated with rigidity and challenging behavior. These feeding difficulties tend to persist with advancing age. Other correlates demonstrated inconsistent findings. A significant limitation of research reviewed is variability in terminology, definitions, and measurement of feeding difficulties.
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Therefore, they tend to have preferences for a single type or brand of food, with unique characteristics such as texture, temperature, smell, color, or flavor.
“Therefore, they tend to have preferences for a single type or brand of food, with unique characteristics such as texture, temperature, smell, color, or flavor [45].”
From Food Selectivity and Its Implications Associated with Gastrointestinal Disorders in Children with Autism Spectrum Disorders (2022) · cites this paper as [45]
The preferred texture is uniform or crunchy, with neutral colors, hot temperatures, and sweet flavors.
“The preferred texture is uniform or crunchy, with neutral colors, hot temperatures, and sweet flavors.”
From Food Selectivity and Its Implications Associated with Gastrointestinal Disorders in Children with Autism Spectrum Disorders (2022) · cites this paper as [45]
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 [45]
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- Authors
- Page, S. D., Souders, M. C., Kral, T. V. E., Chao, A. M., & Pinto-Martin, J.
- Affiliations
- University of Pennsylvania (US)
- Children's Hospital of Philadelphia (US)
- Corresponding author
- Page, Shayleigh Dickson
- Venue
- Journal of Autism and Developmental Disorders
- Published
- 2021-03-05
- Volume
- 52
- Issue
- 1
- Pages
- 255-274
- ISSN
- 0162-3257 (ISSN-L)
- 1573-3432
- OpenAlex
- W3134774735
- Semantic Scholar
- 9a2eb7b11e2cde68bb30ff0b9569d4268a0f5420
- Cited by
- 114
- References
- 86
- Citations by year
- 2026: 29 · 2025: 26 · 2024: 25 · 2023: 16 · 2022: 11 · 2021: 7
- FWCI
- 2.67
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Autism and Developmental Disorders (publishedVersion)
- PubMed (publishedVersion)
- 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
- feeding difficulties, autism spectrum disorder, picky eating, sensory processing, behavioral problems, ASD severity, weight status, gastrointestinal symptoms, parental stress, age differences
- MeSH terms
- Autism Spectrum Disorder, Child, Feeding Behavior, Gastrointestinal Diseases, Humans, Sensation, Parenting
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