Nutritional Risks of ARFID (Avoidant Restrictive Food Intake Disorders) and Related Behavior
Open accessAbstract
Avoidant/restrictive food intake disorder (ARFID) has recently been added to the DSM V (Diagnostic and Statistical Manual of Mental Disorders, 5th edition) as a new class of eating disorders (EDs). ARFID is characterized by a lack of interest in eating or avoiding specific types of foods because of their sensory characteristics. This avoidance results in decreased nutritional intake, eventually causing nutritional deficiencies. In severe cases, ARFID can lead to dependence on oral nutritional supplements, which interferes with psychosocial functioning. The prevalence of ARFID can be as high as 3% in the general population, and it is often associated with gastrointestinal symptoms and mainly appears in children with anxiety disorders. Given the high prevalence of ARFID, a rapid and systematic nutrition survey should be conducted during every pediatric consultation. Its treatment should also be adapted depending on the severity of the nutritional problem and may involve hospitalization with multidisciplinary care (pediatrician, nutritional therapist, dietitian, psychologists, and speech therapists).
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Avoiding large food groups can affect the gastrointestinal system and exacerbate symptoms like reflux, abdominal pain, nausea, or issues with intestinal motility.
“What is more, avoiding large food groups can also affect the gastrointestinal system and exacerbate symptoms like reflux, abdominal pain, nausea, or issues with intestinal motility [74].”
From Unraveling the Connections: Eating Issues, Microbiome, and Gastrointestinal Symptoms in Autism Spectrum Disorder (2025) · cites this paper as [74]
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“In severe cases, some children may develop Avoidant/Restrictive Food Intake Disorder (ARFID) (13, 14).”
- Authors
- Feillet, F., Bocquet, A., Briend, A., Chouraqui, J.-P., Darmaun, D., Frelut, M.-L., Girardet, J.-P., Guimber, D., Hankard, R., Lapillonne, A., Peretti, N., Rozé, J.-C., Simeoni, U., Turck, D., & Dupont, C.
- Affiliations
- Université de Lorraine (FR)
- Université de Franche-Comté (FR)
- Institut de Recherche pour le Développement (FR)
- University of Lausanne (CH)
- Université Paris-Sud (FR)
- Université Pierre-et-Marie-Curie (FR)
- Université de Lille (FR)
- Université de Tours (FR)
- Université Paris Descartes (FR)
- Université de Lyon (FR)
- Corresponding author
- Feillet, F.
- ORCID
- Venue
- Archives de Pédiatrie
- Publisher
- Elsevier BV
- Published
- 2019-10
- Volume
- 26
- Issue
- 7
- Pages
- 437-441
- ISSN
- 0929-693X (ISSN-L)
- OpenAlex
- W2977197192
- Cited by
- 51
- References
- 35
- Citations by year
- 2026: 4 · 2025: 11 · 2024: 9 · 2023: 9 · 2022: 4 · 2021: 9 · 2020: 5
- FWCI
- 0.71
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Archives de Pédiatrie (acceptedVersion, other-oa)
- PubMed (publishedVersion)
- HAL (submittedVersion, cc-by-nc)
- IRIS (submittedVersion)
- LillOA (Université de Lille (University Of Lille)) (submittedVersion, other-oa)
- SERVAL (Université de Lausanne) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Keywords
- avoidant/restrictive food intake disorder, nutritional deficiency, eating disorders, food avoidance, oral nutritional supplements, gastrointestinal symptoms, anxiety disorders, multidisciplinary care, nutritional therapy
- MeSH terms
- Avoidant Restrictive Food Intake Disorder, Anxiety, Child, Humans, Pediatrics, Risk Factors, Malnutrition
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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