Dietary intake and parents’ perception of mealtime behaviors in preschool-age children with autism spectrum disorder and in typically developing children
Abstract
Parents of children with autism spectrum disorder (ASD) frequently report that their children have selective eating behaviors and refuse many foods, which could result in inadequate nutrient intake. This preliminary cross-sectional descriptive study investigated dietary intake and parents' reported perception of food behaviors of 20 3- to 5-year-old children with ASD. Twenty typically developing children matched for sex, age, and ethnicity were also studied as a case-control comparison. Nutrient intake determined from 3-day food records was adjusted for day-to-day variation to determine the estimate of usual intake distribution for the two groups. This distribution was compared with the Estimated Average Requirement or Adequate Intake recommendations. The reported food behaviors and use of vitamin or mineral supplements were compared for matched pairs using the exact McNemar test. Nutrient intake was similar for both groups of children, with the majority of children consuming more than the recommended amounts for most nutrients. Nutrients least likely to be consumed in recommended amounts were vitamin A, vitamin E, fiber, and calcium. Children with ASD were more likely to consume vitamin/mineral supplements than typically developing children. Compared with parents of typically developing children, parents of children with ASD were more likely to report that their children were picky eaters and resisted trying new foods, and they were less likely to describe their children as healthy eaters or that they eat a variety of foods. Despite the similar and generally adequate nutrient intake for the 40 children in this study, parents of children with ASD had more negative perceptions of their children's dietary behaviors.
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Many studies show ASD children have a considerably smaller variety of foods but no overall differences in total calories, carbohydrates, or fat intakes compared with typically developing children, suggesting satiety mechanisms are not impaired.
“However, in many studies children with ASDs show a considerably smaller variety of foods, but authors report no overall differences in their total calories, carbohydrates, or fat intakes [62,71,72,73,74], suggesting that their satiety mechanisms are not impaired.”
From Autism, Gastrointestinal Symptoms and Modulation of Gut Microbiota by Nutritional Interventions (2019) · cites this paper as [71]
A substantial number of subjects with ASDs had inadequate intakes of micronutrients, including deficiencies of calcium, iron, zinc, potassium, copper, vitamin A, vitamin D, vitamin E, riboflavin, vitamin C, vitamin B-12, folic acid, and choline.
“Substantial number of subjects with ASDs had inadequate intakes of micronutrients.”
From Autism, Gastrointestinal Symptoms and Modulation of Gut Microbiota by Nutritional Interventions (2019) · cites this paper as [71]
ASD children eat fewer vegetables and more energy-dense foods, so fiber intake is inadequate in a considerable number of children with ASD.
“Children with ASDs eat fewer vegetables and eat more energy-dense foods [76,78], so fiber intake was inadequate in a considerable number of children with ASDs [71,73,79,80].”
From Autism, Gastrointestinal Symptoms and Modulation of Gut Microbiota by Nutritional Interventions (2019) · cites this paper as [71]
Children with ASD have been reported to generally consume less than 50% of the daily recommended intake of fiber.
“Children with ASD have been reported to generally consume <50% of the daily recommended intake of fiber [25].”
From Pilot study of probiotic/colostrum supplementation on gut function in children with autism and gastrointestinal symptoms (2019) · cites this paper as [25]
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- Authors
- Lockner, D. W., Crowe, T. K., & Skipper, B. J.
- Affiliations
- University of New Mexico (US)
- Corresponding author
- Lockner, Donna W.
- Venue
- Journal of the American Dietetic Association
- Publisher
- Elsevier BV
- Published
- 2008-08
- Volume
- 108
- Issue
- 8
- Pages
- 1360-1363
- ISSN
- 0002-8223 (ISSN-L)
- OpenAlex
- W2065567929
- Cited by
- 152
- References
- 20
- Citations by year
- 2026: 1 · 2025: 10 · 2024: 7 · 2023: 8 · 2022: 7 · 2021: 13 · 2020: 11 · 2019: 10 · 2018: 10 · 2017: 10 · 2016: 10 · 2015: 11 · 2014: 9 · 2013: 8 · 2012: 4
- FWCI
- 5.39
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of the American Dietetic Association (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Keywords
- autism spectrum disorder, preschool children, dietary intake, mealtime behavior, picky eating, parental attitudes, nutritional adequacy, vitamin and mineral supplements, dietary diversity
- MeSH terms
- Autistic Disorder, Energy Intake, Child Development, Child Nutritional Physiological Phenomena, Child, Preschool, Diet, Eating, Feeding Behavior, Female, Humans, Male, Nutritional Requirements, Parents, Perception, Phobic Disorders, Diet Records, Case-Control Studies, Dietary Supplements
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