Food selectivity and sensory sensitivity in children with autism spectrum disorders
Open accessAbstract
Autism spectrum disorders comprise a complex set of related developmental disorders that are characterized by impairments in communication, social interaction, and repetitive behaviors. Impairments in sensory processing are also extremely common. The prevalence of autism spectrum disorders is increasing and is currently estimated to affect 1 in 150 children. Autism spectrum disorders are considered to be a major health and educational problem, affecting many areas of daily living, including eating. Children with autism spectrum disorders are often described as picky or selective eaters. This article provides a comprehensive narrative review of the empirical literature over the last 25 years on food selectivity and nutritional adequacy in children with autism spectrum disorders. The possible contributions of sensory factors, such as sensory sensitivity, to food selectivity are discussed. The need for an interdisciplinary approach to managing atypical eating patterns in children with autism spectrum disorders is highlighted.
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Vitamins A, C, D, and E deficiencies are commonly identified in children with ASD.
“Vitamins A, C, D, and E deficiencies are also commonly identified [61].”
From Unraveling the Connections: Eating Issues, Microbiome, and Gastrointestinal Symptoms in Autism Spectrum Disorder (2025) · cites this paper as [61]
Taste aversions are a frequently reported symptom in individuals with ASD.
“Taste aversions are a frequently reported symptom of individuals with ASD (Cermak et al., 2010; Kral et al., 2013)”
From Behavioral, Perceptual, and Neural Alterations in Sensory and Multisensory Function in Autism Spectrum Disorder (2015) · cites this paper as Cermak et al., 2010
Children with ASD are known to have feeding problems, food sensitivities or aversions, and extremely restricted diets, which could contribute to differences in microbiota but not to an ASD diagnosis.
“Children with ASD are known to have feeding problems, food sensitivities/aversions, and extremely restricted diets [89], which could also be contributing to differences in microbiota but not to an ASD diagnosis.”
From The Gut Microbiota and Dysbiosis in Autism Spectrum Disorders (2018) · cites this paper as [89]
The characteristic pattern of behaviours, needs, and sensitivities associated with autism can give rise to a limited food repertoire, specific sensory preferences, and rigid rules regarding mealtimes.
“The characteristic pattern of behaviours, needs, and sensitivities associated with autism can give rise to a limited food repertoire, specific sensory preferences, and rigid rules regarding mealtimes.”
From Avoidant/Restrictive Food Intake Disorder and Severe Food Selectivity in Children and Young People with Autism: A Scoping Review (2022) · cites this paper as [12]
Difficulties with feeding and eating in children and young people with autism can be further compounded by sensory sensitivities, idiosyncratic behaviours, social anxieties, and difficulties with communication.
“Since difficulties with feeding and eating in children and young people with autism can be further compounded by sensory sensitivities, idiosyncratic behaviours, social anxieties, and difficulties with communication, 12,48,93”
From Avoidant/Restrictive Food Intake Disorder and Severe Food Selectivity in Children and Young People with Autism: A Scoping Review (2022) · cites this paper as [12]
Children with ASD are very selective eaters and most show aversions to specific food colors, textures, smells, or other food characteristics.
“Indeed, children with ASD are very selective eaters (“picky eaters”) and most of them show aversions to specific food colors, texture, smells or other foods’ characteristics [26,27].”
From Autism, Gastrointestinal Symptoms and Modulation of Gut Microbiota by Nutritional Interventions (2019) · cites this paper as [27]
Food selectivity in ASD tends to be more severe than in age-matched children and lasts past childhood.
“This behavior tends to be more severe than in age-matched children and lasts past childhood 1011.”
From Gastrointestinal Issues and Autism Spectrum Disorder (2020) · cites this paper as [10]
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- Authors
- Cermak, S. A., Curtin, C., & Bandini, L. G.
- Affiliations
- University of Southern California (US)
- University of Massachusetts Chan Medical School (US)
- Boston University (US)
- Corresponding author
- Cermak, Sharon A.
- Venue
- Journal of the American Dietetic Association
- Publisher
- Elsevier BV
- Published
- 2010-02
- Volume
- 110
- Issue
- 2
- Pages
- 238-246
- ISSN
- 0002-8223 (ISSN-L)
- PMC
- PMC3601920
- OpenAlex
- W2093113672
- Cited by
- 750
- References
- 49
- Citations by year
- 2026: 59 · 2025: 80 · 2024: 57 · 2023: 63 · 2022: 64 · 2021: 66 · 2020: 71 · 2019: 54 · 2018: 60 · 2017: 39 · 2016: 19 · 2015: 41 · 2014: 19 · 2013: 26 · 2012: 16
- FWCI
- 2.41
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Journal of the American Dietetic Association (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- eScholarship@UMassChan (submittedVersion)
- Funders
- NIH (R21 HD048989)
- HRSA 2 (T73MC00056)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Keywords
- autism spectrum disorder, picky eating, sensory sensitivity, sensory processing, nutritional adequacy, children, multidisciplinary management
- MeSH terms
- Child, Child Development, Child Development Disorders, Pervasive, Child Nutritional Physiological Phenomena, Child, Preschool, Eating, Food Preferences, Humans, Sensation Disorders, Child Nutrition Disorders
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