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Cited by 167Child Nutrition and Feeding IssuesNutrition, Health and Food BehaviorAutism Spectrum Disorder Research

The DOI matches its Crossref record; 34 of the 34 references it cites were found in a registry or an index.

Dietary Intake, Nutrient Status, and Growth Parameters in Children with Autism Spectrum Disorder and Severe Food Selectivity: An Electronic Medical Record Review

Sharp, William G., Postorino, Valentina, McCracken, Courtney E., Berry, Rashelle C., Criado, Kristen K., Burrell, T. Lindsey, Scahill, Lawrence·2018·Journal of the Academy of Nutrition and Dietetics
DOI 10.1016/j.jand.2018.05.005
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Abstract

Background Food selectivity is common in children with autism spectrum disorder (ASD). The clinical characteristics, however, of severe food selectivity in children with ASD is not well documented.Objective This study examined the demographic characteristics, anthropometric parameters, risk of nutritional inadequacy, dietary variety, and problematic mealtime behaviors in a sample of children with ASD with severe food selectivity.Design The study involved a cross-sectional electronic medical record review. Data extraction followed a systematic protocol for data extraction.Participants/setting Children (age 2 to 17 years) with ASD, severe food selectivity, and complete nutritional data who received a multidisciplinary evaluation at a specialty feeding clinic in the southeastern United States between January 2014 and January 2016. Criteria for severe food selectivity used in this clinical practice required complete omission of one or more food groups (eg, fruit, vegetable, protein, grain, dairy) or consuming a narrow range of items on a weekly basis (eg, five or fewer total food items).Main outcome measures Analyses examined demographic characteristics, dietary preferences, risk for nutritional inadequacies, anthropometric parameters, and problematic mealtime behaviors.Results Of the 279 patients evaluated during the 24-month period, 70 children with ASD and severe food selectivity met inclusion criteria. Caregivers reported 67% of the sample (n=47) omitted vegetables and 27% omitted fruits (n=19). Seventy-eight percent consumed a diet at risk for five or more inadequacies. Risk for specific inadequacies included vitamin D (97% of the sample), fiber (91%) vitamin E (83%), and calcium (71%). Children with five or more nutritional inadequacies (n=55) were more likely to make negative statements during meals (P<0.05). Severe food selectivity was not associated with compromised growth or obesity.Conclusion Children with ASD and severe food selectivity may be at increased risk for nutritional inadequacies. Future research should examine causes, consequences, and remediation of severe food selectivity in this population.

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Metadata

Authors
Sharp, W. G., Postorino, V., McCracken, C. E., Berry, R. C., Criado, K. K., Burrell, T. L., & Scahill, L.
Corresponding author
Sharp, William G.
ORCID
Venue
Journal of the Academy of Nutrition and Dietetics
Publisher
Elsevier BV
Published
2018-10
Volume
118
Issue
10
Pages
1943-1950
ISSN
2212-2672 (ISSN-L)
DOI
10.1016/j.jand.2018.05.005
OpenAlex
W2838558797
Cited by
167
References
34
Citations by year
2026: 17 · 2025: 24 · 2024: 31 · 2023: 20 · 2022: 27 · 2021: 22 · 2020: 14 · 2019: 10 · 2018: 2
FWCI
9.38
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Journal of the Academy of Nutrition and Dietetics (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, nutritional deficiency, dietary intake, nutrient status, anthropometric parameters, dietary diversity, vitamin D deficiency, calcium deficiency, vitamin E deficiency, growth, obesity
MeSH terms
Autism Spectrum Disorder, Nutrients, Adolescent, Feeding and Eating Disorders, Child, Child Development, Child, Preschool, Cross-Sectional Studies, Diet, Female, Food Preferences, Humans, Male, Nutritional Status, Risk Factors, Child Nutrition Disorders, Electronic Health Records

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