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Cited by 46Child Nutrition and Feeding IssuesNutrition, Health and Food BehaviorAutism Spectrum Disorder Research

Interrelation of food selectivity, oral sensory sensitivity, and nutrient intake in children with autism spectrum disorder: A scoping review

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Zulkifli, Maizatul Naqiah, Kadar, Masne, Fenech, Michael, Hamzaid, Nur Hana·2022·Research in Autism Spectrum Disorders
DOI 10.1016/j.rasd.2022.101928
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Abstract

Food selectivity is an emerging health concern among children with autism spectrum disorder (ASD). Food selectivity is used to describe food refusal, limited food choices, and/or food fussiness. We used the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA)-Scoping Review Guidelines to systematically identify the relationship between food selectivity and oral sensory sensitivity and the possible consequences of food selectivity on nutrient intake in children with ASD.Thirty studies were included in the review based on search terms from three online databases. Assessment of food selectivity, oral sensory sensitivity, and nutrient intake was found to be focused primarily on the parent-report technique. Only a handful of studies have used Cronbach’s alpha to measure the psychometric properties. Twenty-one of the included studies reported a higher rate of food selectivity in children with ASD than typically developing (TD) children. Notably, several studies (n =7) have identified oral hypersensitivity (e.g., taste/smell) as a significant risk factor for food aversion and/or limited variety in children with ASD. Compared with TD children, the ASD group significantly consumed significantly fewer fruits/vegetables (n = 8). The intake of micronutrients, including vitamin A, vitamin B6, folate, vitamin B12, vitamin C, vitamin D, calcium, iron, and zinc that associates with food selectivity, was also low (n=13). Implementation of screening and assessment protocols using valid and reliable instruments to identify food selectivity and oral sensory sensitivity is crucial for the medical evaluations of children with ASD.

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  1. Changes · DOI
  2. 0b013e3182a00d17 · DOI · Paper page
  3. Marí-Bauset, S., Llopis-González, A., Zazpe-García, I., Marí-Sanchis, A., & Morales-Suárez-Varela, M. (2014). Nutritional status of children with autism Spectrum disorders (ASDs): A case-Control study. Journal of Autism and Developmental Disorders, 45(1), 203-212. https://doi.org/10.1007/s10803-014-2205-8 · DOI · Paper page
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Authors
Zulkifli, M. N., Kadar, M., Fenech, M., & Hamzaid, N. H.
Affiliations
  • Ministry of Health (MY)
  • National University of Malaysia (MY)
  • University of South Australia (AU)
  • University Kebangsaan Malaysia Medical Centre (MY)
Corresponding author
Hamzaid, Nur Hana
ORCID
Venue
Research in Autism Spectrum Disorders
Publisher
Elsevier BV
Published
2022-05
Volume
93
Pages
101928
ISSN
  • 1878-0237 (ISSN-L)
  • 1750-9467
DOI
10.1016/j.rasd.2022.101928
OpenAlex
W4214933381
Cited by
46
References
93
Citations by year
2026: 9 · 2025: 11 · 2024: 17 · 2023: 4 · 2022: 5
FWCI
6.02
Type
journal article
Language
en
Open access
Licence
Locations
  • Research in Autism (publishedVersion, cc-by)
  • UniSA Research Outputs Repository (University of South Australia) (submittedVersion, other-oa)
  • Greater South Information System
Funders
  • Universiti Kebangsaan Malaysia
  • Ministerio de Sanidad, Consumo y Bienestar Social
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
picky eating, autism spectrum disorder, nutrient intake, food aversion, micronutrient deficiency, fruit and vegetable intake, parent report, children

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