Autism Spectrum Disorder and Food Neophobia: Clinical and Subclinical Links
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Background Autism spectrum disorder (ASD) has been linked with eating- and feeding-related atypicalities, including food neophobia (FN) (refusal to try unfamiliar foods), since its earliest description. Nevertheless, whether associations between ASD traits and FN extend subclinically into the broader population of children and their potential additive health impacts remains unexplored.Objective We examined ASD-control group differences in FN and ASD trait-FN trait associations, as well as the ability of FN and autistic traits to predict one index of later health-related outcomes [body mass index (BMI)].Design Participants in the present study were a large community-based sample of 8- to 11-y-olds (n = 4564), including a relatively small group of children diagnosed with ASD (n = 37). Parents of these 8- to 11-y-old children completed assessments of FN and autistic traits and provided height and weight metrics at 12 y of age.Results Children with ASD were rated as more food neophobic than their same-age non-ASD peers (2.67 ± 0.83 compared with 2.22 ± 0.73; P < 0.001), and there were subclinical associations between FN and ASD traits (social, communication, and restricted/repetitive behavior) in this community-based sample of children (P < 0.05). Moreover, whereas FN alone predicted lower BMI, the interaction of FN and ASD traits predicted higher BMI (P ≤ 0.01), suggesting that elevated ASD traits in combination with FN exert opposing influences on weight compared with FN alone.Conclusions These findings implicate clinical and subclinical connections between ASD traits and feeding behaviors that could affect health outcomes and therefore should be further explored in future studies of shared etiology and intervention strategy.
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Food neophobia is more prevalent in the ASD population than in neurotypical children.
“Wallace et al. state that FN is more prevalent within the ASD population than in NT children [20].”
From Unraveling the Connections: Eating Issues, Microbiome, and Gastrointestinal Symptoms in Autism Spectrum Disorder (2025) · cites this paper as [20]
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de Oliveira, J. A., Dantas, H. L. D. L., Alves, D. C. V., Oliveira, G. D. N. D. S., Lima, A. K. N., & Panjwani, C. M. B. R. G. (2020) · Editora Poisson eBooks · doi:10.36229/978-65-86127-73-7.cap.12
da Silva, D. P., dos Santos, I. M. R., Melo, V. D. S., da Silva, L. N. R., Barros, B. L. A., & Moreira, R. T. D. F. (2020) · Editora Poisson eBooks · doi:10.36229/978-65-86127-73-7.cap.16
Sex/Gender and Repetitive and Restrictive Behaviors in Autism Spectrum Disorder
Shulman, C., & Bing, O. (2021) · Autism and child psychopathology series · doi:10.1007/978-3-030-66445-9_7
Meza-Miranda, E. R., & Núñez‐Martínez, B. (2021) · Investigaciones y Estudios - UNA · doi:10.47133/ieuna2112
Social-emotional functioning and dietary intake among children born with a very low birth weight
Walton, K., McGee, M., Sato, J., Law, N., Hopperton, K. E., Bando, N., Kiss, A., Unger, S. L., & O’Connor, D. L. (2022) · Applied Physiology, Nutrition, and Metabolism · doi:10.1139/apnm-2021-0434
The challenges of people with autism spectrum disorder in adulthood: An integrative review
Ribeiro, G. F., Alves, R. F. D. S., Melo, M. W. D. O., de Oliveira, I. D. B., Martins, M. J. B. D. S., Lira, F. F. L., Vicente, R. D. O., dos Santos, A. B. S., & Bittencourt, I. G. D. S. (2023) · Seven Editora eBooks · doi:10.56238/uniknowindevolp-117
Differentialdiagnosen funktioneller Störungen der Nahrungsaufnahme
Bolten, M. I., Légeret, C., & Odenheimer, S. (2024) · Springer eBooks · doi:10.1007/978-3-662-69606-4_4
Lombardo, C., Silvestri, M. C., Iannuzzo, F., Turiaco, F., Genovese, G., Muscatello, M. R. A., Bruno, A., Mento, C., & Pandolfo, G. (2025) · International Journal of Psychiatry in Clinical Practice · doi:10.1080/13651501.2025.2517843
A CRH2-ACTH theory of autism spectrum disorder
Rappoport, A. (2025) · Elsevier eBooks · doi:10.1016/b978-0-44-345008-2.00007-2
Eating disorders in children with autism spectrum disorder: genetic aspects
Gumeniuk, O. I., Евгеньевич, Л. М., Chernenkov, Y. V., Groznova, O. S., Kurbanov, R. S., Рубцов, А. А., Авакян, А. М., Alimagomedov, I. A., & Abdullayev, M. A. (2025) · Экспериментальная и клиническая гастроэнтерология · doi:10.31146/1682-8658-ecg-233-1-65-70
Food Neophobia and Diet Quality
Hazley, D., & Kearney, J. M. (2025) · Springer eBooks · doi:10.1007/978-3-032-03228-7_205
da Cunha, R. D. S. (2026) · Revista Sociedade Científica · doi:10.61411/rsc2026128119
Gözde, E. D. E., Serin, Y., Akın, P., Ataş, Y., & Çınar, S. (2026) · Children · doi:10.3390/children13040478
Laaraje, A., Radi, A., Ourrai, A., Gassim, S., Mamouni, Y. A., Hassani, A. A. H. A. A. , & Abilkassem, R. (2026) · Neuropsychiatrie de l Enfance et de l Adolescence · doi:10.1016/j.neurenf.2026.03.004
Young, H., Stone-Heaberlin, M., Fodstad, J. C., McGinn, A., & Rouse, M. L. (2026) · Autism and child psychopathology series · doi:10.1007/978-3-032-11802-8_7
Pancheva-Dimitrova, R., Braykova, R., Toneva, A., Ahmed, F., & Iotova, V. (2026) · BMC Pediatrics · doi:10.1186/s12887-026-06977-2
- Authors
- Wallace, G. L., Llewellyn, C., Fildes, A., & Ronald, A.
- Affiliations
- George Washington University (US)
- University College London (GB)
- University of Leeds (GB)
- Birkbeck, University of London (GB)
- Corresponding author
- Wallace, Gregory L
- Venue
- The American Journal of Clinical Nutrition
- Publisher
- Elsevier BV
- Published
- 2018-10
- Volume
- 108
- Issue
- 4
- Pages
- 701-707
- ISSN
- 0002-9165 (ISSN-L)
- OpenAlex
- W2885622196
- Cited by
- 73
- References
- 41
- Citations by year
- 2026: 8 · 2025: 5 · 2024: 8 · 2023: 8 · 2022: 15 · 2021: 10 · 2020: 14 · 2019: 3 · 2018: 2
- FWCI
- 5.67
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- American Journal of Clinical Nutrition (publishedVersion)
- PubMed (publishedVersion)
- White Rose Research Online (University of Leeds, The University of Sheffield, University of York) (acceptedVersion)
- BIROn (Birkbeck, University of London) (acceptedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Funders
- Medical Research Council (G0901245, G0500079)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Keywords
- autism spectrum disorder, food neophobia, autistic traits, dietary habits, feeding behavior, body mass index, childhood obesity, restricted and repetitive behaviors, children
- MeSH terms
- Autism Spectrum Disorder, Attitude, Body Weight, Child, Child Behavior, Feeding Behavior, Female, Food, Humans, Male, Parents, Personality, Body Mass Index
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