Eating Problems and Overlap with ADHD and Autism Spectrum Disorders in a Nationwide Twin Study of 9‐ and 12‐Year‐Old Children
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Aim. To establish the prevalence of restrictive eating problems, the overlap and association with attention‐deficit/hyperactivity disorder (ADHD), and autism spectrum disorders (ASD) and to estimate the heritability of eating problems in a general population sample of twins aged 9 and 12. Methods. Parents of all Swedish 9‐ and 12‐year‐old twin pairs born between 1993 and 1998 (n = 12,366) were interviewed regarding symptoms of ADHD, ASD, and eating problems (EAT‐P). Intraclass correlations and structural equation modelling were used for evaluating the influence of genetic and environmental factors. Cross‐twin, cross‐trait correlations were used to indicate a possible overlap between conditions. Results. The prevalence of eating problems was 0.6% in the study population and was significantly higher in children with ADHD and/or ASD. Among children with eating problems, 40% were screened positive for ADHD and/or ASD. Social interaction problems were strongly associated with EAT‐P in girls, and impulsivity and activity problems with EAT‐P in boys. The cross‐twin, cross‐trait correlations suggested low correlations between EAT‐P and ADHD or EAT‐P and ASD. Genetic effects accounted for 44% of the variation in liability for eating problems. Conclusions. In the group with eating problems, there was a clear overrepresentation of individuals with ADHD and/or ASD symptoms.
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In Råstam et al. (2013), prevalence of eating problems was significantly higher in children with ADHD and/or ASD.
“Prevalence of eating problems was significantly higher in children with ADHD and/or ASD.”
From Feeding and Eating Problems in Children and Adolescents with Autism: A Scoping Review (2021) · cites this paper as Råstam et al. (2013)
In Råstam et al. (2013), activity problems were associated with eating problems in boys.
“impulsivity and activity problems were associated with eating problems in boys”
From Feeding and Eating Problems in Children and Adolescents with Autism: A Scoping Review (2021) · cites this paper as Råstam et al. (2013)
In Råstam et al. (2013), impulsivity problems were associated with eating problems in boys.
“impulsivity and activity problems were associated with eating problems in boys”
From Feeding and Eating Problems in Children and Adolescents with Autism: A Scoping Review (2021) · cites this paper as Råstam et al. (2013)
In Råstam et al. (2013), social interaction problems were strongly associated with eating problems in girls.
“Social interaction problems were strongly associated with eating problems in girls”
From Feeding and Eating Problems in Children and Adolescents with Autism: A Scoping Review (2021) · cites this paper as Råstam et al. (2013)
Other studies used the term "eating problems" to describe pathology related to restricted eating, including failing to gain weight and perceived fear of gaining weight.
“Others used the term “eating problems” to describe pathology related to restricted eating (i.e. failing to gain weight and perceived fear of gaining weight; Råstam et al., 2013).”
From Feeding and Eating Problems in Children and Adolescents with Autism: A Scoping Review (2021) · cites this paper as Råstam et al., 2013
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- Authors
- Råstam, M., Täljemark, J., Tajnia, A., Lundström, S., Gustafsson, P., Lichtenstein, P., Gillberg, C., Anckarsäter, H., & Kerekes, N.
- Affiliations
- Lund University (SE)
- University of Gothenburg (SE)
- Swedish Prison and Probation Service (SE)
- Karolinska Institutet (SE)
- Corresponding author
- Råstam, Maria
- ORCID
- Venue
- The Scientific World Journal
- Publisher
- Wiley
- Published
- 2013-01
- Volume
- 2013
- Issue
- 1
- Pages
- 315429-315429
- ISSN
- 1537-744X (ISSN-L)
- 2356-6140
- PMC
- PMC3654255
- OpenAlex
- W2001679726
- Cited by
- 70
- References
- 35
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 5 · 2023: 11 · 2022: 9 · 2021: 5 · 2020: 6 · 2019: 6 · 2018: 2 · 2017: 4 · 2016: 6 · 2015: 4 · 2014: 4 · 2013: 2
- FWCI
- 3.78
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- The Scientific World JOURNAL (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Lund University Publications (Lund University) (submittedVersion, other-oa)
- Funders
- Forskningsrådet för Arbetsliv och Socialvetenskap
- Swedish Research Council (Medicine)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- feeding difficulties, restrictive eating, attention deficit hyperactivity disorder, autism spectrum disorder, heritability, genetic and environmental factors, comorbidities, children, social interaction difficulties, impulsivity, prevalence
- MeSH terms
- Feeding and Eating Disorders, Attention Deficit Disorder with Hyperactivity, Child, Child Development Disorders, Pervasive, Female, Humans, Male, Risk Factors, Sweden, Twins, Comorbidity, Incidence
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