Eating and Mealtime Behaviors in Patients with Autism Spectrum Disorder: Current Perspectives
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Autism spectrum disorder (ASD) is a neurodevelopmental disorder characterized by impaired social and communication skills and repetitive and restrictive behaviors. Children and adolescents with ASD are more likely to present feeding problems than their typically developing peers are. The present narrative review of literature aims to highlight the most recent evidence about epidemiology and presentations of eating and mealtime behavioral abnormalities in ASD from infancy to adolescence. Abnormalities in breastfeeding and acceptance of complementary foods have been described by most of the studies evaluating ASD early feeding history. Among the various eating and mealtime behaviors identified in ASD children and adolescents, the most common was food selectivity. The present review also provides brief overviews of the various aspects of food that may influence food acceptance by ASD patients and of the correlation between eating problems and ASD core symptoms, as well as with cognitive level, language skills, and family environment. However, studies evaluating eating problems in ASD children and adolescents are very heterogeneous and they show methodological differences. Moreover, the absence of unique definitions of eating and mealtime behaviors in ASD further limits the comparability of studies.
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Their feeding struggles may be due to rituals at mealtime, chewing problems, vomiting, saturating themselves with food in the mouth, keeping food in the mouth for long periods without swallowing, food sensitivity, or neophobia.
“Their feeding struggles may be due to rituals at mealtime, chewing problems, vomiting, saturating themselves with food in the mouth, keeping food in the mouth for long periods without swallowing, food sensitivity, or neophobia [44].”
From Food Selectivity and Its Implications Associated with Gastrointestinal Disorders in Children with Autism Spectrum Disorders (2022) · cites this paper as [44]
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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
Meal patterns in children and adolescents with autism spectrum disorder
Hoffmann, L. V., Silva, E. D. S., Roman, L., Grokoski, K. C., Vilela, A. A. F., Valle, S. C., & Vaz, J. D. S. (2025) · Nutrition · doi:10.1016/j.nut.2025.112932
Diet and Autism Spectrum Disorder
Gray, H. L. (2025) · Springer eBooks · doi:10.1007/978-3-031-73368-0_65 · Cited by 1 · see citing works
Vasconcelos, C., Grokoski, K. C., & Riesgo, R. D. S. (2025) · Dietetics · doi:10.3390/dietetics4030037
Walters, I. C., Malcolmson, C., Potashner, R., Nelson, C., & Cho, R. (2025) · SAGE Open Medical Case Reports · doi:10.1177/2050313x251377265
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- Authors
- Margari, L., Marzulli, L., Gabellone, A., & de Giambattista, C.
- Affiliations
- University of Bari Aldo Moro (IT)
- Corresponding author
- Margari, Lucia
- Marzulli, Lucia
- Gabellone, Alessandra
- Venue
- Neuropsychiatric Disease and Treatment
- Publisher
- Informa UK Limited
- Published
- 2020-09
- Volume
- Volume 16
- Pages
- 2083-2102
- ISSN
- 1176-6328 (ISSN-L)
- 1178-2021
- PMC
- PMC7504729
- OpenAlex
- W3084041625
- Cited by
- 120
- References
- 114
- Citations by year
- 2026: 19 · 2025: 21 · 2024: 26 · 2023: 20 · 2022: 20 · 2021: 14
- FWCI
- 2.23
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Neuropsychiatric Disease and Treatment (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Dove Medical Press (Taylor and Francis Group) (submittedVersion, cc-by-nc)
- CINECA IRIS Institutional Research Information System (University of Bari Aldo Moro) (submittedVersion, other-oa)
- 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, dietary habits, mealtime behavior, feeding difficulties, picky eating, breastfeeding, cognitive levels, language skills, family environment, children and adolescents
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