Body mass index, dietary intake and feeding problems of Turkish children with autism spectrum disorder (ASD)

Bicer, Ayse H.; Alsaffar, Ayten Aylin

doi:10.1016/j.ridd.2013.08.024

Cited by 80 publications

(81 citation statements)

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“…Previous studies investigating the association between food selectivity and growth adequacy have shown highly inconsistent results: either being under or being overweight have been reported in children with ASD (Al-Farsi et al, 2011;Bicer & Alsaffar, 2013;Bolte, Ozkara, & Poutska, 2002;Curtin, Bandini, Perrin, Tybor, & Must, 2005;Mouridsen, Rich, & Isager, 2002;Xia, Zhou, Sun, Wang, & Wu, 2010). For instance, Bicer and Alsaffar (2013), evaluating growth adequacy by BMI-for-age percentile charts in 164 children with ASD, found that only 11% of them were severely thin or thin, whereas the majority of the children were overweight and obese (58.5%). However, we did not detect any differences between the FS and the No FS group in growth adequacy, and either the FS or the No FS group resulted within the normal weight range.…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, food selectivity is often associated with inadequate nutrient intake (i.e., estimated average requirement [EAR], and adequate intake [AI]) suggesting that a limited diet may put any child at risk for nutritional deficiency Bicer & Alsaffar, 2013;Schmitt et al, 2008). However, studies examining the prevalence of food selectivity in children with ASD have reported highly variable rates, ranging from 13% to 87% (Ahearn et al, 2001;Bandini et al, 2010;Collins et al, 2003;Cornish, 1998;Dominick et al, 2007;Field, Garland, & Williams, 2003;Kalyva, 2009;Klein & Nowak, 1999;Nadon et al, 2011;Schmitt et al, 2008;Schreck & Williams, 2006;Schreck et al, 2004;Suarez, Nelson, & Curtis, 2013;Whiteley, Rodgers, & Shattock, 2000;Williams et al, 2000Williams et al, , 2005.…”

Section: Introductionmentioning

confidence: 99%

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Clinical differences in children with autism spectrum disorder with and without food selectivity

et al. 2015

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A B S T R A C TSeveral studies have described the atypical eating behaviors frequently occurring in children with autism spectrum disorder (ASD), and food selectivity is the most frequent of these problems. The everyday management of mealtime behaviors among children with ASD can have a negative impact on family routines and become a significant stressor for families. However, much remains unknown about why food selectivity is so prevalent among individuals with ASD. The objective of this study was to investigate clinical and behavioral features in individuals with ASD with the aim of identifying distinctive clinical profiles in children with and without food selectivity. A total of 158 children with ASD were enrolled in this study: 79 participants with food selectivity (FS) were age and sex matched with 79 participants without food selectivity (No FS). All participants and their parents completed a battery of psychological tests for a comprehensive evaluation of ASD symptoms, cognitive abilities, adaptive skills, behavioral problems and parental stress level. No statistically significant difference on gastrointestinal symptoms and growth adequacy was found between the FS group and the No FS group. Overall, the FS group showed significantly higher rates of ASD symptoms as compared to the No FS group in the questionnaires completed by parents. Furthermore, parents of the FS group reported significantly higher levels of parental stress and a larger degree of their children's behavioral problems as compared to the No FS group. Finally, there were no differences between the FS and the No FS group on any adaptive skill domain. Our findings suggest that the identification of distinctive clinical and behavioral patterns in children with ASD and food selectivity is a crucial issue for parents and therapists in the daily management.© 2015 Published by Elsevier Ltd. IntroductionAutism Spectrum Disorder (ASD) is a neurodevelopmental disorder characterized by impairments in two core domains: social communication and restricted and repetitive patterns of behavior, interests, or activities (American Psychiatric Association, 2013). According to the Diagnostic and Statistical Manual of mental disorders5th edition (DSM-5) criteria, people with ASD fall on a continuum with individuals characterized by the severity of their symptoms in the two core domains. Furthermore, intellectual disability and/ or language impairment contribute to the heterogeneous presentation of ASD.Behavioral problems, such as tantrums, comorbidity with other psychiatric disorders, abnormal sleep patterns and unusual feeding behaviors, are often present in children with ASD and the everyday management of these problems is a challenge for clinicians and families (Dominick, Davis, Lainhart, Tager-Flusberg, & Folstein, 2007). Although not a diagnostic feature of ASD, feeding problems are common in this clinical population, and food selectivity is the most frequent one (Ahearn, Castine, Nault, & Green, 2001;Cornish, 1998;Dominick et al., 2007;Heiss, Moody, Cros...

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Clinical differences in children with autism spectrum disorder with and without food selectivity

et al. 2015

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“…Parents of children with ASD consistently report concern about their child's eating habits (Bicer & Alsaffar, 2013;Williams, Dalrymple, & Neal, 2000), which may be accompanied by stress (Anderson, Must, Curtin, & Bandini, 2012;Rogers, Magill-Evans, & Rempel, 2012). Although the research is not conclusive, several studies have found that children with ASD may be at risk for nutritional deficits resulting from limited dietary variety (Emond, Emmett, Steer, & Golding, 2010;Hyman et al, 2012;Zimmer et al, 2012).…”

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confidence: 99%

“…Several studies have compared the dietary variety of children with ASD to that of children with typical development and with developmental disability and concluded that those with ASD have less dietary variety and more food refusal (Bandini et al, 2010;Marshall, Hill, Ziviani, & Dodrill, 2013;Williams, Hendy, & Knecht, 2008;Zimmer et al, 2012). Other studies, in the United States and other countries, have found that children with ASD do not meet standard recommendations for nutrient intake and dietary variety (Bicer & Alsaffar, 2013;Hyman et al, 2012;Xia, Zhou, Sun, Wang, & Wu, 2010). However, these studies have failed to separate children with ASD into those with selective eating and those without.…”

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confidence: 99%

“…However, these studies have failed to separate children with ASD into those with selective eating and those without. An estimated 58%-67% of parents of children with ASD report selective or picky eating in their child (Bicer & Alsaffar, 2013;Kerwin, Eicher, & Gelsinger, 2005;Williams et al, 2000). A standard definition of selective eating would strengthen further study of the phenomenon.…”

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confidence: 99%

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Behavioral and Physiological Factors Associated With Selective Eating in Children With Autism Spectrum Disorder

Tanner

Case-Smith

Nahikian‐Nelms

et al. 2015

The American Journal of Occupational Therapy

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Selective eating is common in children with autism spectrum disorder (ASD), but it is not yet well understood. The objectives of this study were to examine a new definition of selective eating, compare behavioral measures between children with ASD and selective eating and those without selective eating, and determine relationships among behavioral measures and measures of selective eating. Participants were assigned to groups on the basis of number of foods eaten compared with a population-based sample. Results of one-way multivariate analysis of variance indicated no overall effect of group for challenging behaviors, sensory reactivity, or repetitive behaviors. Between-participant tests indicated that scores for compulsive behaviors were significantly lower (p 5 .036) for the selective eating group. Correlations were moderately strong among variables relating to food intake and behavioral variables, but were not significant between selective eating and behavioral variables. Further research is needed to validate the definition of selective eating and to identify targets for intervention.

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Dietary intake in children on the autism spectrum is altered and linked to differences in autistic traits and sensory processing styles

et al. 2022

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Diets of children and adolescents on the autism spectrum often differ when compared to their non-autistic peers. Most dietary studies have been limited by small sample sizes and rarely assess the heterogeneity of autism. Addressing this gap, this study compared the anthropometrics, dietary composition, dietary quality, and food variety of 154 Australian children and adolescents on the spectrum and

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Body mass index, dietary intake and feeding problems of Turkish children with autism spectrum disorder (ASD)

Cited by 80 publications

References 46 publications

Clinical differences in children with autism spectrum disorder with and without food selectivity

Clinical differences in children with autism spectrum disorder with and without food selectivity

Behavioral and Physiological Factors Associated With Selective Eating in Children With Autism Spectrum Disorder

Dietary intake in children on the autism spectrum is altered and linked to differences in autistic traits and sensory processing styles

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