Eating Habits and Dietary Status in Young Children with Autism

Johnson, Cynthia R.; Handen, Benjamin L.; M, Mayer-Costa; Sacco, Kelley

doi:10.1007/s10882-008-9111-y

Cited by 82 publications

(79 citation statements)

References 18 publications

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“…[68][69][70][71][72][73] Medical/ nutritional factors encompass GI symptoms/problems, food allergies, metabolic abnormalities, and/or preexisting nutrient deficiencies, as well as nutrition-related medication side effects. Behavioral factors include problem eating or idiosyncratic eating behaviors, sensory-processing difficulties, and family factors.…”

Section: Current State Of Knowledgementioning

confidence: 99%

Gastrointestinal Conditions in Children With Autism Spectrum Disorder: Developing a Research Agenda

et al. 2012

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Autism spectrum disorders (ASDs) are a set of complex neurodevelopmental disorders defined behaviorally by impaired social interaction, delayed and disordered language, repetitive or stereotypic behavior, and a restricted range of interests. ASDs represent a significant public health issue with recent estimates indicating that as many as 1% of children in the United States are diagnosed with an ASD. 1,2 Many individuals with ASDs have symptoms of associated medical conditions, including seizures, sleep problems, metabolic conditions, and gastrointestinal (GI) disorders, which have significant health, developmental, social, and educational impacts. Gastrointestinal complaints are a commonly reported concern for parents and may be related to problem behaviors and other medical issues such as dysregulated sleep (ATN Annual Registry Report, unpublished data, November 2009). 3 Despite the magnitude of these issues, potential GI problems are not routinely considered in ASD evaluations. This likely reflects several factors, including variability in reported rates of GI disorders, controversies regarding the relationship between GI symptoms and the putative causes of autism, the limited verbal capacity of many ASD patients, and the lack of recognition by clinicians that certain behavioral manifestations in children with ASDs are indicators of GI problems (eg, pain, discomfort, or nausea). [4][5][6][7][8][9][10] Whether GI issues in this population are directly related to the pathophysiology of autism, or are strictly a comorbid condition of ASD remains to be determined, but clinical practice and research to date indicate the important role of GI conditions in ASDs and their impact on children as well as their parents and clinicians. 9 On November 15, 2009, a symposium addressing these issues was organized as an adjunct to the annual meeting of the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition. A panel of international experts presented the latest scientific information on pathophysiology, evaluation, and treatment strategies for GI conditions in children and adolescents with ASDs. One aim of the meeting was to raise awareness among gastroenterologists and GI researchers of GI disorders in the ASD population and to provide clinicians with information to improve their clinical practice for these children. The symposium addressed 4 major areas of concern for children with ASDs: reflux, constipation, diarrhea, and nutrition. Each session reviewed the state of the evidence, the latest findings on issues such as intestinal permeability, inflammatory processes, innervation, motility, nutrition, and the epidemiology, presentation, and clinical management of GI issues.The symposium also set the context for a follow-up workshop on November 16 that focused on identifying and prioritizing the key research topics for further investigation. The 1-day workshop brought together AUTHORS:

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Section: Current State Of Knowledgementioning

confidence: 99%

Gastrointestinal Conditions in Children With Autism Spectrum Disorder: Developing a Research Agenda

et al. 2012

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“…They concluded that sensory issues are more common in children with ASD than in typically developing children, and that food selectivity is a major issue for children with ASD, which may occur for various reasons, including sensory sensitivity. The research has also reported that texture, appearance, taste, smell, and temperature influence the food selection of children with ASD (Ahearn, Castine, Nault, & Green, 2001;Johnson et al, 2008;Matson, Fodstad, & Dempsey, 2009). Research also has shown differences between children with ASD who exhibit selective eating and children with ASD without selective eating.…”

Section: (American Occupational Therapy Associationmentioning

confidence: 95%

“…Mealtime difficulties for children with ASD included refusal to eat; food selectivity, such as eating limited types or amounts of foods; and difficult behaviors affecting mealtime Johnson, Handen, Mayer-Costa, & Sacco, 2008;Koegel et al, 2012;Nadon et al, 2011;Postorino et al, 2015;Suarez et al, 2014).…”

Section: (American Occupational Therapy Associationmentioning

confidence: 99%

“…Research has shown that it is more common for children with ASD to display food selectivity challenges compared to children who are typically developing Johnson et al, 2008;Postorino, et al, 2015;Schreck, Williams, & Smith, 2004;Suarez et al, 2014). Cermak, Curtin, and Bandini (2010) conducted a review of the literature on sensory sensitivity in children with ASD and how this may impact food selectivity in this population.…”

Section: (American Occupational Therapy Associationmentioning

confidence: 99%

“…This category included all attempts to alter the appearance of a food item, including specific food preparation and packaging requirements. It has been reported in the research that children with ASD limit their food intake based on texture, package, color, specific means of preparation, appearance, taste, smell, and temperature (Ahearn et al, 2001;Johnson et al, 2008;Matson et al, 2009;Nadon et al, 2010).…”

Section: Categories Of Mealtime Techniques Used By the Participantsmentioning

confidence: 99%

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Maternal Perceptions of Mealtimes: Comparison of Children with Autism Spectrum Disorder and Children with Typical Development

Crowe¹,

Sedillo²,

Porte³

et al. 2017

The Open Journal of Occupational Therapy

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Genetic liability for gastrointestinal inflammation disorders and association with gastrointestinal symptoms in children with and without autism

Morrill

Benke

Brinton

et al. 2023

American J of Med Genetics Pt B

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Children with autism spectrum disorder (ASD) have a greater prevalence of gastrointestinal (GI) symptoms than children without ASD. We tested whether polygenic scores for each of three GI disorders (ulcerative colitis, inflammatory bowel disease, and Crohn's disease) were related to GI symptoms in children with and without ASD. Using genotyping data (564 ASD cases and 715 controls) and external genome‐wide association study summary statistics, we computed GI polygenic scores for ulcerative colitis (UC‐PGS), inflammatory bowel disease (IDB‐PGS), and Crohn's disease (CD‐PGS). Multivariable logistic regression models, adjusted for genetic ancestry, were used to estimate associations between each GI‐PGS and (1) ASD case–control status, and (2) specific GI symptoms in neurotypical children and separately in ASD children. In children without ASD, polygenic scores for ulcerative colitis were significantly associated with experiencing any GI symptom (adjusted odds ratio (aOR) = 1.36, 95% confidence interval (CI) = 1.03–1.81, p = 0.03) and diarrhea specifically (aOR = 5.35, 95% CI = 1.77–26.20, p = 0.01). Among children without ASD, IBD‐PGS, and Crohn's PGS were significantly associated with diarrhea (aOR = 3.55, 95% CI = 1.25–12.34, p = 0.02) and loose stools alternating with constipation (aOR = 2.57, 95% CI = 1.13–6.55, p = 0.03), respectively. However, the three PGS were not associated with GI symptoms in the ASD case group. Furthermore, polygenic scores for ulcerative colitis significantly interacted with ASD status on presentation of any GI symptom within a European ancestry subset (aOR = 0.42, 95% CI = 0.19–0.88, p = 0.02). Genetic risk factors for some GI symptoms differ between children with and without ASD. Furthermore, our finding that increased genetic risks for GI inflammatory disorders are associated with GI symptoms in children without ASD informs future work on the early detection of GI disorders.

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Eating Habits and Dietary Status in Young Children with Autism

Cited by 82 publications

References 18 publications

Gastrointestinal Conditions in Children With Autism Spectrum Disorder: Developing a Research Agenda

Gastrointestinal Conditions in Children With Autism Spectrum Disorder: Developing a Research Agenda

Maternal Perceptions of Mealtimes: Comparison of Children with Autism Spectrum Disorder and Children with Typical Development

Genetic liability for gastrointestinal inflammation disorders and association with gastrointestinal symptoms in children with and without autism

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