Feeding Problems, Gastrointestinal Symptoms, Challenging Behavior and Sensory Issues in Children and Adolescents with Autism Spectrum Disorder

Leader, Geraldine; Tuohy, Elaine; Chen, June L.; Mannion, Arlene; Gilroy, Shawn P.

doi:10.1007/s10803-019-04357-7

Cited by 111 publications

(111 citation statements)

References 55 publications

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“…Individuals with ASD were more severely affected by GI problems than the controls: almost half of the children and adolescents with ASD suffered from GI symptoms several times per week or daily, in addition, subjects with ASD tended to present more GI problems than the controls. The main complaint was constipation and/or hard stools, which is in agreement with findings of other studies [14,15,33,34].…”

Section: Gi Symptomssupporting

confidence: 92%

“…GI and nutrition-related problems are often getting less attention in comparison to behavioral or other clinical concerns [3]. There is evidence that GI dysfunction, feeding problems, or imbalanced diet may result in inadequate nutrient intakes in children with ASD, and subsequent nutrition related health consequences [15,44]. At the same time, symptoms of ASD may be exacerbated due to the underlying GI problems [11].…”

Section: Food Supplementsmentioning

confidence: 99%

“…High prevalence of feeding problems and unusual eating behaviors, partly associated with GI problems, have been reported in ASD [15][16][17]. A meta-analysis revealed that a child with ASD is five times more likely to exhibit feeding difficulties than a child without ASD is [18].…”

Section: Introductionmentioning

confidence: 99%

“…A meta-analysis revealed that a child with ASD is five times more likely to exhibit feeding difficulties than a child without ASD is [18]. The commonly identified issues include food selectivity, defined as eating only a narrow variety of foods, as well as aggression, or tantrums, during mealtime, or different eating rituals and stereotypies [15,18,19]. In children with feeding difficulties, more severe ASD symptoms were observed than in children free of feeding problems [20].…”

Section: Introductionmentioning

confidence: 99%

“…There is evidence that GI and feeding problems are associated with behavior of children and adolescents with ASD [11,15]. They may have adverse effects on their functioning and clinical management [3].…”

Section: Introductionmentioning

confidence: 99%

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Gastrointestinal Symptoms and Feeding Problems and Their Associations with Dietary Interventions, Food Supplement Use, and Behavioral Characteristics in a Sample of Children and Adolescents with Autism Spectrum Disorders

Babinská

Celušáková

Belica

et al. 2020

IJERPH

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Autism spectrum disorders (ASD) are characterized by impairments in social interaction, communication, and restricted, stereotyped behavior. Gastrointestinal (GI), nutritional, and feeding problems are often reported in ASD. We investigated the prevalence of GI symptoms, food selectivity, and mealtime difficulties, and their associations with dietary interventions, food supplement use, and behavioral characteristics in a sample involving 247 participants with ASD and 267 controls aged 2–18 years. Data were collected by a questionnaire. GI symptoms were observed in 88.9% of children and adolescents with ASD, more often in girls than in boys. High rates of food selectivity (69.1%) and mealtime problems (64.3%) were found. Food supplements were used by 66.7% of individuals, mainly vitamins/minerals, probiotics, and omega-3 fatty acids. In the ASD sample, 21.2% of subjects followed a diet, mostly based on gluten and milk restriction, including individuals exhibiting food selectivity. Frequency of GI symptoms, food selectivity, and mealtime problems correlated weakly, but significantly with behavioral characteristics in the ASD group, but not with food supplement use. The study demonstrated that higher frequency of GI symptoms, food selectivity, and mealtime problems are a common problem in pre-schoolers, schoolchildren, and adolescents with ASD, and together with dietary modification, they are significantly associated with ASD.

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Section: Gi Symptomssupporting

confidence: 92%

Section: Food Supplementsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Gastrointestinal Symptoms and Feeding Problems and Their Associations with Dietary Interventions, Food Supplement Use, and Behavioral Characteristics in a Sample of Children and Adolescents with Autism Spectrum Disorders

Babinská

Celušáková

Belica

et al. 2020

IJERPH

View full text Add to dashboard Cite

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Oromotor skills in autism spectrum disorder: A scoping review

et al. 2023

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Oromotor functioning plays a foundational role in spoken communication and feeding, two areas of significant difficulty for many autistic individuals. However, despite years of research and established differences in gross and fine motor skills in this population, there is currently no clear consensus regarding the presence or nature of oral motor control deficits in autistic individuals. In this scoping review, we summarize research published between 1994 and 2022 to answer the following research questions: (1) What methods have been used to investigate oromotor functioning in autistic individuals? (2) Which oromotor behaviors have been investigated in this population? and (3) What conclusions can be drawn regarding oromotor skills in this population? Seven online databases were searched resulting in 107 studies meeting our inclusion criteria. Included studies varied widely in sample characteristics, behaviors analyzed, and research methodology. The large majority (81%) of included studies report a significant oromotor abnormality related to speech production, nonspeech oromotor skills, or feeding within a sample of autistic individuals based on age norms or in comparison to a control group. We examine these findings to identify trends, address methodological aspects hindering cross‐study synthesis and generalization, and provide suggestions for future research.

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Understanding aggression in autism across childhood: Comparisons with a non‐autistic sample

et al. 2023

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As many as half of all autistic youth face challenges with aggression. And while research in this area is growing, the prevalence and characterization of aggressive behaviors across autistic development remains poorly understood. This lack of knowledge on the autistic experience is further clouded as aggression is rarely compared against non‐autistic youth samples. To address this gap in the literature, the present study compared autistic children (N = 450) to non‐autistic children (N = 432) on multiple caregiver‐report measures of aggressive behavior and associated constructs (i.e., anger, disruptive behavior) across key developmental periods (<6, 6–12, 13–17 years) via a cross‐sectional design. Outcomes indicated higher levels of verbal aggression and behavioral intensity for autistic youth across development. Further, autistic children under age 6 had more significant levels of physical aggression than non‐autistic peers; however, these levels became equal to non‐autistic peers as the youths aged. Implications for differences in the presence of aggressive behavior as well as possible treatment options for aggression are discussed.

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Feeding Problems, Gastrointestinal Symptoms, Challenging Behavior and Sensory Issues in Children and Adolescents with Autism Spectrum Disorder

Cited by 111 publications

References 55 publications

Gastrointestinal Symptoms and Feeding Problems and Their Associations with Dietary Interventions, Food Supplement Use, and Behavioral Characteristics in a Sample of Children and Adolescents with Autism Spectrum Disorders

Gastrointestinal Symptoms and Feeding Problems and Their Associations with Dietary Interventions, Food Supplement Use, and Behavioral Characteristics in a Sample of Children and Adolescents with Autism Spectrum Disorders

Oromotor skills in autism spectrum disorder: A scoping review

Understanding aggression in autism across childhood: Comparisons with a non‐autistic sample

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