Mealtime feeding behaviors and gastrointestinal dysfunction in children with classic autism compared with normal sibling controls

Badalyan, Vahe; Schwartz, Richard H.

doi:10.4236/ojped.2012.22025

Cited by 11 publications

(11 citation statements)

References 17 publications

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“…After screening of abstracts, review of full texts, and examination of reference lists of included papers and review articles, 17 studies that met the inclusion criteria were identified (Fig. 1) (23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36)(37)(38)(39). Studies originated from various geographic locations including Europe, Asia, South America, and North America.…”

Section: Resultsmentioning

confidence: 99%

“…Nine studies did not report any cases of CD within their respective ASD samples (representing 572 patients with ASD) (23)(24)(25)(26)(27)30,(33)(34)(35). Four studies reported the presence of CD in an ASD sample (representing 21 CD cases out of 735) (28,29,31,32). Calderoni et al (32) reported the CD prevalence of 2.6% (95% confidence interval [CI]: 1.0-4.2) in children with ASD as significantly higher than the prevalence in a geographically corresponding population (P ¼ 0.013).…”

Section: Celiac Disease In Patients With Autism Spectrum Disordermentioning

confidence: 99%

See 1 more Smart Citation

Association Between Celiac Disease and Autism Spectrum Disorder: A Systematic Review

Quan¹,

Panaccione²,

Underwood³

et al. 2021

Journal of Pediatric Gastroenterology &Amp; Nutrition

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Objective: The aim of the study was to perform a systematic review assessing the research investigating the association between celiac disease (CD) and autism spectrum disorder (ASD). Methods: A literature search of MEDLINE and EMBASE was performed without limits placed on year or language. Observational studies reporting on the occurrence of CD among patients with ASD and/or the occurrence of ASD among patients with CD were included. Study design, characteristics, diagnostic criteria for ASD and CD, and the frequency of positive cases in the studied sample were recorded. Study quality was assessed using an adapted Newcastle-Ottawa Quality Assessment Scale. Due to substantial heterogeneity between studies, a meta-analysis was not performed.Results: Of the 298 unique citations identified within our search strategy, 17 articles evaluating the association between CD and ASD were included. Of those articles, 13 observed samples of patients with ASD, and 6 observed samples of patients with CD. Overall, most studies had small sample sizes and reported no evidence for an association between the 2 conditions. However, a limited number of population-based studies of higher quality suggested a potential association between CD and ASD. Conclusions: Most studies assessing an association between CD and ASD are at risk for systematic and/or random error. A potential link has, however, been shown in a handful of high-quality studies, and, therefore, this comorbidity cannot be ruled out. Future studies should recruit larger sample sizes, include precise definitions of CD and ASD, and exclude patients with ASD on a gluten-free diet.

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Section: Resultsmentioning

confidence: 99%

Section: Celiac Disease In Patients With Autism Spectrum Disordermentioning

confidence: 99%

Association Between Celiac Disease and Autism Spectrum Disorder: A Systematic Review

Quan¹,

Panaccione²,

Underwood³

et al. 2021

Journal of Pediatric Gastroenterology &Amp; Nutrition

View full text Add to dashboard Cite

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“…Firstly, before implementing an educational intervention, the following intersected aspects such as GID, assumed foods (food diary), and growth curves as suggested by Badalyan and Schwartz [ 59 ], should be addressed. Subsequently, a clinician could calculate the Body Mass Index (BMI) (kg/m 2 ) of the target child monitoring it over time.…”

Section: Assessmentmentioning

confidence: 99%

Food Selectivity in Children with Autism: Guidelines for Assessment and Clinical Interventions

Esposito

Mirizzi

Fadda

et al. 2023

IJERPH

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Autisms Spectrum Disorders (ASD) are characterized by core symptoms (social communication and restricted and repetitive behaviors) and related comorbidities, including sensory anomalies, feeding issues, and challenging behaviors. Children with ASD experience significantly more feeding problems than their peers. In fact, parents and clinicians have to manage daily the burden of various dysfunctional behaviors of children at mealtimes (food refusal, limited variety of food, single food intake, or liquid diet). These dysfunctional behaviors at mealtime depend on different factors that are either medical/sensorial or behavioral. Consequently, a correct assessment is necessary in order to program an effective clinical intervention. The aim of this study is to provide clinicians with a guideline regarding food selectivity concerning possible explanations of the phenomenon, along with a direct/indirect assessment gathering detailed and useful information about target feeding behaviors. Finally, a description of evidence-based sensorial and behavioral strategies useful also for parent-mediated intervention is reported addressing food selectivity in children with ASD.

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“…In order to assess the growth curves, any gastrointestinal disorders and the quality/quantity of food intake, we chose an interview adapted by Badalyan and Schwartz (2012) [34]. Firstly, through the interview with mothers, the weight and height of all children were collected, subsequently the relative Body Mass Index (BMI) (kg/m 2 ) was calculated as reliable measurements in the diagnosis and monitoring of children's weight [38].…”

Section: Assessment Of Gastrointestinal Disorders Weight and Dietsmentioning

confidence: 99%

Sensory Processing, Gastrointestinal Symptoms and Parental Feeding Practices in The Explanation of Food Selectivity: Clustering Children with and Without Autism

2019

Int J Autism & Relat Disabil

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Children with Autism Spectrum Disorders are a group of neurodevelopmental disorders (ASD) and compared to Typically Developing Children (TDC), experience significantly more feeding problems. Food selectivity is a complex phenomenon that involves individual and contextual factors (sensory abnormalities, severity of behavioral problems, gastrointestinal disorders, parenting styles and so on). The clarification of these key factors is the aim of the current study, comparing a group of children with ASD with a group of TDC on different variables such as food selectivity, anthropometric measures, gastrointestinal symptoms, diet, sensory processing and caregiver feeding practices. Moreover, the same variables described above are studied using a classification model for both groups. Results display that parenting style, sensory anomalies and gastrointestinal symptoms were associated with food refusal of children. Moreover, it is possible to observe similar profiles in children with feeding problems in both groups. Autism Spectrum Disorders (ASD) are a group of neurodevelopmental disorders characterized by social communication deficit and a tendency to engage in a pattern of restricted and repetitive behaviors, in which sensory issues are included (American Psychiatric Association [APA], [1]). Children with ASD, compared to Typically Developing Children (TDC), experience significantly more feeding problems [2], with food selectivity being the most frequently reported. Food selectivity could be operationally defined on the basis of the occurrence of the following behaviours: food refusal, limited repertoires of food, high frequency single food intake [3]. Several research studies observed a prevalence between 70% and 80% of food selectivity among children with ASD [4-6], despite parents never having described their children as in appetent [7]. Klein and Nowak (1999) [8] found that 53% of children were reluctant to try new foods. Whiteley, Rodgers, and Shattok (2000) [9] indicated a prevalence of 83% of children with a restricted repertoire of foods eaten. Similarly, Schreck and Williams (2006) [6] found that 57% of children refused food, while 72% accepted limited variety.

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Mealtime feeding behaviors and gastrointestinal dysfunction in children with classic autism compared with normal sibling controls

Cited by 11 publications

References 17 publications

Association Between Celiac Disease and Autism Spectrum Disorder: A Systematic Review

Association Between Celiac Disease and Autism Spectrum Disorder: A Systematic Review

Food Selectivity in Children with Autism: Guidelines for Assessment and Clinical Interventions

Sensory Processing, Gastrointestinal Symptoms and Parental Feeding Practices in The Explanation of Food Selectivity: Clustering Children with and Without Autism

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