Clinical Correlates and Prevalence of Food Selectivity in Children with Autism Spectrum Disorder

Clinical Correlates and Prevalence of Food Selectivity in Children with Autism Spectrum Disorder

To examine clinical correlates and prevalence of food selectivity (FS) – ie, self-restricted diet, reluctance to try new foods – in children with autism spectrum disorder (ASD) ascertained from a general outpatient autism clinic. A multidisciplinary team (pediatric nurse practitioner, psychologist a...

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Bibliographic Details
Published in:The Journal of pediatrics Vol. 269; p. 114004
Main Authors: Wenzell, Megan L., Pulver, Stormi L., McMahon, Meara X.H., Rubio, Emily Kate, Gillespie, Scott, Berry, Rashelle C., Betancourt, Ivanna, Minter, Bonnie, Schneider, Olivia, Yarasani, Chitra, Rogers, Destinee, Scahill, Lawrence, Volkert, Valerie, Sharp, William G.
Format: Journal Article
Language:English
Published: United States Elsevier Inc 01-06-2024
Subjects:
autism
autism spectrum disorder
Autism Spectrum Disorder - epidemiology
Autism Spectrum Disorder - psychology
Child
Child, Preschool
disruptive
Feeding Behavior
Female
Food Preferences
food selectivity
Humans
Male
mealtime behavior
Prevalence
Restricted diet
mealtime behavior
autism spectrum disorder
Restricted diet
disruptive
autism
food selectivity
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Summary:To examine clinical correlates and prevalence of food selectivity (FS) – ie, self-restricted diet, reluctance to try new foods – in children with autism spectrum disorder (ASD) ascertained from a general outpatient autism clinic. A multidisciplinary team (pediatric nurse practitioner, psychologist and dietitian) assessed medical and psychosocial histories and dietary habits in 103 children with ASD (mean age = 5.8 ± 2.2 years; range 2–10). Parents rated child mealtime behavior on the Brief Autism Mealtime Behavior Inventory (BAMBI) and disruptive behavior on the Aberrant Behavior Checklist (ABC). Height and weight measurements were collected. Children were classified as FS or no FS based on parent reported intake and mealtime behavior. A 24-hour dietary recall was used to record intake percentages < 80%. Logistic regression and multivariable modeling were used to evaluate clinical correlates with FS. Of 103 children, 45.6% (n = 47) were classified as FS; 54.4% (n = 56) no FS. After adjusting for potential confounders, the odds of FS increased by 1.91 (95% CI: 1.38, 2.64, P < .001) for every half-SD increase in BAMBI total score and by 1.35 (95% CI: 1.05, 1.74, P = .020) for every half-SD increase in ABC Hyperactivity/Noncompliance. No group differences in anthropometrics or nutritional intake were identified. Food selectivity (FS) in children with ASD was strongly associated with greater severity of disruptive mealtime and hyperactivity/noncompliance behaviors. FS was not associated with anthropometrics or nutritional intake.
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ISSN:0022-3476
1097-6833
DOI:10.1016/j.jpeds.2024.114004