Food selectivity and sensory sensitivity in children with autism spectrum disorders

Sharon A Cermak1, Carol Curtin, Linda G Bandini

  • 1Division of Science and Occupational Therapy, University of Southern California, Los Angeles, CA 90033, USA. sharon.cermak@gmail.com

Insights

Children with autism spectrum disorder (ASD) often exhibit food selectivity due to sensory issues. This review examines the link between sensory factors and eating challenges in ASD, highlighting the need for integrated care.

Area of Science:

  • Developmental Psychology
  • Pediatric Nutrition
  • Neurodevelopmental Disorders

Background:

  • Autism spectrum disorder (ASD) is a complex neurodevelopmental condition affecting communication, social interaction, and behavior.
  • Sensory processing impairments are common in ASD, significantly impacting daily life, including eating habits.
  • Children with ASD are frequently characterized as picky or selective eaters, posing nutritional challenges.

Purpose of the Study:

  • To conduct a comprehensive narrative review of empirical literature on food selectivity and nutritional adequacy in children with ASD.
  • To explore the role of sensory factors, particularly sensory sensitivity, in contributing to food selectivity in this population.
  • To emphasize the necessity of an interdisciplinary approach for managing atypical eating patterns in children with ASD.

Main Methods:

  • Systematic review of empirical research published over the last 25 years.
  • Analysis of studies focusing on food selectivity, nutritional status, and sensory processing in children diagnosed with ASD.
  • Synthesis of findings to identify key relationships and contributing factors.

Main Results:

  • A significant body of evidence links sensory processing differences to extreme food selectivity in children with ASD.
  • Nutritional adequacy is frequently compromised in children with ASD due to restricted dietary intake.
  • Sensory sensitivities, including texture, smell, and taste, are primary drivers of selective eating behaviors.

Conclusions:

  • Sensory factors play a critical role in the development and maintenance of food selectivity in autism spectrum disorder.
  • Addressing these sensory contributions is essential for improving nutritional intake and overall health in affected children.
  • An integrated, multidisciplinary team approach involving healthcare professionals, educators, and families is crucial for effective intervention.

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