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Testing Sensory and Multisensory Function in Children with Autism Spectrum Disorder
Published on: April 22, 2015
Physical Status and Feeding Behavior of Children with Autism
Amita Attlee1, Hanin Kassem, Mona Hashim
1Department of Clinical Nutrition and Dietetics, College of Health Sciences, University of Sharjah, PO Box 27272, Sharjah, United Arab Emirates, aattlee@sharjah.ac.ae.
Insights
This study found that many children with autism have weight issues and feeding challenges, including picky eating and limited food variety, leading to nutritional deficiencies. Understanding these patterns is crucial for improving health outcomes in autistic children.
Area of Science:
- Pediatric Nutrition
- Autism Spectrum Disorder Research
- Behavioral Pediatrics
Background:
- Autism Spectrum Disorder (ASD) is a neurodevelopmental condition impacting social interaction and behavior.
- Feeding difficulties and nutritional status are significant concerns in children with ASD.
- Understanding these challenges is vital for targeted interventions.
Purpose of the Study:
- To evaluate the physical status (weight, height, BMI) of children with autism.
- To characterize feeding behaviors and food preferences in this population.
- To assess nutrient intake and dietary patterns.
Main Methods:
- A cross-sectional study involving 23 children (aged 5-16) with autism.
- Data collection included parent questionnaires, the Brief Assessment of Mealtime Behavior Inventory, Food Preference Inventory, and 3-day food records.
- Physical status was measured via height, weight, and Body Mass Index (BMI).
Main Results:
- A male predominance (3.6:1 ratio) was observed in the sample.
- Overweight and obesity were prevalent, affecting three-fourths of the children.
- Significant food refusal (59.1%) was noted, with a preference for starches over proteins, leading to repetitive diets and nutrient inadequacy.
Conclusions:
- Autistic children frequently exhibit weight management issues and feeding rigidity.
- High rates of food rejection, particularly protein, contribute to limited dietary variety.
- These factors result in evident nutrient inadequacies, highlighting the need for nutritional support.
Objective:
To assess the physical status and feeding behavior among children with autism.
Methods:
Twenty three autistic children aged 5-16 y enrolled in Sharjah Autism Center were studied. A questionnaire was administered to the parents of these children. Demographic information; gastrointestinal symptoms; mealtime behavior through Brief Assessment of Mealtime Behavior Inventory, Food Preference Inventory; and nutrient intake through a 3 day food record were collected. Physical status was determined in terms of height, weight and body mass index.
Results:
Male-female ratio of autism in the sample was 3.6:1. Twelve children were obese and another 5 were overweight. Mealtime behavior revealed that 69.6 % of the children never/rarely cried/screamed during mealtimes, turned their face or body away from food (52 %), or expelled food (61 %) that he/she has eaten. Food Preference Inventory showed food refusal of 59.1 ± 20.6 % for combined food groups in autistic children. Specifically, higher preference was found for starches (55.8 %) and least for protein (32.6 %). A 3 day food record revealed that their diets were repetitive with limited variety and evidence of nutrient inadequacy.
Conclusions:
Comparatively higher enrolment of males with autism was found and three-fourth of the total children had difficulty in maintaining normal weight. Mealtime behavior concerns were displayed occasionally including rigidity in mealtime routines, unwillingness to try new foods and not being able to be seated until the meal was finished. High rates of food rejection, notably protein and limited variety resulting into nutrient inadequacy were evident.
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