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Sleep Disturbances and Dietary Habits in Autism: A Comparative Analysis
Silvia Martínez-Villamea1,2, Camino Prada-García3,4, José Alberto Benítez-Andrades5,6
1Department of Nursing and Physiotherapy, Universidad de León, Campus of Vegazana s/n, 24071, León, Spain. smartv03@estudiantes.unileon.es.
Journal of Autism and Developmental Disorders
|July 27, 2025
Summary
Children and adolescents with autism spectrum disorder (ASD) have poorer sleep quality and distinct dietary patterns, including higher sugar intake. Improving diet, particularly increasing fruit and vegetable consumption, may enhance sleep in ASD individuals.
Area of Science:
- Neurodevelopmental Disorders
- Nutritional Science
- Sleep Medicine
Background:
- Children and adolescents with autism spectrum disorder (ASD) often experience sleep disturbances.
- Dietary patterns in ASD populations are not fully understood in relation to sleep quality.
Purpose of the Study:
- To compare dietary patterns and sleep quality in children and adolescents with and without ASD.
- To investigate the relationship between diet and sleep quality in individuals with ASD.
- To identify potential dietary interventions for improving sleep and well-being in ASD.
Main Methods:
- Cross-sectional case-control study with 158 ASD participants and 77 controls (ages 6-17) in Spain.
- Dietary patterns assessed via food frequency questionnaire.
- Sleep quality measured using the Children's Sleep Habits Questionnaire (CSHQ-SP) and Pittsburgh Sleep Quality Index (PSQI).
- Statistical analyses included non-parametric tests and Spearman's correlation.
Main Results:
- ASD group showed higher sugar intake and lower fruit/vegetable consumption than controls.
- Poorer sleep quality (increased sleep latency, parasomnias, daytime dysfunction) observed in the ASD group.
- Positive association between fruit/vegetable intake and better sleep quality in ASD children.
- Complex, potentially risky, relationship between sugar intake and sleep quality in ASD adolescents.
Conclusions:
- Significant differences in diet and sleep quality exist between ASD and non-ASD youth.
- Dietary interventions focusing on increased fruit/vegetable intake and reduced sugar may improve sleep in ASD.
- Addressing dietary habits is a potential strategy to enhance sleep and overall well-being in individuals with ASD.

