Parent-reported feeding characteristics in children with ASD vs. children who are typically developing

The Egyptian Journal of Otolaryngology - 2021
Nesreen Fathi Mahmoud1, Rehab Safwat Abdelhameed1, Sherif A. Abdelmonam2, Ahmed Ali Abdelmonem1, Doaa Mahmoud Khalil3, Shimaa Ahmed Saleh Bakia1
1Phoniatrics Unit-Department of ENT, Faculty of Medicine, Beni-Suef University, Beni-Suef, Egypt
2Department of ENT, Faculty of Medicine, Beni-Suef University, Beni-Suef, Egypt
3Public health and Community medicine department, Faculty of Medicine, Beni-Suef University, Beni-Suef, Egypt

Tóm tắt

Abstract Background Parents of children with autism spectrum disorders (ASDs) often report that their children have multiple dietary behavior problems than parents of typically developing (TD) children do. This may affect proper nutrition and subsequently adequate growth and development in children with ASD. The current study aimed to assess the feeding behavior in recently diagnosed children with autism spectrum disorders (ASD) ranged in age from 2 to 4 years and compare it with typically developing (TD) children and to explore the relationship between feeding behaviors and autism severity using the Montreal Children’s Hospital Feeding Scale (MCH) and Childhood Autism Rating Scale (CARS), respectively. Parents of 35 preschool children (2–4 years) with ASD completed reports of physical measurements, feeding interview, Childhood Autism Rating Scale (CARS), and Montreal Children’s Hospital Feeding Scale (MCH Feeding-Scale). The collected data from parents of children with ASD were analyzed and compared with 70 typically developed children matched with age and sex. Results ASD children showed statistically significantly more problematic feeding behaviors in most of the assessed eating characters compared with TD children, e.g., food neophobia, eating non-food items instead of food, requiring assistance during eating, and feeding avoidance to particular textures and taste. The mean total score of the MCH feeding scale differed significantly between children with ASD and TD children. No correlation was found between the mean total score of the MCH feeding scale and CARS scores. Conclusion Our findings revealed a high rate of behavioral feeding problems in children with ASD. Future work will be needed to follow up the feeding behaviors and to develop practical feeding approaches for ASD children to maintain nutritional adequacy.

Từ khóa


Tài liệu tham khảo

Funda Aslan RN (2018) Determination of nutritional behaviors of children with and without autism spectrum disorder and supplementary practices of parents. Int J Caring Sci 11(2):759–767

Sharp WG, Burrell TL, Jaquess DL (2014) The autism MEAL plan: a parent-training curriculum to manage eating aversions and low intake among children with autism. Autism. 18(6):712–722. https://doi.org/10.1177/1362361313489190

Lockner DW, Crowe TK, Skipper BJ (2008) Dietary intake and parents’ perception of mealtime behaviors in preschool-age children with autism spectrum disorder and in typically developing children. J Am Diet Assoc 108(8):1360

Schreck KA, Williams K, Smith AF (2004) A comparison of eating behaviors between children with and without autism. J Autism Dev Disord 34(4):433–438. https://doi.org/10.1023/B:JADD.0000037419.78531.86

Nadon G, Feldman DE, Dunn W, Gisel E (2011) Mealtime problems in children with autism spectrum disorder and their typically developing siblings: a comparison study. Autism. 15(1):98–113. https://doi.org/10.1177/1362361309348943

Seiverling L, Towle P, Hendy HM, Pantelides J (2018) Prevalence of feeding problems in young children with and without autism spectrum disorder: a chart review study. J Early Interv 40(4):335–346. https://doi.org/10.1177/1053815118789396

Cermak SA, Curtin C, Bandini LG (2010) Food selectivity and sensory sensitivity in children with autism spectrum disorders. J Am Diet Assoc 110(2):238–246. https://doi.org/10.1016/j.jada.2009.10.032

Bowers L (2002) An audit of referrals of children with autistic spectrum disorder to the dietetic service. J Hum Nutr Diet 15(2):141–144. https://doi.org/10.1046/j.1365-277X.2002.00345.x

Ahearn WH (2002) Effect of two methods of introducing foods during feeding treatment on acceptance of previously rejected items. Behav Interv 17(3):111–127. https://doi.org/10.1002/bin.112

Ahearn WH, Castine T, Nault K, Green G (2001) An assessment of food acceptance in children with autism or pervasive developmental disorder-not otherwise specified. J Autism Dev Disord 31(5):505–511. https://doi.org/10.1023/A:1012221026124

Leader G, Tuohy E, Chen JL, Mannion A, Gilroy SP (2020) Feeding problems, gastrointestinal symptoms, challenging behavior and sensory issues in children and adolescents with autism spectrum disorder. J Autism Dev Disord 18:1

Martins Y, Young RL, Robson DC (2008) Feeding and eating behaviors in children with autism and typically developing children. J Autism Dev Disord 38(10):1878–1887. https://doi.org/10.1007/s10803-008-0583-5

Bandini LG, Anderson SE, Curtin C, Cermak S, Evans EW, Scampini R, Maslin M, Must A (2010) Food selectivity in children with autism spectrum disorders and typically developing children. J Pediatr 157(2):259–264. https://doi.org/10.1016/j.jpeds.2010.02.013

Baraskewich J, von Ranson KM, McCrimmon A, Mc Morris CA (2021) Feeding and eating problems in children and adolescents with autism: a scoping review. Autism. 2:1362361321995631

Mayes SD, Zickgraf H, Baweja R (2018) Unusual eating patterns and food preferences in children with ASD, ADHD, other disorders, and typical development. J Am Acad Child Adolesc Psychiatry 57(10):S157–S158. https://doi.org/10.1016/j.jaac.2018.09.082

Davies H, Wolz I, Leppanen J, Fernandez-Aranda F, Schmidt U, Tchanturia K (2016) Facial expression to emotional stimuli in non-psychotic disorders: a systematic review and meta-analysis. Neurosci Biobehav Rev 64:252–271. https://doi.org/10.1016/j.neubiorev.2016.02.015

Brede J, Babb C, Jones C, Elliott M, Zanker C, Tchanturia K, Serpell L, Fox J, Mandy W (2020) For me, the anorexia is just a symptom, and the cause is the autism: investigating restrictive eating disorders in autistic women. J Autism Dev Disord 50(12):4280–4296. https://doi.org/10.1007/s10803-020-04479-3

Ashley K, Steinfeld MB, Young GS, Ozonoff S (2020) Onset, trajectory, and pattern of feeding difficulties in toddlers later diagnosed with autism. J Dev Behav Pediatr 41(3):165–171. https://doi.org/10.1097/DBP.0000000000000757

Zwaigenbaum L, Bauman ML, Choueiri R, Kasari C, Carter A, Granpeesheh D, Mailloux Z, Roley SS, Wagner S, Fein D, Pierce K (2015) Early intervention for children with autism spectrum disorder under 3 years of age: recommendations for practice and research. Pediatrics 136(Supplement 1):S60–S81

Dawson G, Rogers S, Munson J, Smith M, Winter J, Greenson J, Donaldson A, Varley J (2010) Randomized, controlled trial of an intervention for toddlers with autism: the Early Start Denver Model. Pediatrics. 125(1):e17–e23. https://doi.org/10.1542/peds.2009-0958

DeCosta P, Møller P, Frøst MB, Olsen A (2017) Changing children’s eating behaviour-a review of experimental research. Appetite. 113:327–357. https://doi.org/10.1016/j.appet.2017.03.004

American Psychiatric Association (2013) Diagnostic and statistical manual of mental disorders (DSM-5®). Am Psychiatric Pub

Eldafrawy H, Atef A, Arafa M (1998) Infantile autism in Egyptian children: assessment and clinical correlates. Egypt J Psychiatry 21:58–93

El Sady S, El Shoubary A, Hafe N, Mohamed A (2011) Modified preschool language scale, 4th edition. Unpublished Doctoral thesis (MD thesis). Faculty of Medicine, Ain Shams University, Egypt.

Ramsay M, Martel C, Porporino M, Zygmuntowicz C (2011) The Montreal Children’s Hospital Feeding Scale: a brief bilingual screening tool for identifying feeding problems. Paediatr Child Health 16(3):147–e17. https://doi.org/10.1093/pch/16.3.147

Chlebowski C, Green JA, Barton ML, Fein D (2010) Using the childhood autism rating scale to diagnose autism spectrum disorders. J Autism Dev Disord 40(7):787–799. https://doi.org/10.1007/s10803-009-0926-x

Viviers M, Jongh M, Dickonson L, Malan R, Pike T (2020) Parent-reported feeding and swallowing difficulties of children with Autism Spectrum Disorders (aged 3 to 5 years) compared to typically developing peers: a South African study. African Health Sciences. 2020;20(1):524-32.

Lukens CT, Linscheid TR (2008) Development and validation of an inventory to assess mealtime behavior problems in children with autism. J Autism Dev Disord 38(2):342–352. https://doi.org/10.1007/s10803-007-0401-5

Hudson A, Macdonald M, Blake K (2016) Packing and problematic feeding behaviors in CHARGE syndrome: a qualitative analysis. Int J Pediatr Otorhinolaryngol 82:107–115. https://doi.org/10.1016/j.ijporl.2016.01.009

Shmaya Y, Eilat-Adar S, Leitner Y, Reif S, Gabis L (2015) Nutritional deficiencies and overweight prevalence among children with autism spectrum disorder. Res Dev Disabil 38:1–6. https://doi.org/10.1016/j.ridd.2014.11.020

Twachtman-Reilly J, Amaral SC, Zebrowski PP (2008) Addressing feeding disorders in children on the autism spectrum in school-based settings: physiological and behavioral issues. Lang Speech Hear Serv Sch 39(4):261–272 American Speech-Language-Hearing Association.0161-1461/08/3902-0261

Tomchek SD, Dunn W (2007) Sensory processing in children with and without autism: a comparative study using the short sensory profile. Am J Occup Ther 61(2):190–200. https://doi.org/10.5014/ajot.61.2.190

Legge B (2002) Can’t eat, won’t eat: dietary difficulties and autistic spectrum disorders. Jessica Kingsley Publishers

Hill AP, Zuckerman KE, Fombonne E (2015) Obesity and autism. Pediatrics. 136(6):1051–1061. https://doi.org/10.1542/peds.2015-1437

Field D, Garland M, Williams K (2003) Correlates of specific childhood feeding problems. J Paediatr Child Health 39(4):299–304. https://doi.org/10.1046/j.1440-1754.2003.00151.x

Williams PG, Dalrymple N, Neal J (2000) Eating habits of children with autism. Pediatr Nurs 26(3):259–264

Broder-Fingert S, Brazauskas K, Lindgren K, Iannuzzi D, Van Cleave J (2014) Prevalence of overweight and obesity in a large clinical sample of children with autism. Acad Pediatr 14(4):408–414. https://doi.org/10.1016/j.acap.2014.04.004

Evans EW, Must A, Anderson SE, Curtin C, Scampini R, Maslin M, Bandini L (2012) Dietary patterns and body mass index in children with autism and typically developing children. Res Autism Spectr Disord 6(1):399–405. https://doi.org/10.1016/j.rasd.2011.06.014

Castro K, Faccioli LS, Baronio D, Gottfried C, Perry IS, Riesgo R (2016) Feeding behavior and dietary intake of male children and adolescents with autism spectrum disorder: a case-control study. Int J Dev Neurosci 53(1):68–74. https://doi.org/10.1016/j.ijdevneu.2016.07.003

Malhi P, Venkatesh L, Bharti B, Singhi P (2017) Feeding problems and nutrient intake in children with and without autism: a comparative study. Indian J Pediatr 84(4):283–288. https://doi.org/10.1007/s12098-016-2285-x

Baker AE, Lane A, Angley MT, Young RL (2008) The relationship between sensory processing patterns and behavioural responsiveness in autistic disorder: a pilot study. J Autism Dev Disord 38(5):867–875. https://doi.org/10.1007/s10803-007-0459-0

Lopez BR, Lincoln AJ, Ozonoff S, Lai Z (2005) Examining the relationship between executive functions and restricted, repetitive symptoms of autistic disorder. J Autism Dev Disord 35(4):445–460. https://doi.org/10.1007/s10803-005-5035-x

Epstein T, Saltzman-Benaiah J, O’hare A, Goll JC, Tuck S (2008) Associated features of Asperger syndrome and their relationship to parenting stress. Child Care Health Dev 34(4):503–511. https://doi.org/10.1111/j.1365-2214.2008.00834.x

Ernsperger L, Stegen-Hanson T (2004) Just take a bite: easy, effective answers to food aversions and eating challenges! Fut Horizons

Groden J, Diller A, Bausman M, Velicer W, Norman G, Cautela J (2001) The development of a stress survey schedule for persons with autism and other developmental disabilities. J Autism Dev Disord 31(2):207–217. https://doi.org/10.1023/A:1010755300436

Liu X, Liu J, Xiong X, Yang T, Hou N, Liang X, Chen J, Cheng Q, Li T (2016) Correlation between nutrition and symptoms: nutritional survey of children with autism spectrum disorder in Chongqing, China. Nutrients. 2016;8(5):294.

Johnson CR, Turner K, Stewart PA, Schmidt B, Shui A, Macklin E, Reynolds A, James J, Johnson SL, Courtney PM, Hyman SL (2014) Relationships between feeding problems, behavioral characteristics and nutritional quality in children with ASD. J Autism Dev Disord 44(9):2175–2184. https://doi.org/10.1007/s10803-014-2095-9

Crasta JE, Benjamin TE, Suresh AP, Alwinesh MT, Kanniappan G, Padankatti SM, Russell PS, Nair MK (2014) Feeding problems among children with autism in a clinical population in India. Indian J Pediatr 81(2):169–172. https://doi.org/10.1007/s12098-014-1630-1

Malhi P, Venkatesh L, Bharti B, Singhi P (2021) Do atypical food preferences in children with autism differ by severity? Indian J Pediatr 88(3):307–307. https://doi.org/10.1007/s12098-020-03534-2

Thông tin
Thông tin xuất bản

The Egyptian Journal of Otolaryngology

Thông tin tác giả