Feeding Symptoms, Dietary Patterns, and Growth in Young Children With Autism Spectrum Disorders
- 1 August 2010
- journal article
- research article
- Published by American Academy of Pediatrics (AAP) in PEDIATRICS
- Vol. 126 (2), e337-e342
- https://doi.org/10.1542/peds.2009-2391
Abstract
OBJECTIVE: To investigate the feeding, diet and growth of young children with autism spectrum disorders (ASD). METHOD: Data on feeding and food frequency were collected by questionnaires completed at 6, 15, 24, 38 and 54 months by participants in the Avon Longitudinal Study of Parents and Children. A food variety score was created, and the content of the diet was calculated at 38 m. The feeding and dietary patterns of 79 children with ASD were compared with 12 901 controls. RESULTS: The median ages of ASD children were 28 months at referral and 45 months at diagnosis. ASD infants showed late introduction of solids after 6 months (p = .004) and were described as “slow feeders” at 6 months (p = .04). From 15–54 months ASD children were consistently reported to be “difficult to feed” (p < .001) and “very choosy” (p < .001). From 15 months, the ASD group had a less varied diet than controls, were more likely to have different meals from their mother from 24 months, and by 54 months 8% of ASD children were taking a special diet for “allergy.” ASD children consumed less vegetables, salad and fresh fruit, but also less sweets and fizzy drinks. At 38 months intakes of energy, total fat, carbohydrate and protein were similar, but the ASD group consumed less vitamins C (p = .02) and D (p = .003). There were no differences in weight, height or BMI at 18 months and 7 years, or in hemoglobin concentrations at 7 years. CONCLUSIONS: ASD children showed feeding symptoms from infancy and had a less varied diet from 15 months, but energy intake and growth were not impaired.Keywords
This publication has 17 references indexed in Scilit:
- Incidence of Gastrointestinal Symptoms in Children With Autism: A Population-Based StudyPEDIATRICS, 2009
- The early stool patterns of young children with autistic spectrum disorderArchives of Disease in Childhood, 2009
- The physical status of children with autism in ChinaResearch in Developmental Disabilities, 2009
- Dietary Intake and Parents' Perception of Mealtime Behaviors in Preschool-Age Children with Autism Spectrum Disorder and in Typically Developing ChildrenJournal of the American Dietetic Association, 2008
- Does Nutritional Intake Differ Between Children with Autism Spectrum Disorders and Children with Typical Development?Journal of Autism and Developmental Disorders, 2008
- Children with disability grow into adults with a disabilityDevelopmental Medicine and Child Neurology, 2008
- Development and Validation of an Inventory to Assess Mealtime Behavior Problems in Children with AutismJournal of Autism and Developmental Disorders, 2007
- Food preferences and factors influencing food selectivity for children with autism spectrum disordersResearch in Developmental Disabilities, 2006
- ALSPAC–The Avon Longitudinal Study of Parents and ChildrenPaediatric and Perinatal Epidemiology, 2001