Food selectivity, nutritional inadequacies, and mealtime behavioral problems in children with autism spectrum disorder compared to neurotypical children.

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Title: Food selectivity, nutritional inadequacies, and mealtime behavioral problems in children with autism spectrum disorder compared to neurotypical children.
Authors: Molina‐López, Jorge, Leiva‐García, Beatriz, Planells, Elena, Planells, Paloma
Source: International Journal of Eating Disorders. Dec2021, Vol. 54 Issue 12, p2155-2166. 12p. 4 Charts.
Subjects: Body composition, Cross-sectional method, Childhood obesity, Anthropometry, Ingestion, Case-control method, Food preferences, Behavior disorders in children, Autism, Malnutrition, Descriptive statistics, Body mass index, Nutritional status, Children
Abstract: Objective: To evaluate body composition, nutritional status through food selectivity and degree of inadequate intake, and mealtime behavior in children with autism spectrum disorder (ASD) compared to neurotypical children. Method: A cross‐sectional case–control study was carried out in 144 children (N = 55 with ASD; N = 91 with neurotypical children) between 6 and 18 years of age. Body composition, nutritional intake, food consumption frequency (FFQ), and mealtime behavior were evaluated. Results: Results showed a greater presence of children with a low weight (18.4% ASD vs. 3.20% comparison group) and obesity (16.3% ASD vs. 8.6% comparison group) in the ASD group for body mass index (BMI) categories (p =.003; number needed to take [NNT] = 8.07). The presence of obesity in ASD children compared to the comparison group was even higher when considering the fat component (47.5% ASD vs. 19.4% comparison group, p =.002; NNT = 10.3). ASD children had greater intake inadequacy (50% ASD vs. 22% comparison group, p =.014; NNT = 3.58), high food selectivity by FFQ (60.6% ASD vs. 37.9% comparison group, p <.037; NNT = 4.41), and more eating problems (food rejection, limited variety, disruptive behavior), compared to neurotypical children (p =.001). Conclusion: Children with ASD showed an unbalanced body composition toward both underweight and obesity, a greater degree of inadequate intake, high food selectivity as indicated by their consumption frequency, and more disturbed eating behavior than children with neurotypical development. We suggest monitoring nutritional inadequacies and implementing nutritional strategies to expand the variety of foods children with ASD consume. [ABSTRACT FROM AUTHOR]
Copyright of International Journal of Eating Disorders is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Objective: To evaluate body composition, nutritional status through food selectivity and degree of inadequate intake, and mealtime behavior in children with autism spectrum disorder (ASD) compared to neurotypical children. Method: A cross‐sectional case–control study was carried out in 144 children (N = 55 with ASD; N = 91 with neurotypical children) between 6 and 18 years of age. Body composition, nutritional intake, food consumption frequency (FFQ), and mealtime behavior were evaluated. Results: Results showed a greater presence of children with a low weight (18.4% ASD vs. 3.20% comparison group) and obesity (16.3% ASD vs. 8.6% comparison group) in the ASD group for body mass index (BMI) categories (p =.003; number needed to take [NNT] = 8.07). The presence of obesity in ASD children compared to the comparison group was even higher when considering the fat component (47.5% ASD vs. 19.4% comparison group, p =.002; NNT = 10.3). ASD children had greater intake inadequacy (50% ASD vs. 22% comparison group, p =.014; NNT = 3.58), high food selectivity by FFQ (60.6% ASD vs. 37.9% comparison group, p &lt;.037; NNT = 4.41), and more eating problems (food rejection, limited variety, disruptive behavior), compared to neurotypical children (p =.001). Conclusion: Children with ASD showed an unbalanced body composition toward both underweight and obesity, a greater degree of inadequate intake, high food selectivity as indicated by their consumption frequency, and more disturbed eating behavior than children with neurotypical development. We suggest monitoring nutritional inadequacies and implementing nutritional strategies to expand the variety of foods children with ASD consume. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of International Journal of Eating Disorders is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.1002/eat.23631
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 12
        StartPage: 2155
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      – SubjectFull: Body composition
        Type: general
      – SubjectFull: Cross-sectional method
        Type: general
      – SubjectFull: Childhood obesity
        Type: general
      – SubjectFull: Anthropometry
        Type: general
      – SubjectFull: Ingestion
        Type: general
      – SubjectFull: Case-control method
        Type: general
      – SubjectFull: Food preferences
        Type: general
      – SubjectFull: Behavior disorders in children
        Type: general
      – SubjectFull: Autism
        Type: general
      – SubjectFull: Malnutrition
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Body mass index
        Type: general
      – SubjectFull: Nutritional status
        Type: general
      – SubjectFull: Children
        Type: general
    Titles:
      – TitleFull: Food selectivity, nutritional inadequacies, and mealtime behavioral problems in children with autism spectrum disorder compared to neurotypical children.
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            NameFull: Molina‐López, Jorge
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            NameFull: Leiva‐García, Beatriz
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            NameFull: Planells, Elena
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            – D: 01
              M: 12
              Text: Dec2021
              Type: published
              Y: 2021
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