A comparison of food refusal related to characteristics of food in children with autism spectrum disorder and typically developing children
Intellectual and Developmental Disabilities Research Center; Shriver Center
Child; *Child Behavior; *Child Development Disorders, Pervasive; Child, Preschool; Choice Behavior; Cross-Sectional Studies; Diet; Energy Intake; Female; *Food Preferences; Fruit; Humans; Linear Models; Male; Questionnaires; Vegetables
Behavior and Behavior Mechanisms | Dietetics and Clinical Nutrition | Mental Disorders | Nutrition | Pediatrics
Parents of children with autism spectrum disorder (ASD) frequently report child food refusal based on characteristics of food. Our study sought to determine whether parent report of food refusal based on the characteristics of food was greater in children with ASD than in typically developing children, associated with a greater percentage of foods refused of those offered, and associated with fruit and vegetable intake. A modified food frequency questionnaire was used to determine overall food refusal as well as fruit and vegetable intake. Parent-reported food refusal related to characteristics of food (eg, texture/consistency, temperature, brand, color, shape, taste/smell, foods mixed together, or foods touching other foods) was compared between 53 children with ASD and 58 typically developing children aged 3 to 11 years in the Children's Activity and Meal Patterns Study (2007-2008). Children with ASD were significantly more likely to refuse foods based on texture/consistency (77.4% vs 36.2%), taste/smell (49.1% vs 5.2%), mixtures (45.3% vs 25.9%), brand (15.1% vs 1.7%), and shape (11.3% vs 1.7%). No differences between groups were found for food refusal based on temperature, foods touching other foods, or color. Irrespective of ASD status, the percentage of foods refused of those offered was associated with parent reports of food refusal based on all characteristics examined, except temperature. Food refusal based on color was inversely associated with vegetable consumption in both groups. Routine screening for food refusal among children with ASD is warranted to prevent dietary inadequacies that may be associated with selective eating habits. Future research is needed to develop effective and practical feeding approaches for children with ASD. All rights reserved.
DOI of Published Version
Hubbard KL, Anderson SE, Curtin C, Must A, Bandini LG. A comparison of food refusal related to characteristics of food in children with autism spectrum disorder and typically developing children. J Acad Nutr Diet. 2014 Dec;114(12):1981-7. doi: 10.1016/j.jand.2014.04.017. Epub 2014 Jun 11. PubMed PMID: 24928779; PubMed Central PMCID: PMC4252256. Link to article on publisher's site
Journal of the Academy of Nutrition and Dietetics
Hubbard, Kristie L.; Anderson, Sarah E.; Curtin, Carol; Must, Aviva; and Bandini, Linda G., "A comparison of food refusal related to characteristics of food in children with autism spectrum disorder and typically developing children" (2014). Intellectual and Developmental Disabilities Research Center Publications and Presentations. 1.