Abstract
Parents of children with autism spectrum disorder (ASD) frequently report that their
children have selective eating behaviors and refuse many foods, which could result
in inadequate nutrient intake. This preliminary cross-sectional descriptive study
investigated dietary intake and parents' reported perception of food behaviors of
20 3- to 5-year-old children with ASD. Twenty typically developing children matched
for sex, age, and ethnicity were also studied as a case-control comparison. Nutrient
intake determined from 3-day food records was adjusted for day-to-day variation to
determine the estimate of usual intake distribution for the two groups. This distribution
was compared with the Estimated Average Requirement or Adequate Intake recommendations.
The reported food behaviors and use of vitamin or mineral supplements were compared
for matched pairs using the exact McNemar test. Nutrient intake was similar for both
groups of children, with the majority of children consuming more than the recommended
amounts for most nutrients. Nutrients least likely to be consumed in recommended amounts
were vitamin A, vitamin E, fiber, and calcium. Children with ASD were more likely
to consume vitamin/mineral supplements than typically developing children. Compared
with parents of typically developing children, parents of children with ASD were more
likely to report that their children were picky eaters and resisted trying new foods,
and they were less likely to describe their children as healthy eaters or that they
eat a variety of foods. Despite the similar and generally adequate nutrient intake
for the 40 children in this study, parents of children with ASD had more negative
perceptions of their children's dietary behaviors.
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References
- Diagnostic and Statistical Manual of Mental Disorders.4th ed. American Psychiatric Association, Arlington, VA2000
- Perspectives on the nutritional ecology of autistic children.J Autism Dev Disord. 1986; 16: 133-142
- An assessment of food acceptance in children with austism or pervasive developmental disorder-not otherwise specified.J Autism Dev Disord. 2001; 31: 505-511
- Gluten and casein free diets in autism: A study of the effects on food choice and nutrition.J Hum Nutr Diet. 2002; 15: 261-269
- Eating habits of children with autism.Pediatr Nurs. 2000; 26: 259-274
- A comparison of eating behaviors between children with and without autism.J Autism Dev Disord. 2004; 34: 433-438
- Minerals in the hair and nutrient intake of autistic children.J Autism Dev Disord. 1982; 12: 25-34
- A balanced approach towards healthy eating in autism.J Hum Nutr Diet. 1998; 11: 501-509
- Story M. Holt K. Sofka D. Bright Futures in Practice: Nutrition. 2nd ed. National Center for Education in Maternal and Child Health, Arlington, VA2002
- Applied Body Composition Assessment.2nd ed. Human Kinetics, Champaign, IL2004
- Nutrient intakes of infants and toddlers.J Am Diet Assoc. 2004; 104: S14-S21
- Using dietary reference intake-based methods to estimate the prevalence of inadequate nutrient intake among school-aged children.J Am Diet Assoc. 2002; 102: 530-536
- Less than adequate vitamin E status observed in a group of preschool boys and girls living in the United States.J Nutr Biochem. 2006; 17: 132-138
- Longitudinal study of nutrient and food intakes of white preschool children aged 24 to 60 months.J Am Diet Assoc. 1999; 99: 1514-1521
- Dietary Reference Intakes for Vitamin C, Vitamin E, Selenium, and Carotenoids.National Academies Press, Washington, DC2000
- Interpreting and using the Dietary Reference Intakes in dietary assessment of individuals and groups.J Am Diet Assoc. 2002; 102: 780-788
- Preventing common feeding problems in infants and young children.Pediatr Clin North Am. 1986; 33: 775-788
- Prevalence of picky eaters among infants and toddlers and their caregivers' decisions about offering a new food.J Am Diet Assoc. 2004; 102: S57-S64
- Vitamin-mineral supplement use among preschool children in the United States.Pediatrics. 1997; 100: e4
- The effect of keeping food records on eating patterns.J Am Diet Assoc. 1998; 98: 1163-1165
Biography
D. W. Lockner is an associate professor, Nutrition Program, Department of Individual, Family, and Community Education, College of Education, University of New Mexico, Albuquerque.
Biography
T. K. Crowe is a professor, Division of Occupational Therapy, Department of Pediatrics, and B. J. Skipper is a professor, Department of Family and Community Medicine, University of New Mexico School of Medicine, Albuquerque.
Article info
Publication history
Accepted:
December 14,
2007
Identification
Copyright
© 2008 American Dietetic Association. Published by Elsevier Inc. All rights reserved.