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

• Published in: The Egyptian journal of otolaryngology 2021-12, Vol.37 (1), p.110-9, Article 110
• Main Authors: Mahmoud, Nesreen Fathi, Abdelhameed, Rehab Safwat, Abdelmonam, Sherif A., Abdelmonem, Ahmed Ali, Khalil, Doaa Mahmoud, Bakia, Shimaa Ahmed Saleh
• Format: Article
• Language: English
• Subjects: Age; Autism; Autistic children; Behavior; Children; Families & family life; Feeding; Food; Food and nutrition; Food relief; International aspects; Medicine; Medicine & Public Health; Original Article; Parents; Parents & parenting; Preferences; Surgery
• ISSN: 1012-5574; 2090-8539
• DOI: 10.1186/s43163-021-00152-3

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.