Using parent‐ and self‐reports to evaluate eating disturbances in young girls with Autism Spectrum Disorder

Bitsika, Vicki; Sharpley, Christopher F.

doi:10.1016/j.ijdevneu.2017.11.002

Cited by 8 publications

(5 citation statements)

References 22 publications

(68 reference statements)

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“…Only three studies (9%) examined constructs that fit our definition of eating problems. Specifically, Bitsika and Sharpley (2018) found approximately 11% of 52 young females with autism endorsed severe eating disturbances (i.e. purging, dieting, and fasting behaviors).…”

Section: Resultsmentioning

confidence: 99%

“…Finally, one-third of studies ( n = 12) examined feeding or eating problems and autism traits, with split results. In three studies, authors used the comparison score of the Autism Diagnostic Observation Schedule–Second Edition (ADOS-2) as a measure of autism symptom severity and found no significant associations between feeding or eating behaviors and more autism symptoms ( Bitsika & Sharpley, 2018 ; Johnson et al, 2014 ; Peverill et al, 2019 ). Likewise, three other studies found autism symptom severity was not significantly related to feeding or eating problems ( Schreck & Williams, 2006 ; Sharp et al, 2013 ; Suarez, 2017).…”

Section: Resultsmentioning

confidence: 99%

“…Conversely, Mayes and Zickgraf (2019) found that autistic youth with and without an intellectual disability did not differ in their rates of atypical eating behaviors. Similarly, others found no differences in feeding or eating problems based on IQ (Bitsika & Sharpley, 2018;Johnson et al, 2014). Of note, only Bitsika and Sharpley (2018) restricted their sample to adolescents with higher cognitive abilities (IQ ⩾70), although Johnson et al (2014) reported 63% of their sample had an IQ of ⩾70 and Mayes and Zickgraf (2019) reported 70% of their sample had an IQ of ⩾80.…”

Section: Cognitive Functioningmentioning

confidence: 96%

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Feeding and eating problems in children and adolescents with autism: A scoping review

Baraskewich

Ranson

McCrimmon

et al. 2021

Autism

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Feeding problems, such as picky eating and food avoidance, are common in youth with autism. Other feeding and eating problems (e.g. disordered eating, fear of trying new foods, and insistence on specific food presentation) are also common in this population. This scoping review describes the nature and extent of feeding and eating problems in autistic youth and reports characteristics of autistic youth who experience such issues. Thirty-four studies were included in the current review, with almost all studies (91%) investigating feeding problems. Only 9% of studies examined concern with weight, shape, and/or body image, but several authors noted that disordered eating attitudes and behaviors may occur more frequently in those with autism than their peers without autism. No common individual characteristics (e.g. cognitive functioning and autism symptom severity) were identified for youth who experience feeding or eating problems. Although differentiating “feeding” from “eating” problems is critical for accurate identification and treatment of these issues, the existing literature has failed to do so. We propose that in future research “eating problems” be used when behaviors involve preoccupation with food, eating, or body image, and “feeding problems” be used when such preoccupation is absent. Lay abstract Feeding problems, such as picky eating and food avoidance, are common in youth with autism. Other, broader difficulties with feeding and eating (eating disorder symptoms such as restricting food intake or preoccupation with body shape or weight and insistence on specific food presentation) are also common in autistic individuals. Here, we describe the nature and extent of feeding and eating problems in youth with autism. We found no common characteristics (such as severity of autism symptoms) that best describe autistic youth who experience problems with feeding or eating. Almost all studies we reviewed focused on problems with feeding (selective or picky eating), and only a few studies focused on eating disorder symptoms (concern with weight, shape, and/or body image). However, some researchers reported that eating disorder symptoms may occur more often in autistic individuals compared to their peers without autism. Many studies used the terms “feeding” and “eating” problems interchangeably, but understanding the difference between these problems is important for researchers to be consistent, as well as for proper identification and treatment. We suggest future researchers use “eating problems” when behaviors involve preoccupation with food, eating, or body image, and “feeding problems” when this preoccupation is absent. We highlight the importance of understanding whether feeding or eating problems are separate from autism traits, and the role of caregivers and other adults in the child’s treatment. Considerations for health-care providers to assist with diagnosis and treatment are also provided.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Cognitive Functioningmentioning

confidence: 96%

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Feeding and eating problems in children and adolescents with autism: A scoping review

Baraskewich

Ranson

McCrimmon

et al. 2021

Autism

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“…Os fatores de risco para obesidade ou excesso de peso são maiores em indivíduos com TEA 9,10,11 . Por isso, as crianças e adolescentes com esse transtorno apresentam maior risco de ter sobrepeso e obesidade em relação a outras com desenvolvimento típico.…”

Section: Discussionunclassified

Adesão a um protocolo de intervenção nutricional para crianças e adolescentes com transtorno do espectro autista

Donay

Monk

Ramos

et al. 2020

SDH

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Objetivo: avaliar a adesão às orientações nutricionais de um protocolo de intervenção nutricional individualizado a crianças e adolescentes com transtorno do espectro autista. Métodos: estudo longitudinal realizado em um ambulatório de nutrição infantil com pacientes do espectro autista, de 3 a 18 anos incompletos, de ambos os sexos. Foi realizado um questionário para obter dados sociodemográficos da família e do paciente, aferidos o peso e altura e realizadas orientações nutricionais baseadas em recordatório de 24h. Em consulta subsequente foi aplicado um checklist para avaliar a adesão as orientações referentes a redução do consumo de alimentos marcadores de má qualidade nutricional (bebidas açucaradas; frituras, salgadinhos de pacote, macarrão instantâneo, açúcares e guloseimas, carnes processadas e biscoitos doce). A comparação entre as frequências das orientações realizadas e as alcançadas foi analisada por meio do teste de Fisher. Adotou-se um erro alfa aceitável de 5%. Resultados: as orientações mais frequentes foram para redução de bebidas adoçadas, frituras e carnes processadas, representando 63%, 28% e 22% respectivamente. A frequência de adesão às orientações variou de 50% a 80%, correspondendo a 63%, 80% e 88% para bebidas adoçadas frituras e carnes processadas. Conclusão: a taxa de adesão às orientações propostas no protocolo foi satisfatória, mostrando que uma orientação nutricional direcionada ao ajuste do consumo de alimentos de baixa qualidade nutricional poderá ser efetiva e contribuir na prevenção de agravos à saúde em indivíduos do espectro autista.

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“…Eating disorders can be one of the presenting symptoms of females with autism, and close to half of females with serious ED score in the ASD range on the ADOS [53]. In addition, in young girls with ASD, the prevalence of severe ED was recently estimated to be 11% [54].…”

Section: Eating Disorders (Ed)mentioning

confidence: 99%

Autism spectrum disorders co-morbidities and treatment approaches

Kong¹

2018

Pediatr Dimensions

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Autism Spectrum Disorder (ASD) is a group of neurodevelopmental disorders, a complex clinical syndrome with different etiologies and pathogeneses, and is almost always accompanied by co-morbid conditions. In this short review, we address the most frequent neurological/psychiatric and somatic co-morbidities, and the latest evidence-based treatment options for these co-morbidities from the literature.Autism spectrum disorder (ASD) is a group of neurodevelopmental disorders, and a complex clinical syndrome with different etiologies and pathogeneses. There is significant clinical and phenotypic heterogeneity associated with ASD, which is not a discrete condition, but rather is part of a broader spectrum of neurodevelopmental conditions, as symptoms of autism almost never occur in isolation. In addition, there are a number of psychiatric, neurologic and somatic co-morbidities, that need to be understood and addressed in order to improve clinical outcome.

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Using parent‐ and self‐reports to evaluate eating disturbances in young girls with Autism Spectrum Disorder

Abstract: The clinical assessment of ED via self- or parent reports is suggested as a pathway to identify girls with ASD who also exhibit ED so that adequate treatment planning can be developed for them.

Cited by 8 publications

References 22 publications

Feeding and eating problems in children and adolescents with autism: A scoping review

Feeding and eating problems in children and adolescents with autism: A scoping review

Adesão a um protocolo de intervenção nutricional para crianças e adolescentes com transtorno do espectro autista

Autism spectrum disorders co-morbidities and treatment approaches

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