Skip to main content
Log in

Food Variety as a Predictor of Nutritional Status Among Children with Autism

  • Original Paper
  • Published:
Journal of Autism and Developmental Disorders Aims and scope Submit manuscript

Abstract

The frequency of selective eating and nutritional deficiency was studied among 22 children with autism and an age matched typically developing control group. Children with autism ate fewer foods on average than typically developing children. (33.5 vs. 54.5 foods, P < .001) As compared to typical controls, children with autism had a higher average intake of magnesium, and lower average intake of protein, calcium, vitamin B12, and vitamin D. Selective eaters were significantly more likely than typical controls to be at risk for at least one serious nutrient deficiency (P < .001).

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

  • Ahearn, W. H., Casinte, T., Nault, K., & Green, G. (2001). An assessment of food acceptance with autism or pervasive developmental disorder- not otherwise specified. Journal of Autism and Developmental Disorders, 31, 505–511.

    Article  PubMed  Google Scholar 

  • Bandini, L. G., Anderson, S. E., Curtin, C., Cermak, S., Evans, E. W., Scampini, R., et al. (2010). Food selectivity in children with autism spectrum disorders and typically developing children. Journal of Pediatrics, 157, 259–264.

    Article  PubMed  Google Scholar 

  • Barr, S. I., Murphy, S. P., Poos, M. I., (2002). Interpreting and using the dietary references intakes in dietary assessment of individuals and groups, 102(6):780–8.

  • Bennetto, L., Kuschner, E. S., & Hyman, S. L. (2007). Olfaction and taste processing in autism. Biological Psychiatry, 62, 1015–1021.

    Article  PubMed  Google Scholar 

  • Centers for Disease Control and Prevention (CDC). (2009). Prevalence of autism spectrum disorders—Autism and developmental disabilities monitoring network, United States, 2006. MMWR Surveill Summ, 58(10), 1–20.

    Google Scholar 

  • Cornish, E. (1998). A balanced approach toward healthy eating in autism. Journal of Human Nutrition & Dietetics, 11, 501–509.

    Article  Google Scholar 

  • Eck, L. H., Klesges, R. C., Hanson, C. L., & White, J. (1991). Reporting retrospective dietary intake by food frequency questionnaire in a pediatric population. Journal of the American Dietetic Association, 91, 606–608.

    PubMed  Google Scholar 

  • Emond, A., Emmett, P., Steer, C., & Golding, J. (2010). Feeding symptoms, dietary patterns, and growth in young children with autism spectrum disorders. Pediatrics, 126, e337–e342.

    Article  PubMed  Google Scholar 

  • Feskanich, D., Rimm, E. B., Giovannucci, E. L., Colditz, G. A., Stampfer, M. J., Litin, L. B., et al. (1993). Reproducibility and validity of food intake measurements from a semiquantitative food frequency questionnaire. Journal of the American Dietetic Association, 93, 790–796.

    Article  PubMed  Google Scholar 

  • Gerrior, S., Bente, L., & Hiza, H. (2004). Nutrient Content of the U.S. Food Supply, 1909-2000. (Home Economics Research Report No. 56). US Department of Agriculture, Center for Nutrition Policy and Promotion.

  • Hediger, M. L., England, L. J., Molloy, C. A., Yu, K. F., Manning-Courtney, P., & Mills, J. L. (2008). Reduced bone cortical thickness in boys with autism or autism spectrum disorder. Journal of Autism and Developmental Disability, 38, 848–856.

    Article  Google Scholar 

  • Hernandez-Avila, M., Romieu, I., Parra, S., Hernandez-Avila, J., Madrigal, H., & Willett, W. (1998). Validity and reproducibility of a food frequency questionnaire to assess dietary intake of women living in Mexico City. Salud Publica de Mexico, 40, 133–140.

    Article  PubMed  Google Scholar 

  • Herndon, A. C., DiGuiseppi, C., Johnson, S., Leiferman, J., & Reynolds, A. (2009). Does nutritional intake differ between children with autism spectrum disorders and children with typical development? Journal of Autism and Developmental Disorders, 39, 212–222.

    Article  PubMed  Google Scholar 

  • Ho, H. H., Eaves, L. C., & Peabody, D. (1997). Nutrient intake and obesity in children with autism. Focus on Autism and Other Developmental Disabilities, 12, 187–192.

    Article  Google Scholar 

  • Institute of Medicine. (2001). Dietary reference intakes: Applications in dietary assessment. Washington, DC: National Academy Press.

    Google Scholar 

  • Johnson, C. R., Handen, B. L., Mayer-Costa, M., & Sacco, K. (2008). Eating habits and dietary status in young children with autism. Journal of Developmental and Physical Disabilities, 20, 437–448.

    Article  Google Scholar 

  • Laud, R. B., Girolami, P. A., Boscoe, J. H., & Gulotta, C. S. (2009). Treatment outcomes for severe feeding problems in children with autism spectrum disorder. Behavior Modification, 33, 520–536.

    Article  PubMed  Google Scholar 

  • Ledford, J. R., & Gast, D. L. (2006). Feeding problems in children with autism spectrum disorders: A review. Focus on Autism and Other Developmental Disabilities, 21, 153–166.

    Article  Google Scholar 

  • Levy, S., Souders, M. C., Ittenbach, R. F., Giarelli, E., Mulberg, A., & Pinto-Martin, J. (2007). Relationship of dietary intake to gastrointestinal symptoms in children with autistic spectrum disorders. Biological Psychiatry, 61, 492–497.

    Article  PubMed  Google Scholar 

  • Lindsay, R. L., Arnold, L. E., Aman, M. G., Vitiello, B., Posey, D. J., McDougle, C. J., et al. (2006). Dietary status and impact of risperidone on nutritional balance in children with autism: a pilot study. Journal of Intellectual and Developmental Disability, 31, 204–209.

    Article  PubMed  Google Scholar 

  • Lord, C., Rutter, M., DiLavore, P., & Risi, S. (1999). Autism diagnostic observation schedule—WPS edition. Los Angeles: Western Psychological Services.

    Google Scholar 

  • Lord, C., Rutter, M., & Le Couteur, A. (1994). Autism diagnostic interview—revised: A revised version of a diagnostic interview for caregivers of individuals with possible pervasive developmental disorders. Journal of Autism and Developmental Disorders, 24, 659–685.

    Article  PubMed  Google Scholar 

  • Patterson, R. E., Kristal, A. R., Tinker, L. F., Carter, R. A., Bolton, M. P., & Agurs-Collins, T. (1999). Measurement characteristics of the Women’s Health Initiative food frequency questionnaire. Annals of Epidemiology, 9, 178–187.

    Article  PubMed  Google Scholar 

  • Raiten, D. J., & Massaro, T. (1986). Perspectives on the nutritional ecology of children with Autism. Journal of Autism and Developmental Disability, 16, 133–143.

    Article  Google Scholar 

  • Rimm, E. B., Giovannucci, E. L., Stampfer, M. J., Colditz, G. A., Litin, L. B., & Willett, W. C. (1992). Reproducibility and validity of an expanded self-administered semiquantitative food frequency questionnaire among male health professionals. American Journal of Epidemiology, 135, 1114–1126.

    PubMed  Google Scholar 

  • Salvini, S., Hunter, D. J., Sampson, L., Stampfer, M. J., Colditz, G. A., Rosner, B., et al. (1989). Food-based validation of a dietary questionnaire: the effects of week-to-week variation in food consumption. International Journal of Epidemiololgy, 18, 858–867.

    Article  Google Scholar 

  • Schreck, K. A., & Williams, K. (2006). Food preferences and factors influencing food selectivity for children with autism spectrum disorders. Research in Developmental Disability, 27, 353–363.

    Article  Google Scholar 

  • Shearer, T. R., Larson, K., Neuschwander, J., & Gedney, B. (1982). Minerals in the hair and nutrient intake of autistic children. Journal of Autism and Developmental Disorders, 12, 25–34.

    Article  PubMed  Google Scholar 

  • Treiber, F. A., Leonard, S. B., Frank, G., Musante, L., Davis, H., Strong, W. B., et al. (1990). Dietary assessment instruments for preschool children: Reliability of parental responses to the 24-hour recall and a food frequency questionnaire. Journal of the American Dietetic Association, 90, 814–820.

    PubMed  Google Scholar 

  • Udall, J. N., Jr., & Greene, H. L. (1992). Vitamin update. Pediatrics in Review, 13, 185–194.

    Article  PubMed  Google Scholar 

  • Wei, X., Yanjuan, Z., Caihong, S., Jia, W., & Lijie W. (2010). A preliminary study on nutritional status and intake in Chinese children with autism. European Journal of Pediatrics, e-published ahead of print.

  • Willett, W. C. (2000). Accuracy of food-frequency questionnaires. American Journal of Clinical Nutrition, 72, 1234–1236.

    PubMed  Google Scholar 

  • Willett, W. C., Reynolds, R. D., Cottrell-Hoehner, S., Sampson, L., & Browne, M. L. (1987). Validation of a semi-quantitative food frequency questionnaire: Comparison with a 1-year diet record. Journal of the American Dietetic Association, 87, 43–47.

    PubMed  Google Scholar 

  • Willett, W. C., Sampson, L., Stampfer, M. J., Rosner, B., Bain, C., Witschi, J., et al. (1985). Reproducibility and validity of a semiquantitative food frequency questionnaire. American Journal of Epidemiology, 122, 51–65.

    PubMed  Google Scholar 

  • Williams, K., Gibbins, B. G., & Schreck, K. A. (2005). Comparing selective eaters with and without developmental disabilities. Journal of Developmental and Physical Disabilities, 17, 299–309.

    Article  Google Scholar 

Download references

Acknowledgments

The authors would like to acknowledge the efforts of Twila Rogers, Study Coordinator, Cincinnati Children’s Hospital Clinical Trials Office. This study was was supported in part by USPHS Grant #M01 RR 08084 from the General Clinical Research Centers Program, National Center for Research Resources, NIH and in part by the Cincinnati Children’s Hospital Research Foundation.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Michelle H. Zimmer.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Zimmer, M.H., Hart, L.C., Manning-Courtney, P. et al. Food Variety as a Predictor of Nutritional Status Among Children with Autism. J Autism Dev Disord 42, 549–556 (2012). https://doi.org/10.1007/s10803-011-1268-z

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10803-011-1268-z

Keywords

Navigation