Unit for Severe Disabilities in Developmental Age and Young Adults, IRCCS Eugenio Medea, Brindisi, Italy.
Unit of Child Neuropsychiatry, Department of Basic Medical Sciences, Neuroscience and Sense Organs, University of Bari Aldo Moro, Bari, Italy.
Minerva Pediatr (Torino). 2023 Aug;75(4):536-543. doi: 10.23736/S2724-5276.19.05371-4. Epub 2019 Feb 13.
BACKGROUND: The aim of current study was to examine the nature and prevalence of feeding problems and mealtime behavior problems in children with autism spectrum disorder (ASD) comparing to children with other neurodevelopmental disorders (NNDs) and TD children. We also investigated the impact of intelligence quotient (IQ) and/or emotional and behavioral problems on feeding and mealtime behavior problems. METHODS: Participants completed the following tests: Social Communication Questionnaire (SCQ), Child Behavior Checklist (CBCL), Brief Autism Mealtime Behavior Inventory (BAMBI) and Behavioral Pediatric Feeding Assessment Scale (BPFAS). RESULTS: Children with ASD showed more feeding and mealtime behavior problems including food refusal (P<0.001, P<0.001) and limited variety of foods (P=0.014; P=0.018) compared with NDDs and TD children. ASD group showed more problems in mealtime behavior (P=0.034) and parent behaviors (P=0.028) compared to TD group. Internalizing (P=0.003) and externalizing (P=0.008) problems were positively related to parent frustration during mealtime in ASD group. CONCLUSIONS: These results suggest that routine screening for feeding and mealtime behavior problems among children with ASD is necessary to prevent dietary inadequacies that may be associated with eating habits.
背景:本研究旨在比较自闭症谱系障碍(ASD)儿童与其他神经发育障碍(NND)儿童和正常发育(TD)儿童,观察其进食问题和用餐行为问题的性质和普遍性。我们还研究了智商(IQ)和/或情绪和行为问题对喂养和用餐行为问题的影响。
方法:参与者完成了以下测试:社会沟通问卷(SCQ)、儿童行为检查表(CBCL)、简要自闭症用餐行为量表(BAMBI)和行为儿科喂养评估量表(BPFAS)。
结果:与 NDD 儿童和 TD 儿童相比,ASD 儿童表现出更多的进食和用餐行为问题,包括拒绝进食(P<0.001,P<0.001)和食物种类有限(P=0.014;P=0.018)。与 TD 组相比,ASD 组在进餐行为(P=0.034)和家长行为(P=0.028)方面存在更多问题。自闭症组中,内部化(P=0.003)和外部化(P=0.008)问题与家长在进餐时的挫败感呈正相关。
结论:这些结果表明,有必要对 ASD 儿童进行常规的喂养和用餐行为问题筛查,以预防可能与饮食习惯相关的饮食不足。
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