Wang Tiantian, Feng Junyan, Xue Yang, Shan Ling, Jia Feiyong, Yue Xiaojing
Department of Developmental and Behavioral Pediatrics, The First Hospital of Jilin University, Jilin University, Changchun, China.
Front Pediatr. 2022 Aug 12;10:860947. doi: 10.3389/fped.2022.860947. eCollection 2022.
In this cross-sectional study, 84 children with autism spectrum disorder (ASD) and 77 healthy subjects showing typical development (TD) were reviewed. Parents reviewed the age of introduction of complementary foods (CFs), completed a demographic, diet behavior questionnaire and the Autism Behavior Checklist (ABC). The results showed that the age of introduction of CFs was later in children with ASD than their TD counterparts. The age of introduction of CFs in ASD group was positively correlated with feeding problem. While the correlation was not observed in TD group. Children in the ASD group had higher total scores of the diet behavior questionnaire and all four subdomains (poor eating ability, mealtime eating behavior, food selectivity, and parental feeding behavior). ASD symptoms were clearly associated with feeding problems. The sensory subdomain score in ABC was positively correlated with poor eating ability, mealtime behavior and total score of the diet behavior questionnaire. The social self-care subdomain score was positively correlated with food selectivity. The interaction subdomain score was negative correlated with parental feeding behavior and total score of the diet behavior questionnaire. Further studies are required to establish the utility of delayed CFs introduction and/or early feeding problems as potential indicators of ASD.
在这项横断面研究中，对84名自闭症谱系障碍（ASD）儿童和77名发育正常（TD）的健康受试者进行了评估。家长回顾了辅食（CFs）引入的年龄，完成了一份人口统计学、饮食行为问卷以及自闭症行为检查表（ABC）。结果显示，ASD儿童引入CFs的年龄比发育正常的儿童晚。ASD组中CFs的引入年龄与喂养问题呈正相关。而在发育正常组中未观察到这种相关性。ASD组儿童在饮食行为问卷及其所有四个子领域（进食能力差、进餐时的饮食行为、食物选择性和父母喂养行为）的总分更高。ASD症状与喂养问题明显相关。ABC中的感觉子领域得分与进食能力差、进餐行为以及饮食行为问卷的总分呈正相关。社会自理子领域得分与食物选择性呈正相关。互动子领域得分与父母喂养行为以及饮食行为问卷的总分呈负相关。需要进一步的研究来确定延迟引入CFs和/或早期喂养问题作为ASD潜在指标的效用。
