Food selectivity in infancy and autism spectrum disorder (ASD): A systematic review

Postgraduate Thesis uoadl:3301216 69 Read counter

Κατεύθυνση Αναπτυξιακή και Εφηβική Ιατρική και Ανάπτυξη Υπηρεσιών Υγείας για Παιδιά και Εφήβους
Library of the School of Health Sciences
Deposit date:
Vasilakis Marios-Charis
Supervisors info:
Αρτεμισία Τσίτσικα, Αναπληρώτρια Καθηγήτρια, Ιατρική Σχολή, ΕΚΠΑ
Λωρέττα Θωμαϊδου, Καθηγήτρια, Ιατρική Σχολή, ΕΚΠΑ
Θεόδωρος Σεργεντάνης, Ακαδημαϊκός Υπότροφος, Ιατρική Σχολή, ΕΚΠΑ
Original Title:
Διατροφικές ιδιαιτερότητες κατά την βρεφική ηλικία και Διαταραχή Αυτιστικού φάσματος (ΔΑΦ): Μια συστηματική ανασκόπηση
Translated title:
Food selectivity in infancy and autism spectrum disorder (ASD): A systematic review
The aim of this systematic review is to investigate the potential correlation among food selectivity and autism spectrum disorder during the first two years of life.
The search was conducted in the following databases: Pubmed, Google Scholar, Embase and Psychinfo, outlined by the PRISMA guidelines.
Our eligible criteria identified 14 studies with total sample of 2133 infants and children with an age admixture from 0-17 years and an ASD diagnosis. According to our results, in an infant retrospective study searching for early signs of ASD it was reported that 25.7% of the total sample were selective eaters, while 11.4% consumed limited food. Findings from a cohort study indicated that infants with ASD were referred as picky eaters at 15 months with OR=1.15 and at 24 months with OR=1.96, while another study comparing ASDs with non-ASDs, pointed out that ASD group had significantly higher probability for manifestation of selectivity by texture (p= .004), selectivity by type (p=.036) and new food refusal (p=.002). Finally, from a cohort study revealed that at the age of 15 months the ASD group was reported as very choosy in a proportion of (9.5% vs 5.4%) compared to the control group, and at age of two years remained consistently very choosy with a raising tendency concerning food in a rate of 20% compared to the control group with rate 9.5% and OR (95% CI)=2.45 (1.36-4.43), p=0.03.The present systematic review highlights and confirms the association between food selectivity described as selectivity by type/texture, limited food repertoire, food refusal and picky eating during infancy and ASD diagnosis as most of the cases manifested one or many of the types of food selectivity even from 15 months of life.
Main subject category:
Health Sciences
Autism spectrum disorder, Infancy, Food difficulties, Early intervention
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ΔΙΠΛΩΜΑΤΙΚΗ ΕΡΓΑΣΙΑΣ - ΠΕΡΓΑΜΟΣ.pdf (3 MB) Open in new window