Eating behavior of children and adolescents with autism spectrum disorder who attend a group in a commune in the region of Ñuble, Chile
DOI:
https://doi.org/10.56294/sctconf20251456Keywords:
Autism Spectrum Disorder, Feeding Behavior, Nutrients, Nutritional Status, Rural PopulationAbstract
Introduction: Autism Spectrum Disorder (ASD) is a neurodevelopmental disorder that affects feeding behavior, causing nutrient deficiencies and affecting overall nutritional status. In the rural population, children and adolescents with ASD are especially vulnerable to these effects. This study sought to determine the feeding behavior of children and adolescents with ASD in a commune of Chile.
Methods: Cross-sectional descriptive study with 21 children and adolescents from the “Tesoros del Infinito” group in El Carmen. A personal history questionnaire and the Brief Autism Mealtime Behaviors (BAMBI) were used to assess eating behavior, together with anthropometric measurements.
Results: 90.48 % of the sample were male, 61.90 % were school children, 57.14 % were from urban areas and 52.38 % were obese. The global BAMBI score was 42.86 ± 6.67 with an internal consistency of 0.74.
Conclusion: The eating behavior of children and adolescents with ASD attending a child and family support group is consistent with the available international evidence of children and adolescents with ASD attending educational institutions.
References
1. Asociación Americana de Psiquiatría. Manual diagnóstico y estadístico de los trastornos mentales (DSM-5®). 5a ed. Arlington, VA: Editorial Medica Panamericana; 2014. págs. 31-59.
2. Zeidan J, Fombonne E, Scorah J, Ibrahim A, Durkin MS, Saxena S, et al. Global prevalence of autism: A systematic review update. Autism Research. 2022;15(5):778–790. https://doi.org/10.1002/aur.2696 DOI: https://doi.org/10.1002/aur.2696
3. Yáñez C, Maira P, Elgueta C, Brito M, Crockett MA, Troncoso L, et al. Estimación de la prevalencia de trastorno del Espectro Autista en población urbana chilena. Andes pediatr. 2021;92(4):519-525. http://dx.doi.org/10.32641/andespediatr.v92i4.2503 DOI: https://doi.org/10.32641/andespediatr.v92i4.2503
4. Ministerio de Salud de Chile. Norma Técnica para la Supervisión Salud Integral de Niños y Niñas de 0 a 9 años en la Atención Primaria de Salud [Internet]. 2ª ed. 2021. Capítulo 3, Supervisión de Salud Integral Infantil; [citado el 06 de mayo de 2024]; págs. 164-168. Disponible en: https://www.minsal.cl/wp-content/uploads/2021/12/Cap%C3%ADtulo-3.pdf
5. Barber A, Yerby L, Tomeny T, Baker L. Morales-Aleman M. Brief Report: Exploring Rural and Urban Caregiver Descriptions of Autism Symptoms and Aetiology. Int J Disabil Dev Educ. 2020;69(4):1430–1441. https://doi.org/10.1080/1034912X.2020.1767763 DOI: https://doi.org/10.1080/1034912X.2020.1767763
6. Zhang W, Mason AE, Boyd B, Sikich L, Baranek G. A Rural–Urban Comparison in Emergency Department Visits for U.S. Children with Autism Spectrum Disorder. J Autism Dev Disord. 2017;47:590–598. https://doi.org/10.1007/s10803-016-2982-3 DOI: https://doi.org/10.1007/s10803-016-2982-3
7. Esposito M, Mirizzi P, Fadda R, Pirollo C, Ricciardi O, Mazza M, et al. Food Selectivity in Children with Autism: Guidelines for Assessment and Clinical Interventions. Int J Environ Res Public Health. 2023;20(6):5092. https://doi.org/10.3390/ijerph20065092. DOI: https://doi.org/10.3390/ijerph20065092
8. Bourne L, Mandy W, Bryant-Waugh R. Avoidant/restrictive food intake disorder and severe food selectivity in children and young people with autism: A scoping review. Dev Med Child Neurol. 2022;64(6):691-700. https://doi.org/10.1111/dmcn.15139 DOI: https://doi.org/10.1111/dmcn.15139
9. Sharp WG, Postorino V, McCracken CE, Berry RC, Criado KK, Burrell TL, et al. Dietary Intake, Nutrient Status, and Growth Parameters in Children with Autism Spectrum Disorder and Severe Food Selectivity: An Electronic Medical Record Review. J Acad Nutr Diet. 2018;118(10):1943-1950. https://doi.org/10.1016/j.jand.2018.05.005 DOI: https://doi.org/10.1016/j.jand.2018.05.005
10. Siddiqi UR, Begum S, Shahjadi S, Afroz S, Mahruba SN, Parvin J, et al. Plasma zinc, copper and serum ceruloplasmin levels of autism spectrum disorder children in Bangladesh. Heliyon. 2023;9(8):E18624. https://doi.org/10.1016/j.heliyon.2023.e18624 DOI: https://doi.org/10.1016/j.heliyon.2023.e18624
11. Erden S, Akbaş İleri B, Sadıç Çelikkol Ç, Nalbant K, Kılınç İ, Yazar A. Serum B12, homocysteine, and anti-parietal cell antibody levels in children with autism. Int J Psychiatry Clin. 2022;26(1):8-13. https://doi.org/10.1080/13651501.2021.1906906 DOI: https://doi.org/10.1080/13651501.2021.1906906
12. Şengenç E, Kıykım E, Saltik S. Vitamin D levels in children and adolescents with autism. J Int Med Res. 2020;48(7):300060520934638. https://doi.org/10.1177/0300060520934638 DOI: https://doi.org/10.1177/0300060520934638
13. Valenzuela-Zamora AF, Ramírez-Valenzuela DG, Ramos-Jiménez A. Food Selectivity and Its Implications Associated with Gastrointestinal Disorders in Children with Autism Spectrum Disorders. Nutrients. 2022;14(13):2660. https://doi.org/10.3390/nu14132660 DOI: https://doi.org/10.3390/nu14132660
14. Van 't Hof M, Ester WA, Serdarevic F, Van Berckelaer-Onnes I, Hillegers MHJ, Tiemeier H, et al. The sex-specific association between autistic traits and eating behavior in childhood: An exploratory study in the general population. Appetite. 2020;147:104519. https://doi.org/10.1016/j.appet.2019.104519 DOI: https://doi.org/10.1016/j.appet.2019.104519
15. Sammels O, Karjalainen L, Dahlgren J, Wentz E. Autism Spectrum Disorder and Obesity in Children: A Systematic Review and Meta-Analysis. Obes Facts. 2022;15(3):305-320. https://doi.org/10.1159/000523943 DOI: https://doi.org/10.1159/000523943
16. Yeung SSY, Chan R, Li L, Chan D, Leung J, Leung TF. Eating Behaviors and Diet Quality in Chinese Preschoolers with and without Autism Spectrum Disorder: A Case-Control Study. J Pediatr. 2021;237:258-266.e5. https://doi.org/10.1016/j.jpeds.2021.06.017 DOI: https://doi.org/10.1016/j.jpeds.2021.06.017
17. Turnage D, Conner N. Quality of life of parents of children with Autism Spectrum Disorder: An integrative literature review. J Spec Pediatr Nurs. 2022;27(4):e12391. https://doi.org/10.1111/jspn.12391 DOI: https://doi.org/10.1111/jspn.12391
18. Thorsteinsdottir S, Njardvik U, Bjarnason R, Olafsdottir AS. Changes in Eating Behaviors Following Taste Education Intervention: Focusing on Children with and without Neurodevelopmental Disorders and Their Families: A Randomized Controlled Trial. Nutrients. 2022;14(19):4000. https://doi.org/10.3390/nu14194000 DOI: https://doi.org/10.3390/nu14194000
19. Zobel-Lachiusa J, Andrianopoulos MV, Mailloux Z, Cermak SA. Sensory Differences and Mealtime Behavior in Children With Autism. Am J Occup Ther. 2015;69(5):6905185050p1–6905185050p8. https://doi.org/10.5014/ajot.2015.016790 DOI: https://doi.org/10.5014/ajot.2015.016790
20. Martín JR. Diseños de muestreo (II). NURE Investigación. 2005;12. Disponible en: https://www.nureinvestigacion.es/OJS/index.php/nure/article/view/214/199
21. Ministerio de Salud de Chile. Norma Técnica para la Supervisión Salud Integral de Niños y Niñas de 0 a 9 años en la Atención Primaria de Salud [Internet]. 2ª ed. 2021. Capítulo 2, Componentes transversales y específicos de la supervisión de salud integral infantil; [citado el 13 de junio de 2024]; págs. 119-122. Disponible en: https://www.minsal.cl/wp-content/uploads/2021/12/Capi%CC%81tulo-2-Web.pdf
22. Ministerio de Salud de Chile. Patrones de crecimiento para la evaluación nutricional de niños, niñas y adolescentes, desde el nacimiento hasta los 19 años de edad [Internet]. 2018 [citado el 05 de octubre de 2024]. Disponible en: http://www.bibliotecaminsal.cl/wp/wp-content/uploads/2018/07/2018.06.14-PAC_Interior-con-lineas-de-corte-14-juliov3.pdf
23. Lukens CT, Linscheid, TR. Development and Validation of an Inventory to Assess Mealtime Behavior Problems in Children with Autism. J Autism Dev Disord. 2008;38,342–352. https://doi.org/10.1007/s10803-007-0401-5 DOI: https://doi.org/10.1007/s10803-007-0401-5
24. DeMand A, Johnson C, Foldes E. Psychometric Properties of the Brief Autism Mealtime Behaviors Inventory. J Autism Dev Disord. 2015;45,2667–2673. https://doi.org/10.1007/s10803-015-2435-4 DOI: https://doi.org/10.1007/s10803-015-2435-4
25. Maenner MJ, Warren Z, Williams AR, Amoakohene E, Bakian AV, Bilder DA, et al. Prevalence and Characteristics of Autism Spectrum Disorder Among Children Aged 8 Years - Autism and Developmental Disabilities Monitoring Network, 11 Sites, United States, 2020. MMWR Surveill Summ. 2023;72(2):1-14. http://dx.doi.org/10.15585/mmwr.ss7202a1 DOI: https://doi.org/10.15585/mmwr.ss7202a1
26. González M, Vasquez M, Hernandez-Chavez M . Trastorno del espectro autista: Diagnóstico clínico y test ADOS. Rev Chil Pediatr. 2019;90(5):485-491. https://dx.doi.org/10.32641/rchped.v90i5.872 DOI: https://doi.org/10.32641/rchped.v90i5.872
27. Şengüzel S, Cebeci AN, Ekici B, Gönen İ, Tatlı B. Impact of eating habits and nutritional status on children with autism spectrum disorder. J Taibah Univ Med Sci. 2020;16(3):413-421. https://doi.org/10.1016/j.jtumed.2020.11.010 DOI: https://doi.org/10.1016/j.jtumed.2020.11.010
28. Castro-Gell Y, Aragonés-Lafita L, Ramírez Gell S. La comunidad como apoyo en la socialización de los niños con trastorno del espectro autista. Varona. 2024;(80). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1992-82382024000200015&lng=es&tlng=es
29. Zalaquett D, Schönstedt M, Angeli M, Herrera C, Moyano A. Fundamentos de la intervención temprana en niños con trastornos del espectro autista. Rev Chil Pediatr. 2015;86(2):126-131. https://doi.org/10.1016/j.rchipe.2015.04.025 DOI: https://doi.org/10.1016/j.rchipe.2015.04.025
30. Shmaya Y, Eilat-Adar S, Leitner Y, Reif S, Gabis LV. Meal time behavior difficulties but not nutritional deficiencies correlate with sensory processing in children with autism spectrum disorder. Res Dev Disabil. 2017;66:27-33. https://doi.org/10.1016/j.ridd.2017.05.004 DOI: https://doi.org/10.1016/j.ridd.2017.05.004
31. Williams KE, Field DG, Seiverling L. Food refusal in children: A review of the literature. Res Dev Disabil. 2010;31(3):625-633. https://doi.org/10.1016/j.ridd.2010.01.001 DOI: https://doi.org/10.1016/j.ridd.2010.01.001
32. Asociación Americana de Psiquiatría. Manual diagnóstico y estadístico de los trastornos mentales (DSM-5®). 5a ed. Arlington, VA: Editorial Medica Panamericana; 2014. págs. 190-191.
33. Milano K, Chatoor I, Kerzner B. A Functional Approach to Feeding Difficulties in Children. Curr Gastroenterol Rep. 2019;21(10):51. https://doi.org/10.1007/s11894-019-0719-0 DOI: https://doi.org/10.1007/s11894-019-0719-0
34. Santocchi E, Guiducci L, Fulceri F, Billeci L, Buzzigoli E, Apicella F, et al. Gut to brain interaction in Autism Spectrum Disorders: a randomized controlled trial on the role of probiotics on clinical, biochemical and neurophysiological parameters. BMC Psychiatry. 2016;16:183. https://doi.org/10.1186/s12888-016-0887-5 DOI: https://doi.org/10.1186/s12888-016-0887-5
35. Santocchi E, Guiducci L, Prosperi M, Calderoni S, Gaggini M, Apicella F, et al. Effects of Probiotic Supplementation on Gastrointestinal, Sensory and Core Symptoms in Autism Spectrum Disorders: A Randomized Controlled Trial. Front Psychiatry. 2020;11:550-593. https://doi.org/10.3389/fpsyt.2020.550593 DOI: https://doi.org/10.3389/fpsyt.2020.550593
36. Sharp WG, Jaquess DL, Lukens CT. Multi-method assessment of feeding problems among children with autism spectrum disorders. Res Autism Spectr Disord. 2013;7(1):56-65. https://doi.org/10.1016/j.rasd.2012.07.001 DOI: https://doi.org/10.1016/j.rasd.2012.07.001
37. Aponte CA, Romanczyk RG. Assessment of feeding problems in children with autism spectrum disorder. Res Autism Spectr Disord. 2016;21:61-72. https://doi.org/10.1016/j.rasd.2015.09.007 DOI: https://doi.org/10.1016/j.rasd.2015.09.007
38. Beaudry I. El rechazo a alimentarse y la selectividad alimentaria en el niño menor de 3 años: una compleja combinación de factores médicos, sensoriomotores y conductuales. Acta Pediatr Esp. 2014;72(5):92-97. Disponible en: https://campus.autismodiario.com/wp-content/uploads/2016/10/9-NUTRICION.pdf
39. Miller CK, Burklow KA, Santoro K, Kirby E, Mason D, Rudolph CD. An Interdisciplinary Team Approach to the Management of Pediatric Feeding and Swallowing Disorders. Child Health Care. 2010;30(3):201-218. https://doi.org/10.1207/S15326888CHC3003_3 DOI: https://doi.org/10.1207/S15326888CHC3003_3
40. Van Strien T, Oosterveld P. The children's DEBQ for assessment of restrained, emotional, and external eating in 7- to 12-year-old children. Int J Eat Disord. 2008;41(1):72-81. https://doi.org/10.1002/eat.20424 DOI: https://doi.org/10.1002/eat.20424
41. Perilla T, Ortiz EA, Larsen T. El trastorno del espectro autista y la comunidad hispana/latinx [Internet]. MHDD National Training Center. 2020 [citado el 28 de octubre de 2024]. Disponible en: https://www.mhddcenter.org/wp-content/uploads/2020/10/El-trastorno-del-espectro-autista-y-la-comunidad-hispana-latinx.pdf?form=MG0AV3.
Published
Issue
Section
License
Copyright (c) 2025 Kathalina Yañez-Flores, Javiera Castillo-Tapia, Marian Alegría-Villablanca, Miguel Ángel López-Espinoza (Author)

This work is licensed under a Creative Commons Attribution 4.0 International License.
The article is distributed under the Creative Commons Attribution 4.0 License. Unless otherwise stated, associated published material is distributed under the same licence.