Feeding Problems of Preschool-Age Children With Autism Spectrum Disorder in Pathum Thani Province, Thailand

Authors

  • Issarapa Chunsuwan Department of Pediatrics, Faculty of Medicine, Thammasat University, Pathum Thani 12120, Thailand
  • Warapoj Ma-eime Department of Pediatrics, Faculty of Medicine, Thammasat University, Pathum Thani 12120, Thailand
  • Tippawan Hansakunachai Department of Pediatrics, Faculty of Medicine, Thammasat University, Pathum Thani 12120, Thailand
  • Prapasri Kulalert Department of Clinical Epidemiology, Faculty of Medicine, Thammasat University, Pathum Thani 12120, Thailand
  • Tiraya Lerthattsilp Department of Psychiatry, Faculty of Medicine, Thammasat University, Pathum Thani 12120, Thailand

Keywords:

Autism, Feeding problems, Food refusal, BAMBI, Thailand

Abstract

Introduction: Feeding problems are commonly observed in children with autism spectrum disorder (ASD). Among feeding problems, food selectivity is the most common issue. Improper feeding behaviors could lead to health issues and difficulties in parenting. The objective of this research is to compare eating problems among preschool-age children with autism and children with typical development (TD).
Methods: This case-control study was conducted in 30 children with ASD and 30 age- and gendermatched children with TD. Parents of children from both groups answered demographic questionnaires, the Brief Autism Mealtime Behavior Inventory (BAMBI) and questionnaires about attitude and strategies toward their child’s behavioral problems.
Results: The mean total score of the BAMBI in children with ASD (45 ± 8.4) was significantly higher than children with TD (40 ± 7.4). Of the three domains in the BAMBI, food refusal was the only significantly different domain between two groups. The behaviors which were commonly mentioned by parents of children with ASD as problematic were expelling food that had been eaten and refusing to eat certain foods that they dislike. Parents from both groups did not differ in their emotion and confidence during mealtimes.
Conclusions: Preschool-age children with ASD have more eating problems than normal developing children. Food refusal behavior was an area of significant difference between the two groups. Therefore, when caring for preschooler with ASD, eating problems also should be focused on.

Downloads

Download data is not yet available.

References

Data & Statistics on Autism Spectrum Disorder 2020. Center for disease control and prevention. https://www.cdc.gov/ncbddd/autism/data. html. Updated September 25, 2020. Accessed December 1, 2020.

American Psychiatric Association. Autism Spectrum Disorder. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Washington, DC; 2013.

Whiteley P, Rodgers J, Shattock P. Feeding Patterns in Autism. Autism. 2000;4(2):207-211.

Pongpaothai N, Chunsuwan I, Hansakunachai T. Prevalence of Eating Behavioral Problems among Children Aged 1 - 6 Years in Perimeter Province of Bangkok, Thailand. Thai Journal of Pediatrics. 2004;53(3):181-188.

Benjasuwantep B, Chaithirayanon S, Eiamudomkan M. Feeding problems in healthy young children: prevalence, related factors and feeding practices. Pediatr Rep. 2013;5(2):38-42.

Sullivan PB, Lambert B, Rose M, Ford-Adams M, Johnson A, Griffiths P. Prevalence and severity of feeding and nutritional problems

in children with neurological impairment: Oxford Feeding Study. Dev Med Child Neurol. 2000;42(10):674-680.

Ledford J, Gast D. Feeding Problems in Children With Autism Spectrum Disorders A Review. Focus on Autism and Other Developmental Disabilities. 2006;21:153-166.

Margari L, Marzulli L, Gabellone A, de Giambattista C. Eating and Mealtime Behaviors in Patients with Autism Spectrum Disorder:

Current Perspectives. Neuropsychiatr Dis Treat. 2020;16:2083-2102.

Ahearn WH, Castine T, Nault K, Green G. An assessment of food acceptance in children with autism or pervasive developmental disordernot otherwise specified. J Autism Dev Disord. 2001;31(5):505-511.

Bandini LG, Anderson SE, Curtin C, et al. Food selectivity in children with autism spectrum disorders and typically developing children. J Pediatr. 2010;157(2):259-264.

Hazen EP, Stornelli JL, O’Rourke JA, Koesterer K, McDougle CJ. Sensory symptoms in autism spectrum disorders. Harv Rev Psychiatry. 2014;22(2):112-124.

Schoen SA, Miller LJ, Brett-Green BA, Nielsen DM. Physiological and behavioral differences in sensory processing: a comparison of children with autism spectrum disorder and sensory modulation disorder. Front Integr Neurosci. 2009;3(1):29-38.

Nadon G, Feldman D, Dunn W, Gisel E. Association of Sensory Processing and Eating Problems in Children with Autism Spectrum Disorders. Autism research and treatment. 2011;2(1):41-49.

Lane A, Geraghty M, Young G, Rostorfer J. Problem Eating Behaviors in Autism Spectrum Disorder Are Associated With Suboptimal Daily Nutrient Intake and Taste/Smell Sensitivity. ICAN Infant Child & Adolescent Nutrition. 2014;6(1):172-180.

Sharp WG, Berry RC, McCracken C, et al. Feeding problems and nutrient intake in children with autism spectrum disorders: a meta-analysis and comprehensive review of the literature. J Autism Dev Disord. 2013;43(9):2159-2173.

Johnson C, Handen B, Mayer-Costa M, Sacco K. Eating Habits and Dietary Status in Young Children with Autism. Journal of Developmental and Physical Disabilities. 2008; 20(1):437-448.

Provost B, Crowe TK, Osbourn PL, McClain C, Skipper BJ. Mealtime Behaviors of Preschool Children: Comparison of Children with Autism Spectrum Disorder and Children with Typical Development. Physical & Occupational Therapy In Pediatrics. 2010; 30(3):220-233.

Benjasuwantep B, Rattanamongkolgul S, Ramsay M. The Thai version of the Montreal Children’s Hospital Feeding Scale (MCH-FS): psychometric properties. J Med Assoc Thai. 2015;98(2):163-169.

Chan DFY, Yu CCW, So HK, Chan S, Tsang N. Mealtime Behavioral Problems in Hong Kong Chinese Preschoolers with Autism Spectrum Disorder. Journal of Psychological Abnormalities. 2016;5(S1):2-4.

Handayani M, Herini ES, Takada S. Eating Behavior of Autistic Children. Nurse Media Journal of Nursing. 2012;2(1):281-294.

Crasta JE, Benjamin TE, Suresh AP, et al. Feeding problems among children with autism in a clinical population in India. Indian J Pediatr. 2014;81(S2):169-172.

Frankenburg WK, Dodds J, Archer P, Shapiro H, Bresnick B. The Denver II: a major revision and restandardization of the Denver

Developmental Screening Test. Pediatrics. 1992;89(1):91-97.

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(2):342-352.

Castro K, Perry IS, Ferreira GP, Marchezan J, Becker M, Riesgo R. Validation of the Brief Autism Mealtime Behavior Inventory (BAMBI) Questionnaire. J Autism Dev Disord. 2019;49(6):2536-2544.

Johnson C, Turner K, Stewart P, et al. Relationships Between Feeding Problems, Behavioral Characteristics and Nutritional Quality in Children with ASD. Journal of autism and developmental disorders. 2014;44-52.

Gray H, Chiang HM. Brief Report: Mealtime Behaviors of Chinese American Children with Autism Spectrum Disorder. Journal of Autism and Developmental Disorders. 2017;47(3):894-897.

Aponte CA, Romanczyk RG. Assessment of feeding problems in children with autism spectrum disorder. Research in Autism Spectrum Disorders. 2016;21(1):61-72.

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(1):27-33.

Downloads

Published

2021-12-30

How to Cite

[1]
Chunsuwan, I., Ma-eime, W. , Hansakunachai, T. , Kulalert, P. and Lerthattsilp, T. 2021. Feeding Problems of Preschool-Age Children With Autism Spectrum Disorder in Pathum Thani Province, Thailand. Asian Medical Journal and Alternative Medicine. 21, 3 (Dec. 2021), 199–209.

Issue

Section

Original Articles