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Food Selectivity in Children with Autism: Guidelines for Assessment and Clinical Interventions

Author

Listed:
  • Marco Esposito

    (Autism Research and Treatment Centre Una Breccia Nel Muro, 00168 Rome, Italy
    Department of Applied Clinical Sciences and Biotechnology, University of L’Aquila, 67100 L’Aquila, Italy)

  • Paolo Mirizzi

    (Department of Education, Psychology, Communication, University of Bari, 70121 Bari, Italy)

  • Roberta Fadda

    (Department of Pedagogy, Psychology, Philosophy, University of Cagliari, 09100 Cagliari, Italy)

  • Chiara Pirollo

    (Autism Research and Treatment Centre Una Breccia Nel Muro, 00168 Rome, Italy)

  • Orlando Ricciardi

    (Autism Research and Treatment Centre Una Breccia Nel Muro, 00168 Rome, Italy)

  • Monica Mazza

    (Department of Applied Clinical Sciences and Biotechnology, University of L’Aquila, 67100 L’Aquila, Italy)

  • Marco Valenti

    (Department of Applied Clinical Sciences and Biotechnology, University of L’Aquila, 67100 L’Aquila, Italy
    Regional Centre for Autism, Abruzzo Region Health System, 67100 L’Aquila, Italy)

Abstract

Autisms Spectrum Disorders (ASD) are characterized by core symptoms (social communication and restricted and repetitive behaviors) and related comorbidities, including sensory anomalies, feeding issues, and challenging behaviors. Children with ASD experience significantly more feeding problems than their peers. In fact, parents and clinicians have to manage daily the burden of various dysfunctional behaviors of children at mealtimes (food refusal, limited variety of food, single food intake, or liquid diet). These dysfunctional behaviors at mealtime depend on different factors that are either medical/sensorial or behavioral. Consequently, a correct assessment is necessary in order to program an effective clinical intervention. The aim of this study is to provide clinicians with a guideline regarding food selectivity concerning possible explanations of the phenomenon, along with a direct/indirect assessment gathering detailed and useful information about target feeding behaviors. Finally, a description of evidence-based sensorial and behavioral strategies useful also for parent-mediated intervention is reported addressing food selectivity in children with ASD.

Suggested Citation

  • Marco Esposito & Paolo Mirizzi & Roberta Fadda & Chiara Pirollo & Orlando Ricciardi & Monica Mazza & Marco Valenti, 2023. "Food Selectivity in Children with Autism: Guidelines for Assessment and Clinical Interventions," IJERPH, MDPI, vol. 20(6), pages 1-33, March.
  • Handle: RePEc:gam:jijerp:v:20:y:2023:i:6:p:5092-:d:1096530
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    References listed on IDEAS

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    1. Katarina Babinska & Hana Celusakova & Ivan Belica & Zofia Szapuova & Iveta Waczulikova & Dagmar Nemcsicsova & Aleksandra Tomova & Daniela Ostatnikova, 2020. "Gastrointestinal Symptoms and Feeding Problems and Their Associations with Dietary Interventions, Food Supplement Use, and Behavioral Characteristics in a Sample of Children and Adolescents with Autis," IJERPH, MDPI, vol. 17(17), pages 1-18, September.
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