Evaluation of Avoidant/Restrictive Food Intake Disorder and Nutrition-Related Factors in Autism Spectrum Disorder: A Case-Control Study


İSLAMOĞLU A. H., Orhan Ş., Gürmeşe Z., Akgül Ş., GEZER S.

Journal of Autism and Developmental Disorders, 2025 (SSCI, Scopus) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Basım Tarihi: 2025
  • Doi Numarası: 10.1007/s10803-025-07116-z
  • Dergi Adı: Journal of Autism and Developmental Disorders
  • Derginin Tarandığı İndeksler: Social Sciences Citation Index (SSCI), Scopus, Academic Search Premier, ASSIA, PASCAL, BIOSIS, Child Development & Adolescent Studies, CINAHL, EBSCO Education Source, Education Abstracts, Educational research abstracts (ERA), ERIC (Education Resources Information Center), Linguistics & Language Behavior Abstracts, Psycinfo, Public Affairs Index
  • Anahtar Kelimeler: Autism spectrum disorder, Avoidant/Restrictive food intake disorder, Eating behavior, Gastrointestinal symptoms, Nutrition
  • Marmara Üniversitesi Adresli: Evet

Özet

Aim: This study aimed to compare the prevalence of Avoidant/Restrictive Food Intake Disorder (ARFID) between children with Autism Spectrum Disorder (ASD) and typically developing children (TDC) and to examine the influence of ASD on the development of ARFID. Materials and Methods: The sample included 25 children diagnosed with ASD and 30 TDC. Anthropometric measurements were taken and participants completed the Nine-Item ARFID Screen (NIAS), the Children’s Eating Behavior Questionnaire (CEBQ), and the Bristol Stool Scale (BSS), along with researcher-developed questions on gastrointestinal (GI) symptoms. Data were analyzed using SPSS 22.0, employing descriptive statistics, t-tests, chi-square and correlation analyses. Results: The mean age of participants was 8.02 years (± 3.28) and 61.8% were male. NIAS scores were significantly higher in the ASD group (24.2 ± 9.7) compared to the TDC group (14.17 ± 8.8). In the CEBQ, ASD children scored significantly higher in food fussiness but lower in emotional overeating, desire to drink, and enjoyment of food. NIAS scores were positively correlated with food fussiness, slowness in eating, and satiety responsiveness and negatively correlated with emotional overeating, food responsiveness, and enjoyment of food. Among GI variables, only bloating was significantly more common in the ASD group. NIAS scores were positively associated with complaints of indigestion and bloating. Conclusion: Children with ASD are at higher risk for ARFID and exhibit more picky eating patterns. Increased ARFID risk is linked to greater food selectivity, slow eating, satiety responsiveness and GI symptoms such as bloating and indigestion.