Food selectivity in children with autism spectrum disorders and typically developing children.

Food selectivity in children with autism spectrum disorders and typically developing children.
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DOI:
10.1016/j.jpeds.2010.02.013
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发表时间:
2010-08
影响因子:
5.1
通讯作者:
Must, Aviva
Must, Aviva
中科院分区:
医学2区
文献类型:
--
作者:
Bandini, Linda G.;Anderson, Sarah E.;Curtin, Carol;Cermak, Sharon;Evans, E. Whitney;Scampini, Renee;Maslin, Melissa;Must, Aviva

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定义食物选择性,比较自闭症谱系障碍(ASD)儿童和正常发育儿童的食物选择性指数,并评估食物选择性对营养充足性的影响。采用改良的食物频率问卷和3天食物记录,将食物选择性操作化,包括拒绝进食、有限的食物库和高频率的单一食物摄入。对53名ASD儿童和58名3-11岁的典型发育儿童的食物选择性进行了比较。相对于膳食参考摄入量评估营养充足性。自闭症儿童比正常发育儿童表现出更多的食物拒绝(41.7%对18.9%的食物提供,p < 0.0001)。据报道,ASD儿童的食物库比正常发育儿童的食物库更有限(19.0 vs. 22.5食物,p < 0.001)。据报道,只有四名自闭症儿童和一名正常发育的儿童表现出高频率的单一食物摄入。食物种类有限的儿童对更多的营养素摄入不足。我们的研究结果表明,自闭症儿童的食物选择性比正常发育的儿童更常见,并且有限的食物库可能与营养不足有关。
To define food selectivity and compare indices of food selectivity among children with autism spectrum disorders (ASDs) and typically developing children, and to assess the impact of food selectivity on nutrient adequacy. Food selectivity was operationalized to include food refusal, limited food repertoire, and high frequency single food intake using a modified food frequency questionnaire and 3-day food record. Food selectivity was compared between 53 children with ASDs and 58 typically developing children ages 3–11 years. Nutrient adequacy was assessed relative to the Dietary Reference Intakes. Children with ASDs exhibited more food refusal than typically developing children (41.7% vs. 18.9% of foods offered, p < 0.0001). A more limited food repertoire was reported for children with ASDs than typically developing children (19.0 vs. 22.5 foods, p < 0.001). Only four children with ASDs and one typically developing child were reported to demonstrate high frequency single food intake. Children with a more limited food repertoire had inadequate intakes of a greater number of nutrients. Our findings suggest that food selectivity is more common in children with ASDs than in typically developing children, and that limited food repertoire may be associated with nutrient inadequacies.
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发表时间: 2004-08-01
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