Skip to main content

Advertisement

Log in

Sensory Sensitivity and Food Selectivity in Children with Autism Spectrum Disorder

  • Original Paper
  • Published:
Journal of Autism and Developmental Disorders Aims and scope Submit manuscript

Abstract

Few studies have compared atypical sensory characteristics and food selectivity between children with and without autism spectrum disorder (ASD). We compared oral sensory processing between children with (n = 53) and without ASD (n = 58), ages 3–11 years. We also examined the relationships between atypical oral sensory processing, food selectivity, and fruit/vegetable consumption in children with ASD. We found that more children with ASD presented with atypical sensory processing than children without ASD. Among children with ASD, those with atypical oral sensory sensitivity refused more foods and ate fewer vegetables than those with typical oral sensory sensitivity. The findings suggest that efforts to address food selectivity in children with ASD may be enhanced by including strategies that address oral sensory processing.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  • Ahearn, W., Castine, T., Nault, K., & Green, G. (2001). An assessment of food acceptance in children with autism or pervasive developmental disorder-not otherwise specified. Journal of Autism and Developmental Disorders, 31(5), 505–511.

    Article  PubMed  Google Scholar 

  • American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders: DSM-5 (5th ed.). Washington, D.C.: American Psychiatric Association.

    Book  Google Scholar 

  • Bandini, L., Curtin, C., Phillips, S., Anderson, S., Maslin, M., & Must, A. (2017). Changes in food selectivity in children with autism spectrum disorder. Journal of Autism and Developmental Disorders, 47(2), 439–446.

    Article  PubMed  PubMed Central  Google Scholar 

  • Bandini, L. G., Anderson, S. E., Curtin, C., Cermak, S., Evans, E. W., Scampini, R., et al. (2010). Food selectivity in children with autism spectrum disorders and typically developing children. The Journal of Pediatrics, 157(2), 259–264.

    Article  PubMed  PubMed Central  Google Scholar 

  • Baranek, G. T., David, F. J., Poe, M. D., Stone, W. L., & Watson, L. R. (2006). Sensory Experiences Questionnaire: Discriminating sensory features in young children with autism, developmental delays, and typical development. Journal of Child Psychology and Psychiatry, 47(6), 591–601.

    Article  PubMed  Google Scholar 

  • Bennetto, L., Kuschner, E. S., & Hyman, S. L. (2007). Olfaction and taste processing in autism. Biological Psychiatry, 62(9), 1015–1021.

    Article  PubMed  PubMed Central  Google Scholar 

  • Ben-Sasson, A., Hen, L., Fluss, R., Cermak, S. A., Engel-Yeger, B., & Gal, E. (2009). A meta-analysis of sensory modulation symptoms in individuals with autism spectrum disorders. Journal of Autism and Developmental Disorders, 39(1), 1–11.

    Article  PubMed  Google Scholar 

  • Brockevelt, B. L., Nissen, R., Schweinle, W. E., Kurtz, E., & Larson, K. J. (2013). A comparison of the Sensory Profile scores of children with autism and an age- and gender-matched sample. South Dakota Medicine, 66(11), 459, 461, 463–455.

  • Cermak, S. A., Curtin, C., & Bandini, L. G. (2010). Food selectivity and sensory sensitivity in children with autism spectrum disorders. Journal of the American Dietetic Association, 110(2), 238–246.

    Article  PubMed  PubMed Central  Google Scholar 

  • Christensen, D. L., Baio, J., Van Naarden Braun, K., Bilder, D., Charles, J., Constantino, J. N., et al. (2016). Prevalence and characteristics of autism spectrum disorder among children aged 8 years–autism and developmental disabilities monitoring network, 11 sites, United States, 2012. MMWR. Surveillance summaries: Morbidity and mortality weekly report. Surveillance summaries/CDC, 65(3), 1–23.

    Article  Google Scholar 

  • Curtin, C., Hubbard, K., Anderson, S. E., Mick, E., Must, A., & Bandini, L. G. (2015). Food selectivity, mealtime behavior problems, spousal stress, and family food choices in children with and without autism spectrum disorder. Journal of Autism and Developmental Disorders, 45(10), 3308–3315.

    Article  PubMed  PubMed Central  Google Scholar 

  • Dunn, W. (1999). The sensory profile: User’s manual. San Antonio, TX: The Psychological Corporation.

    Google Scholar 

  • Dunn, W. (2001). The sensations of everyday life: Empirical, theoretical, and pragmatic considerations. The American Journal of Occupational Therapy, 55(6), 608–620.

    Article  PubMed  Google Scholar 

  • Emond, A., Emmett, P., Steer, C., & Golding, J. (2010). Feeding symptoms, dietary patterns, and growth in young children with autism spectrum disorders. Pediatrics, 126(2), e337.

    Article  PubMed  Google Scholar 

  • Ermer, J., & Dunn, W. (1998). The sensory profile: A discriminant analysis of children with and without disabilities. The American Journal of Occupational Therapy, 52(4), 283–290.

    Article  PubMed  Google Scholar 

  • Hazen, E. P., Stornelli, J. L., O’Rourke, J. A., Koesterer, K., & McDougle, C. J. (2014). Sensory symptoms in autism spectrum disorders. Harvard Review of Psychiatry, 22(2), 112–124.

    Article  PubMed  Google Scholar 

  • Hubbard, K. L., Anderson, S. E., Curtin, C., Must, A., & Bandini, L. G. (2014). A comparison of food refusal related to characteristics of food in children with autism spectrum disorder and typically developing children. Journal of the Academy of Nutrition and Dietetics, 114(12), 1981–1987.

    Article  PubMed  PubMed Central  Google Scholar 

  • Johnson, C., Handen, B., Mayer-Costa, M., & Sacco, K. (2008). Eating habits and dietary status in young children with autism. Journal Of Developmental and Physical Disabilities, 20(5), 437–448.

    Article  Google Scholar 

  • Johnson, C. R., Turner, K., Stewart, P. A., Schmidt, B., Shui, A., Macklin, E., et al. (2014). Relationships between feeding problems, behavioral characteristics and nutritional quality in children with ASD. Journal of Autism and Developmental Disorders, 44(9), 2175–2184.

    Article  PubMed  Google Scholar 

  • Kanner, L. (1943). Autistic disturbances of affective contact. Nervous Child, 2, 217–250.

    Google Scholar 

  • Kral, T. V., Souders, M. C., Tompkins, V. H., Remiker, A. M., Eriksen, W. T., & Pinto-Martin, J. A. (2015). Child eating behaviors and caregiver feeding practices in children with autism spectrum disorders. Public Health Nursing, 32(5), 488–497.

    Article  PubMed  Google Scholar 

  • Lane, A. E., Geraghty, M. E., Young, G. S., & Rostorfer, J. L. (2014). Problem eating behaviors in autism spectrum disorder are associated with suboptimal daily nutrient intake and oral sensory over-sensitivity. ICAN: Infant, Child, & Adolescent Nutrition, 6(3), 172–180.

    Google Scholar 

  • Ledford, J. R., & Gast, D. L. (2006). Feeding problems in children with autism spectrum disorders: A review. Focus on Autism and Other Developmental Disabilities, 21(3), 153–166.

    Article  Google Scholar 

  • Leekam, S. R., Nieto, C., Libby, S. J., Wing, L., & Gould, J. (2007). Describing the sensory abnormalities of children and adults with autism. Journal of Autism and Developmental Disorders, 37(5), 894.

    Article  PubMed  Google Scholar 

  • Ma, N. S., Thompson, C., & Weston, S. (2016). Brief report: Scurvy as a manifestation of food selectivity in children with autism. Journal of Autism and Developmental Disorders, 46(4), 1464–1470.

    Article  PubMed  Google Scholar 

  • Marí-Bauset, S., Zazpe, I., Mari-Sanchis, A., Llopis-González, A., & Morales-Suárez-Varela, M. (2014). Food selectivity in autism spectrum disorders. Journal of Child Neurology, 29(11), 1554–1564.

    Article  PubMed  Google Scholar 

  • Martins, Y., Young, R. L., & Robson, D. C. (2008). Feeding and eating behaviors in children with autism and typically developing children. Journal of Autism and Developmental Disorders, 38(10), 1878–1887.

    Article  PubMed  Google Scholar 

  • McIntosh, D. N., Miller, L. J., & Shyu, V. (1999). Development and validation of the short sensory profile. In W. Dunn (Ed.), Sensory profile manual (pp. 59–73). San Antonio, TX: Psychological Corporation.

    Google Scholar 

  • Nadon, G., Feldman, D. E., Dunn, W., & Gisel, E. (2011). Association of sensory processing and eating problems in children with autism spectrum disorders. Autism Research and Treatment. doi:10.1155/2011/541926.

    PubMed  PubMed Central  Google Scholar 

  • Postorino, V., Sanges, V., Giovagnoli, G., Fatta, L. M., De Peppo, L., Armando, M., et al. (2015). Clinical differences in children with autism spectrum disorder with and without food selectivity. Appetite, 92, 126–132.

    Article  PubMed  Google Scholar 

  • Ranjan, S., & Nasser, J. (2015). Nutritional status of individuals with autism spectrum disorders: Do we know enough? Advances in Nutrition, 6(4), 397–407.

    Article  PubMed  PubMed Central  Google Scholar 

  • Rockett, H. R. H., Breitenbach, M., Frazier, A. L., Witschi, J., Wolf, A. M., Field, A. E., et al. (1997). Validation of a youth/adolescent food frequency questionnaire. Preventive Medicine, 26(6), 808–816.

    Article  PubMed  Google Scholar 

  • Rogers, S., Hepburn, S., & Wehner, E. (2003). Parent reports of sensory symptoms in toddlers with autism and those with other developmental disorders. Journal of Autism and Developmental Disorders, 33(6), 631–642.

    Article  PubMed  Google Scholar 

  • Rutter, M., Le Couteur, A. L., & Lord, C. (2003). Autism diagnostic interview-revised. Los Angeles: Western Psychological Services.

    Google Scholar 

  • Schreck, K. A., & Williams, K. (2006). Food preferences and factors influencing food selectivity for children with autism spectrum disorders. Research in Developmental Disabilities: A Multidisciplinary Journal, 27(4), 353–363.

    Article  Google Scholar 

  • Schreck, K. A., Williams, K., & Smith, A. F. (2004). A comparison of eating behaviors between children with and without autism. Journal of Autism and Developmental Disorders, 34(4), 433–438.

    Article  PubMed  Google Scholar 

  • Sharp, W. G., Berry, R. C., McElhanon, B. O., & Jaquess, D. L. (2014). Dietary diversity in children with autism. In Comprehensive Guide to Autism (pp. 2077–2097). New York: Springer.

  • Sharp, W. G., Berry, R. C., McCracken, C., Nuhu, N. N., Marvel, E., Saulnier, C. A., et al. (2013). Feeding problems and nutrient intake in children with autism spectrum disorders: A meta-analysis and comprehensive review of the literature. Journal of Autism and Developmental Disorders, 43(9), 2159–2173.

    Article  PubMed  Google Scholar 

  • Shore, S. M. (2001). Beyond the wall: Personal experiences with autism and Asperger syndrome (1st ed.). Shawnee Mission, KS: Autism Asperger Publisher Co.

    Google Scholar 

  • Suarez, M. A. (2012). Sensory processing in children with autism spectrum disorders and impact on functioning. Pediatric Clinics of North America, 59(1), 203–214.

    Article  PubMed  Google Scholar 

  • Suarez, M. A., & Crinion, K. M. (2015). Food choices of children with autism spectrum disorders. International Journal of School Health, 2(3), 1–5.

    Article  Google Scholar 

  • Suarez, M. A., Nelson, N. W., & Curtis, A. B. (2014). Longitudinal follow-up of factors associated with food selectivity in children with autism spectrum disorders. Autism, 18(8), 924–932.

    Article  PubMed  Google Scholar 

  • Tavassoli, T., & Baron-Cohen, S. (2012). Taste identification in adults with autism spectrum conditions. Journal of Autism and Developmental Disorders, 42(7), 1419–1424.

    Article  PubMed  Google Scholar 

  • Tomchek, S., & Dunn, W. (2007). Sensory processing in children with and without autism: A comparative study using the short sensory profile. The American Journal of Occupational Therapy, 61(2), 190–200.

    Article  PubMed  Google Scholar 

  • Watling, R., Deitz, J., & White, O. (2001). Comparison of sensory profile scores of young child with and without autism spectrum disorders. American Journal of Occupational Therapy, 55(4), 416–423.

    Article  PubMed  Google Scholar 

  • Whiteley, P., Rodgers, J., & Shattock, P. (2000). Feeding patterns in autism. Autism, 4(2), 207–211.

    Article  Google Scholar 

  • Williams, K., Gibbons, B., & Schreck, K. (2005). Comparing selective eaters with and without developmental disabilities. Journal of Developmental and Physical Disabilities, 17(3), 299–309.

    Article  Google Scholar 

  • Williams, P. G., Dalrymple, N., & Neal, J. (2000). Eating habits of children with autism. Pediatric Nursing, 26(3), 259–264.

    PubMed  Google Scholar 

  • Zimmer, M. H., Hart, L. C., Manning-Courtney, P., Murray, D. S., Bing, N. M., & Summer, S. (2012). Food variety as a predictor of nutritional status among children with autism. Journal of Autism and Developmental Disorders, 42(4), 549–556.

    Article  PubMed  Google Scholar 

  • Zobel-Lachiusa, J., Andrianopoulos, M. V., Mailloux, Z., & Cermak, S. A. (2015). Sensory differences and mealtime behavior in children with autism. The American Journal of Occupational Therapy, 69(5), 6905185050.

    Article  PubMed  Google Scholar 

Download references

Funding

This research was funded by the following Grants: R21HD048989-01A2 (NICHD; Diet, Activity and Obesity in Children with Autism); UA3MC25735-01-00 (MCHB; MCH Research Network on Promoting Healthy Weight (HWRN) among Children with Autism Spectrum Disorders (ASD) and other Developmental Disabilities); 2P30HD004147-33A2 (NICHD; Interdisciplinary Research in Intellectual & Developmental Disabilities); and P30DK046200 (NIH; Boston Nutrition Obesity Research Center).

Author information

Authors and Affiliations

Authors

Contributions

LTC and LGB conceived of the study with clinical and scholarly input from CC and SAC. SP performed the statistical analyses with input/consultation from AM. All authors participated in the writing of the manuscript. CC led the effort to respond to the reviewers’ critiques and revised the manuscript accordingly, with input and approval from all the other authors.

Corresponding author

Correspondence to Carol Curtin.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Chistol, L.T., Bandini, L.G., Must, A. et al. Sensory Sensitivity and Food Selectivity in Children with Autism Spectrum Disorder. J Autism Dev Disord 48, 583–591 (2018). https://doi.org/10.1007/s10803-017-3340-9

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10803-017-3340-9

Keywords

Navigation