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[Eating behavior in children with autism spectrum disorder].

Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova2022

Balakireva E E, Zvereva N V, Koval-Zaitsev A A, Nikitina S G, Blinova T E, Kulikov A V

What this study means for families

This study looked at eating problems in 180 young children with autism (ages 2-5). Researchers found three main patterns of autism, with different levels of eating difficulties. Children with more severe autism symptoms had more serious eating problems. These eating issues can lead to other health problems, so the researchers suggest having different types of doctors work together to help these children.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Research summary

This study examined atypical eating behaviors (AEB) in 180 children aged 2-5 years with autism spectrum disorders, including childhood autism, atypical autism, and Asperger syndrome. Researchers identified three clinical variants: catatonic-regressive (41%), catatonic (45%), and hyperdynamic (13%). The catatonic-regressive variant showed the most severe eating behaviors, while hyperdynamic showed the least severe. Eating behavior severity correlated with cognitive development issues and the primary autism symptoms.

Catatonia and regression increased eating behavior problems, potentially leading to secondary physical health complications. The authors recommend multidisciplinary medical involvement for rehabilitation and prevention of health complications.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Key findings

  • 1

    Three distinct clinical variants of ASD with eating behaviors identified: catatonic-regressive (41%), catatonic (45%), and hyperdynamic (13%)

    Confidence: moderateRelevance: Helps clinicians understand different presentations of eating behaviors across autism subtypes
  • 2

    Catatonic-regressive variant showed most severe atypical eating behaviors, hyperdynamic variant showed least severe

    Confidence: moderateRelevance: Guides severity assessment and intervention planning based on autism presentation
  • 3

    Eating behavior severity correlated with cognitive development issues and primary autism symptoms

    Confidence: moderateRelevance: Suggests comprehensive assessment should consider both eating behaviors and cognitive functioning

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Clinical implications

Multidisciplinary approach recommended for children with autism and eating difficulties. Assessment should consider autism subtype when evaluating eating behaviors. More intensive intervention may be needed for catatonic variants to prevent secondary health complications.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Limitations

Study design unclear from abstract. Sample demographics heavily skewed toward girls (61%). No control group mentioned. Unclear how clinical variants were determined or validated. Long-term outcomes not reported.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Original abstract

To study atypical eating behavior (AEB) in various variants of autism spectrum disorder (ASD) to determine the prognosis and therapeutic tactics. One hundred and eighty patients (110 girls, 70 boys), aged 2 to 5 years (mean age 4 years), with a diagnosis of «Childhood autism» (F84.02), «Atypical autism» (F84.1), «Asperger Syndrome» (F84.5) and the presence of AEB were examined. Three clinical variants of ASD accompanied by AEB were identified: catatonic-regressive (75, 41%), catatonic (81, 45%) and hyperdynamic (24, 13%). The most pronounced AEB were in the catatonic-regressive variant, and the least in the hyperdynamic variant of ASD.

The severity of AEB is associated with the severity of cognitive dysontogenesis. The characteristics of AEB are associated with the leading clinical syndrome of ASD. The severity of catatonia and regression affects the depth of AEB, which leads to secondary somatic disorders. Specialists of various profiles should participate in medical work for successful rehabilitation and prevention of somatic complications.

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Evidence Grade

Emerging

limited

Grade assigned by AutismInsights based on study type and published abstract.

Study Details

Journal
Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova
Year
2022
PMID
36170098
DOI
10.17116/jnevro202212209242

MeSH Terms

Autism Spectrum DisorderAutistic DisorderCatatoniaChildChild, PreschoolFeeding BehaviorFemaleHumansMalePrognosis