Evidence map›Paper›PMID 40944186›Full record

ArticleNutrients2025

Food Selectivity in Children with Autism Spectrum Disorder and in Typically Developing Peers: Sensory Processing, Parental Practices, and Gastrointestinal Symptoms.

Paolo Mirizzi, Marco Esposito, Orlando Ricciardi, Domenico Bove, Roberta Fadda, Alessandro O Caffò, Monica Mazza, Marco Valenti

Abstract read
In one paragraph

Article in Nutrients, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. An interdisciplinary clinical framework for managing children with autism spectrum disorder in paediatric dentistry.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2026
    Review
  4. Deconstructing the Diet-Language Myth in Autism: A Divergent V-Type Model.Journal of autism and developmental disorders · 2026
    Article
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  7. Article
  8. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Paolo MirizziDepartment of Education, Psychology, Communication, University of Bari, 70121 Bari, Italy.
Marco EspositoAutism Research and Treatment Centre, Una Breccia Nel Muro, 00168 Rome, Italy.ORCID 0000-0002-6224-660X
Orlando RicciardiAutism Research and Treatment Centre, Una Breccia Nel Muro, 00168 Rome, Italy.
Domenico BoveFUSIS MCF (Clinic Neuroscience Research and Training), 81100 Caserta, Italy.
Roberta FaddaDepartment of Pedagogy, Psychology, Philosophy, University of Cagliari, 09100 Cagliari, Italy.ORCID 0000-0002-4862-4213
Alessandro O CaffòDepartment of Education, Psychology, Communication, University of Bari, 70121 Bari, Italy.ORCID 0000-0003-3973-8152
Monica MazzaDepartment of Applied Clinical Sciences and Biotechnology, University of L'Aquila, 67100 L'Aquila, Italy.
Marco ValentiDepartment of Applied Clinical Sciences and Biotechnology, University of L'Aquila, 67100 L'Aquila, Italy.ORCID 0000-0001-9043-3456

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesFood selectivity is a prevalent and challenging issue in childhood, particularly in children with autism spectrum disorder (ASD), which may result in restricted dietary patterns and nutrient deficiencies. This study aimed to identify high-risk subgroups of children by combining food selectivity, diet, BMI, gastrointestinal symptoms, sensory processing, and parental feeding practices in children with ASD and in typically developing children (TDC).

methodsTo achieve this aim, we ran a cross-sectional, survey-based study, including 408 children (aged 3 to 12.11 years), with gender-matched groups. Both parents completed a survey on children's diet, anthropometric curves, gastrointestinal symptoms, and the Brief Autism Mealtime Behavior Inventory (BAMBI), Short Sensory Profile (SSP), and Caregiver's Feeding Style Questionnaire (CFSQ). Data analysis included comparative tests, correlations, and k-means cluster analysis.

resultsChildren with ASD exhibited significantly greater sensory processing difficulties, higher food refusal, limited food variety in the diet, and autism-related mealtime characteristics compared with TDC across all age groups. Caregivers of children with ASD reported higher controlling and contingency management feeding practices compared to the parents of the TDC. We found a strong correlation between sensory sensitivities and feeding issues. Notably, Body Mass Index (BMI) was not significantly associated with dietary restriction or gastrointestinal symptoms. Cluster analysis revealed a high-risk sub-phenotype in both groups of children with some differences, characterized by high food selectivity, taste, tactile, and smell sensitivity, gastrointestinal symptoms, and overactive parental practices.

conclusionsThe early identification of this subgroup might foster more tailored, multidisciplinary, and effective assessment and clinical intervention.

Indexed as

Autism Spectrum DisorderFeeding BehaviorFood PreferencesGastrointestinal DiseasesParentingBody Mass IndexChildChild, PreschoolCross-Sectional StudiesDietFemaleHumansMaleMealsParentsSurveys and Questionnairesautism spectrum disorderBMIchildrendietfood selectivitygastrointestinal disordersparental practicessensory processing

Identifiers

PMID40944186
PMCPMC12430742

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.