The association between maternal features and nutritional problems in children with autism spectrum disorder

Autores/as

  • Nur ATEŞ-ŞAHİNKAYA Eskişehir Osmangazi University
  • Nilüfer ACAR-TEK2 Gazi University
  • Emre ADIGÜZEL Karamanoğlu Mehmetbey University

Palabras clave:

Autism, Maternal educational status, Maternal nutrition, Mealtime

Resumen

Objective
In the literature, there is almost no data on the relationship between autistic children’s nutritional problems and their mothers’ demographic and nutritional characteristics. Therefore, this study aimed to evaluate whether there was a relationship between maternal features and nutritional problems in autistic children.

Methods
This study was conducted with the participation of 58 autistic children (6-19 years) and their mothers. Descriptive data were obtained with a general questionnaire. For the evaluation of children’s nutritional status, anthropometric measurements and 24-hour dietary recall were used. Also, the Brief Autism Mealtime Behavior Inventory and ORTO-15 questionnaires were used to evaluate the meal behavior of children and orthorexia tendency of mothers, respectively.

Results
No significant correlation was found between the Brief Autism Mealtime Behavior Inventory scores in children of mothers with high and low orthorexia tendency. There were also no statistically significant differences between the children of mothers with high and low educational level in terms of Brief Autism Mealtime Behavior Inventory scores. Only the dietary vitamin B6 intake was significantly higher in the children of mothers with high educational level. Maternal age was associated with the dietary energy and protein intake, unlike, maternal orthorexia tendency was not associated with the nutritional status and meal behavior of children. The abdominal pain experience in the last one month was found to be significantly higher in the children of employed mothers than children of unemployed mothers.

Conclusion
It is thought that the maternal characteristics are not effective on meal behavior in children and also maternal age and educational status have a very limited effect on the nutritional status of children. 

Citas

American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-5. Arlington: American Psychiatric Publishing; 2013.

Miodovnik A, Harstad E, Sideridis G, Huntington N. Timing of the diagnosis of attention-deficit/hyperactivity disorder and autism spectrum disorder. Am Acad Pediatrics. 2015;136(4):830-7. https://doi.org/10.1542/peds.2015-1502

Zwaigenbaum L, Bauman ML, Fein D, Pierce K, Buie T, Davis PA, et al. Early screening of autism spectrum disorder: recommendations for practice and research. Am Acad Pediatrics. 2015;136(Suppl1):41-59. https://doi.org/10.1542/peds.2014-3667D

American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-4-TR. Washington: American Psychiatric Publishing; 2000.

Baio J, Wiggins L, Christensen DL, Maenner MJ, Daniels J, Warren Z, et al. Prevalence of autism spectrum disorder among children aged 8 years: autism and developmental disabilities monitoring network, 11 Sites, United States, 2014. Morb Mortal Wkly Rep. 2018;67(6):1-23. https://doi.org/10.15585/mmwr.ss6706a1

Bjørklund G, Chartrand M. Nutritional and environmental influences on autism spectrum disorder. J Nutr Disorders Ther. 2016;6(1):e123. https://doi.org/10.4172/2161-0509.1000e123

Endreffy I, Bjørklund G, Dicső F, Urbina MA, Endreffy E. Acid glycosaminoglycan (aGAG) excretion is increased in children with autism spectrum disorder, and it can be controlled by diet. Metab Brain Dis. 2016;31(2):273-8. https://doi.org/10.1007/s11011-015-9745-2

Mandy W, Lai MC. Annual research review: the role of the environment in the developmental psychopathology of autism spectrum condition. J Child Psychol Psychiatry. 2016;57(3):271-92. https://doi.org/10.1111/jcpp.12501

Ranjan S, Nasser JA. Nutritional status of individuals with autism spectrum disorders: do we know enough?. Adv Nutr. 2015;6(4):397-407. https://doi.org/10.3945/an.114.007914

DeMand A, Johnson C, Foldes E. Psychometric properties of the brief autism mealtime behaviors inventory. J Autism Dev Disord. 2015;45(9):2667-73. https://doi.org/10.1007/s10803-015-2435-47

Meguid NA, Anwar M, Bjørklund G, Hashish A, Chirumbolo S, Hemimi M, et al. Dietary adequacy of Egyptian children with autism spectrum disorder compared to healthy developing children. Metab Brain Dis. 2017;32(2):607-15. https://doi.org/10.1007/s11011-016-9948-1

Natale RA, Messiah SE, Asfour L, Uhlhorn SB, Delamater A, Arheart KL. Role modeling as an early childhood obesity prevention strategy: effect of parents and teachers on preschool children’s healthy lifestyle habits. J Dev Behav Pediatr. 2014;35(6):378-87. https://doi.org/10.1097/DBP.0000000000000074

Larsen JK, Hermans RC, Sleddens EF, Engels RC, Fisher JO, Kremers SP. How parental dietary behavior and food parenting practices affect children’s dietary behavior. Interacting sources of influence? Appetite. 2015;89:246-57. https://doi.org/10.1016/j.appet.2015.02.012

Negash C, Whiting SJ, Henry CJ, Belachew T, Hailemariam TG. Association between maternal and child nutritional status in Hula, rural Southern Ethiopia: a cross sectional study. Plos One. 2015;10(11):e0142301. https://doi.org/10.1371/journal.pone.0142301

Scaglioni S, De Cosmi V, Ciappolino V, Parazzini F, Brambilla P, Agostoni C. Factors influencing children’s eating behaviours. Nutrients. 2018;10(6):706. https://doi.org/10.3390/nu10060706

Alderman H, Headey DD. How important is parental education for child nutrition? World Dev. 2017;94:448-64. https://doi.org/10.1016/j.worlddev.2017.02.007

Di Cesare M, Bhatti Z, Soofi SB, Fortunato L, Ezzati M, Bhutta ZA. Geographical and socioeconomic inequalities in women and children’s nutritional status in Pakistan in 2011: an analysis of data from a nationally representative survey. Lancet Glob Health. 2015;3(4):229-39. https://doi.org/10.1016/S2214-10 9X(15)70001-X

Makoka D, Masibo PK. Is there a threshold level of maternal education sufficient to reduce child undernutrition? Evidence from Malawi, Tanzania and Zimbabwe. Bmc Pediatr. 2015;15(1):96. https://doi.org/10.1186/s12887-015-0406-8

Johri M, Subramanian SV, Koné GK, Dudeja S, Chandra D, Minoyan N, et al. Maternal health literacy is associated with early childhood nutritional status in India. J Nutr. 2016;146(7):1402-10. https://doi.org/10.3945/jn.115.226290

Ickes SB, Hurst TE, Flax VL. Maternal literacy, facility birth, and education are positively associated with better infant and young child feeding practices and nutritional status among Ugandan children. J Nutr. 2015;145(11):2578-86. https://doi.org/10.3945/jn.115.214346

Eshete H, Abebe Y, Loha E, Gebru T, Tesheme T. Nutritional status and effect of maternal employment among children aged 6-59 months in Wolayta Sodo town, southern Ethiopia: a cross-sectional study. Ethiop J Health Sci. 2017;27(2):155-62. https://doi.org/10.4314/ejhs.v27i2.8

Huda TM, Hayes A, El Arifeen S, Dibley MJ. Social determinants of inequalities in child undernutrition in Bangladesh: a decomposition analysis. Mat Child Nutr. 2018;14(1):12440. https://doi.org/10.1111/mcn. 12440

Rogers LG, Magill-Evans J, Rempel GR. Mothers’ challenges in feeding their children with autism spectrum disorder: managing more than just picky eating. J Dev Phys Disabil. 2012;24(1):19-33. https://doi.org/10.1007/s10882-011-9252-2

Marí-Bauset S, Llopis-González A, Zazpe-García I, Marí-Sanchis A, Morales-Suárez-Varela M. Nutritional status of children with autism spectrum disorders (ASDs): a case-control study. J Autism Dev Disord. 2015;45(1):203-12. https://doi.org/10.1007/s10803-014-2205-8

World Health Organization. Recognizing adolescence. Geneva: Organization; 2014 [cited 2020 Mar 20]. Available from: https://apps.who.int/adolescent/second-decade/section2/page1/recognizing-adolescence.html

Lukens CT, Linscheid TR. Development and validation of an inventory to assess mealtime behavior problems in children with autism. J Autism Dev Disord. 2008;38(2):342-52. https://doi.org/10.1007/s10803-007-0401-5

Donini LM, Marsili D, Graziani MP, Imbriale M, Cannella C. Orthorexia nervosa: validation of a diagnosis questionnaire. Eat Weight Disord. 2005;10(2):28-32. https://doi.org/10.1007/BF03327537

Lohman T, Roche A, Martorell R. Anthropometric Standardization Reference Manual. Champaign: Human Kinetics Books; 1991.

World Health Organization. Body mass index. Geneva: Organization; c2020 [cited 2019 Sep 29]. Available from: http://www.euro.who.int/en/health-topics/disease-prevention/nutrition/a-healthy-lifestyle/body-massindex-bmi

Rakıcıoğlu N, Acar-Tek N, Ayaz A, Pekcan G. Yemek ve besin fotoğraf kataloğu: ölçü ve miktarlar (Food and Meal Photo Catalog: Measurements and Quantities). Ankara: Ata Ofset; 2014.

Ebispro for Windows. Data Bases: Bundeslebenmittelschlüssell 11.3 and other sources. Turkish version BeBis [software]. Stuttgart: Ebispro; 2004.

Meral BF, Fidan A. A study on Turkish adaptation, validity and reliability of the brief autism mealtime behavior inventory (BAMBI). Procedia Soc Behav Sci. 2014;116:403-8. https://doi.org/10.1016/j.sbspro.2014.01.230

International Business Machines Corporation. Statistical Package for Social Sciences. version 22.0 [software]. Chicago: IBM; 2013.

Fujiwara T, Morisaki, N, Honda Y, Sampei M, Tani Y. Chemicals, nutrition, and autism spectrum disorder: a mini-review. Front Neurosci. 2016;10:174. https://doi.org/10.3389/fnins.2016.00174

Lyall K, Munger KL, O’Reilly ÉJ, Santangelo SL, Ascherio A. Maternal dietary fat intake in association with autism spectrum disorders. Am J Epidemiol. 2013;178(2):209-20. https://doi.org/10.1093/aje/kws433

Grant WB, Soles CM. Epidemiologic evidence for supporting the role of maternal vitamin D deficiency as a risk factor for the development of infantile autism. Dermatoendocrinol. 2009;1(4):223-8. https://doi.org/10.4161/derm.1.4.9500

Surén P, Roth C, Bresnahan M, Haugen M, Hornig M, Hirtz D, et al. Association between maternal use of folic acid supplements and risk of autism spectrum disorders in children. Jama. 2013;309(6):570-7. https://doi:10.1001/jama.2012.155925

Ministry of Health (Turkey). Turkey Dietary Guideline-2015 (TUBER). Ankara: Ministry; 2016.

Zobel-Lachiusa J, Andrianopoulos MV, Mailloux Z, Cermak SA. Sensory differences and mealtime behavior in children with autism. Am J Occup Ther. 2015;69(5). https://doi.org/10.5014/ajot.2015.016790

Stein A, Woolley H, Cooper S, Winterbottom J, Fairburn CG, Cortina-Borja M. Eating habits and attitudes among 10-year-old children of mothers with eating disorders: longitudinal study. Br J Psychiatry. 2006;189(4):324-9. https://doi.org/10.1192/bjp.bp.105.014316

Cerniglia L, Cimino S, Tafà M, Marzilli E, Ballarotto G, Bracaglia F. Family profiles in eating disorders: family functioning and psychopathology. Psychol Res Behav Manag. 2017;10:305-12. https://doi.org/10.2147/PRBM.S145463

Huicho L, Segura ER, Huayanay-Espinoza CA, Guzman JN, Restrepo-Méndez MC, Tam Y, et al. Child health and nutrition in Peru within an antipoverty political agenda: a Countdown to 2015 country case study. Lancet Glob Health. 2016;4(6):414-26. https://doi.org/10.1016/S2214-109X(16)00085-1

Emina JBO, Ngianga-Bakwin K, Inungu J, Yazoume YE. Maternal education and child nutritional status in the Democratic Republic of Congo. J Public Health Epidemiol. 2011;3(12):576-92. https://doi.org/10.5897/JPHE11.130

Imai KS, Annim SK, Kulkarni VS, Gaiha R. Women’s empowerment and prevalence of stunted and underweight children in rural India. World Dev. 2014;62:88-105. https://doi.org/10.1016/j.worlddev.2014.05.001

Cunningham K, Ploubidis GB, Menon P, Ruel M, Kadiyala S, Uauy R, et al. Women’s empowerment in agriculture and child nutritional status in rural Nepal. Public Health Nutr. 2015;18(17):3134-45. https://doi.org/10.1017/S1368980015000683

Ahsan KZ, El Arifeen S, Al-Mamun MA, Khan SH, Chakraborty N. Effects of individual, household and community characteristics on child nutritional status in the slums of urban Bangladesh. Arch Public Health. 2017;75(1):9. https://doi.org/10.1186/s13690-017-0176-x

Cunningham K, Ruel M, Ferguson E, Uauy R. Women’s empowerment and child nutritional status in South Asia: A synthesis of the literature. Matern Child Nutr. 2015;11(1):1-19. https://doi.org/10.1111/mcn.12125

Cunningham K, Headey D, Singh A, Karmacharya C, Rana PP. Maternal and child nutrition in Nepal: examining drivers of progress from the mid-1990s to 2010s. Glob Food Sec. 2017;13:30-7. https://doi.org/10.1016/j.gfs.2017.02.001

Croen LA, Najjar DV, Fireman B, Grether JK. Maternal and paternal age and risk of autism spectrum disorders. Arch Pediatr Adolesc Med. 2007;161(4):334-40. https://doi:10.1001/archpedi.161.4.334

Lung FW, Chiang TL, Lin SJ, Lee MC, Shu BC. Advanced maternal age and maternal education disparity in children with autism spectrum disorder. Matern Child Health J. 2018;22(7):941-9. https://doi.org/10.1007/s10995-018-2470-9

Rubenstein E, Durkin MS, Harrington RA, Kirby RS, Schieve LA, Daniels J. Relationship between advanced maternal Age and timing of first developmental evaluation in children with autism. J Dev Behav Pediatr. 2018;39(8):601-9. https://doi.org/10.1097/DBP.0000000000000601

Simon D, Adams AM, Madhavan S. Women’s social power, child nutrition and poverty in Mali. J Biosoc Sci. 2002;34(2):193-213. https://doi.org/10.1017/S0021932002001931

Tseng PT, Chen YW, Stubbs B, Carvalho AF, Whiteley P, Tang CH, et al. Maternal breastfeeding and autism spectrum disorder in children: a systematic review and meta-analysis. Nutr Neurosci. 2019;22(5):354-62. https://doi.org/10.1080/1028415X.2017.1388598

Schultz ST, Klonoff-Cohen HS, Wingard DL, Akshoomoff NA, Macera CA, Ji M, et al. Breastfeeding, infant formula supplementation, and Autistic Disorder: the results of a parent survey. Int Breastfeed J. 2006;1(1):16. https://doi.org/10.1186/1746-4358-1-16

Soke GN, Maenner M, Windham G, Moody E, Kaczaniuk J, DiGuiseppi C, et al. Association between breastfeeding initiation and duration and autism spectrum disorder in preschool children enrolled in the study to explore early development. Autism Res. 2019;12:816-29. https://doi.org/10.1002/aur.2091

Boucher O, Julvez J, Guxens M, Arranz E, Ibarluzea J, Miguel MS, et al. Association between breastfeeding duration and cognitive development, autistic traits and ADHD symptoms: a multicenter study in Spain. Pediatr Res. 2017;81(3):434-42. https://doi:10.1038/pr.2016.238

Berry RC, Novak P, Withrow N, Schmidt B, Rarback S, Feucht S, et al. Nutrition management of gastrointestinal symptoms in children with autism spectrum disorder: guideline from an expert panel. J Acad Nutr Diet. 2015;115(12):1919-27. https://doi.org/10.1016/j.jand.2015.05.016

Kral TV, Eriksen WT, Souders MC, Pinto-Martin JA. Eating behaviors, diet quality, and gastrointestinal symptoms in children with autism spectrum disorders: a brief review. J Pediatr Nurs. 2013;28(6):548-56. https://doi.org/10.1016/j.pedn.2013.01.008

Black C, Kaye JA, Jick H. Relation of childhood gastrointestinal disorders to autism: nested case-control study using data from the UK General Practice Research Database. Br Med J. 2002;325:419-21. https://doi.org/10.1136/bmj.325.7361.419

Levy SE, Souders MC, Ittenbach RF, Giarelli E, Mulberg AE, Pinto-Martin JA. Relationship of dietary intake to gastrointestinal symptoms in children with autistic spectrum disorders. Biol Psychiatry. 2007;61(4):492-7. https://doi:10.1016/j.biopsych.2006.07.013

Molloy CA, Manning-Courtney P. Prevalence of chronic gastrointestinal symptoms in children with autism and autistic spectrum disorders. Autism. 2003;7(2):165-71. https://doi.org/10.1177/1362361303007002004

Nikolov RN, Bearss KE, Lettinga J, Erickson C, Rodowski M, Aman MG, et al. Gastrointestinal symptoms in a sample of children with pervasive developmental disorders. J Autism Dev Disord. 2009;39(3):405-13. https://doi.org/10.1007/s10803-008-0637-8

Valicenti-McDermott M, McVicar K, Rapin I, Wershil BK, Cohen H, Shinnar S. Frequency of gastrointestinal symptoms in children with autistic spectrum disorders and association with family history of autoimmune

disease. J Dev Behav Pediatr. 2006;27(2):128-36. https://doi.org/10.1097/00004703-200604002-00011 64. McElhanon BO, McCracken C, Karpen S, Sharp WG. Gastrointestinal symptoms in autism spectrum disorder: a meta-analysis. Pediatrics. 2014;133(5):872-83. https://doi.org/10.1542/peds.2013-3995

Chaidez V, Hansen RL, Hertz-Picciotto I. Gastrointestinal problems in children with autism, developmental delays or typical development. J Autism Dev Disord. 2014;44(5):1117-27. https://doi.org/10.1007/s10803-013-1973-x

Varga M, Dukay-Szabó S, Túry F, van Furth EF. Evidence and gaps in the literature on orthorexia nervosa. Eat Weight Disord. 2013;18(2):103-11. https://doi.org/10.1007/s40519-013-0026-y

Bratman S. Original essay on orthorexia. Yoga J. 1997 [cited 2019 Sep 29]. Available from: http://www.orthorexia.com/index.php?page=essay

Publicado

2023-03-02

Cómo citar

ATEŞ-ŞAHİNKAYA, N. ., ACAR-TEK2, N. ., & ADIGÜZEL, E. . (2023). The association between maternal features and nutritional problems in children with autism spectrum disorder. Revista De Nutrição, 33. Recuperado a partir de https://puccampinas.emnuvens.com.br/nutricao/article/view/7526

Número

Sección

ARTIGOS ORIGINAIS