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Purpose <p>Compared with typically developing children, children with Autism Spectrum Disorder (ASD) exhibit more mealtime behavior problems. These problems significantly affect the children’s nutritional development and may have implications for autism-related symptoms. Therefore, this study investigated the relationship between various autism-related symptoms and mealtime behavior problems in Eastern China.</p> Methods <p>A multicenter cross-sectional survey was conducted from November 2023 to May 2024 across five institutions in Eastern China.</p> Results <p>The mean total Brief Autism Mealtime Behavior Inventory (BAMBI) score in 405 children with ASD was 40.14 ± 10.61. The mean scores of the 3 subscales of food refusal, features of autism, and limited variety were 10.01 ± 3.86, 10.14 ± 3.05, and 19.99 ± 5.95, respectively. Multiple linear regression analysis showed that children with ASD who responded when their names were called (<i>β</i> = -2.504, 95% <i>CI</i>: -4.505–-0.504, <i>P</i> &lt; 0.05), had no difficulty in learning new skills (<i>β</i> = -2.964, 95% <i>CI</i>: -4.983–-0.946, <i>P</i> &lt; 0.01), did not exhibit fidgety symptoms (<i>β</i> = -2.441, 95% <i>CI</i>: -4.715–-0.167, <i>P</i> &lt; 0.05), and had no sleep problems (<i>β</i> = -4.390, 95% <i>CI</i>: -6.902–-1.877, <i>P</i> &lt; 0.01) were less likely to have mealtime behavior problems.</p> Conclusions <p>Children with ASD in Eastern China exhibited significant mealtime behavior problems, which were associated with multiple autism-related symptoms. There is an urgent need to develop individualized interventions to mitigate mealtime behavior problems and to pay more attention to children with high-risk autism-related symptoms.</p>

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Association Between Autism-Related Symptoms and Mealtime Behavior Problems in Children With Autism Spectrum Disorders

  • 期刊论文

  • 发表日期：

    2026年4月2日

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  • Jiao Tong,
  • Xu Chen,
  • Tao Wang,
  • Shan Ma,
  • Yiting Tao,
  • Haiyan Zhao,
  • Changjiang Liu,
  • Yu Wang,
  • Xue Wang,
  • Dongmei Yan

摘要

Purpose

Compared with typically developing children, children with Autism Spectrum Disorder (ASD) exhibit more mealtime behavior problems. These problems significantly affect the children’s nutritional development and may have implications for autism-related symptoms. Therefore, this study investigated the relationship between various autism-related symptoms and mealtime behavior problems in Eastern China.

Methods

A multicenter cross-sectional survey was conducted from November 2023 to May 2024 across five institutions in Eastern China.

Results

The mean total Brief Autism Mealtime Behavior Inventory (BAMBI) score in 405 children with ASD was 40.14 ± 10.61. The mean scores of the 3 subscales of food refusal, features of autism, and limited variety were 10.01 ± 3.86, 10.14 ± 3.05, and 19.99 ± 5.95, respectively. Multiple linear regression analysis showed that children with ASD who responded when their names were called (β = -2.504, 95% CI: -4.505–-0.504, P < 0.05), had no difficulty in learning new skills (β = -2.964, 95% CI: -4.983–-0.946, P < 0.01), did not exhibit fidgety symptoms (β = -2.441, 95% CI: -4.715–-0.167, P < 0.05), and had no sleep problems (β = -4.390, 95% CI: -6.902–-1.877, P < 0.01) were less likely to have mealtime behavior problems.

Conclusions

Children with ASD in Eastern China exhibited significant mealtime behavior problems, which were associated with multiple autism-related symptoms. There is an urgent need to develop individualized interventions to mitigate mealtime behavior problems and to pay more attention to children with high-risk autism-related symptoms.