Seletividade alimentar de crianças com Transtorno do Espectro Autista
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Apr 30, 2025
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Resumo
Objetivo: Explorar como o Transtorno do Espectro Autista (TEA) influencia nas restrições alimentares de crianças com essa condição. Métodos: Trata-se de uma revisão integrativa da literatura com caráter qualitativo. Foram incluídos estudos, publicados no período de 2013 até 2023, utilizando os descritores: autismo, alimentação, crianças; autism and children and feeding; alimentação TEA crianças. Possuindo como critérios de exclusão estudos que não dissertaram sobre as restrições alimentares, os hábitos nutricionais e o estilo de vida de crianças com transtorno do espectro autista foram excluídos. Resultados: Foram selecionados 24 artigos relevantes e com metodologias acuradas, os quais, em sua totalidade, demonstraram crianças com seletividade alimentar em virtude do TEA, majoritariamente relacionada à consistência dos alimentos. Observou-se que tais crianças apresentaram certa predileção por determinadas classes de alimentos, o que resultou em comportamentos familiares típicos e na necessidade de abordagens profissionais externas. Considerações finais: Mais da metade dos estudos relataram predileção nas escolhas alimentares por carboidratos ou açúcares. Detectou-se que há predominância de estresse, angústia e preocupação nos pais. Tratamento Comportamental Interdisciplinar Intensivo e dietas especiais e diferenciadas para repor os níveis nutricionais foram as abordagens mais frequentes frente aos entraves relacionados à seletividade alimentar das crianças com TEA.
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Como Citar
AbdulmassihL. S., TavaresJ. L. L., FigueiredoD. R., SilvaD. F. N. da, SantosL. A. dos, LopesM. P. O., AraújoW. de B., & HannaL. M. O. (2025). Seletividade alimentar de crianças com Transtorno do Espectro Autista. Revista Eletrônica Acervo Saúde, 25, e19774. https://doi.org/10.25248/reas.e19774.2025
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Referências
1. ADAMS JB e AUDHYA T, et al. Comprehensive Nutritional and Dietary Intervention for Autism Spectrum Disorder—A Randomized, Controlled 12-Month Trial. Nutrients. 2018; 10(3): 369.
2. AUSDERAU KK, et al. Parent´s Strategies to Support Mealtime Participation of Their Children With Autism Spectrum Disorder. American Journal of Occupational Therapy, 2019; 73(1): 730120507.
3. BARASKEWICH J, et al. Feeding and eating problems in children and adolescents with autism: A scoping review. Autism: the international journal of research and practice, 2021; 25(6): 1505–1519.
4. BARNHILL K, et al. Targeted nutritional and behavioral feeding intervention for a child with autism spectrum disorder. Case Reports in Psychiatry, 2016.
5. CASTRO K, et al. Validation of the brief autism mealtime behavior inventory (BAMBI) questionnaire. Journal of Autism and Developmental Disorders, 2019; 49(6): 2536-2544.
6. CERMAK SA, et al. Food selectivity and sensory sensitivity in children with autism spectrum disorders. Journal of the American Dietetic Association, 2010; 110(2): 238-246.
7. CHAO HC. Feeding difficulties and their treatment strategies in children with autism spectrum disorder. Pediatrics & Neonatology, 2022; 63(1): 1-2.
8. DUARTE CP, et al. Abordagem interdisciplinar para avaliação e intervenção em dificuldades alimentares no autismo. Cadernos de Pós-Graduação em Distúrbios do Desenvolvimento [Internet]. 2021; 21(2): 109–27.
9. ESPOSITO M, et al. Seletividade Alimentar em Crianças com Autismo: Diretrizes para Avaliação e Intervenções Clínicas. Revista internacional de pesquisa ambiental e saúde pública, 2023; 20(6): 5092.
10. ESTEBAN-FIGUEROLA P, et al. Differences in food consumption and nutritional intake between children with autism spectrum disorders and typically developing children: a meta-analysis. Autism, 2018; 23(5): 1079-1095.
11. FOLTA SC, et al. Impact of selective eating on social domains among transition-age youth with autism spectrum disorder: a qualitative study. Journal of Autism and Developmental Disorders, 2020; 50(8): 2902-2912.
12. FU SB, et al. The effects of modeling contingencies in the treatment of food selectivity in children with autism. Behavior Modification, 2015; 39(6): 771-784.
13. GRAY H, et al. Early history, mealtime environment, and parental views on mealtime and eating behaviors among children with ASD in Florida. Nutrients, 2018; 10(12): 1867.
14. JOHNSON CR, et al. Parent training for feeding problems in children with autism spectrum disorder: initial randomized trial. Journal of Pediatric Psychology, 2018; 44(2): 164-175.
15. JUSTINO E e COBUS D, et al. Sensory sensitivity and food selectivity in children with autism spectrum disorder (ASD): outlines for food therapy. Dataset Reports. 2023; 17: 2(1).
16. KOOMAR, Tanner et al. Estimating the prevalence and genetic risk mechanisms of ARFID in a large autism cohort. Frontiers in Psychiatry, 2021; 12.
17. LÁZARO CP e PONDÉ MP. Narratives of mothers of children with autism spectrum disorders: focus on eating behavior. Trends in Psychiatry and PPsychotherapy, 2017; 39(3): 4-11.
18. LEVIN DS, et al. A multi-component treatment to reduce packing in children with feeding and autism spectrum disorders. Behavior modification, 2014; 38(6): 940-963.
19. LUCARELLI J, et al. Autism spectrum disorder and avoidant/restrictive food intake disorder. Journal of Developmental & Behavioral Pediatrics, 2017; 38(1): 79-80.
20. MAGAGNIN T, et al. Aspectos alimentares e nutricionais de crianças e adolescentes com transtorno do espectro autista. Physis: Revista de Saúde Coletiva, 2021; 31(1).
21. MALHI P, et al. Feeding problems and nutrient intake in children with and without autism: a comparative study. The Indian oournal of Pediatrics, 2017; 84(4): 283-288.
22. MARÍ-BAUSET S, et al. Comparison of nutritional status between children with autism spectrum disorder and typically developing children in the Mediterranean Region (Valencia, Spain). Autism, 2016; 21(3): 310-322.
23. MARSHALL O, et al. Clinical characteristics of 2 groups of children with feeding difficulties. Journal of Pediatric Gastroenterology and Nutrition, 2016; 62(1): 161-168.
24. OLIVEIRA BMF e FRUTUOSO MFP. Autistic children and Adolescents and their parents: being and having meals together. Revista de Nutrição, 2021; 34.
25. OLIVEIRA BMF e FRUTUOSO MFP. Muito além dos nutrientes: experiências e conexões com crianças autistas a partir do cozinhar e comer juntos. Cadernos de Saúde Pública, 2021; 37(4).
26. OLIVEIRA PL e SOUZA APR. Terapia com base em integração sensorial em um caso de Transtorno do Espectro Autista com seletividade alimentar. Cadernos Brasileiros de TerapiaOcupacional, 2022; 30.
27. ÖZ S e BAYHAN P. An investigation of the relationship between the eating behaviors of Children with typical development and autism spectrum disorders and parent attitudes during mealtime. Child: Care, Health and Development, 2021; 47(6): 877-885.
28. PERETTI S, et al. Diet: the keystone of autism spectrum disorder? Nutritional Neuroscience, 2018; 22(12): 825-839.
a. perturbação do espectro autista. Revista de Enfermagem Referência, 2022; 6(1).
29. PETERSON K, et al. A comparison of a modified sequential oral sensory approach to an applied behavior-analytic approach in the treatment of food selectivity in children with autism spectrum disorder. Journal of Applied Behavior Analysis, 2016; 49(3): 485-511.
30. RUTHES V, et al. Práticas e comportamentos alimentares de famílias de crianças com
31. SALLEH NS, et al. Parents’ experiences of affiliate stigma when caring for a child with autism spectrum disorder (ASD): A meta-synthesis of qualitative studies. Journal of Pediatric Nursing. 2020; 55: 174–83.
32. SEIVERLING L, et al. Improvements in children’s feeding behavior after intensive interdisciplinary behavioral treatment: comparisons by developmental and medical status. Behavior Modification, 2019; 44(6): 891-908.
33. SENA ADS, et al. Avaliação do limiar sensorial para gosto doce no autismo infantil. Revista de Enfermagem UFPE on line, 2019; 13.
34. SHARP WG, et al. Dietary intake, nutrient status, and growth parameters in children with autism spectrum disorder and severe food selectivity: an electronic medical record review. Journal of the Academy of Nutrition and Dietetics, 2018; 118(10): 1943-1950.
35. SHARP WG, et al. The Autism MEAL Plan: a parent training Curriculum to manage eating aversions and low intake among children with autism. Autism, 2013; 18(6): 712-722.
36. Stolar O, Zachor DA, Ben‐Itzchak E. Food selectivity is associated with more severe autism symptoms in toddlers with autism spectrum disorder. Acta Paediatrica. 2021.
37. TRUDEAU MS, et al. Dietary and supplement-based complementary and alternative medicine use in pediatric autism spectrum disorder. Nutrients, 2019; 11(8): 1783.
38. VALENZUELA AF e RAMÍREZ DG, et al. Food Selectivity and Its Implications Associated with Gastrointestinal Disorders in Children with Autism Spectrum Disorders. Nutrients. 2022 Jun 27; 14(13): 2660.
39. WALLACE GL, et al. Autism spectrum disorder and food neophobia: clinical and subclinical links. The American journal of Clinical Nutrition, 2018; 108(4): 701-707.
40. WILSON SA, Peterson CC. Medical care experiences of children with autism and their parents: A scoping review. Child: Care, Health and Development. 2018; 44(6): 807.
41. YAMANE K, et al. Support and development of autistic children with selective eating habits. Brain and Development, 2020; 42(2): 121-128.
2. AUSDERAU KK, et al. Parent´s Strategies to Support Mealtime Participation of Their Children With Autism Spectrum Disorder. American Journal of Occupational Therapy, 2019; 73(1): 730120507.
3. BARASKEWICH J, et al. Feeding and eating problems in children and adolescents with autism: A scoping review. Autism: the international journal of research and practice, 2021; 25(6): 1505–1519.
4. BARNHILL K, et al. Targeted nutritional and behavioral feeding intervention for a child with autism spectrum disorder. Case Reports in Psychiatry, 2016.
5. CASTRO K, et al. Validation of the brief autism mealtime behavior inventory (BAMBI) questionnaire. Journal of Autism and Developmental Disorders, 2019; 49(6): 2536-2544.
6. CERMAK SA, et al. Food selectivity and sensory sensitivity in children with autism spectrum disorders. Journal of the American Dietetic Association, 2010; 110(2): 238-246.
7. CHAO HC. Feeding difficulties and their treatment strategies in children with autism spectrum disorder. Pediatrics & Neonatology, 2022; 63(1): 1-2.
8. DUARTE CP, et al. Abordagem interdisciplinar para avaliação e intervenção em dificuldades alimentares no autismo. Cadernos de Pós-Graduação em Distúrbios do Desenvolvimento [Internet]. 2021; 21(2): 109–27.
9. ESPOSITO M, et al. Seletividade Alimentar em Crianças com Autismo: Diretrizes para Avaliação e Intervenções Clínicas. Revista internacional de pesquisa ambiental e saúde pública, 2023; 20(6): 5092.
10. ESTEBAN-FIGUEROLA P, et al. Differences in food consumption and nutritional intake between children with autism spectrum disorders and typically developing children: a meta-analysis. Autism, 2018; 23(5): 1079-1095.
11. FOLTA SC, et al. Impact of selective eating on social domains among transition-age youth with autism spectrum disorder: a qualitative study. Journal of Autism and Developmental Disorders, 2020; 50(8): 2902-2912.
12. FU SB, et al. The effects of modeling contingencies in the treatment of food selectivity in children with autism. Behavior Modification, 2015; 39(6): 771-784.
13. GRAY H, et al. Early history, mealtime environment, and parental views on mealtime and eating behaviors among children with ASD in Florida. Nutrients, 2018; 10(12): 1867.
14. JOHNSON CR, et al. Parent training for feeding problems in children with autism spectrum disorder: initial randomized trial. Journal of Pediatric Psychology, 2018; 44(2): 164-175.
15. JUSTINO E e COBUS D, et al. Sensory sensitivity and food selectivity in children with autism spectrum disorder (ASD): outlines for food therapy. Dataset Reports. 2023; 17: 2(1).
16. KOOMAR, Tanner et al. Estimating the prevalence and genetic risk mechanisms of ARFID in a large autism cohort. Frontiers in Psychiatry, 2021; 12.
17. LÁZARO CP e PONDÉ MP. Narratives of mothers of children with autism spectrum disorders: focus on eating behavior. Trends in Psychiatry and PPsychotherapy, 2017; 39(3): 4-11.
18. LEVIN DS, et al. A multi-component treatment to reduce packing in children with feeding and autism spectrum disorders. Behavior modification, 2014; 38(6): 940-963.
19. LUCARELLI J, et al. Autism spectrum disorder and avoidant/restrictive food intake disorder. Journal of Developmental & Behavioral Pediatrics, 2017; 38(1): 79-80.
20. MAGAGNIN T, et al. Aspectos alimentares e nutricionais de crianças e adolescentes com transtorno do espectro autista. Physis: Revista de Saúde Coletiva, 2021; 31(1).
21. MALHI P, et al. Feeding problems and nutrient intake in children with and without autism: a comparative study. The Indian oournal of Pediatrics, 2017; 84(4): 283-288.
22. MARÍ-BAUSET S, et al. Comparison of nutritional status between children with autism spectrum disorder and typically developing children in the Mediterranean Region (Valencia, Spain). Autism, 2016; 21(3): 310-322.
23. MARSHALL O, et al. Clinical characteristics of 2 groups of children with feeding difficulties. Journal of Pediatric Gastroenterology and Nutrition, 2016; 62(1): 161-168.
24. OLIVEIRA BMF e FRUTUOSO MFP. Autistic children and Adolescents and their parents: being and having meals together. Revista de Nutrição, 2021; 34.
25. OLIVEIRA BMF e FRUTUOSO MFP. Muito além dos nutrientes: experiências e conexões com crianças autistas a partir do cozinhar e comer juntos. Cadernos de Saúde Pública, 2021; 37(4).
26. OLIVEIRA PL e SOUZA APR. Terapia com base em integração sensorial em um caso de Transtorno do Espectro Autista com seletividade alimentar. Cadernos Brasileiros de TerapiaOcupacional, 2022; 30.
27. ÖZ S e BAYHAN P. An investigation of the relationship between the eating behaviors of Children with typical development and autism spectrum disorders and parent attitudes during mealtime. Child: Care, Health and Development, 2021; 47(6): 877-885.
28. PERETTI S, et al. Diet: the keystone of autism spectrum disorder? Nutritional Neuroscience, 2018; 22(12): 825-839.
a. perturbação do espectro autista. Revista de Enfermagem Referência, 2022; 6(1).
29. PETERSON K, et al. A comparison of a modified sequential oral sensory approach to an applied behavior-analytic approach in the treatment of food selectivity in children with autism spectrum disorder. Journal of Applied Behavior Analysis, 2016; 49(3): 485-511.
30. RUTHES V, et al. Práticas e comportamentos alimentares de famílias de crianças com
31. SALLEH NS, et al. Parents’ experiences of affiliate stigma when caring for a child with autism spectrum disorder (ASD): A meta-synthesis of qualitative studies. Journal of Pediatric Nursing. 2020; 55: 174–83.
32. SEIVERLING L, et al. Improvements in children’s feeding behavior after intensive interdisciplinary behavioral treatment: comparisons by developmental and medical status. Behavior Modification, 2019; 44(6): 891-908.
33. SENA ADS, et al. Avaliação do limiar sensorial para gosto doce no autismo infantil. Revista de Enfermagem UFPE on line, 2019; 13.
34. SHARP WG, et al. Dietary intake, nutrient status, and growth parameters in children with autism spectrum disorder and severe food selectivity: an electronic medical record review. Journal of the Academy of Nutrition and Dietetics, 2018; 118(10): 1943-1950.
35. SHARP WG, et al. The Autism MEAL Plan: a parent training Curriculum to manage eating aversions and low intake among children with autism. Autism, 2013; 18(6): 712-722.
36. Stolar O, Zachor DA, Ben‐Itzchak E. Food selectivity is associated with more severe autism symptoms in toddlers with autism spectrum disorder. Acta Paediatrica. 2021.
37. TRUDEAU MS, et al. Dietary and supplement-based complementary and alternative medicine use in pediatric autism spectrum disorder. Nutrients, 2019; 11(8): 1783.
38. VALENZUELA AF e RAMÍREZ DG, et al. Food Selectivity and Its Implications Associated with Gastrointestinal Disorders in Children with Autism Spectrum Disorders. Nutrients. 2022 Jun 27; 14(13): 2660.
39. WALLACE GL, et al. Autism spectrum disorder and food neophobia: clinical and subclinical links. The American journal of Clinical Nutrition, 2018; 108(4): 701-707.
40. WILSON SA, Peterson CC. Medical care experiences of children with autism and their parents: A scoping review. Child: Care, Health and Development. 2018; 44(6): 807.
41. YAMANE K, et al. Support and development of autistic children with selective eating habits. Brain and Development, 2020; 42(2): 121-128.