Clin Nutr Res.  2019 Apr;8(2):91-100. 10.7762/cnr.2019.8.2.91.

Relationship in Quality of Diet, Food Habit and Feeding Practice in Children with Pervasive Developmental Disorder and Their Caregiver

• Joo J
• Kim J
• Kim DY
• Choue R
• Lim H

• KMID: 2444226
• DOI: http://doi.org/10.7762/cnr.2019.8.2.91

Abstract

This study aimed to assess the dietary quality and food habits in children with pervasive developmental disorder (PDD) and to evaluate the relationship between diet quality of children with PDDs and their caregivers' feeding practice and nutritional perceptions. Twenty-one pairs of caregivers and their children with PDD were surveyed. The caregivers completed surveys regarding their children's weight status, food habits, and dietary quality and their food habits, nutritional perceptions, knowledge, and feeding practices. Dietary quality was assessed as mean adequacy ratio, dietary diversity score (DDS), dietary variety score (DVS), and Index of Nutritional Quality (INQ). The children were in the normal ranges of body mass index (BMI) and Röhrer index. Having three times a meal, regular meal time, salty taste of the caregiver were related to those of the children with PDD (β = 0.533, 0.447, and 0.886, respectively; p < 0.05). Child control, food as reward, involvement, pressure, and restriction for the health of the caregiver were positively related to DDS, DVS, and INQ of the children with PDD (p < 0.05). High feeding stress and nutritional knowledge of the caregiver were related to the high BMI of the children with PDD (β = 0.445 and 0.602, respectively; p < 0.05), whereas emotion regulation, encourage balance and variety, and involvement of caregiver were negatively related to BMI (β = −0.426, −0.430, and −0.388, respectively; p < 0.05). In conclusion, food habits of children with PDD were closely related to those of caregiver. To improve nutritional status, more insightful understand will be required by considering their developmental differences in this population.

Keyword

Diet; Food habits; Developmental Disabilities; Caregivers; Feeding behavior

MeSH Terms

Body Mass Index
Caregivers*
Child*
Developmental Disabilities
Diet*
Feeding Behavior
Food Habits*
Humans
Meals
Nutritional Status
Nutritive Value
Reference Values
Reward

Reference

1. Lee SH. A conceptual comparison of pervasive developmental disorder and autism spectrum disorder. J Emot Behav Disord. 2008; 24:25–43.

2. American Psychiatric Association. Autistic disorder [Internet]. 2010. cited 2010 July 1. Available from http://www.dsm5.org/ProposedRevisions/Pages/proposedrevision.aspx?rid=94.

3. Chakrabarti S, Fombonne E. Pervasive developmental disorders in preschool children: confirmation of high prevalence. Am J Psychiatry. 2005; 162:1133–1141.

4. Kim YS, Fombonne E, Koh YJ, Kim SJ, Cheon KA, Leventhal BL. A comparison of DSM-IV pervasive developmental disorder and DSM-5 autism spectrum disorder prevalence in an epidemiologic sample. J Am Acad Child Adolesc Psychiatry. 2014; 53:500–508.

5. Bryant-Waugh R, Markham L, Kreipe RE, Walsh BT. Feeding and eating disorders in childhood. Int J Eat Disord. 2010; 43:98–111.

6. Johnson CR, Turner K, Stewart PA, Schmidt B, Shui A, Macklin E, Reynolds A, James J, Johnson SL, Manning Courtney P, Hyman SL. Relationships between feeding problems, behavioral characteristics and nutritional quality in children with ASD. J Autism Dev Disord. 2014; 44:2175–2184.

7. 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; 28:548–556.

8. Cermak SA, Curtin C, Bandini LG. Food selectivity and sensory sensitivity in children with autism spectrum disorders. J Am Diet Assoc. 2010; 110:238–246.

9. Volkert VM, Vaz PC. Recent studies on feeding problems in children with autism. J Appl Behav Anal. 2010; 43:155–159.

10. Nadon G, Feldman DE, Dunn W, Gisel E. Association of sensory processing and eating problems in children with autism spectrum disorders. Autism Res Treat. 2011; 2011:541926.

11. Watson LR, Patten E, Baranek GT, Poe M, Boyd BA, Freuler A, Lorenzi J. Differential associations between sensory response patterns and language, social, and communication measures in children with autism or other developmental disabilities. J Speech Lang Hear Res. 2011; 54:1562–1576.

12. Kim EK, An SY, Kim EM, Huh KJ, Kim EK. A comparison of the eating habits and eating behaviors of disabled and non-disabled children. Korean J Community Nutr. 2003; 8:840–855.

13. Eicher PS. Feeding. In : Batshaw ML, editor. Children with disabilities. 5th ed. Baltimore: Paul H. Brookes Publishing Co.;2002. p. 549–566.

14. Kim HJ, Chung KM. The effect of childhood feeding problems on parenting stress: the mediating role of behavior problem according to the developmental stage. Korean J Clin Psychol. 2008; 27:843–859.

15. Lockner DW, Crowe TK, Skipper BJ. Dietary intake and parents' perception of mealtime behaviors in preschool-age children with autism spectrum disorder and in typically developing children. J Am Diet Assoc. 2008; 108:1360–1363.

16. Feferbaum R, Delgado AF, Zamberlan P, Leone C. Challenges of nutritional assessment in pediatric ICU. Curr Opin Clin Nutr Metab Care. 2009; 12:245–250.

17. Guthrie HA, Scheer JC. Validity of a dietary score for assessing nutrient adequacy. J Am Diet Assoc. 1981; 78:240–245.

18. Oh SY. Analysis of methods on dietary quality assessment. Korean J Community Nutr. 2000; 5:362–367.

19. Kant AK, Block G, Schatzkin A, Ziegler RG, Nestle M. Dietary diversity in the US population, NHANES II, 1976-1980. J Am Diet Assoc. 1991; 91:1526–1531.

20. Jeong YH. The influence of mother's food habit, food ideology, and perception of body image in preschool children's nutrient intake [MS thesis]. Daegu: Keimyung University;2005.

21. Holt RC. Parental perceptions of nutritional status of children with autism [MS thesis]. Lexington (KY): University of Kentucky;2008.

22. Lee KA. The concern for health, nutrition knowledge, and nutritional attitude of elementary school children's mothers in Busan. Korean J Diet Cult. 2002; 17:411–423.

23. Musher-Eizenman D, Holub S. Comprehensive feeding practices questionnaire: validation of a new measure of parental feeding practices. J Pediatr Psychol. 2007; 32:960–972.

24. Blissett J, Haycraft E, Farrow C. Inducing preschool children's emotional eating: relations with parental feeding practices. Am J Clin Nutr. 2010; 92:359–365.

25. Moon JS, Lee SY, Nam CM, Choi JM, Choe BK, Seo JW, Oh K, Jang MJ, Hwang SS, Yoo MH, Kim YT, Lee CG. 2007 Korean national growth charts: review of developmental process and an outlook. Korean J Pediatr. 2008; 51:1–25.

26. Kim HJ. The effect of childhood feeding problem on parenting stress: the role of behavior problem according to the developmental stage [MS thesis]. Seoul: Yonsei University;2008.

27. Song NY. Eating habit of developmentally disabled children [MS thesis]. Wanju: Woosuk University;1998.

28. Xia W, Zhou Y, Sun C, Wang J, Wu L. A preliminary study on nutritional status and intake in Chinese children with autism. Eur J Pediatr. 2010; 169:1201–1206.

29. Ranjan S, Nasser JA. Nutritional status of individuals with autism spectrum disorders: do we know enough? Adv Nutr. 2015; 6:397–407.

30. Marí-Bauset S, Zazpe I, Mari-Sanchis A, Llopis-González A, Morales-Suárez-Varela M. Food selectivity in autism spectrum disorders: a systematic review. J Child Neurol. 2014; 29:1554–1561.

31. Zobel-Lachiusa J, Andrianopoulos MV, Mailloux Z, Cermak SA. Sensory differences and mealtime behavior in children with autism. Am J Occup Ther. 2015; 69:6905185050.

32. Ledford JR, Gast DL. Feeding problems in children with autism spectrum disorders: a review. Focus Autism Other Dev Disabl. 2006; 21:153–166.

33. Patrick H, Nicklas TA, Hughes SO, Morales M. The benefits of authoritative feeding style: caregiver feeding styles and children's food consumption patterns. Appetite. 2005; 44:243–249.

34. Yoo HJ, Song KH. A study on the nutritional knowledge, attitudes, and dietary patterns of housewives in Seoul. J Korean Home Econ Assoc. 1990; 28:47–55.

35. Mori K, Ujiie T, Smith A, Howlin P. Parental stress associated with caring for children with Asperger's syndrome or autism. Pediatr Int. 2009; 51:364–370.

36. Kinney DK, Munir KM, Crowley DJ, Miller AM. Prenatal stress and risk for autism. Neurosci Biobehav Rev. 2008; 32:1519–1532.

37. de Lauzon-Guillain B, Musher-Eizenman D, Leporc E, Holub S, Charles MA. Parental feeding practices in the United States and in France: relationships with child's characteristics and parent's eating behavior. J Am Diet Assoc. 2009; 109:1064–1069.

38. Lazarou C, Kalavana T, Matalas AL. The influence of parents' dietary beliefs and behaviours on children's dietary beliefs and behaviours. The CYKIDS study. Appetite. 2008; 51:690–696.