Evidence map›Paper›PMID 34871440›Full record

ArticleThe Journal of nutrition2022

Child Autistic Traits, Food Selectivity, and Diet Quality: A Population-Based Study.

Holly A Harris, Yuchan Mou, Gwen C Dieleman, Trudy Voortman, Pauline W Jansen

Abstract read
In one paragraph

Article in The Journal of nutrition, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–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.

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3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

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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

5 authors.

Holly A HarrisDepartment of Child & Adolescent Psychiatry/Psychology, Erasmus MC, University Medical Center, Rotterdam, The Netherlands.ORCID 0000-0002-8304-1064
Yuchan MouGeneration R Study, Erasmus MC, University Medical Center, Rotterdam, The Netherlands.
Gwen C DielemanDepartment of Child & Adolescent Psychiatry/Psychology, Erasmus MC, University Medical Center, Rotterdam, The Netherlands.
Trudy VoortmanDepartment of Epidemiology, Erasmus MC, University Medical Center, Rotterdam, The Netherlands.ORCID 0000-0003-2830-6813
Pauline W JansenDepartment of Child & Adolescent Psychiatry/Psychology, Erasmus MC, University Medical Center, Rotterdam, The Netherlands.

Funding

China Scholarship CouncilErasmus Medical CenterErasmus Medical Center 201806240125Erasmus University RotterdamEuropean UnionHorizon 2020Marie Skłodowska-Curie 707404Netherlands Organisation for Health Research and DevelopmentNetherlands Organisation for Scientific Research
6 · The paper itself

Abstract

backgroundChildren with Autism Spectrum Disorders (ASDs) tend to be selective in their food intake, which may compromise their diet quality. While ASD diagnoses capture severe levels of impairment, autistic traits vary on a continuum throughout the population. Yet, little is known about how autistic traits relate to diet quality at the population level.

objectivesThis study examines the association between autistic traits in early childhood and diet quality in mid-childhood and explores the mediating role of food selectivity.

methodsParticipants were children (n = 4092) from the population-based Generation R Study. Parents reported their child's autistic traits at 1.5, 3, and 6 years; food selectivity at 4 years; and food intake at 8 years, from which a diet quality score was derived. Associations of autistic traits and the autistic trait trajectory (identified using Latent Class Growth Modelling) with diet quality were examined using multiple linear regression models. The indirect effect of food selectivity in the association between autistic traits at 1.5 years and diet quality was examined using mediation analysis.

resultsAutistic traits were associated with diet quality (e.g., 1.5 years: β = -0.09; 95% CI: -0.13 to -0.06). Two classes captured the autistic trait trajectories from 1.5 to 6 years: children with "low and stable" (95%) and "high and increasing" (5%) mean scores. Children in the high and increasing group had poorer diet quality than those in the low and stable group (β = -0.28; 95% CI: -0.44 to -0.11). Food selectivity mediated the association between autistic traits at 1.5 years and diet quality at 8 years (βindirect = -0.03; 95% CI: -0.03 to -0.02).

conclusionsAutistic traits in early childhood are associated with poorer diet quality in mid-childhood, and food selectivity appears to mediate this association. Interventions intended to optimize nutrition in children with elevated autistic traits may integrate behavioral strategies to support parents' responding to their child's food selectivity.

Indexed as

Autism Spectrum DisorderAutistic DisorderChildChild, PreschoolDietHumansNutritional StatusParentsautismautistic traitschilddiet qualityfood selectivitylatent class growth modellingmediationpicky eatingtrajectories

Identifiers

PMID34871440
PMCPMC8891181

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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 OpenQuestion graph.