Evidence map›Paper›PMID 38097525›Full record

ArticleThe International journal of eating disorders2024

Prevalence and recurrence of pica behaviors in early childhood within the ALSPAC birth cohort.

Natalie M Papini, Cynthia M Bulik, Samuel J R A Chawner, Nadia Micali

Open access · hybridAbstract read
In one paragraph

Article in The International journal of eating disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 8% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. Pica in Childhood: Concurrent and Sequential Psychiatric Comorbidity.The International journal of eating disorders · 2025
    Article
  9. Review
  10. Article
  11. The current clinical approach to feeding and eating disorders aimed to increase personalization of management.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2025
    Article
  12. Article
  13. Gastroduodenal Obstruction Secondary to Pica-associated Bezoar: A Case Report.Clinical practice and cases in emergency medicine · 2025
    Article
  14. Article
  15. Review
  16. Article
  17. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 4 countries.

Natalie M PapiniDepartment of Health Sciences, Northern Arizona University, Flagstaff, Arizona, USA.ORCID 0000-0002-2558-6154
Cynthia M BulikDepartment of Psychiatry, University of North Carolina, Chapel Hill, USA.ORCID 0000-0001-7772-3264
Samuel J R A ChawnerCentre for Neuropsychiatric Genetics and Genomics, Division of Psychological Medicine and Clinical Neurosciences, Cardiff University, Cardiff, UK.ORCID 0000-0002-2590-2874
Nadia MicaliEating Disorders Research Unit, Psychiatric Centre Ballerup, Capital Region of Denmark Mental Health Services, Copenhagen, Denmark.ORCID 0000-0001-5571-2273
University of North Carolina at Chapel Hill · USCardiff University · GBGreat Ormond Street Hospital · GB

Funding

Eating Disorders Genetics Initiative (EDGI)R01MH120170 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BULIK, CYNTHIA M · 2019 to 2023
$7.2M
Predicting the multi-omic impact of psychiatric GWAS associationsR01MH118278 · NIMH · YALE UNIVERSITY · PI HUCKINS, LAURA MARIANNE · 2019 to 2023
$3.6M
1/7 PGC: Advancing Discovery and ImpactR01MH124871 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BULIK, CYNTHIA M, SULLIVAN, PATRICK F · 2021 to 2025
$3.5M
Predicting Binge and Purge Episodes from Passive and Active Apple Watch Data Using a Dynamical Systems ApproachR01MH119084 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BULIK, CYNTHIA M, BUTNER, JONATHAN · 2019 to 2022
$2.8M
Genetic Architecture of Avoidant/Restrictive Food Intake DisorderR56MH129437 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BULIK, CYNTHIA M, MICALI, NADIA · 2022 to 2023
$1.5M
Medical Research Council G9815508Medical Research Council MC_PC_15018Medical Research Council MC_PC_19009Medical Research Council MR/N022572/1MRF MRF-058-0015-F-CHAWMRF_ MRF-058-0015-F-CHAW-C0867NIMH NIH HHS R01 MH118278NIMH NIH HHS R01MH118278NIMH NIH HHS R01 MH119084NIMH NIH HHS R01MH119084NIMH NIH HHS R01 MH120170NIMH NIH HHS R01MH120170NIMH NIH HHS R01 MH124871NIMH NIH HHS R01MH124871NIMH NIH HHS R56 MH129437NIMH NIH HHS R56MH129437Wellcome Trust
6 · The paper itself

Abstract

objectiveThe present study examined prevalence and correlates of pica behaviors during childhood using data from the Avon Longitudinal Study of Parents and Children (ALSPAC) study.

methodData on 10,109 caregivers from the ALSPAC study who reported pica behavior at 36, 54, 65, 77, and 115 months on their child were included. Autism was obtained through clinical and education records, while DD was derived from the Denver Developmental Screening Test.

resultsA total of 312 parents (3.08%) reported pica behaviors in their child. Of these, 19.55% reported pica at least at two waves (n = 61). Pica was most common at 36 months (N = 226; 2.29%) and decreased as children aged. A significant association was found between pica and autism at all five waves (p < .001). There was a significant relationship between pica and DD, with individuals with DD more likely to experience pica than those without DD at 36 (p = .01), and 54 (p < .001), 65 (p = .04), 77 (p < .001), and 115 months (p = .006). Exploratory analyses examined pica behaviors with broader eating difficulties and child body mass index. DISCUSSION: This study enhances understanding of childhood pica behaviors, addressing a significant gap in knowledge. Pica occurrence in the general population is poorly understood due to few epidemiological studies. Findings from the present study indicate pica is an uncommon behavior in childhood; however, children with DD or autism may benefit from pica screening and diagnosis between ages 36 and 115 months. Children who exhibit undereating, overeating, and food fussiness may also engage in pica behaviors.

Indexed as

Birth CohortPicaChildChild BehaviorChild, PreschoolHumansLongitudinal StudiesPrevalenceALSPACautismdevelopmental delayeating disorderpica

Identifiers

PMID38097525
PMCPMC10922868
OpenAlexW4389761882

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.