Authors: Holly A. Harris; April Bowling; Susana Santos; Kirstin Greaves-Lord; Pauline W. Jansen · Research

How Do ADHD and Autism Traits Affect Children's Eating Behaviors and Weight?

Research reveals distinct patterns in how ADHD and autism traits influence children's eating behaviors and weight outcomes.

Source: Harris, H. A., Bowling, A., Santos, S., Greaves-Lord, K., & Jansen, P. W. (2022). Child ADHD and autistic traits, eating behaviours and weight: A population-based study. Pediatric Obesity, 17(11), e12951. https://doi.org/10.1111/ijpo.12951

What you need to know

  • Children with both high ADHD and autism traits show more extreme eating behaviors - both overeating and food avoidance
  • Children with primarily autism traits tend to be pickier eaters and show more food avoidant behaviors
  • Children with primarily ADHD traits are more likely to overeat and have higher body mass index (BMI)

The Complex Relationship Between Neurodevelopmental Traits and Eating

Picture a family dinner table. For most families, mealtimes can be challenging enough. But for families with children who have attention-deficit/hyperactivity disorder (ADHD) or autism traits, these challenges can be particularly complex. Some children might struggle to sit still and eat mindfully, while others might be extremely particular about what foods they’ll accept. Understanding these patterns is crucial for helping families navigate mealtime challenges successfully.

Different Traits, Different Eating Patterns

The research reveals fascinating differences in how ADHD and autism traits influence eating behaviors. Children with high levels of both ADHD and autism traits showed the most complex eating patterns - they were more likely to both overeat in response to food cues or emotions and show food avoidant behaviors like picky eating. It’s as if their relationship with food operates at both extremes.

Children with primarily autism traits tended to be pickier eaters and showed less enjoyment of food, particularly among boys. This might reflect sensory sensitivities or preferences for routine that are common in autism. Meanwhile, children with primarily ADHD traits were more likely to overeat and respond strongly to food cues in their environment.

The Impact on Weight

One of the study’s most significant findings was that children with high ADHD traits had higher BMIs by age 14. This weight difference appeared to be partly explained by their tendency to overeat in response to food cues and emotions. This suggests that children with ADHD traits might be more vulnerable to our modern food environment, where tempting foods are constantly available.

Understanding the Brain-Food Connection

These different eating patterns likely reflect how ADHD and autism traits affect how children interact with their environment and process information. Children with ADHD traits might struggle with impulse control around food, while those with autism traits might be more sensitive to food textures, tastes, or changes in their eating routine.

What This Means for You

If you’re raising or working with children who have ADHD or autism traits, understanding these patterns can help you provide better support:

  • For children with ADHD traits, focus on creating an eating environment with fewer distractions and temptations
  • For children with autism traits, maintain consistent mealtime routines and be patient with food selectivity
  • For children with both types of traits, recognize that their eating patterns might be more complex and require individualized strategies
  • Consider screening for these traits when developing eating or weight management programs

Conclusions

  • Different neurodevelopmental traits are associated with distinct eating patterns that may require different support strategies
  • Early identification of these traits could help prevent eating and weight problems before they develop
  • Supporting families requires understanding the unique challenges each child faces with eating and mealtime behaviors
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