OBJECTIVE Feeding concerns, primarily food selectivity, are commonly observed in children with autism spectrum disorder (ASD). Prevalence rates suggest that at least half of autistic youth have feeding difficulties. METHODS A retrospective chart review examining records of a large cohort of autistic children (N = 746) referred for ASD evaluation was conducted. Families completed a survey regarding feeding concerns in their children before a diagnostic evaluation. RESULTS Post hoc analyses based on retrospective chart review revealed approximately 30% of caregivers reported significant difficulty feeding their child. Young age, food selectivity, and concerns about weight were associated with increased likelihood of reported feeding difficulties. There was clear overlap between overall feeding difficulties and specific food selectivity; however, 1 in 5 children whose caregivers did not report feeding difficulties endorsed food selectivity. CONCLUSION Findings highlight the need for multipronged approaches to screening to facilitate service prioritization by pediatric providers.

中文翻译：

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在三级护理诊所筛查护理人员报告的自闭症谱系障碍儿童的喂养问题。

目的 喂养问题（主要是食物选择性）在自闭症谱系障碍 (ASD) 儿童中很常见。患病率表明，至少一半的自闭症青少年存在喂养困难。方法 对一大群被转介进行 ASD 评估的自闭症儿童 (N = 746) 的记录进行回顾性图表审查。在诊断评估之前，各家庭完成了一项有关孩子喂养问题的调查。结果 基于回顾性图表审查的事后分析显示，大约 30% 的护理人员报告称喂养孩子存在严重困难。年龄较小、食物选择性和对体重的担忧与报告的喂养困难的可能性增加有关。总体喂养困难和特定食物选择性之间存在明显重叠；然而，照料者没有报告喂养困难的儿童中，有五分之一支持选择性食物。结论 研究结果强调需要采取多管齐下的筛查方法，以促进儿科服务提供者确定服务优先顺序。