What is food neophobia in autism?

Answered by Robert Flynn

Food neophobia refers to a fear or aversion towards trying new or unfamiliar foods. In the context of autism spectrum disorder (ASD), children with ASD often exhibit higher levels of food neophobia compared to their typically developing peers. This means that they tend to be more resistant to trying and accepting new foods.

Food neophobia can manifest in various ways in children with ASD. They may show a strong preference for familiar foods and have limited dietary variety. They may also display reluctance or refusal to try new foods, even when encouraged or offered incentives. This can result in a restricted diet that lacks the necessary nutrients for optimal health and development.

It is important to note that food neophobia in ASD is not simply a matter of picky eating or selective eating habits. It is a distinct feature that can significantly impact a child’s nutritional intake and overall well-being. It is believed to be influenced by sensory sensitivities, rigidity in routines, and difficulties with communication and social interaction that are characteristic of ASD.

Research has shown that there are subclinical associations between food neophobia and ASD traits. This means that higher levels of food neophobia are often correlated with more pronounced difficulties in social communication and restricted/repetitive behaviors commonly seen in ASD. However, it is important to note that these associations are not necessarily causal, and the relationship between food neophobia and ASD traits is complex and multifaceted.

In my personal experience working with children with ASD, I have observed the challenges that food neophobia can present. It can be frustrating for both the child and their caregivers, as mealtimes can become stressful and limited in options. It often requires a multi-faceted approach that addresses the sensory, communication, and behavioral aspects of food neophobia.

Strategies that may be helpful in addressing food neophobia in children with ASD include gradually introducing new foods in a non-threatening manner, incorporating preferred foods into meals to increase acceptance of new foods, and providing visual supports or social stories to help prepare the child for new food experiences. It is also important to involve a multidisciplinary team, including a registered dietitian or nutritionist, to ensure that the child’s nutritional needs are being met despite their food neophobia.

Food neophobia is a common and significant challenge faced by children with ASD. Understanding and addressing this issue can greatly improve their nutritional intake and overall well-being.