Zaburzenia żywienia w ASD w perspektywie logopedycznej

Ewa Małachowska

doi:10.31261/LOGOPEDIASILESIANA.2025.14.01.08

Published: 2025-06-30

2023

Feeding Disorders in ASD from a Speech-Language Pathology Perspective

Ewa Małachowska

Section: Articles

https://doi.org/10.31261/LOGOPEDIASILESIANA.2025.14.01.08

Abstract

Feeding disorders are a common problem in children and adolescents with Autism Spectrum Disorder (ASD). They include, among others, food selectivity, oral sensory processing difficulties, challenges with chewing and swallowing, and behavioral rigidity related to meal consumption. Although these issues are widely discussed in medical and dietary literature, their significance for the communicative functioning of children with ASD remains insufficiently recognized from a speech-language pathology perspective. Feeding and communication processes, however, exhibit numerous interconnections arising from shared anatomical, motor, and sensory-regulatory foundations. This paper has a theoretical and review character and is based on the analysis of selected empirical studies and clinical reports.

Keywords:

Autism Spectrum Disorder , feeding disorders , communication , oral motor skills , speech-language pathology

Download files

PDF (ENG/PL)

Citation rules

Małachowska, E. (2025). Feeding Disorders in ASD from a Speech-Language Pathology Perspective. Logopedia Silesiana, 1–27. https://doi.org/10.31261/LOGOPEDIASILESIANA.2025.14.01.08

Cited by / Share

Licence

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

The Copyright Owners of the submitted texts grant the Reader the right to use the pdf documents under the provisions of the Creative Commons 4.0 International License: Attribution-Share-Alike (CC BY SA). The user can copy and redistribute the material in any medium or format and remix, transform, and build upon the material for any purpose.

1. License

The University of Silesia Press provides immediate open access to journal’s content under the Creative Commons BY-SA 4.0 license (http://creativecommons.org/licenses/by-sa/4.0/). Authors who publish with this journal retain all copyrights and agree to the terms of the above-mentioned CC BY-SA 4.0 license.

2. Author’s Warranties

The author warrants that the article is original, written by stated author/s, has not been published before, contains no unlawful statements, does not infringe the rights of others, is subject to copyright that is vested exclusively in the author and free of any third party rights, and that any necessary written permissions to quote from other sources have been obtained by the author/s.

If the article contains illustrative material (drawings, photos, graphs, maps), the author declares that the said works are of his authorship, they do not infringe the rights of the third party (including personal rights, i.a. the authorization to reproduce physical likeness) and the author holds exclusive proprietary copyrights. The author publishes the above works as part of the article under the licence "Creative Commons Attribution-ShareAlike 4.0 International".

ATTENTION! When the legal situation of the illustrative material has not been determined and the necessary consent has not been granted by the proprietary copyrights holders, the submitted material will not be accepted for editorial process. At the same time the author takes full responsibility for providing false data (this also regards covering the costs incurred by the University of Silesia Press and financial claims of the third party).

3. User Rights

Under the CC BY-SA 4.0 license, the users are free to share (copy, distribute and transmit the contribution) and adapt (remix, transform, and build upon the material) the article for any purpose, provided they attribute the contribution in the manner specified by the author or licensor.

4. Co-Authorship

If the article was prepared jointly with other authors, the signatory of this form warrants that he/she has been authorized by all co-authors to sign this agreement on their behalf, and agrees to inform his/her co-authors of the terms of this agreement.

I hereby declare that in the event of withdrawal of the text from the publishing process or submitting it to another publisher without agreement from the editorial office, I agree to cover all costs incurred by the University of Silesia in connection with my application.

References

Adams, S. N. (2022). Feeding and swallowing issues in autism spectrum disorders. Neuropsychiatric Disease and Treatment, 18, 2311–2321. https://doi.org/10.2147/NDT.S332523
Google Scholar

Adams-Chapman, I., Bann, C. M., Vaucher, Y. E., Stoll, B. J., & Eunice Kennedy Shriver National Institute of Child Health and Human Development Neonatal Research Network. (2013). Association between feeding difficulties and language delay in preterm infants using Bayley Scales of Infant Development-III. Journal of Pediatrics, 163(3), 680–685. https://doi.org/10.1016/j.jpeds.2013.03.017
Google Scholar

American Academy of Pediatrics. (2017). Nutritional and dietary interventions for autism spectrum disorder. Pediatrics, 139(1), e20171700. https://doi.org/10.1542/peds.2017-1700F
Google Scholar

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). https://doi.org/10.1176/appi.books.9780890425596
Google Scholar

Bandini, L. G., Curtin, C., Phillips, S., Anderson, S. E., Maslin, M., & Must, A. (2017). Changes in food selectivity in children with autism spectrum disorder. Journal of Autism and Developmental Disorders, 47(2), 439–446. https://doi.org/10.1007/s10803-016-2929-0
Google Scholar

Baron-Cohen, S., Leslie, A. M., & Frith, U. (1985). Does the autistic child have a „theory of mind”? Cognition, 21(1), 37–46. https://doi.org/10.1016/0010-0277(85)90022-8
Google Scholar

Baron-Cohen, S., Wheelwright, S., Skinner, R., Martin, J., & Clubley, E. (2001). The Autism-Spectrum Quotient (AQ): Evidence from Asperger syndrome/high-functioning autism, males and females, scientists and mathematicians. Journal of Autism and Developmental Disorders, 31(1), 5–17. https://doi.org/10.1023/A:1005653411471
Google Scholar

Baraskewich, J., von Ranson, K. U., McCrimmon, A., & McMorris, C. A. (2021). Feeding and eating problems in children and adolescents with autism: A scoping review. Autism, 25(6), 1505–1519. https://doi.org/10.1177/1362361321990020
Google Scholar

Bayley Scales of Infant Development-III. (n.d.). Bayley Scales of Infant and Toddler Development (3rd ed.). Pearson.
Google Scholar

Bieńkowska, K. I. (2022). Holistyczna koncepcja wspierania procesu nabywania mowy przez dzieci z uszkodzeniem słuchu w mikrosystemie rodzinnym – „Podróż doMowy”. Wydawnictwo Akademii Pedagogiki Specjalnej. https://sowa.aps.edu.pl/document/220324
Google Scholar

Bryńska, A., Wolak, T., Naumczyk, P., Srebnicki, T., & Wolańczyk, T. (2022). Semantic decisions in adolescents with autism spectrum disorders – Functional magnetic resonance imaging study. Psychiatria Polska, 56(5), 925–942. https://doi.org/10.12740/PP/146912
Google Scholar

Buczek, A., Kazek, B., & Emich-Widera, E. (2023). Żywienie i odżywianie osób z autyzmem. W: E. Emich-Widera, B. Kazek, J. Paprocka (red.), Autyzm u dzieci. Wiedza kliniczna (s. 141–154). PZWL.
Google Scholar

Cermak, S. A., Curtin, C., Bandini, L. G. (2010). Food selectivity and sensory sensitivity in children with autism spectrum disorders. Journal of the American Dietetic Association, 110(2), 238–246. https://doi.org/10.1016/j.jada.2009.10.032
Google Scholar

Cieszyńska, E. (2020). Znaczenie integracji sensorycznej w diagnozie i terapii logopedycznej. Logopedia, 54, 45–60.
Google Scholar

Curtin, C., Anderson, S. E., Must, A., Bandini, L. (2010). The prevalence of obesity in children with autism: A secondary data analysis using nationally representative data. Journal of Autism and Developmental Disorders, 40(12), 1523–1534. https://doi.org/10.1007/s10803-010-0991-0
Google Scholar

Czerwińska-Niezabitowska, B., Kulesa-Mrowiecka, M. (2016). Diagnostyka i leczenie dysfunkcji czaszkowo-żuchwowych w ujęciu holistycznym. Wydawnictwo Uniwersytetu Jagiellońskiego.
Google Scholar

Ellis, J. M., Zickgraf, H. F., Galloway, A. T., Essayli, J. H., & Whited, M. C. (2018). A functional description of adult picky eating using latent profile analysis. International Journal of Behavioral Nutrition and Physical Activity, 15, Article 109. https://doi.org/10.1186/s12966-018-0743-8
Google Scholar

Emich-Widera, E., Kazek, B., Paprocka, J., (red.). (2023). Autyzm u dzieci. Wiedza kliniczna. PZWL.
Google Scholar

Emich-Widera, E., Palicka, I., Przybyla, O., Kazek, B., (red.). (2025). Integracja sensoryczna a przetwarzanie sensoryczne: Obalamy mity, przedstawiamy naukowe podejście: Podręcznik. Wydawnictwo Naukowe PWN.
Google Scholar

Emiluta-Rozya, D., Lipiec, D., Więcek-Poborczyk, I. (2020). Zaburzenia komunikacji niewerbalnej i werbalnej u dzieci z ASD – porównanie z normatywnym rozwojem komunikacji społecznej. W: J. Kwasiborska-Dudek, D. Emiluta-Rozya (red.), Diagnoza i terapia logopedyczna małego dziecka z zaburzeniem ze spektrum autyzmu (ASD). Akademia Pedagogiki Specjalnej im. Marii Grzegorzewskiej w Warszawie. Harmonia Universalis.
Google Scholar

Esteban-Figuerola, P., Canals, J., Fernández-Cao, J. C., Arija Val, V. (2019). Differences in food consumption and nutritional intake between children with autism spectrum disorders and typically developing children: A meta-analysis. Autism, 23(5), 1079–1095. https://doi.org/10.1177/1362361318794179
Google Scholar

Fraser, D. (2017). The balance of mind, body, and spirit. Neonatal Network, 36(3), 123. https://doi.org/10.1891/0730-0832.36.3.123
Google Scholar

Frith, U., Happé, F. (1994). Autism: Beyond „theory of mind”. Cognition, 50(1–3), 115–132. https://doi.org/10.1016/0010-0277(94)90024-8
Google Scholar

Global Burden of Disease (GBD). (2024). Institute for Health Metrics and Evaluation. https://vizhub.healthdata.org/gbd-results/
Google Scholar

Grzybowsk-Chlebowczyk, U. (2023). Problemy gastrologiczne u dzieci z autyzmem. W: E. Emich-Widera, B. Kazek, J. Paprocka (red.), Autyzm u dzieci. Wiedza kliniczna (s. 155–165). PZWL.
Google Scholar

Gupta, S., Sharma, A., Verma, S. (2025). Nutritional factors and therapeutic interventions in autism spectrum disorder: A narrative review. Children, 12(2), Article 202. https://doi.org/10.3390/children12020202
Google Scholar

Hanson, J. L. (2019). Oral motor therapy: Effects of therapeutic feeding on articulatory skills. Journal of Pediatric Feeding & Swallowing Disorders, 2(1), 45–52.
Google Scholar

Hill, E. L. (2004). Executive dysfunction in autism. Trends in Cognitive Sciences, 8(1), 26–32. https://doi.org/10.1016/j.tics.2003.11.003
Google Scholar

Hodges, H., Fealko, C., Soares, N. (2020). Autism spectrum disorder: Definition, epidemiology, causes, and clinical evaluation. Translational Pediatrics, 9(1), 55–65. https://doi.org/10.21037/tp.2019.09.09
Google Scholar

Horvath, A., Remberk, B., Castello-Rokicka, M., Bąbik-Bronić, K., Szajewska, H. (2024). Wybrane problemy w neurologii i psychiatrii dziecięcej. W: H. Szajewska, A. Horvath (red.), Żywienie i leczenie żywieniowe dzieci i młodzieży (s. 410–416). Medycyna Praktyczna.
Google Scholar

James, S. J., Melnyk, S., Fuchs, G., Reid, T., Jernigan, S., Pavliv, O., Gaylor, D. W. (2009). Efficacy of methylcobalamin and folinic acid treatment on glutathione redox status in children with autism. American Journal of Clinical Nutrition, 89(1), 425–430. https://doi.org/10.3945/ajcn.2008.26513
Google Scholar

Jurkowska, N., Kaźmierczak, M. (2024). Rola ćwiczeń orofacjalnych w terapii logopedycznej: Regulacja napięcia mięśniowego, oddychanie i funkcje komunikacyjne. Logopedia, 53, 269–290.
Google Scholar

Kazek, B., Kampinos-Gorczyca, A., Emich-Widera, E. (2023). Żywienie i odżywianie osób z autyzmem. W: E. Emich-Widera, B. Kazek, J. Paprocka (red.), Autyzm u dzieci. Wiedza kliniczna (s. 131–138). PZWL.
Google Scholar

Kerzner, B., Milano, K., MacLean, W. C., Berall, G., Stuart, S., Chatoor, I. (2015). A practical approach to classifying and managing feeding difficulties. Pediatrics, 135(2), 344–353. https://doi.org/10.1542/peds.2014-1630
Google Scholar

Korendo, M. (2023). Językowa interpretacja świata w wypowiedziach osób z zespołem Aspergera. Omega Stage Systems.
Google Scholar

Kozak, A., Czepczor-Bernat, K., Modrzejewska, J., Modrzejewska, A., Matusik, E., Matusik, P. (2023). Avoidant/restrictive food disorder (ARFID), food neophobia, other eating-related behaviours and feeding practices among children with autism spectrum disorder and in non-clinical sample: A preliminary study. International Journal of Environmental Research and Public Health, 20(10), Article 5822. https://doi.org/10.3390/ijerph20105822
Google Scholar

Lipiec, D., Więcek-Poborczyk, I., Mężyk, A. (2024). Logopedyczne procedury oceny fazy ustnej połykania (pierwsze). Wydawnictwo Akademii Pedagogiki Specjalnej. https://sowa.aps.edu.pl/document/244337
Google Scholar

Lipiec, D., Więcek-Poborczyk, I. (2023). Ways of transforming the course of the oral phase of swallowing in children. Logopedia Silesiana, 13, Article 3. https://doi.org/10.31261/LOGOPEDIASILESIANA.2023.13.01.02
Google Scholar

Małachowska, E. (2023). Zaburzenia ze spektrum autyzmu a nietypowe zachowania żywieniowe. Człowiek – Niepełnosprawność – Społeczeństwo, 62(4), 77–84.
Google Scholar

Malas, K., Trudeau, N., Chagnon, M., McFarland, D. H. (2015). Feeding-swallowing difficulties in children later diagnosed with language impairment. Developmental Medicine & Child Neurology, 57(9), 872–879. https://doi.org/10.1111/dmcn.12749
Google Scholar

Mulloy, A., Swift, J., White, S. W. (2015). The gluten-free, casein-free diet in autism spectrum disorder: A systematic review. Research in Autism Spectrum Disorders, 16, 1–12. https://doi.org/10.1016/j.rasd.2015.03.001
Google Scholar

Nygren, G., Linnsand, P., Hermansson, J., Dinkler, L., Johansson, M., Gillberg, C. (2021). Feeding problems including avoidant restrictive food intake disorder in young children with autism spectrum disorder in a multiethnic population. Frontiers in Pediatrics, 9, Article 780680. https://doi.org/10.3389/fped.2021.780680
Google Scholar

Pawlik, A., Prynda, M., Stachura, K. (2025). Funkcje ustno-twarzowe a przetwarzanie sensoryczne. W: E. Emich-Widera, I. Palicka, O. Przybyla, B. Kazek (red.), Integracja sensoryczna a przetwarzanie sensoryczne: Obalamy mity, przedstawiamy naukowe podejście: Podręcznik (s. 263–270). Wydawnictwo Naukowe PWN.
Google Scholar

Pisula, E. (2010a). Autyzm. Przyczyny, symptomy, terapia. Harmonia.
Google Scholar

Pisula, E. (2010b). Autyzm. W: A. Grabowska (red.), Od badań mózgu do praktyki psychologicznej (s. 40–60). Wydawnictwo UMCS.
Google Scholar

Pluta-Wojciechowska, D. (2009). Połykanie jako jedna z niewerbalnych czynności kompleksu ustno-twarzowego. Logopedia, 38, 119–147.
Google Scholar

Pluta-Wojciechowska, D. (2015). Zaburzenia czynności prymarnych i artykulacji. Podstawy postępowania logopedycznego. Ergo-Sum.
Google Scholar

Przybyla, O. (2015). Postępowanie logopedyczne w przypadku noworodków i niemowląt. W: S. Grabias, J. Panasiuk, T. Woźniak (red.), Logopedia. Standardy postępowania logopedycznego. Podręcznik akademicki (s. 555–599). Harmonia Universalis.
Google Scholar

Przybyla, O. (2018). Zaburzenia językowe i komunikacyjne dziecka z zespołem Aspergera – analiza przypadku. Logopedia Silesiana, 7, 226–254.
Google Scholar

https://doi.org/10.31261/LOGOPEDIASILESIANA.2019.08.15
Google Scholar

Przybyla, O. (2019). Facilitated communication in autism. A case study. Logopedia Silesiana, 8, 155–165. https://doi.org/10.31261/LOGOPEDIASILESIANA.2019.08.15
Google Scholar

Przybyla, O. (2025). Mowa i komunikacja. W: E. Emich-Widera, I. Palicka, O. Przybyla, B. Kazek (red.), Integracja sensoryczna a przetwarzanie sensoryczne: Obalamy mity, przedstawiamy naukowe podejście: Podręcznik (s. 231–247). Wydawnictwo Naukowe PWN.
Google Scholar

Rządzka, M. (2019). Odruchy oralne u noworodków i niemowląt. Diagnoza i stymulacja. Oficyna Wydawnicza Impuls.
Google Scholar

Robertson, C. E., Baron-Cohen, S. (2017). Sensory perception in autism. Nature Reviews Neuroscience, 18(11), 671–684. https://doi.org/10.1038/nrn.2017.112
Google Scholar

Rogers, L. G., Magill-Evans, J., Rempel, G. R. (2012). Mothers’ challenges in feeding their children with autism spectrum disorder—Managing more than just picky eating. Journal of Developmental and Physical Disabilities, 24(1), 19–33. https://doi.org/10.1007/s10882-011-9252-2
Google Scholar

Sharp, W. G., Jaquess, D. L., Morton, J. F., Herzinger, C. V. (2010). Pediatric feeding disorders: A quantitative synthesis of treatment outcomes. Clinical Child and Family Psychology Review, 13(4), 348–365. https://doi.org/10.1007/s10567-010-0079-7
Google Scholar

Sharp, W. G., Volkert, V. M., Scahill, L. (2017). A systematic review and meta-analysis of intensive multidisciplinary intervention for pediatric feeding disorders. Journal of Pediatric Gastroenterology and Nutrition, 65(5), 504–511. https://doi.org/10.1097/MPG.0000000000001715
Google Scholar

Skrzek, J. (2016). Diagnoza i terapia funkcji pokarmowych w obrębie okolicy orofacjalnej – połykania, gryzienia i żucia. In: K. Kaczorowska-Bray, S. Milewski (red.), Wczesna interwencja logopedyczna (s. 337–355). Harmonia Universalis.
Google Scholar

Szymańska, D., Baj-Lieder, M. (2025). Wpływ zaburzeń przetwarzania sensorycznego na żywienie, stan odżywiania i zaburzenia odżywiania. W: E. Emich-Widera, I. Palicka, O. Przybyla, B. Kazek (red.), Integracja sensoryczna a przetwarzanie sensoryczne: Obalamy mity, przedstawiamy naukowe podejście: Podręcznik (s. 263–270). Wydawnictwo Naukowe PWN.
Google Scholar

Wojciechowska, M. (2018). Wspomaganie rozwoju komunikacji u niemowląt i małych dzieci w kontekście czynności żywieniowych. Logopedia, 52, 101–120.
Google Scholar

World Health Organization. (2008). International statistical classification of diseases and related health problems (10th rev.). https://icd.who.int/browse10/2019/en
Google Scholar

World Health Organization. (2009). International classification of functioning, disability and health. https://iris.who.int/handle/10665/42407
Google Scholar

World Health Organization. (2018). International classification of diseases for mortality and morbidity statistics (11th rev.). https://icd.who.int
Google Scholar

Ewa Małachowska

emalachowska@aps.edu.pl
https://orcid.org/0000-0003-1971-3812

Affiliation:

The Maria Grzegorzewska University in Warsaw Poland

Bio Statement (e.g., department and rank)

Ewa Małachowska – Holds a PhD in Social Sciences. She is a speech and language therapist (neurologopedist), special education teacher, certified community-based therapist, expert of the Polish Ministry of Education, and a member of the Expert Team for Special Pedagogy of the Committee on Pedagogical Sciences of the Polish Academy of Sciences (KNP PAN).

emalachowska@aps.edu.pl

2023
Published: 2021-10-15

ISSN: 2300-5246

eISSN: 2391-4297

10.31261/LOGOPEDIASILESIANA

Publisher

Wydawnictwo Uniwersytetu Śląskiego | University of Silesia Press

Licence CC

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Submit