Comparison of feeding behavior problems of hostel and non-hostel living children with ASD in Dhaka

Abstract

Abstract Backgrounds The purpose of this study was to determine the distribution and differences of nutritional status and feeding behavior problems between the school going children with autism spectrum disorder (ASD) who are living either at school hostel or at home with parents of the urban lower-middle-class population in Dhaka city, Bangladesh. Methods This is a cross-sectional study where the children with ASD were randomly selected from 4 schools for children with special needs in Dhaka, Bangladesh. Written consent was taken from the parents of the children. Anthropometric and other nutrition referral data were taken directly from the children during school time. Demographic, parity and behavioral pediatrics feeding assessment scale (BPFAS) module have been interviewed through structured questionnaires from the parents. The referral scores have been applied to measure and compare the mean BPFAS scores. Results 93 children have participated in this study (mean age 10.21 years). It was observed that BPFAS scores for >10 years of age are higher in overall both groups of children (p = <0.05). Parents from joint or bigger families reported higher feeding problems of their child living at home (p = <0.05). Significant difference found in BPFAS score according to the number of siblings in the homegroup (52.0 vs. 81.8; p = <0.01). Mean BPFAS score was higher in the hostel group if the children's parents were highly educated (p = <0.05). No association found in feeding assessment and socio-economic status as we found the SES were quite similar in both groups. Conclusions In this preliminary data, we found that feeding behavior problems reported by parents are less in the hostel living children and also lower in comparatively higher aged children. This study is important for researchers and policymakers as it opens windows to think and do more research about the importance and impact of hostel disciplines and in-home family bonding for the healthy growth of children with ASD. Key messages Higher aged children are have less feeding problem in general. Keeping children with ASD at home in touch of family members have positive impact on their feeding problems and overall nutrition.