Prevalence of Child’s Behavioural Feeding Problems, Body Mass Index and Mental Health Issues Among Parents and Children with Autism in Malaysia

Abstract

Autism Spectrum Disorder (ASD) is defined as a group of pervasive neurodevelopmental disorders that include significantly impaired functioning in terms of cognitive skills and socialization, verbal and receptive communication, and repetitive behaviors. Several problems arise when handling children with ASD which of them is related to eating behavior. The challenges in daily life that need to be faced by parents of ASD children during mealtime are increased food selectivity, food refusal, and problematic mealtime behaviors. A cross-sectional study was carried out to identify prevalence of child’s behavioural feeding problems, body mass index and mental health issue experience by both parents and children with ASD in Malaysia. A total of 213 parents participated in this study. Data on sociodemographic, eating behavior were collected using a questionnaire. Respondents completed the self-reported Sociodemographic form, anthropometry form and Behavioral Paediatric Feeding Assessment Scale (BPFAS) questionnaire, Strength and Difficulty questionnaire and answer 10-item perceived stress scale to evaluate the intended measures. The prevalence abnormal of eating behavior is higher among the participants was 80.8% (n=172). For BMI, 49.8% (n=106) of the respondents reported the highest prevalence of overweight. Peer and pro-social problems were the most frequently reported mental health issues among ASD children, but emotional, behaviour, and hyperactivity issues were reported less frequently. The majority of parents surveyed in this study assessed themselves to be under considerable stress (93.4 percent). In conclusion, this cross-sectional study demonstrated a high frequency of behavioural feeding difficulties, mental health concerns, and obesity among children with autism spectrum disorders in Malaysia. The findings from this study will contribute to the body of information regarding the nutritional health of children with autism spectrum disorders. The increased prevalence of overweight and obesity in children with ASD is one of the indicators that this study should investigate additional factors that may influence children's weight status.