OTSurveyAutism : the international journal of research and practice2025

Food selectivity and eating difficulties in adults with autism and/or ADHD.

Sarah C Bayoumi, Ashley Halkett, Meghan Miller and 1 others

PMID 39996584

WHAT IT FOUND

Adults with autism, ADHD, or both reported more eating difficulties than adults without these diagnoses.

Autism groups had the highest scores. Insistence on sameness, autistic features, food selectivity, and hyperactivity-impulsivity were linked to more eating problems.

Key findings

01On a 0 to 100 eating difficulty scale, adults with autism-only scored 43.8, adults with autism/ADHD scored 42.3, adults with ADHD-only scored 32.4, and comparison adults scored 21.3.

02Total eating difficulties were associated with insistence on sameness, other autistic features, food selectivity, and hyperactivity-impulsivity, regardless of diagnosis.

03Adults with autism-only or autism/ADHD scored higher than comparison adults on every eating problem subscale. Adults with ADHD-only scored higher than comparison adults on all subscales except brand preferences and eating in public.

STILL TO COME

How it was doneWhat they foundWhat it means for OTs

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What it does not show

The diagnoses were self-reported professional diagnoses and were not verified, so group differences should be read cautiously. The eating questionnaire was validated only up to age 25, but the study included adults aged 18 to 59. Participants were recruited through social media and snowball sampling, which may have selected people with a personal connection to autism, ADHD, or eating difficulties. The questionnaires were written at a sixth-grade reading level, so the results may not apply to adults with more limited verbal skills. The sample oversampled women and non-binary people, and gender was associated with eating difficulty scores. Eating disorder history was any lifetime diagnosis, not current diagnosis or specific type. The survey measured eating difficulties and traits at the same time, so it cannot show which came first or whether these traits cause eating problems.

Declared interests

The authors declared no potential conflicts of interest and received no financial support for the research, authorship, or publication.

The easy way to misread this

Do not read these results as proof that autism or ADHD causes eating difficulties. The study used a self-report survey, did not verify diagnoses, and measured traits and eating problems at the same time, so it cannot show cause.

Read it on PubMed →