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What are the common food aversions in children with autism that lead to nutrient gaps? 

Author: Beatrice Holloway, MSc | Reviewed by: Dr. Rebecca Fernandez, MBBS

Food aversions in autism are widely recognised, often linked to heightened sensory sensitivities. Many children refuse foods because of texture, smell, or colour, and while this is understandable, it can affect nutrition. Such avoidance patterns may create nutrient gaps, limiting essential vitamins and minerals needed for healthy growth and functioning. 

These eating patterns are sometimes mistaken for typical picky eating, but in autism, they tend to be stronger and more persistent. Children may completely avoid entire food groups, such as vegetables or protein sources, which can lead to deficiencies over time. Recognising these aversions early is key to preventing health issues related to limited diets. 

Common types of aversions 

Food aversions in autistic children often fall into a few clear categories. Each type can affect nutritional intake differently. 

Texture sensitivity 

Many children reject foods that feel “slimy,” “gritty,” or “lumpy,” such as cooked vegetables or mixed dishes. 

Smell or flavour avoidance 

Strong-smelling foods like fish or spicy dishes are frequently avoided, which can reduce access to important nutrients. 

Colour or appearance-based refusal 

Some children only eat foods of a certain colour, reducing dietary variety and balance. 

These patterns show how sensory experiences influence diet, but structured exposure, gradual food introduction, and nutritional planning can make improvements over time. Professional support is often helpful in developing strategies that work for each child.  

Visit providers like Autism Detect for personal consultations. 

For a deeper dive into the science, diagnosis, and full treatment landscape, read our complete guide to nutritional deficiencies. 

Beatrice Holloway, MSc
Beatrice Holloway, MSc
Author

Beatrice Holloway is a clinical psychologist with a Master’s in Clinical Psychology and a BS in Applied Psychology. She specialises in CBT, psychological testing, and applied behaviour therapy, working with children with autism spectrum disorder (ASD), developmental delays, and learning disabilities, as well as adults with bipolar disorder, schizophrenia, anxiety, OCD, and substance use disorders. Holloway creates personalised treatment plans to support emotional regulation, social skills, and academic progress in children, and delivers evidence-based therapy to improve mental health and well-being across all ages.

All qualifications and professional experience stated above are authentic and verified by our editorial team. However, pseudonym and image likeness are used to protect the author's privacy.

Dr. Rebecca Fernandez
Dr. Rebecca Fernandez, MBBS
Reviewer

Dr. Rebecca Fernandez is a UK-trained physician with an MBBS and experience in general surgery, cardiology, internal medicine, gynecology, intensive care, and emergency medicine. She has managed critically ill patients, stabilised acute trauma cases, and provided comprehensive inpatient and outpatient care. In psychiatry, Dr. Fernandez has worked with psychotic, mood, anxiety, and substance use disorders, applying evidence-based approaches such as CBT, ACT, and mindfulness-based therapies. Her skills span patient assessment, treatment planning, and the integration of digital health solutions to support mental well-being.

All qualifications and professional experience stated above are authentic and verified by our editorial team. However, pseudonym and image likeness are used to protect the reviewer's privacy. 

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