Transtorno do Espectro Autista e Recusa Alimentar: A Atuação Conjunta da Nutrição, Psicologia e Psiquiatria Infantil no tratamento da Seletividade Alimentar
DOI:
https://doi.org/10.36557/2674-8169.2026v8n8p1391-1404Palavras-chave:
Transtorno do Espectro Autista, Seletividade Alimentar, Transtorno do Impulso Alimentar Evitativo/Restritivo, Equipe Interdisciplinar de Saúde, Nutrição ClínicaResumo
O transtorno do espectro autista (TEA) apresenta elevada prevalência de atipicidades alimentares,
como a recusa severa e a seletividade extrema, com desfechos nutricionais e sociais complexos. O
objetivo deste estudo foi analisar a atuação conjunta e interdisciplinar da nutrição, psicologia e
psiquiatria infantil no manejo e tratamento da seletividade e recusa alimentar em crianças com
transtorno do espectro autista. Trata-se de uma revisão integrativa da literatura desenvolvida nas
bases PubMed/MEDLINE, SciELO, BVS, Web of Science e Scopus, guiada pela estratégia PICo. A
amostragem final foi constituída por 22 estudos científicos. Os resultados apontam que a seletividade
e a recusa alimentar possuem etiologia multifatorial, envolvendo alterações no processamento
sensorial, inflexibilidade cognitiva, comorbidades gastrointestinais (como refluxo e constipação) e
sobreposições diagnósticas com o transtorno do impulso alimentar evitativo/restritivo (TEAR/ARFID). A
atuação conjunta da nutrição (com aporte nutricional e progressão de texturas), psicologia (por meio
da análise do comportamento aplicada e integração sensorial) e psiquiatria infantil (no diagnóstico
diferencial de comorbidades e suporte farmacológico para ansiedade e rigidez) evidencia-se essencial
para a superação de intervenções isoladas e redução da sobrecarga familiar. Conclui-se que a
abordagem transdisciplinar e precoce é fundamental para reestabelecer a segurança metabólica,
prevenir carências nutricionais e comprometimentos estomatológicos, promovendo a expansão do
repertório alimentar e a qualidade de vida da criança e de sua família.
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Copyright (c) 2026 Wania Gonçalves da Silva , Pedro Fechine Honorato, Claudia Cristiana Pereira , Creusa Maria Rosa Fialho , Rosana Castor Santana Camilo , Lucimar Gonçalves Santana, Giselle Queiroz Souza, Renata Borges Pacheco Ramos , Elaine dos Reis Noronha Soares, Cristiane Luísa Ferreira , Flávia da Silva Melo Viana , Alba Solange Mendanha e Silva
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
Os autores são detentores dos direitos autorais mediante uma licença CCBY 4.0.
