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Scoping review examines connections between autism spectrum conditions and eating disorder presentations in clinical settings

Scoping review examines connections between autism spectrum conditions and eating disorder…
Photo by Peter Burdon / Unsplash
Key Takeaway
Autism and eating disorders are linked, particularly for conditions not involving low body weight, requiring specialized support and early identification.

This scoping review investigates the intersection of autism and eating disorders within clinical populations. Longitudinal evidence indicates that autistic traits observed in childhood may influence later presentations, yet no direct association was found between body mass index and autistic traits. This distinction is crucial for understanding the underlying mechanisms of these co-occurring conditions.

The analysis reveals that eating disorders linked to autism often differ from those associated with low body weight. Furthermore, the study clarifies that the relationship between autism and eating disorders persists independently of acute illness effects. This suggests a deeper, more complex interplay between neurodevelopmental factors and disordered eating behaviors.

High rates of additional mental health problems do not fully account for the co-occurrence of autism or autistic traits in individuals with eating disorders. Future research should expand beyond anorexia nervosa to include other eating disorder populations. Improved training and autism-specific support are essential for mental health services to better serve these individuals.

Study Details

Study typeMeta analysis
EvidenceLevel 1
PublishedMay 2026
View Original Abstract ↓
ObjectiveResearch has highlighted co-occurrence and phenotypic overlap between autism and eating disorders (EDs), however the origin of this overlap is uncertain. The aim of this scoping review was to assess existing evidence on the role of acute illness effects and co-occurring mental health difficulties in the relationship between autism and EDs.MethodsThe review was conducted following the PRISMA extension for scoping reviews. Electronic databases (PsycINFO, PubMed, Embase and Web of Science) and grey literature (ProQuest Dissertation and Theses) were searched up until 11th January 2026 for quantitative, qualitative, and mixed-methods empirical studies using autism and ED search terms.ResultsLongitudinal and qualitative evidence reporting Autistic traits in childhood, a lack of association between BMI and Autistic traits, and a link between autism and EDs not typically associated with low body weight suggests that the association between autism and EDs is not solely due to acute illness effects. High rates of additional mental health problems in those with EDs were not found to fully account for co-occurring autism or Autistic traits.DiscussionAreas for further research include ED populations other than anorexia nervosa (AN), and EDs in Autistic individuals rather than trait-based research. The review highlights the need for early identification of autism and support for Autistic young people, as well as improved training and autism-specific support in ED and other mental health services.Systematic review registrationOpen Science Framework, https://osf.io/t5fwg.
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