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We looked at feeding issues in preschool-aged children with autism spectrum disorders, including Avoidant Restrictive Food Intake Disorder (ARFID) (ASD). A prospective longitudinal study included 46 children with ASD. 76% of the children with ASD had feeding issues, and 28% of them satisfied the requirements for ARFID. The study emphasises the early onset age, the diversity of eating difficulties, the necessity for multidisciplinary examinations in both feeding problems and ASD, as well as the need for greater clarification of the classifications of feeding disorders in children.