Food Variety as a Predictor of Nutritional Status Among Children with Autism

Division of Developmental and Behavioral Pediatrics MLC 4002, Cincinnati Children's Hospital Medical Center, 3430 Burnet Avenue, Cincinnati, OH 45220, USA.
Journal of Autism and Developmental Disorders (Impact Factor: 3.06). 05/2011; 42(4):549-56. DOI: 10.1007/s10803-011-1268-z
Source: PubMed

ABSTRACT The frequency of selective eating and nutritional deficiency was studied among 22 children with autism and an age matched typically developing control group. Children with autism ate fewer foods on average than typically developing children. (33.5 vs. 54.5 foods, P < .001) As compared to typical controls, children with autism had a higher average intake of magnesium, and lower average intake of protein, calcium, vitamin B12, and vitamin D. Selective eaters were significantly more likely than typical controls to be at risk for at least one serious nutrient deficiency (P < .001).

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    ABSTRACT: Adequate nutrient intake is essential for health.Due to food selectivity and restrictive diets, people with autism spectrum disorder (ASD) may have impaired nutritional status, which could affect their growth.We present a systematic review of publications (1970– 2013) on anthropometric measurements and nutritional assessment in this population. The limited research published on growth and nutritional status has found contradictory results. Nutritional assessment has indicated limited food variety in the ASD population but has not confirmed significant differences with respect to recommended intakes or controls. In addition to the lack of control groups,studies in this area have suffered from methodological weaknesses,including unclear selection criteria, analysis of single individuals or small or age-heterogeneous samples,and failure to consider phenotypic variability between individuals or alternative explanations.Therefore,further research is warranted,particularly randomized controlled trials with larger sample sizes.
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    ABSTRACT: Children with autism spectrum disorder (ASD) are at risk of developing nutritional deviations. Three to six year old children with ASD were compared to their typically developing siblings and to a typically developing age and gender matched control group, in order to evaluate their intake and body mass index. Nutrient intake was compared to the Dietary Reference Intake using three-day diet diaries completed by the parents. The sum percentage of nutritional deficiencies in the ASD group compared to the typical development group was 342.5% (±122.9%) vs. 275.9% (±106.8%), respectively (P=0.026). A trend toward higher deficiency in the ASD group was observed as compared to the sibling group 363% (±122.9%) vs. 283.2% (±94.7%) (P=0.071). A higher body mass index was found in the ASD group compared to their counterparts, despite their nutritional deficiencies. In conclusion, children with ASD are more likely to suffer from nutritional deficiencies despite higher body mass index. Copyright © 2014 Elsevier Ltd. All rights reserved.
    Research in Developmental Disabilities 12/2014; 38C:1-6. DOI:10.1016/j.ridd.2014.11.020 · 3.40 Impact Factor