Dietary Patterns of Children with Autism Spectrum Disorder: A Study Based in Egypt
DOI:
https://doi.org/10.3889/oamjms.2015.051Keywords:
Autistic Children, anthropometric measurements, dietary intake, micronutrients, EgyptianAbstract
AIM: In the hope to assist in tailoring individualized nutritional therapy, this study aimed to assess the nutritional status of autistic children.
MATERIAL AND METHODS: This cross-sectional study included 80 autistic children, divided into two groups: group 1 (aged 3- 5 years) and group 2 (aged 6-9 years). Diagnosis was performed based on the criteria for autistic disorder as defined in the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Autism Diagnostic Interview Revised and Autism Rating Scale.
RESULTS: Socio-demographic data, anthropometric measurements and dietary intake patterns were recorded using a validated questionnaire. The daily intakes of calories and nutrients were converted to percentages of the Recommended Dietary Allowance or Dietary Reference Intake based on age- and gender-normalized DRIs. Plotting on the Egyptian sex-specific growth chart, BMI-z scores of both age groups were slightly overweight. Autistic children suffered inadequate intake of some micronutrients such as vitamin D and C, calcium, folate, magnesium, phosphorus, zinc, and iron, some deficiencies were highly significant especially at older age.
CONCLUSIONS: Tailoring a specially designed balanced diet with appropriate micronutrient supplementation may ameliorate the severity of autism symptoms and related abnormal behaviours.Downloads
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Cermak SA, Curtin C, Bandini LG. Food selectivity and sensory sensitivity in children with autism spectrum disorders. J Am Diet Assoc. 2010; 110:238-46. DOI: https://doi.org/10.1016/j.jada.2009.10.032
Mutch DM, Wahli W, Williamson G, et al. Nutrigenomics and nutrigenetics: the emerging faces of nutrition. FASEB J. 2005; 19:1602-16. DOI: https://doi.org/10.1096/fj.05-3911rev
Dufault R, Lukiw WJ, Crider R, et al. A macroepigenetic approach to identify factors responsible for the autism epidemic in the United States. Clinical Epigenetics. 2012; 4: 6. DOI: https://doi.org/10.1186/1868-7083-4-6
Buie T, Campbell DB, Fuchs GJ 3rd, et al. Evaluation, diagnosis, and treatment of gastrointestinal disorders in individuals with ASDs: a consensus report. Pediatrics. 2010; 125 : S1–18. DOI: https://doi.org/10.1542/peds.2009-1878C
Bent S, Bertoglio K, Hendren RL. Omega-3 fatty acids for autistic spectrum disorder: A systematic review. J Autism Dev Disord. 2009; 39: 1145–54. DOI: https://doi.org/10.1007/s10803-009-0724-5
Adams JB, Audhya T, McDonough-Means S, et al. Nutritional and metabolic status of children with autism vs. neurotypical children, and the association with autism severity. Nutr. Metab. 2011; 8: 34. DOI: https://doi.org/10.1186/1743-7075-8-34
Smith CL, Bolton A, Nguyen G. Genomic and epigenomic instability, fragile sites, schizophrenia and autism.Curr Genomics. 2010;11:447- 69. DOI: https://doi.org/10.2174/138920210793176001
World Food Dietary Assessment System (WFDAS. Licensed University of. California, Regentes-Berkeley USA), 1995.
National Research Council, Food Nutrition board ((NRC/FNB) Recommended Dietary Allowances (RDA). 10th ed. National Academy of sciences, Washington DC, USA, 1980.
United States Department of Agriculture (USDA). Center for Nutrition Policy and Promotion, April 2005.
Hiernaux J, Tanner JM. Growth and physical studies. In: Weiner JS, Lourie SA, eds. Human Biology: A guide to field methods. London, Blackwell Scientific Publications: Oxford, UK, 1969.
Ghalli I, Salah N, Hussien F. Egyptian growth curves 2002 for infants, Children and adolescents; Final national project( NO;321): Projects of Universities Exchange Program Published in Satorio. A, Buckler JMH and Marazzi, N. Crecere nelmondoâ€. Ferring Publisher, Italy, 2008.
Curtin C, Bandini LG, Perrin EC, Tybor DJ, Must A. Prevalence of overweight in children and adolescents with attention deficit hyperactivity disorder and autism spectrum disorders: a chart review. BMC Pediatr. 2005;5:48. DOI: https://doi.org/10.1186/1471-2431-5-48
Curtin C, Anderson SE, Must A, Bandini L. The prevalence of obesity in children with autism: a secondary data analysis using nationally representative data from the National Survey of Children’s Health. BMC Pediatr. 2010; 10:11. DOI: https://doi.org/10.1186/1471-2431-10-11
Shabayek MM. Assessment of the nutritional status of children with special needs in Alexandria. Part II: Anthropometric measures. The Journal of the Egyptian Public Health Association. 2004; 79: 363–82.
Rosser DD, Frey GC. Comparison on physical activity levels between children with and without autistic spectrum disorders. Medicine & Science in Sports & Exercise. 2003; 35:S1. S76. DOI: https://doi.org/10.1097/00005768-200305001-00410
Emond A, Emmett P, Steer C, Golding J. Feeding symptoms, dietary Patterns, and growth in young children with autism spectrum disorders. Pediatrics. 2010; 126:e337 -e342. DOI: https://doi.org/10.1542/peds.2009-2391
Lindsay RL, Eugene Arnold L, Aman MG, et al. Dietary status and impact of risperidone on nutritional balance in children with autism: a pilot study. J Intellect Dev Disabil. 2006; 31:204–9. DOI: https://doi.org/10.1080/13668250601006924
Levy SE, Souders MC, Ittenbach RF, et al. Relationship of dietary intake to gastrointestinal symptoms in children with autistic spectrum disorders. Biol Psychiatry. 2007; 61:492-7. DOI: https://doi.org/10.1016/j.biopsych.2006.07.013
Bandini L, Anderson S, Curtin C, et al. Food selectivity in children with autism spectrum disorders and typically developing children. J Pediatr. 2010; 157: 259– 64. DOI: https://doi.org/10.1016/j.jpeds.2010.02.013
Herndon AC, DiGuiseppi C, Johnson SL, Leiferman J, Reynolds A. Does nutritional intake differ between children with autism spectrum disorders and children with typical development? J Autism Dev Disord. 2009; 39: 212– 22. DOI: https://doi.org/10.1007/s10803-008-0606-2
Meguid NA, Hashish AF, Anwar M, Sidhom G. Reduced serum levels of 25-hydroxy and 1,25-dihydroxy vitamin D in Egyptian children with autism. J Altern Complement Med. 2010, 16:641-45. DOI: https://doi.org/10.1089/acm.2009.0349
Eyles D, Brown J, Mackay-Sim A, McGrath J, Feron F. Vitamin D3 and brain development. Neuroscience. 2003;118: 641– 53. DOI: https://doi.org/10.1016/S0306-4522(03)00040-X
Hardan AY, Minshew NJ, Mallikarjuhn M, Keshavan MS. Brain volume in autism. J Child Neurol. 2001;16:421–24. DOI: https://doi.org/10.2310/7010.2001.7113
Eyles DW, Smith S, Kinobe R, Hewison M, McGrath JJ. Distribution of the vitamin D receptor and 1a-hydroxylase in human brain. J Chem Neuroanat. 2005;29: 21– 30. DOI: https://doi.org/10.1016/j.jchemneu.2004.08.006
Kidd PM . Autism, an extreme challenge to integrative medicine. Part 2: medical management. Altern Med Rev. 2002; 7:472– 99.
Xia W, Zhou Y, Sun C, Wang J, Wu L.A preliminary study on nutritional status and intake in Chinese children with autism. Eur J Pediatr. 2010; 69:1201-6. DOI: https://doi.org/10.1007/s00431-010-1203-x
Cornish E. A balanced approach towards healthy eating in autism. Journal of Human Nutrition and Dietetics. 1998; 11: 501–9. DOI: https://doi.org/10.1046/j.1365-277X.1998.00132.x
Adams JB, Holloway C. Pilot study of a moderate dose multivitamin/mineral supplement for children with autistic spectrum disorder. J Altern Complement Med. 2004; 10:1033–39. DOI: https://doi.org/10.1089/acm.2004.10.1033
Mousain-Bosc M, Roche M, Polge A, et al. Improvement of neurobehavioral disorders in children supplemented with magnesium-vitamin B6. II. Pervasive developmental disorderautism. Magnes Res. 2006; 19: 53–62.
Lozoff B. Early iron deficiency has brain and behavior effects consistent with dopaminergic dysfunction. J Nutr. 2011; 141:740S- 46S. DOI: https://doi.org/10.3945/jn.110.131169
Bilgic A, Gurkan K, Turkogluc S, Akc OF. Iron deficiency in preschool children with autistic spectrum disorders: Research in Autism Spectrum Disorders. 2010; 4:639– 44. DOI: https://doi.org/10.1016/j.rasd.2009.12.008
Latif A, Heinz P, Cook R. Iron deficiency in Autism and Asperger Syndrome. Autism. 2002; 6:103-14. DOI: https://doi.org/10.1177/1362361302006001008
Johnson S. Micronutrient accumulation and depletion in schizophrenia, epilepsy, autism and Parkinson’s disease? Med Hypotheses. 2001; 56:641-45. DOI: https://doi.org/10.1054/mehy.2000.1302
Hyman SL, Stewart PA, Schmidt B, et al. Nutrient intake from food in children with autism. Pediatrics. 2012; 130:S145-53. DOI: https://doi.org/10.1542/peds.2012-0900L
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