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Autism Studies and Related Medical Conditions, January 2009 - TACA

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Dolske MC, Spollen J, McKay S, Lancashire E, Tolbert L. A preliminary trial of ascorbic<br />

acid as supplemental therapy for autism. Prog Neuropsychopharmacol Biol Psychiatry.<br />

1993 Sep;17(5):765-74.<br />

Department of Psychiatry, University of Alabama at Birmingham.<br />

1. This study presents the results of a 30-week double-blind, placebo-controlled<br />

trial exploring the effectiveness of ascorbic acid (8g/70kg/day) as a supplemental<br />

pharmacological treatment for autistic children in residential treatment. 2.<br />

Residential school children (N = 18) were r<strong>and</strong>omly assigned to either ascorbateascorbate-placebo<br />

treatment order group or ascorbate-placebo-ascorbate<br />

treatment order group. Each treatment phase lasted 10 weeks <strong>and</strong> behaviors<br />

were rated weekly using the Ritvo-Freeman scale. 3. Significant group by phase<br />

interactions were found for total scores <strong>and</strong> also sensory motor scores indicating<br />

a reduction in symptom severity associated with the ascorbic acid treatment. 4.<br />

These results were consistent with a hypothesized dopaminergic mechanism of<br />

action of ascorbic acid.<br />

PMID: 8255984 [PubMed - indexed for MEDLINE]<br />

Fernstrom JD. Can nutrient supplements modify brain function? Am J Clin Nutr. 2000<br />

Jun;71(6 Suppl):1669S-75S.<br />

University of Pittsburgh School of Medicine, Western Psychiatric Institute <strong>and</strong><br />

Clinic, Pittsburgh, PA 15213, USA. ferstro+@pitt.edu<br />

Over the past 40 y, several lines of investigation have shown that the chemistry<br />

<strong>and</strong> function of both the developing <strong>and</strong> the mature brain are influenced by diet.<br />

Examples are the effect of folate deficiency on neural tube development during<br />

early gestation, the influence of essential fatty acid deficiency during gestation<br />

<strong>and</strong> postnatal life on the development of visual function in infants, <strong>and</strong> the<br />

effects of tryptophan or tyrosine intake (alone or as a constituent of dietary<br />

protein) on the production of the brain neurotransmitters derived from them<br />

(serotonin <strong>and</strong> the catecholamines, respectively). Sometimes the functional<br />

effects are clear <strong>and</strong> the underlying biochemical mechanisms are not (as with<br />

folate <strong>and</strong> essential fatty acids); in other cases (such as the amino acids tyrosine<br />

<strong>and</strong> tryptophan), the biochemical effects are well understood, whereas the effect<br />

on brain function is not. Despite the incomplete knowledge base on the effects of<br />

such nutrients, investigators, physicians, <strong>and</strong> regulatory bodies have promoted<br />

the use of these nutrients in the treatment of disease. Typically, these nutrients<br />

have been given in doses above those believed to be required for normal health;<br />

after they have been given in pure form, unanticipated adverse effects have<br />

<strong>Autism</strong> <strong>Studies</strong> & <strong>Related</strong> <strong>Medical</strong> <strong>Conditions</strong> – <strong>TACA</strong> © Page 191

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