Change Of Diet For children With Autism Suffering - Nutrition and ...

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Department of General Paediatrics, The Royal Children's Hospital, Parkville, Vic., Australia. Journal of paediatrics and child health ( Australia ) Mar 2007 , 43 (3) p186-7 , ISSN: 1034-4810--Print Journal Code: 9005421 Publishing Model Print Document type: Case Reports; Journal Article Languages: ENGLISH Main Citation Owner: NLM Record type: MEDLINE; Completed Subfile: INDEX MEDICUS An 11 year old boy with autism presented with a 2-month history of agitated behaviour with associated weight loss. On examination he was wasted and distressed. He had severe hypoalbuminaemia. Gastrointestinal imaging revealed a gastric bezoar. At operation a large phytobezoar extending into the jejunum was identified and removed. Postoperatively he required intensive nutritional resuscitation and support, including treatment of multiple micronutrient deficiencies. Malnutrition is common in children with developmental disabilities, with a number of possible contributing factors. Gastric bezoar is a rare cause, which should be considered in mobile children who may engage in pica. Tags: Male Descriptors: *Autistic Disorder; *Psychomotor Agitation; *Weight Loss ; Bezoars- -diagnosis--DI; Child; Humans; Pica; Victoria Record Date Created: 20070223 Record Date Completed: 20070416 Relationship of dietary intake to gastrointestinal symptoms in children with autistic spectrum disorders. Levy Susan E; Souders Margaret C; Ittenbach Richard F; Giarelli Ellen; Mulberg Andrew E; Pinto-Martin Jennifer A Division of Child Development and Rehabilitation, Children's Seashore House of the Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA. levys@email.chop.edu Biological psychiatry ( United States ) Feb 15 2007 , 61 (4) p492-7 , ISSN: 0006-3223--Print Journal Code: 0213264 Contract/Grant No.: 2T73 MC 00035 09; PHS HHS United States; 3P30 HD26979-04S2; HD; NICHD NIH HHS United States; 541247; PHS HHS United States; RR00240; RR; NCRR NIH HHS United States Publishing Model Print-Electronic Document type: Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, P.H.S. Languages: ENGLISH Main Citation Owner: NLM Record type: MEDLINE; Completed Subfile: INDEX MEDICUS BACKGROUND: Gastrointestinal (GI) symptoms and abnormalities in stool consistency are frequently reported by parents of children with autism spectrum disorders (ASD). The purpose of this study was to 1) describe dietary intake of a cohort of children with ASD compared with normative data and 2) determine whether GI symptoms and stool consistency are related to dietary intake. METHODS: Data from diet diaries of children (3-8 years) with ASD (n = 62) were analyzed by a registered pediatric dietician to compare to RDA standards for total calories, protein, carbohydrate, and fat. Dietary intake was correlated with descriptors of stool consistency using cumulative logistic regression methods.
RESULTS: Intake of calories, carbohydrates, and fat were in the average range; protein intake was increased (211% of RDA). Reported frequency of GI abnormalities, including abnormal stool consistency (e.g., bulky or loose), was increased (54%). No statistically significant relationships between stool consistency and dietary intake were observed. CONCLUSIONS: In this sample, there was a high rate of reported gastrointestinal symptoms, despite lack of medical causes. Intake was adequate for calories and carbohydrates and increased for protein. The children did not exhibit excessive carbohydrate intake. There was no association of nutrient intake to changes in stool consistency. Tags: Female; Male Descriptors: *Eating--drug effects--DE; *Energy Intake--drug effects--DE; *Gastrointestinal Agents--therapeutic use--TU; *Gastrointestinal Diseases --drug therapy--DT; *Gastrointestinal Diseases--physiopathology--PP; *Secretin-therapeutic use--TU ; Autistic Disorder--complications--CO; Child; Child, Preschool; Cohort Studies; Cross-Over Studies; Double-Blind Method; Energy Intake--physiology --PH; Gastrointestinal Diseases--etiology--ET; Humans CAS Registry No.: 0 (Gastrointestinal Agents); 1393-25-5 (Secretin) Record Date Created: 20070205 Record Date Completed: 20070327 Date of Electronic Publication: 20070103 Beneficial behavioural effects of IBD therapy and gluten/casein-free diet in an Italian cohort of patients with autistic enterocolitis followed over one year Author: Balzola Federico; Clauser Daniela; Repici Alessandro; Caldognetto Marina; Barletti Claudio; Sapino Anna; Barbera Cristiana; Calvo Pierluigi; Reggio Dario; Gennari Fabrizio; Nonnato Antonello; Forni Marco; Morra Isabella; Gandione Marina; Rigardetto Roberto; Rizzetto Mario Journal: Gastroenterology 130 ( 4, Suppl. 2 ): p A211 APR 2006 2006 Conference/Meeting: Digestive Disease Week Meeting/107th Annual Meeting of the American-Gastroenterological-Association Los Angeles, CA, USA May 19 - 24, 2006; 20060519 Sponsor: Amer Gastroenterol Assoc Inst ISSN: 0016-5085 Document Type: Meeting; Meeting Abstract Record Type: Abstract Language: English Abstract: Autism diagnoses alone have risen from 1:5000 in 1980 to a frightening 1:120 today, that cannot only be the result of better diagnostic variation or recognition of the disease. A substantial proportion of pts with regressive/late onset autism showed evidence of a previously unrecognized IBD, labelled autistic enterocolitis characterized by lymphoid nodular hyperplasia and chronic ileocolitis. Although improvements in autistic behaviour has been reported when gluten and casein exclusion diets was introduced, no data is available on the effect of specific bowel therapy on the psychiatric symptoms. We aimed to evaluate the effects of specific IBD therapy together with the gluten/casein free diet on specific gastrointestinal and autistic symptoms in a cohort of regressive/late onset autistic pts with autistic enterocolitis, followed over 12 months. Among the 85 consecutive autistic pts observed, 40 presented with severe constipation or diarrhoea. In 12 of them (male, median age 16 yrs, 4-30) an endoscopy and wireless capsule examination were performed because of the permission of the parents and then enrolled in the follow-up study. Macroscopic lesions were observed in 55% of the pts in both the upper and lower
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