Nutrition and Your Autistic Child

It seems like common sense that a well nourished childreflux, watery eyes, nasal congestion or sneezing. To
is a happier child. Many parents have noticed moodydetermine which foods are problematic, an "Elimination
or cranky behavior in their young children before mealChallenge Diet" is applied. Once problem foods are
time or after school when they arrive home hungry.removed from the diet, the discomfort is resolved, and
For an Autistic child, however, who may not be able tothe child becomes more open to mealtime. A
accurately communicate his or her needs, this hungerwell-nourished child is a better-behaved child. In many
may go unnoticed. Or they may not want to eat andcases, children who undergo nutrition assessment and
may have many food aversions. For these reasons,treatment, have a formed bowel movement for the
integrating nutrition therapy into treatment for childrenfirst time in his or her life. Imagine how eliminating this
with autism is critical.discomfort helps a child!
In many cases, nutrition is not an integral part of overallMany autistic children may also have a subclinical
therapy at diagnosis. Yet many parents whonutrition deficiency. This is a deficiency of a particular
eventually seek out this information on their own, arevitamin, mineral, or essential fatty acid that is not
getting nutrition information from questionable sources.severe enough to produce a classic deficiency
Some parents may not take nutrition therapy intosymptom, but rather has more global, subtle effects
consideration at all.that result in loss of optimal health and impairment of
Autism is complex and involves a spectrum ofbody processes. These subclinical deficiencies can
challenging behaviors, so it is natural for both parentscause irritability, poor concentration, depression, anxiety,
and caregivers to initially focus directly on controllingsleep disturbances or loss of appetite. While it is best
those behaviors. In many cases, the health care teamto determine which vitamin or mineral the child may be
includes a physician, occupational therapist, speechdeficient in, minimally a standard multi-vitamin and
therapist and behavior therapist; but does not include amineral supplement is recommended. Look for
registered dietitian to provide nutrition therapy. What issupplements that have the USP label on them, and
interesting is that almost all autistic children havethose that are free of colors, allergens or artificial
nutritional deficiencies, food intolerance, orflavors to eliminate any possible food intolerance
gastrointestinal disorders that often are not thoroughlyissues. Using liquid forms that can be mixed into
addressed. While studies involving the significance offavorite foods (such as applesauce, yogurt, juices, or
the effect nutrition status has in the management ofsherbet) is one strategy for children who have difficulty
autism are preliminary, there is good reason tochewing or swallowing vitamins. Asking a pharmacist
consider filling this gap in treatment.to compound a multivitamin and mineral supplement
The goal of nutrition therapy in autism is to support thethat is age appropriate is another option.
structure and function of the child's brain and body toIn addition to the multivitamin/mineral, omego-3 fatty
perform at their optimal level and to maximize theacids have been shown to be helpful as well.
child's brain function so that the response to otherNumerous studies indicate that Omega-3 fatty acids
treatment is enhanced. Proper nutrition therapy shouldare deficient in those who have ADHD, Dyslexia and
include a comprehensive nutrition assessment and alsoDyspraxia. Abnormalities in fatty acid metabolism may
address feeding problems, any gastrointestinalaccount for many features common in these
problems, or need for vitamin and mineralconditions. There is some preliminary evidence that it is
supplementation.also deficient in children with autism. For children ages
Imagine a child who has difficulty communicating his orseven and older, 650 milligrams per day of an
her needs, feeling uncomfortable every time he eatsOmega-3 that provides both EPA and DHA is
due to unknown food sensitivities or intolerance. Thisrecommended. For children four to six years of age,
sends a negative message to avoid those foods or540 milligrams per day is recommended, and for
avoid eating all together. Children with food allergies arechildren aged one to three, 390 milligrams per day is
at higher risk for nutrition-related problems andneeded.
decreased growth, but children with autism are moreMuch more research is needed in the area of nutrition
negatively affected due to their problems with sensoryand autism, but clearly nutrition is a key piece of the
integration dysfunction.treatment puzzle that is often missing. Speak with your
Allergy symptoms may include hives, coughing,health care team about a thorough nutrition
eczema, nausea, diarrhea, constipation, gastrointestinalassessment for your autistic child.