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Relationship of Dietary Intake to Gastrointestinal Symptoms in Children with Autistic Spectrum Disorders
Abstract
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.
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“Protein intake was adequate or quite similar to that of typically developing children [69,72,73,74,75,76,77].”
From Autism, Gastrointestinal Symptoms and Modulation of Gut Microbiota by Nutritional Interventions (2019) · cites this paper as [74]
In the citing paper
“However, in many studies children with ASDs show a considerably smaller variety of foods, but authors report no overall differences in their total calories, carbohydrates, or fat intakes [62,71,72,73,74], suggesting that their satiety mechanisms are not impaired.”
From Autism, Gastrointestinal Symptoms and Modulation of Gut Microbiota by Nutritional Interventions (2019) · cites this paper as [74]
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Metadata
- Authors
- Levy, S. E., Souders, M. C., Ittenbach, R. F., Giarelli, E., Mulberg, A. E., & Pinto-Martin, J. A.
- Affiliations
- Children's Hospital of Philadelphia (US)
- Corresponding author
- Levy, Susan E.
- Venue
- Biological Psychiatry
- Publisher
- Elsevier BV
- Published
- 2007-02
- Volume
- 61
- Issue
- 4
- Pages
- 492-497
- ISSN
- 0006-3223 (ISSN-L)
- OpenAlex
- W1980955239
- Cited by
- 130
- References
- 64
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 2 · 2023: 5 · 2022: 4 · 2021: 6 · 2020: 8 · 2019: 5 · 2018: 5 · 2017: 5 · 2016: 7 · 2015: 11 · 2014: 8 · 2013: 13 · 2012: 7
- FWCI
- 6.64
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Biological Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- U.S. Public Health Service (2T73 MC 00035 09, 541247)
- National Center for Research Resources (RR 00240, M01RR000240)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (P30HD026979, 3P30 HD26979-04S2)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Keywords
- autism spectrum disorder, gastrointestinal symptoms, dietary intake, stool consistency, children, protein intake, diet diaries, nutritional adequacy
- MeSH terms
- Autistic Disorder, Energy Intake, Child, Child, Preschool, Double-Blind Method, Eating, Female, Gastrointestinal Agents, Gastrointestinal Diseases, Humans, Male, Secretin, Cohort Studies, Cross-Over Studies
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