The DOI matches its Crossref record; 61 of the 64 references it cites were found in a registry or an index.
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.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“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]
Citations
Cites
3 retracted
Wakefield, A., Murch, S., Anthony, A., Linnell, J., Casson, D., Malik, M., Berelowitz, M., Dhillon, A., Thomson, M., Harvey, P., et al. (1998) · The Lancet · doi:10.1016/s0140-6736(97)11096-0 · Cited by 3,006
RetractedGluten- and casein-free diets for autistic spectrum disorder
Millward, C., Ferriter, M., Calver, S. J., & Connell-Jones, G. G. (2008) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd003498.pub3 · Cited by 288
RetractedGluten- and casein-free diets for autistic spectrum disorder
Millward, C., Ferriter, M., Calver, S. J., & Connell-Jones, G. G. (2004) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd003498.pub2 · Cited by 81
RetractedDiagnostic and Statistical Manual of Mental Disorders
Williams, J. B. W., & First, M. B. (2013) · Oxford University Press eBooks · doi:10.1093/acrefore/9780199975839.013.104 · Cited by 109,845
Lord, C., Rutter, M., & Le Couteur, A. (1994) · Journal of Autism and Developmental Disorders · doi:10.1007/bf02172145 · Cited by 9,065
Principles of nutritional assessment
(1990) · Choice Reviews Online · doi:10.5860/choice.27-6362 · Cited by 2,766
Educating Children with Autism
Lord, C. (2001) · Cited by 1,499
Muhle, R., Trentacoste, S. V., & Rapin, I. (2004) · Pediatrics · doi:10.1542/peds.113.5.e472 · Cited by 1,207
EDUCATING CHILDREN WITH AUTISM
(2002) · Routledge eBooks · doi:10.4324/9780203019665-12 · Cited by 907
Schopler, E., Reichler, R. J., DeVellis, R. F., & Daly, K. (1980) · PsycTESTS Dataset · doi:10.1037/t49458-000 · Cited by 859
Flagged first, then by citations
3 of the 64 references couldn’t be matched to a known paper.
Research works printed but not linked: 2
- Shattock, 1990, Role of neuropeptides in autism and their relationships with classical neurotransmitters, Brain Dysfunction, 3, 328
- Shattock, 1991, Proteins, peptides and autism: II, Brain Dysfunction, 4, 323
Cited by
Sorted by citations
Items 101–130 of 130
[Anatomy of the external saphenous vein].
Payen, B. (1985) · PubMed · Cited by 4
Behavioral Assessment and Treatment of Feeding Problems in Autistic Children
Bachmeyer, M. H., Kirkwood, C. A., Sheehan, C. M., Auten, E. M., & Platt, D. F. (2023) · Autism and child psychopathology series · doi:10.1007/978-3-031-27587-6_19 · Cited by 1
Pulikkan, J., Vasu, D. A., Deepthi, M., & Grace, T. (2025) · IntechOpen eBooks · doi:10.5772/intechopen.1010563 · Cited by 1
Holdeman, N. L. (2010) · OhioLink ETD Center (Ohio Library and Information Network) · Cited by 1
Metabolic Association Between the Gut–Brain Axis in Autism Spectrum Disorders
Delgado, M., Fochesato, A., Juncos, L., & Gargiulo, P. (2017) · Springer eBooks · doi:10.1007/978-3-319-53126-7_33 · Cited by 1
Withrow, N. A., & Alvidrez, L. (2019) · Advances in Autism · doi:10.1108/aia-08-2018-0025 · Cited by 4
Gulati, K., Bhargav, P. H., Abraham, S. E., & Bhargav, H. (2020) · Advances in medical diagnosis, treatment, and care (AMDTC) book series · doi:10.4018/978-1-7998-3254-6.ch021 · Cited by 1
Al-Salihy, A. A.-R. S. (2022) · Kufa Medical Journal · doi:10.36330/kmj.v18i2.3639 · Cited by 2
Management of General Medical Conditions
Carbone, P. S., Reynolds, A., & Kerr, L. M. (2014) · Autism and child psychopathology series · doi:10.1007/978-1-4939-0401-3_25
Complementary Medicine Products Used in Autism - Evidence for Rationale
Semple, S. J., Hewton, C., Paterson, F., & Angley, M. T. (2011) · InTech eBooks · doi:10.5772/17357
Features of feeding diffi culty in children with Autism Spectrum Disorder
Marshall, J., Hill, R. J., Ziviani, J. M., & Dodrill, P. (2014)
Autism Spectrum Disorder: A case study of Mikey
Lober, G. (2015)
A COMPARATIVE STUDY OF BONE NUTRIENT LEVELS IN CHILDREN WITH AND WITHOUT AUTISM
DePasquale, G. M. (2009) · OhioLink ETD Center (Ohio Library and Information Network)
Wall, J. (2010) · OhioLink ETD Center (Ohio Library and Information Network)
Autism Spectrum Disorder: Does Diet Have An Impact?
Le, G., & Gerber, A. S. (2014)
Ekıncı, O., Sabuncuoğlu, O., & Berkem, M. (2009) · Psychiatry and Clinical Psychopharmacology
Dental and mandibular radio-density variations in children with autism spectrum disorders
Baz, G. E., & EL-DESOUKY, G. G. E. D. (2017) · Egyptian Dental Journal /Egyptian Dental Journal · doi:10.21608/edj.2017.75801
Pitombo, V. C., Fernandes, R. D. C. S., Simony, R. F., & Chaud, D. M. A. (2019) · Saúde (Santa Maria) · doi:10.5902/2236583428321
EFFECT OF ANTIOXIDANT RICH DIETS ON SOME AUTISTIC CHILDREN IN EGYPT
احمد, ن. ا. ع., إبراهيم, ه. س., لغني, ع. ل. م. ع., الباقي, ع. م. ع., & المهيري, ه. ف. (2020) · مجلة بحوث التربية النوعية · doi:10.21608/mbse.2020.130832
Nutrition for Children with Special Health Care Needs
Harris, A. B., Baer, M. T., Trahms, C. M., & Ogata, B. (2012) · Elsevier eBooks · doi:10.1016/b978-0-12-391884-0.00017-2
Autism, Gastrointestinal Disturbance, and Immune Dysfunction
Ashwood, P., Enstrom, A. M., & de Water, J. V. (2009) · CRC Press eBooks · doi:10.1201/9781420068870-c14 · Cited by 1
Description Quality of Sleep of Children With Autism
Kulsum, D. U., & Oktavia, O. (2022) · Jurnal Ilmiah Ilmu Keperawatan Indonesia · doi:10.33221/jiiki.v12i02.1650
Withrow, N. A. (2022) · Autism and child psychopathology series · doi:10.1007/978-3-031-06120-2_9
Infuence of prebiotics on childhood autism: Evidences and implications
Chiano, M. D., & Calò, E. (2025) · Global Pediatrics · doi:10.1016/j.gpeds.2025.100295 · Cited by 1
Alimentary Management via Food Supplements for Young Children with Autism: A Review
Lim, B. H., Kok-Hwee, C. H. I. A., & Lee, B. M. (2025) · The Asian Educational Therapist · doi:10.64663/aet.61
Active Engagement: Development of Cooking Skills for Young Adults with Autism
Bailey‐Goldschmidt, J. (2015) · University Libraries (University of Maryland) · doi:10.13016/m2rw4z
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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review