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Nutrient Intake From Food in Children With Autism
Open accessAbstract
OBJECTIVE: The impact of abnormal feeding behaviors reported for children with autism spectrum disorders (ASDs) on their nutritional status is unknown. We compared nutrient intake from food consumed by children with and without ASD and examined nutrient deficiency and excess. METHODS: Prospective 3-day food records and BMI for children (2–11 years) with ASD participating in the Autism Treatment Network (Arkansas, Cincinnati, Colorado, Pittsburgh, and Rochester) were compared with both the National Health and Nutrition Examination Survey data and a matched subset based on age, gender, family income, and race/ethnicity (N = 252 analyzed food records). RESULTS: Children with ASD and matched controls consumed similar amounts of nutrients from food. Only children with ASD aged 4 to 8 years consumed significantly less energy, vitamins A and C, and the mineral Zn; and those 9 to 11 years consumed less phosphorous. A greater percentage of children with ASD met recommendations for vitamins K and E. Few children in either group met the recommended intakes for fiber, choline, calcium, vitamin D, vitamin K, and potassium. Specific age groups consumed excessive amounts of sodium, folate, manganese, zinc, vitamin A (retinol), selenium, and copper. No differences were observed in nutritional sufficiency of children given restricted diets. Children aged 2 to 5 years with ASD had more overweight and obesity, and children 5 to 11 years had more underweight. CONCLUSIONS: Children with ASD, like other children in America, consume less than the recommended amounts of certain nutrients from food. Primary care for all children should include nutritional surveillance and attention to BMI.
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“Furthermore, children with ASD may receive less sunlight due to lower outdoor activity and have inadequate intake of vitamin D [114,118,126,127,128,129,130,131,132,133,134,135,136], i.e., reverse causality.”
From Vitamin D and Autism Spectrum Disorder: A Literature Review (2016) · cites this paper as [132]
In the citing paper
“Although these studies illustrated a large proportion of children with ASD not meeting the recommendations for vitamin D intake, they did not find any evidence that dietary intake of vitamin D in children with ASD differed from that of typically developing controls.”
From Vitamin D and Autism Spectrum Disorder: A Literature Review (2016) · cites this paper as [132]
In the citing paper
“Evidence suggests that a large proportion of children with ASD do not meet vitamin D requirements [126,132,133,134,135,136].”
From Vitamin D and Autism Spectrum Disorder: A Literature Review (2016) · cites this paper as [132]
In the citing paper
“Several studies have shown that children with ASD have inadequate micronutrient intakes [65,66], and they are at particular risk for specific inadequacies of vitamins and minerals such as calcium, magnesium, vitamin D, and vitamin E [39,46,51].”
From Dietary Patterns, Eating Behavior, and Nutrient Intakes of Spanish Preschool Children with Autism Spectrum Disorders (2021) · cites this paper as [65]
In the citing paper
“Children with ASDs eat fewer vegetables and eat more energy-dense foods [76,78], so fiber intake was inadequate in a considerable number of children with ASDs [71,73,79,80].”
From Autism, Gastrointestinal Symptoms and Modulation of Gut Microbiota by Nutritional Interventions (2019) · cites this paper as [80]
In the citing paper
“Substantial number of subjects with ASDs had inadequate intakes of micronutrients.”
From Autism, Gastrointestinal Symptoms and Modulation of Gut Microbiota by Nutritional Interventions (2019) · cites this paper as [80]
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Metadata
- Authors
- Hyman, S. L., Stewart, P. A., Schmidt, B., Cain, U., Lemcke, N., Foley, J. T., Peck, R., Clemons, T., Reynolds, A., Johnson, C., Handen, B., James, S. J., Courtney, P. M., Molloy, C., & Ng, P. K.
- Affiliations
- University of Rochester Medicine (US)
- Boston University (US)
- EMMES Corporation, Baltimore, Maryland;
- University of Colorado Anschutz (US)
- University of Pittsburgh (US)
- University of Arkansas for Medical Sciences (US)
- Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio
- Corresponding author
- Hyman, Susan L.
- Venue
- Pediatrics
- Publisher
- American Academy of Pediatrics (AAP)
- Published
- 2012-11-01
- Volume
- 130
- Issue
- Supplement_2
- Pages
- S145-S153
- ISSN
- 0031-4005 (ISSN-L)
- 1098-4275
- PMC
- PMC4536585
- OpenAlex
- W2110404814
- Cited by
- 255
- References
- 39
- Citations by year
- 2026: 8 · 2025: 10 · 2024: 26 · 2023: 17 · 2022: 21 · 2021: 32 · 2020: 26 · 2019: 14 · 2018: 21 · 2017: 19 · 2016: 11 · 2015: 21 · 2014: 17 · 2013: 10 · 2012: 1
- FWCI
- 11.16
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- PEDIATRICS (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Rural Development Administration
- National Institutes of Health (UL1TR000077)
- Health Resources and Services Administration
- National Center for Advancing Translational Sciences
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Keywords
- autism spectrum disorder, nutrient intake, dietary intake, nutritional status, nutritional deficiency, nutrient excess, restrictive diets, feeding behavior, childhood obesity, underweight, body mass index, vitamins, minerals, sodium intake
- MeSH terms
- Autistic Disorder, Child, Child, Preschool, Eating, Female, Humans, Male, Nutritional Status, Prospective Studies
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