Feeding Problems in Children With Autism Spectrum Disorders

Ledford, Jennifer R.; Gast, David L.

doi:10.1177/10883576060210030401

Cited by 327 publications

(231 citation statements)

References 41 publications

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“…In two other studies (Cleland, Gibbon, Peppé, O'Hare, & Rutherford, 2010;Rapin et al, 2009) 33% of 3 to 9 years old children presented with delayed speech, phonological difficulties and speech disorders that remained even after therapy. Furthermore the percentage of children with ASD who present with feeding disorders reaches 46% to 89% (Ledford & Gast, 2006;Kodak & Piazza, 2008).…”

Section: Discussionmentioning

confidence: 99%

Longitudinal Study of High and Low Functioning Preschool Children with ASD and the Progress Made Following Therapeutic Intervention

Angelique¹,

Anastasia²,

Aikaterini³

et al. 2017

JPR

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The present study addresses three problem areas among preschool children with ASD (Autism Spectrum Disorder):co-occurring psychiatric problems, speech-language and feeding difficulties, and progress of low functioning (globally retarded) children in most areas of development. Fifty children with ASD (mean age 3 years) were studied.Three therapists of different disciplines (the first to see and treat the children) examined carefully the files of the children, tests, notes and ΕΔΑΛΦΑ (special multidisciplinary tool) to classify the problems of the children. All children presented with co-occurring psychiatric problems such as: externalization 74%, ADH 54%, internalization 52%. Children in the average intelligence presented with higher levels of ADH (attention deficit hyperactivity problems) difficulties. Most children presented more than two co-morbitities, but contrary to our hypothesis, low functioning children presented with fewer co-morbitities. Four speech language pathologists (those who saw and evaluated the children when they were first enrolled in therapy) after meticulous study of the children's files, notes, tests and ΕΔΑΛΦΑ records found the following: all children (100%) presented with receptive and expressive language problems, a high proportion (64%) had developmental dyspraxia (verbal and oral), 18% never developed speech (all of them had oral dyspraxia), 28% had phonological disorder and 28% feeding difficulties. Thirty two children received therapy for almost two years (mean 21.90 months) and had one to three ΕΔΑΛΦΑ re-evaluations.The average range of progress made ranged from 15.41 months (psychosocial development) to 26.34 months (everyday living skills). Even children globally retarded (RAVEN < 60) made progress 4.63 months (expressive language) to 18.57 months (cognitive development). Intelligence and receptive language skills were highly correlated with progress.

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Section: Discussionmentioning

confidence: 99%

Longitudinal Study of High and Low Functioning Preschool Children with ASD and the Progress Made Following Therapeutic Intervention

Angelique¹,

Anastasia²,

Aikaterini³

et al. 2017

JPR

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“…Dwunastu z 26 chorych opisanych przez Bowers [21] cechowało skrajne ograniczenie liczby akceptowanych pokarmów. Poza tym spożywanie posiłków utrudnia koncentracja na szczegółach, powtarzanie czynności, impulsywność, lęk przed nowościami, upośledzenie natury sensorycznej, osłabienie lub brak doświadczania przyjemności z biesiadowania oraz wyzwalane negatywne bodźce biologiczne w obrębie przewodu pokarmowego [22]. Niestety, nie poznano przyczyn odrzucania bądź selektywnego wyboru pokarmów przez autystyków oraz sposobu skutecznego poszerzania listy akceptowanych produktów bezglutenowych [7,22].…”

Section: Skuteczność Diety Bezglutenowej W Leczeniu Chorób Z Zakresu unclassified

Gluten-free diet in the treatment of autism spectrum disorders – a short overview

Hozyasz¹,

Gryglicka²,

Żółkowska³

2010

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Słowa kluczowe: dieta bezglutenowa, autyzm, nietolerancja pokarmowa. Key words: gluten-free diet, autism, food intolerance.Adres do korespondencji: dr n. med. Kamil K. Hozyasz, Klinika Pediatrii, Instytut Matki i Dziecka, ul. Kasprzaka 17a, 01-211 Warszawa, tel. +48 22 327 72 68, e-mail: kamil.hozyasz@imid.med.pl Artykuł poglądowy/Review paper StreszczeniePo poradę dotyczącą diety bezglutenowej zgłaszają się zazwyczaj chorzy z zaburzeniami ze spektrum autyzmu (autistic spectrum disorders -ASD), należący do dwóch grup. Większość stanowią młodsze dzieci z ASD i ich rodzice. Nieliczną grupą są wcześniej niezdiagnozowani nastolatkowie i młodzi dorośli z łagodnymi postaciami ASD, którzy wskutek własnych poszukiwań stwierdzili, że ich sprawność społeczna i kreatywność zwiększyła się po eliminacji glutenu z diety. Relacjonują oni bardzo dużą wrażliwość na niezamierzone błędy dietetyczne. W artykule przedstawiono zagadnienie stosowania diety bezglutenowej w ASD na podstawie najnowszych przeglądów piśmiennictwa oraz badań oryginalnych. Wyniki wieloletnich obserwacji pokazują, że u części osób z ASD eliminacja glutenu z diety może korzystnie wpły-wać na zaburzenia psychiczne. Bardzo zmienny wzorzec snu, częste ostre zmiany zachowania i epizody zwiększonej agresji, objawy nietolerancji pokarmów oraz pozytywne wyniki badań laboratoryjnych w kierunku alergii pokarmowej są wskazywane jako pomocne w identyfikacji chorych odnoszących korzyść z wprowadzenia diety bezglutenowej. Niezbędne są dalsze, prawidłowo zaplanowane badania w celu udokumentowania korzyści ze stosowania diety bezglutenowej u pacjentów z różnymi zaburzeniami ze spektrum autyzmu. AbstractThere are two groups of patients with autistic spectrum disorders (ASD) referred to clinicians for information about intervention with a gluten-free diet. The ASD children and their parents are the majority. Previously undiagnosed teenagers and young adults, who fulfil the criteria of a mild ASD and have experienced improvement in social interaction and general well-being after a self-administered gluten-free diet, are the small minority. We observed only a small number of patients (6 males) from the last group, who looked for explanation and laboratory confirmation of their gluten intolerance. They reported to be very sensitive to unintentional gluten consumption. This article provides a summary of current systematic reviews and original papers on the effects of a gluten-free diet in the treatment of ASD. Accumulating evidence suggests that in a portion of patients gluten may contribute significantly to autistic behaviour and should be eliminated from the diet. Irregular sleeping pattern, episodes of aggression and acute behavioural changes, biological food intolerance, and positive results of laboratory tests for food allergies are considered to be helpful in identifying responders to a gluten-free diet among children with ASD. Future investigations should use validated and reliable outcome measures to determine the benefits of a gluten-free diet in patients with different t...

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“…Fewer resources and empirical investigations of parent training to specifically improve child functional life skills (e.g., using task analysis and prompting hierarchies to teach children to make their bed), play and leisure skills [67], selfdetermination [68], feeding problems [49,69,70], sleep [71], and toileting [72] are available. Additionally, the majority of these studies include participants with ASD rather than intellectual disability.…”

Section: What Child and Parent Skills Do Parent Education Interventiomentioning

confidence: 99%

Training Parents of Children with Intellectual Disabilities: Trends, Issues, and Future Directions

Machalicek

Lang

Raulston

2015

Curr Dev Disord Rep

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This review summarizes selected studies involving education and training programs designed to improve parents' ability to provide research-based support and intervention for their children with intellectual disabilities. First, we highlight stressors and obstacles associated with parenting a child with intellectual disability and note the relative paucity of existing research in light of the increased risk of stress, anxiety, and depression reported for this population. Next, we provide a description of recent trends and issues and attempt to elucidate gaps in the existing literature that warrant additional research effort. Ultimately, this paper highlights the growing need for interventions that include both behavioral and psychosocial components to better address needs in families of children with intellectual disability. Specifically, we conclude that there exists a need for future research on culturally sensitive parent training as well as on potentially efficient group-based parent education programs for families of children with moderate to profound intellectual disability.

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Feeding Problems in Children With Autism Spectrum Disorders

Cited by 327 publications

References 41 publications

Longitudinal Study of High and Low Functioning Preschool Children with ASD and the Progress Made Following Therapeutic Intervention

Longitudinal Study of High and Low Functioning Preschool Children with ASD and the Progress Made Following Therapeutic Intervention

Gluten-free diet in the treatment of autism spectrum disorders – a short overview

Training Parents of Children with Intellectual Disabilities: Trends, Issues, and Future Directions

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