PP249-MON: Food Selectivity and Nutritional Deficiencies in Children with Autism Spectrum Disorders in Japan

Tanoue, Koji; Isobe, H; Takamasu, Tetsuya; Minami, Taeko; Syou, N.; Fujita, J.; Toyohara, Koji; Kato, Hidekazu; Yamamoto, Shigeru; Horiuchi, Rie; Arai, Takashi

doi:10.1016/s0261-5614(14)50583-3

Cited by 3 publications

(5 citation statements)

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“…Our results showed a higher copper inadequacy among TD children, different from the copper intake among Indian children (12). As expected from a previous study (10), our study showed that calcium inadequacy was common among children, with a higher prevalence among ASD than TD children. Previous studies reported a lower intake of calcium and iron among ASD children (21,61,64).…”

Section: Discussionsupporting

confidence: 81%

“…For example, in India, 79% of ASD children had improper feeding behavior, such as selecting certain food items or having inadequate intake (12). This inadequate intake among children might be correlated with nutritional inadequacies (10). In our study, ASD children consumed few sources of vitamins and minerals, particularly seafood, eggs, and vegetables.…”

Section: Discussionmentioning

confidence: 64%

“…Many ASD children suffer from multiple nutrition-related issues such as maldigestion, malabsorption (8), abnormal fatty acid and amino acid metabolism, or multiple food intolerances (9). Also, ASD children display eating problems, food selectivity and increased refusal of new food items, which could place them at greater risk for nutritional excess or/and deficiencies (10,11). Inadequacies of several nutrients were reported in ASD children were reported (12).…”

Section: Introductionmentioning

confidence: 99%

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Nutritional Status of Pre-school Children and Determinant Factors of Autism: A Case-Control Study

et al. 2021

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Autism Spectrum Disorder (ASD) is a neurodevelopmental disorder triggered by several factors, including those of genetic and environmental nature. ASD can alter communication, behavior, and children's nutritional status, placing them at high risk for nutritional imbalances. Therefore, this study aims to assess preschool autistic children's nutritional status as compared to that of Typically Developing (TD) children of the same age. The study also revealed some of the ASD risk factors among the Jordanian population. It included 52 ASD and 51 TD children (3–6 years), and considered sociodemographic, obstetric, and nutritional factors of the two groups, stratified by gender. Nutritional status was evaluated through a comprehensive questionnaire, 3-day food record, and anthropometric and biochemical measurements. Differences between groups were identified using the chi-square and independent-sample t-test. The logistic regression model was used after the adjustment of confounders to detect an autistic child's determinants. The study showed little difference between ASD and TD children with respect to nutrients' intake inadequacy and biochemical-nutritional deficiencies, but did reveal gender-based differences. Autistic girls were at higher risk of inadequate carbohydrate intake, while autistic boys were at higher risk of inadequate vitamin E, vitamin K, and fluoride compared to TD children. More autistic children had been treated in neonatal care units after birth than had TD children. The regression analysis revealed that lower maternal education level (OR, 12.25; 95% CI, 1.18–126.91), vaginal delivery (OR, 0.273; 95% CI, 0.105–0.712), family history of autism (OR, 0.189; 95% CI, 0.059–0.612), and taking dietary supplements during pregnancy (OR, 4.665; 95% CI, 1.158–18.79) were all determinants of ASD in children. In conclusion, maternal nutrition, postnatal conditions, and nutritional status might be contributors to ASD in children. Pre-school children are at high risk for developing nutritional deficiencies. It is therefore important to maintain optimal nutritional status in pregnant patients, and in children after delivery and during early childhood. Future studies that investigate the role of nutrient deficiencies and nutritional interventions in ASD are necessary. Also required are studies that focus on gender differences in the prevalence of ASD, types and severity of symptoms, and ASD nutrition-related problems.

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Section: Discussionsupporting

confidence: 81%

Section: Discussionmentioning

confidence: 64%

Section: Introductionmentioning

confidence: 99%

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Nutritional Status of Pre-school Children and Determinant Factors of Autism: A Case-Control Study

et al. 2021

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“…There are some reports in the US, UK and Japan about the frequency of trace elements/vitamin deficiency due to picky eating in children with ASD [11][12][13]. The most common trace element/vitamin deficiency reported in children with ASD in Japan was vitamin A [11].…”

Section: Discussionmentioning

confidence: 99%

“…Autism spectrum disorder (ASD) is a developmental disorder characterized by poor interpersonal relationships and strong dietary preoccupation, which is known to cause vitamin and mineral deficiencies. Although there have been a few reports about scurvy [10] and only selenium deficiency [11] in ASD children, there are no reports of ASD children having a combination of scurvy and selenium deficiency. In this report, we describe a case of an ASD child with scurvy and selenium deficiency due to an imbalanced fixed diet of snacks and lacto-fermenting drinks.…”

Section: Introductionmentioning

confidence: 99%

Selenium deficiency and scurvy due to an imbalanced diet of snacks and lacto-fermenting drinks: a case report of a 7-year-old boy with autism spectrum disorder

et al. 2023

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Background There have been reports of isolated trace elements or vitamin deficiencies due to imbalanced diets, but no cases of selenium deficiency combined with scurvy have been reported. Case presentation A 7 year-old boy diagnosed with autistic spectrum disorder and mild psychomotor retardation, started an imbalanced diet including specific snacks and lacto-fermenting drinks from 5 years of age. Gingival hemorrhage and perioral erosions occurred at 6 years and 8 months of age, and he was referred to our hospital at 7 years of age. Slight tachycardia was found. Serum vitamin C level was 1.1 µg/dL (reference range (rr): 5–17.5 µg/dL), and selenium level was 2.8 µg/dL (rr: 7.7–14.8 µg/dL). He was diagnosed with both selenium deficiency and scurvy. Multivitamins and sodium selenate were administered for 12 days during admission, and symptoms of selenium deficiency and scurvy improved. After discharge, symptoms abated following the administration of multivitamins and regular administration of sodium selenate every 3 months. Conclusions We report a complicated case of both selenium deficiency and scurvy due to an imbalanced diet of snacks and lacto-fermenting drinks in a 7-year-old boy with autism spectrum disorder. In patients with imbalanced diet, regular blood tests including trace elements and vitamins are necessary.

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Autistic Children Food Habits and the Risk of Running Malnutrition in Morocco

Hafid¹,

Touhamiaha²

2017

Asian J. of Epidemiology

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PP249-MON: Food Selectivity and Nutritional Deficiencies in Children with Autism Spectrum Disorders in Japan

Cited by 3 publications

References 0 publications

Nutritional Status of Pre-school Children and Determinant Factors of Autism: A Case-Control Study

Nutritional Status of Pre-school Children and Determinant Factors of Autism: A Case-Control Study

Selenium deficiency and scurvy due to an imbalanced diet of snacks and lacto-fermenting drinks: a case report of a 7-year-old boy with autism spectrum disorder

Autistic Children Food Habits and the Risk of Running Malnutrition in Morocco

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