Recommendations for Evaluation and Treatment of Common Gastrointestinal Problems in Children With ASDs

Buie, Timothy; Fuchs, George J.; Furuta, Glenn T.; Kooros, Koorosh; Levy, Joseph; Lewis, Jeffery D.; Wershil, Barry K.; Winter, Harland S.

doi:10.1542/peds.2009-1878d

Cited by 193 publications

(158 citation statements)

References 18 publications

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“…In order to investigate the presence of GI symptoms we used the "Consensus report" and the "Recommendations for evaluation and treatment of common gastrointestinal problems in children with ASD" (Buie, Fuchs, Furuta, Kooros, Levy, & Lewis, 2010;Buie, Fuchs, Furuta, Kooros, Levy, & VandeWater et al, 2010). According to these guidelines, the parents of all participants were interviewed on the presence of GI symptoms: 1. constipation; 2. chronic diarrhea; 3. gastroesophageal reflux; 4. vomiting (Buie, Fuchs, Furuta, Kooros, Levy, & Lewis, 2010;Buie, Fuchs, Furuta, Kooros, Levy, & VandeWater et al, 2010).…”

Section: Gi Symptoms and Growth Adequacy Evaluationmentioning

confidence: 99%

“…According to these guidelines, the parents of all participants were interviewed on the presence of GI symptoms: 1. constipation; 2. chronic diarrhea; 3. gastroesophageal reflux; 4. vomiting (Buie, Fuchs, Furuta, Kooros, Levy, & Lewis, 2010;Buie, Fuchs, Furuta, Kooros, Levy, & VandeWater et al, 2010).…”

Section: Gi Symptoms and Growth Adequacy Evaluationmentioning

confidence: 99%

“…Parents were interviewed for what they mean with the term "constipation, diarrhea, gastro-esophageal reflux and vomiting," the frequency of bowel movements and vomiting, the consistency and size of stools, whether the child experiences abdominal pain, definition of the age at symptom onset, whether symptoms develop abruptly or gradually, family history of allergy or atopic disease, the presence of celiac disease, the presence of chest pain or heartburn, extraesophageal manifestation of airway (Buie, Fuchs, Furuta, Kooros, Levy, & Lewis, 2010;Buie, Fuchs, Furuta, Kooros, Levy, & VandeWater et al, 2010). Moreover, each child underwent a complete psychical examination with a pediatrician (Buie, Fuchs, Furuta, Kooros, Levy, & Lewis, 2010;Buie, Fuchs, Furuta, Kooros, Levy, & VandeWater et al, 2010). Given that the body mass index (BMI) (kg/m 2 ) is one of the objective growth parameters useful for diagnosis and monitoring of failure to thrive or obesity, weight and height were measured, and the BMI was calculated for all participants (Cole, Bellizzi, Flegal, & Dietz, 2000;Cummings, John, Davis, & McTimoney, 2005).…”

Section: Gi Symptoms and Growth Adequacy Evaluationmentioning

confidence: 99%

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Clinical differences in children with autism spectrum disorder with and without food selectivity

et al. 2015

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A B S T R A C TSeveral studies have described the atypical eating behaviors frequently occurring in children with autism spectrum disorder (ASD), and food selectivity is the most frequent of these problems. The everyday management of mealtime behaviors among children with ASD can have a negative impact on family routines and become a significant stressor for families. However, much remains unknown about why food selectivity is so prevalent among individuals with ASD. The objective of this study was to investigate clinical and behavioral features in individuals with ASD with the aim of identifying distinctive clinical profiles in children with and without food selectivity. A total of 158 children with ASD were enrolled in this study: 79 participants with food selectivity (FS) were age and sex matched with 79 participants without food selectivity (No FS). All participants and their parents completed a battery of psychological tests for a comprehensive evaluation of ASD symptoms, cognitive abilities, adaptive skills, behavioral problems and parental stress level. No statistically significant difference on gastrointestinal symptoms and growth adequacy was found between the FS group and the No FS group. Overall, the FS group showed significantly higher rates of ASD symptoms as compared to the No FS group in the questionnaires completed by parents. Furthermore, parents of the FS group reported significantly higher levels of parental stress and a larger degree of their children's behavioral problems as compared to the No FS group. Finally, there were no differences between the FS and the No FS group on any adaptive skill domain. Our findings suggest that the identification of distinctive clinical and behavioral patterns in children with ASD and food selectivity is a crucial issue for parents and therapists in the daily management.© 2015 Published by Elsevier Ltd. IntroductionAutism Spectrum Disorder (ASD) is a neurodevelopmental disorder characterized by impairments in two core domains: social communication and restricted and repetitive patterns of behavior, interests, or activities (American Psychiatric Association, 2013). According to the Diagnostic and Statistical Manual of mental disorders5th edition (DSM-5) criteria, people with ASD fall on a continuum with individuals characterized by the severity of their symptoms in the two core domains. Furthermore, intellectual disability and/ or language impairment contribute to the heterogeneous presentation of ASD.Behavioral problems, such as tantrums, comorbidity with other psychiatric disorders, abnormal sleep patterns and unusual feeding behaviors, are often present in children with ASD and the everyday management of these problems is a challenge for clinicians and families (Dominick, Davis, Lainhart, Tager-Flusberg, & Folstein, 2007). Although not a diagnostic feature of ASD, feeding problems are common in this clinical population, and food selectivity is the most frequent one (Ahearn, Castine, Nault, & Green, 2001;Cornish, 1998;Dominick et al., 2007;Heiss, Moody, Cros...

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Section: Gi Symptoms and Growth Adequacy Evaluationmentioning

confidence: 99%

Section: Gi Symptoms and Growth Adequacy Evaluationmentioning

confidence: 99%

Section: Gi Symptoms and Growth Adequacy Evaluationmentioning

confidence: 99%

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Clinical differences in children with autism spectrum disorder with and without food selectivity

et al. 2015

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“…Gastrointestinal disorders, such as GERD, should also be considered as a possible cause of nighttime awakenings and may warrant a referral to a gastroenterologist. 23 When considering treatment interventions, most sleep specialists recommend the implementation of establishing a program to improve sleep hygiene. This approach seeks to correct problematic behavior and promote regulated and predictable bedtime routines.…”

Section: Sleep Disordersmentioning

confidence: 99%

“…Many ASD individuals may express their physical discomfort by manifesting atypical behaviors, such as putting pressure on their abdomen, tapping on their chest, acting aggressively toward others, or demonstrating self-injurious behavior. 23 At the present time, the true prevalence of gastrointestinal (GI) disorders in ASD is largely unknown, with estimations ranging from 9% to 70% or higher. 24 Evidence-based guidelines for the evaluation of GI symptoms are not yet available for individuals with ASD.…”

Section: Gastrointestinal Disordersmentioning

confidence: 99%

Medical Comorbidities in Autism: Challenges to Diagnosis and Treatment

2010

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Summary:Ever since its original description by Leo Kanner in l943, autism has been generally defined by its clinical characteristics and core symptoms that include impaired social skills, isolated areas of interest, and delayed and disordered language. Over time, it has become apparent that autism is a heterogeneous disorder with regard to its clinical presentation, etiology, underlying neurobiology, and degree of severity. As a result, the termed diagnosis of autism spectrum disorders (ASDs) has come into common usage. With advancements in clinical care, there has come the appreciation that many ASD children, adolescents, and adults may have medically relevant disorders that may negatively impact their developmental progress and behavior, but which frequently go undetected. Many of these medical conditions are treatable, often resulting in improved developmental gains and quality of life for the patient and family. In addition, the possibility exists that some of these medical conditions may suggest the presence of important genetic and/or biologic markers, which, if identified, can refine our ability to be more precise in categorizing clinical and genetic subtypes within the autism spectrum.

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Autism Spectrum Disorder

McDougle

2015

Psychiatry

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This systematic review was conducted by staff of NZHTA. It was prepared by Ms Marita Broadstock (Research Fellow) and Dr Carolyn Doughty (Research Fellow).Ms Margaret Paterson (Information Specialist) developed and undertook the search strategy and coordinated retrieval of documents. Internal peer review was provided by Dr Ray Kirk (Director). Document formatting was undertaken by Mrs Ally Reid (Administrative Secretary) and Ms Becky Mogridge and Ms Philippa Monkman assisted with retrieval of documents. Sub-editing was performed by Ms Carol Webb.Acknowledgment is made of the contribution of Dr Matt Eggleston, Child and Adolescent Psychiatrist and Clinical Head of the Child and Family Specialty Service, Christchurch, New Zealand, who undertook an external peer review of a late draft. Dr Eggleston provided invaluable comments on the report, particularly relating to the generalisabilty of the evidence to practices in New Zealand.The Canterbury Medical Library assisted with the retrieval of articles.NZHTA is a Research Unit of the University of Otago funded under contract to the Ministry of Health.

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Recommendations for Evaluation and Treatment of Common Gastrointestinal Problems in Children With ASDs

Cited by 193 publications

References 18 publications

Clinical differences in children with autism spectrum disorder with and without food selectivity

Clinical differences in children with autism spectrum disorder with and without food selectivity

Medical Comorbidities in Autism: Challenges to Diagnosis and Treatment

Autism Spectrum Disorder

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