New guidelines for Autism developed. Nutritional therapy manages gastrointestinal symptoms in ASD children.

47-adhd-or-autismAn expert panel has published new guidelines in the Journal of Academy specifying new nutritional guidelines for the management of gastrointestinal symptoms in children diagnosed with spectrum disorders ().

“Children with are at increased for feeding and gastrointestinal (GI) concerns compared with peers and both of these issues involve nutrition management. We viewed the lack of an evidence-based guideline regarding nutrition management of in children with as unacceptable,” said co-author William Sharp, PhD, director of the Pediatric Feeding Disorders program at Marcus Center and of pediatrics at Emory University School of Medicine. “Our goal was to establish a standard manual of care for nutrition management which clinicians around the world could refer to.”

“The committee developed the guideline with consideration of the unique dietary, medical, and behavioral challenges observed in children with . This includes high rates of food selectivity observed in children with , frequent use of caregiver-initiated complementary/alternative diet therapies, and growing concern regarding possible nutritional deficits and excesses often observed in this population,” said co-author Rashelle Berry, lead dietician at Pediatric Feeding Disorders program at Marcus Center.

Food sensitivity is associated with gastrointestinal symptoms in children with . Some parents have obtained significant health improvement by providing the appropriate diet. Alternative diets such as gluten-free, casein-free diets or other diets that restrict or eliminate certain food groups are often initiated by caregivers. children may be at higher for nutrition-related conditions such as obesity or poor bone growth.

“Children with , like their typically developing peers, present with that require nutrition intervention,” said Berry. “Awareness of the unique challenges seen in this population is needed so that clinicians are well-equipped to plan effective interventions. The ultimate goal of nutrition management in is resolution of symptoms, promotion of adequate growth, and assurance of a nutritionally complete diet.”

The scientists highlight that in cases of severe food selectivity, nutrition therapy should occur concurrently with feeding therapy consisting of or liquid formulas.

“A key take home message from this guideline is that nutrition management in should play a central role in a child’s overall plan of care, ideally from the time of diagnosis,” said Sharp.


Rashelle C. Berry, Patricia Novak, Nicole Withrow, Brianne Schmidt, Sheah Rarback, Sharon Feucht, Kristen K. Criado, William G. Sharp. Nutrition Management of Gastrointestinal Symptoms in Children with Spectrum Disorder: Guideline from an Expert Panel. Journal of the Academy of , 2015; DOI: 10.1016/j.jand.2015.05.016

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