Assessment & Research

Associations Between Broader Autism Phenotype and Dietary Intake: A Cross-Sectional Study (Japan Environment & Children's Study).

Hirokawa et al. (2020) · Journal of autism and developmental disorders 2020
★ The Verdict

Pregnant women with broad autism traits eat fewer veggies, fruit, and fish—screen early and add nutrition support.

✓ Read this if BCBAs who serve women of child-bearing age or run parent-training programs.
✗ Skip if Clinicians who work only with adult clients or non-pregnant populations.

01Research in Context

01

What this study did

Hirokawa et al. (2020) asked pregnant women to fill out two surveys. One measured broad autism traits. The other listed what they ate each day.

The team compared diets of women high on autism traits with women low on those traits. They looked at vegetables, fruit, fish, and vitamins.

02

What they found

Moms-to-be with more autism-like traits ate fewer vegetables, fruits, and fish. They also took in less folate, vitamin C, and iron.

The differences were small but steady across the whole group.

03

How this fits with other research

Nisticò et al. (2023) found the same link in autistic adults. Visual and taste sensitivity predicted eating problems. Together the papers show autism traits shape food choices from sub-clinical moms to diagnosed adults.

Riccio et al. (2018) give a reason: kids who carry a bitter-sensitive gene reject veggies. Moms with BAP may share that gene and the same bitter taste, so they skip greens too.

Peterson et al. (2019) and Bigby et al. (2014) prove ABA feeding tricks work for kids. Their results say you can change picky eating once it starts, but Kumi’s data hint you might prevent it by helping moms eat better during pregnancy.

04

Why it matters

If a client shows broad autism traits, ask about her diet the moment you learn she is pregnant. A short food diary can spot low fish, fruit, or veggie intake. Add a nutrition referral or picture-menu prompt right away. Better prenatal food gives baby more folate, iron, and omega-3s, and may cut later feeding battles you would treat with ABA.

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→ Action — try this Monday

Add one food diary question to your intake form for any female client: 'List everything you ate yesterday.' Flag low produce or fish and refer to a dietitian.

02At a glance

Intervention
not applicable
Design
other
Sample size
92011
Population
not specified
Finding
negative
Magnitude
small

03Original abstract

The purpose of the present study was to investigate associations of dietary intake including vitamin D, folate, and n-3 and n-6 polyunsaturated fatty acids (PUFA) in pregnant women with broad autism phenotype (BAP). The Japan Environment and Children's Study is a government-funded birth cohort study. All complete data of 92,011 were analyzed. The Japanese version of the Autism Spectrum Quotient was used to assess mothers' BAP level, and a food frequency questionnaire was used to estimate their dietary intake. Mothers with BAP consumed less vegetables, fruits, and fish and shellfish, and they consumed lower folate, vitamin C, vitamin D, and n-3 PUFA than their counterparts. Dietary intervention should be considered for pregnant women with high BAP scores.

Journal of autism and developmental disorders, 2020 · doi:10.1007/s10803-020-04380-z