Bone Mineral Density in Boys Diagnosed with Autism Spectrum Disorder: A Case-Control Study.
Boys with autism as young as four already have thinner spine bones, so build weight-bearing play into therapy now.
01Research in Context
What this study did
Doctors compared spine bone density in 30 boys with autism to 30 boys without it.
All boys were 4-8 years old and lived in the same city.
Parents filled out diet logs and GI symptom forms.
What they found
The autism group had thinner spine bones on X-ray.
Calcium pills, milk, and tummy trouble did not explain the gap.
Even well-fed kids with autism showed the deficit.
How this fits with other research
Perez et al. (2015) tracked fracture visits in a huge sample.
They saw more broken hips and spines in people with autism .
Kelly’s finding of low bone mass in little boys helps explain why those breaks happen.
Siddiqi et al. (2019) found poor fruit and veggie intake in Indian kids with autism.
Kelly ruled diet out in their own sample, so the bone problem runs deeper than the menu.
Reza et al. (2013) showed weight-bearing exercise plus calcium raised bone density in kids with Down syndrome.
That trial gives us a ready-made fix to test: jump, run, and play games that load the spine.
Why it matters
Low spine bone density starts early in autism and is not fixed by vitamins alone.
Add jumping, hopping, and playground climbing to daily sessions.
Track height and ask about back pain at every visit.
A five-minute bone-health checklist can save years of fracture risk.
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02At a glance
03Original abstract
This study compared bone mineral density (BMD) of the spine obtained by dual-energy X-ray absorptiometry (DEXA), nutritional status, biochemical markers, and gastrointestinal (GI) symptoms in 4-8 year old boys with Autism Spectrum Disorder (ASD) with a group of age-matched, healthy boys without ASD. Boys with ASD had significantly lower spine BMD compared to controls but this was not correlated with any biochemical markers, dietary intake of calcium and vitamin D, elimination diet status, or GI symptomology. Reduced BMD in 4-8 year old boys with ASD appears to involve factors other than nutrient intake and GI status, and requires further study.
Journal of autism and developmental disorders, 2017 · doi:10.1007/s10803-017-3277-z