Autism & Developmental

Brief Report: Implementation of a Specific Carbohydrate Diet for a Child with Autism Spectrum Disorder and Fragile X Syndrome.

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

One preschooler with autism and Fragile X had less gut pain and better behavior after four months on the Specific Carbohydrate Diet.

✓ Read this if BCBAs working with preschoolers who have both autism and daily GI complaints.
✗ Skip if BCBAs whose clients have no feeding or GI issues.

01Research in Context

01

What this study did

Kelly and her team worked with one young learners boy. He had autism and Fragile X.

The parents put him on the Specific Carbohydrate Diet for four months. The diet cuts out complex sugars and starches.

Doctors tracked his belly pain, stool, growth, and behavior every month. They also checked blood for vitamins and minerals.

02

What they found

The boy had less tummy pain and more normal stools. His vitamin levels went up.

Parents and teachers saw fewer tantrums and more talking. The child stayed at a healthy weight.

No bad side effects showed up. The family kept the diet after the study ended.

03

How this fits with other research

Slaughter et al. (2014) already showed that kids with autism often have gut pain. This case gives one way to ease that pain.

Kurokawa et al. (2021) found that gut pain and sensory issues each make behavior worse. The SCD helped both areas in this one child.

GGandhi et al. (2022) used a simple self-management plan to fix eating issues in an older girl. Both studies show feeding problems in autism can change, but they used very different tools.

Wang et al. (2023) looked at many kids and found exercise helps social skills. Barnhill et al. (2020) shows diet might help too. Both are safe add-ons to ABA.

04

Why it matters

If a preschool client has daily belly pain and big meltdowns, ask parents about diet. A four-month trial of SCD is low risk and may cut pain and problem behavior. Track stool, growth, and target behaviors just like you track any other intervention.

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Add one question to your intake form: 'Does your child have belly pain, constipation, or diarrhea most days?' If yes, suggest parents talk to their pediatrician about trying SCD while you keep baseline data on tantrums and social bids.

02At a glance

Intervention
other
Design
case study
Sample size
1
Population
autism spectrum disorder, other
Finding
positive

03Original abstract

This brief report examines the implementation of dietary intervention utilizing the specific carbohydrate diet (SCD) for the management of gastrointestinal issues in a 4 year old boy diagnosed with Autism Spectrum Disorder (ASD) and Fragile X Syndrome (FXS). Data relating to anthropometrics, dietary intake, blood markers, gastrointestinal (GI) symptoms, sleep issues, and behavioral concerns were gathered at baseline and after 4 months of dietary intervention. The dietary intervention was well tolerated. Improvements in nutrient status, GI symptoms, and behavioral domains were reported. The use of the SCD protocol in children with ASD/FXS and GI symptoms warrants further investigation.

Journal of autism and developmental disorders, 2020 · doi:10.1007/s10803-018-3704-9