Autism & Developmental

Dietary Patterns and Anthropometric Measures of Indian Children with Autism Spectrum Disorder.

Siddiqi et al. (2019) · Journal of autism and developmental disorders 2019
★ The Verdict

Indian kids with autism eat far too few fruits and vegetables, but quick behavioral tactics can reverse the gap.

✓ Read this if BCBAs running home or clinic programs for children with autism under age 13.
✗ Skip if Practitioners who work only with verbal adults or medical-only teams.

01Research in Context

01

What this study did

Seema and her team visited 45 Indian families who had a child with autism .

They weighed and measured each child and gave parents a simple food checklist.

The list asked how often the child ate fruits, vegetables, milk, sweets, and fried snacks.

A dietitian then turned the answers into daily vitamin and mineral totals.

02

What they found

Nine out of ten kids ate fewer fruits and vegetables than Indian guidelines say they need.

Average vitamin C, folate, and iron fell short every single day.

Kids who ate the least plant foods also had lower weight-for-age scores.

In short, the children were both picky and under-nourished.

03

How this fits with other research

ALee et al. (2022) gives hope: they used praise and small toys to get non-verbal autistic children to taste new foods.

After four weeks the kids doubled their bites of fruit and vegetables, showing the deficit Seema found can be fixed with simple ABA.

Barnhill et al. (2017) looked at bone density in boys with autism and found weak bones even when calcium pills were taken.

Seema’s data now supplies a likely reason: low fruit and vegetable intake also means low vitamin K, magnesium, and other bone-building nutrients the pills did not replace.

Kaiser et al. (2022) add a warning: children with autism have higher odds of later developing inflammatory bowel disease.

Poor fiber and micronutrient intake, shown again by Seema, may add fuel to that gut inflammation.

04

Why it matters

You now have three clear next steps.

First, screen every child with autism for fruit and vegetable intake; a one-day recall is enough.

Second, start a tiny-tastes program: one bite of a preferred-color fruit, heavy praise, then build up.

Third, tell parents why this matters for bones and bowels, not just weight.

A five-minute nutrition check can prevent years of growth and gut problems.

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→ Action — try this Monday

Add one tiny-taste trial of a colorful fruit to the first session of every feeding client and chart bites taken.

02At a glance

Intervention
not applicable
Design
pre post no control
Sample size
53
Population
autism spectrum disorder
Finding
negative

03Original abstract

Research literature on dietary patterns & eating habits of children with Autism Spectrum Disorder (ASD) in India is limited. To explore this, a pilot study (n = 53) which included 45 boys and 8 girls (age group of 2-13 years) was conducted. Three day food records, Food Frequency Questionnaire and Children Eating Behavior Inventory were used to assess the dietary intakes and mealtime behavior problems respectively. Findings revealed lower intake of fruits and vegetables which reflected on their micronutrient status which was significantly (p ≤ 0.05) in lower amounts predominantly B-Complex, Calcium and Iron. The study has suggested a strong need for future implementation of nutritional intervention programs at the earliest to expand food variety among children with ASD of this region.

Journal of autism and developmental disorders, 2019 · doi:10.1007/s10803-011-1268-z