Autism & Developmental

Does nutritional intake differ between children with autism spectrum disorders and children with typical development?

Herndon et al. (2009) · Journal of autism and developmental disorders 2009
★ The Verdict

Autistic kids often skip dairy and fruits yet meet other nutrient needs, so quick diet screens can prevent silent shortages.

✓ Read this if BCBAs running intake assessments in clinics or schools.
✗ Skip if Practitioners who only work with tube-fed or strictly medical nutrition cases.

01Research in Context

01

What this study did

Bigby et al. (2009) compared what kids with autism actually eat to what typically developing kids eat.

Parents filled out a food diary for both groups.

The team then checked whose diets met national nutrition goals.

02

What they found

Kids with autism drank less milk and got less calcium.

They did eat more vitamin B6, vitamin E, and protein from meat or beans.

Both groups missed daily targets for several nutrients.

03

How this fits with other research

Evans et al. (2012) saw the same milk gap and added that autistic kids also drink more soda and eat fewer fruits or veggies.

Bicer et al. (2013) found over half of Turkish autistic kids were overweight yet still low on calcium, showing weight and nutrients do not always match.

Shi et al. (2026) pooled many trials and found vitamin D pills slightly ease autism symptoms, hinting that fixing low intake might help.

Katz et al. (2003) warned that special diets can drop amino acids; Bigby et al. (2009) shows even standard diets miss key minerals, so screening is wise either way.

04

Why it matters

You can spot diet gaps fast by asking about milk, cheese, and fruit during intake.

A simple three-day food log beats guessing.

If calcium or produce is low, share this evidence with families and offer concrete swaps like fortified almond milk or frozen berries.

Track any supplement trial with your usual data sheets to see if behavior or sleep shifts.

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→ Action — try this Monday

Add one food diary page to your intake packet and circle calcium plus fruit servings for instant red flags.

02At a glance

Intervention
not applicable
Design
quasi experimental
Sample size
77
Population
autism spectrum disorder, neurotypical
Finding
mixed

03Original abstract

Consumption of macro- and micronutrients and food group servings by children with autism spectrum disorders (ASDs; n = 46) and typical development (n = 31) were compared using 3-day diet records. Children with ASDs consumed significantly more vitamin B6 and E and non-dairy protein servings, less calcium, and fewer dairy servings (p < .05). The significantly lower dairy serving intake persisted after controlling for child age and sex and parental dietary restrictions, and excluding children on the gluten-free casein-free (GFCF) diet. Large proportions of children in both groups did not meet national recommendations for daily intake of fiber, calcium, iron, vitamin E, and vitamin D.

Journal of autism and developmental disorders, 2009 · doi:10.1007/s10803-008-0606-2