Autism & Developmental

Weaning time of children with infantile autism.

Tanoue et al. (1989) · Journal of autism and developmental disorders 1989
★ The Verdict

Earlier weaning is linked to later autism diagnosis, but it is only a historical marker, not a cause.

✓ Read this if BCBAs working with autistic children who have feeding challenges.
✗ Skip if BCBAs focused only on non-feeding behaviors.

01Research in Context

01

What this study did

Researchers asked parents when they stopped breastfeeding their child. They compared 145 kids later diagnosed with autism to 224 kids without autism. Parents gave the dates from memory in a survey.

The team wanted to see if weaning age differed between the two groups.

02

What they found

Autistic children were weaned earlier on average. The difference was large enough to be unlikely by chance. The authors suggest early weaning might be linked to later autism, but they stress this is only a clue, not proof.

03

How this fits with other research

Burack et al. (2004) extends the finding. They looked at school-age kids and found autistic children had more feeding problems and ate fewer foods. Early weaning may be the first sign of a lifelong feeding pattern.

Patton et al. (2020) also extends the result. They watched kids at home and saw that those with more severe autism refused new foods more often and needed more parent prompts. The feeding issue seen in infancy continues into the preschool years.

Gillberg et al. (1983) is a predecessor study. They reviewed medical charts and found more pregnancy and birth complications in autistic children. Both papers use past records to flag early risk but focus on different clues—feeding versus medical events.

04

Why it matters

You cannot change weaning history, but you can screen for feeding issues today. When an autistic child shows food refusal, ask parents about early weaning and current food list. Use this info to plan gradual food exposure and reduce mealtime stress.

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→ Action — try this Monday

Ask parents of picky eaters, 'When did you stop breastfeeding?' Use the answer as context, not blame, and add new foods in tiny, repeated steps.

02At a glance

Intervention
not applicable
Design
quasi experimental
Sample size
145
Population
autism spectrum disorder
Finding
not reported

03Original abstract

Since early weaning in infancy has been known to result in vulnerability to infection, weaning times of 145 children diagnosed as autistic by DSM-III were statistically compared with those of 224 normal children in the same catchment area: 24.8% of the patients and 7.5% of the controls were weaned by the end of 1 week, a significant difference. Early weaning because of the mother's rather than the child's condition occurred with 17.9% of the patients and 5.8% of the controls, also a significant difference. Historical studies on infantile autism revealed that the disease developed more prevalently in the socioeconomic status where the incidence of breast-feeding was less frequent. These results suggest that early weaning may contribute to the etiology of infantile autism.

Journal of autism and developmental disorders, 1989 · doi:10.1007/BF02212940