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An optimal diet is balanced and full of nutrients. This can sometimes be challenging for autistic
individuals since many have digestive and feeding-related issues.
People with autism are often deficit in certain nutrients, so a food list for autism will include foods with
these nutrients. Fresh fruits and vegetables, nuts, beans, eggs, and lean meats are good items to add to
your food list.
Some foods may cause gastrointestinal issues in autistic children. In some cases, implementing a
specialized diet, such as a gluten-free/casein-free or ketogenic diet, may work well.
It is important to work with your pediatrician and potentially a nutritionist to expand your child’s diet.
Children with autism often have inadequate nutrition, partly due to food avoidances and aversions.
Poor nutrition increases the risk of later chronic illnesses, like diabetes and heart disease. Children who
grow up with poor diets are more likely to be obese, which is associated with several chronic illnesses.
Children with autism are more likely to have low calcium and protein, which can reduce brain
development, bone growth, and muscle strength. These issues may be correlated with problems with
cognition, balance, physical strength, and other aspects of physical development.
Feeding issues can be a major problem for autistic children, and the consequences can be serious if the
child ends up with nutritional deficiencies. Parents can help by employing various strategies to get their
children to eat a more diverse diet. Doctors and therapists are often involved in this process.
People on the autism spectrum have a developmental condition that manifests in a range of behavioral
differences and challenges. These can sometimes become evident as feeding problems. An autistic
person’s issues with food may manifest as:
People with autism are also at higher risk for gastrointestinal problems. Autistic children may also avoid
certain foods or develop strong texture or temperature aversions because of sensory issues.
In frustration, parents of autistic children may limit their child’s foods to only those they know will be
accepted. However, this is not a sustainable model to develop healthy eating and nutrition habits.
As you work with your child’s pediatrician and a nutritionist, you can begin to expand your child’s diet.
Over time, you and your child’s treatment team can develop a list of optimal foods that your child enjoys
as well as a list of foods to avoid that often result in digestive issues.
Many parents with autistic children turn to specialized diets in an effort to support their child’s well-
being.
Several studies have shown that children with autism tend to shy away from healthier foods, like
vegetables and fresh fruits, in favor of more processed starches and snack foods. They may also struggle
to get enough protein, as the texture of several foods containing protein may be unappealing.
To encourage change in these behaviors, parents often try certain approaches to feeding problems. These
are the three most common diets for autism:
1. Autism MEAL Plan: This is not just a nutritional plan. Parents can train in this
behavioral approach so they can best help their children. Behavior therapies are often
among the most effective approach to addressing feeding problems in people with autism.
The autism MEAL plan focuses on changing behaviors toward certain foods.
This is still a relatively new approach to helping children with autism get their nutritional
needs met. Some studies offered parents training in autism MEAL plans for eight weeks
and found that the behavioral approach eased caregiver stress around mealtimes a great
deal. However, it was noted that children with autism did not have behavioral
improvements around meals or food selectivity.
Further research is still needed to understand if applying this specific behavioral approach
can help children long term or if there is limited benefit to the approach.
2. Gluten-free/casein-free diet (GFCF): Many parents put their children on the GFCF diet,
especially parents of autistic children. Since both gluten, a wheat protein, and casein, a
dairy protein, can make digestive problems in autistic people worse, removing these from
a child’s diet can seem to make sense, but there is insufficient research evidence to
support this idea.
The gluten-free/casein-free diet may improve behaviors around food for a while, but it
can be difficult to make sure your child gets enough protein, whole grains, and amino
acids, which are often part of bread and dairy in Western diets. It’s important to find
other food options to meet these needs.
Since this diet is tied to higher nutrient intake while removing certain irritants, it might be
more effective for autistic children than other diets. It is important to be careful of the
amount of fat that is consumed, as this can contribute to heart disease and obesity,
especially if your child struggles to eat other healthy foods like fruits and vegetables.
A study found that the most common nutrient insufficiencies in children with autism were fiber, folic
acid, calcium, iron, zinc, and vitamins A, C, D, E, K, B6, and B12.
Due to food preferences or obsessions, some children may have too much of one or two of these nutrients.
Food avoidances mean that many autistic children don’t have enough of these vitamins and minerals.
To help your child get the right balance of these important nutrients, try adding these foods to their diet
with the help of their treatment team:
Many of these foods offer multiple nutrients, so combining them in different ways through meal
planning can help your child get high-quality nutrients, avoid foods that cause discomfort, and slowly add
new experiences to your child’s eating habits.
Begin planning meals that contain several fruits, vegetables, grains, and proteins, so there is a variety of
options. Sprinkle in new foods with tried-and-true options you know your child will like.
If you notice a particular food results in stomach issues or negative behaviors, avoid it. These are
common foods that may cause issues in children with autism:
Work with your child’s pediatrician and potentially a nutritionist to determine the best foods for your
child to eat. A behavior therapist can devise a plan to help you introduce new foods to their diet in the
optimal way.
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