Dietary Factors Impact Developmental Trajectories in Young Autistic Children

Alexander Acosta; Edward Khokhlovich; Helena Reis; Andrey Vyshedskiy

doi:10.1007/s10803-023-06074-8

Dietary Factors Impact Developmental Trajectories in Young Autistic Children

J Autism Dev Disord. 2023 Aug 16. doi: 10.1007/s10803-023-06074-8. Online ahead of print.

Authors

Alexander Acosta^{1

2}, Edward Khokhlovich³, Helena Reis⁴, Andrey Vyshedskiy^{5

6}

Affiliations

¹ Boston University, Boston, MA, 02215, USA.
² ImagiRation, Boston, MA, 02135, USA.
³ Independent researcher, Newton, MA, 02459, USA.
⁴ ciTechCare, Leiria, Portugal.
⁵ Boston University, Boston, MA, 02215, USA. vysha@bu.edu.
⁶ ImagiRation, Boston, MA, 02135, USA. vysha@bu.edu.

PMID: 37584768
DOI: 10.1007/s10803-023-06074-8

Abstract

Purpose: The purpose of this research was to investigate the impact of dietary factors on developmental trajectories in young autistic children.

Methods: A gluten-free and casein-free diets, as well as six types of food (meat and eggs, vegetables, uncooked vegetables, sweets, bread, and "white soft bread that never molds") were investigated observationally for up to three years in 5,553 children 2 to 5 years of age via parent-report measures completed within a mobile application. Children had a parent-reported diagnosis of Autism Spectrum Disorder (ASD); 78% were males; the majority of participants resided in the USA. Outcome was monitored on five orthogonal subscales: Language Comprehension, Expressive Language, Sociability, Sensory Awareness, and Health, assessed by the Autism Treatment Evaluation Checklist (ATEC) (Rimland & Edelson, 1999) and Mental Synthesis Evaluation Checklist (MSEC) (Arnold & Vyshedskiy, 2022; Braverman et al., 2018).

Results: Consumption of fast-acting carbohydrates - sweets, bread, and "white soft bread that never molds" - was associated with a significant and a consistent Health subscale score decline. On the contrary, a gluten-free diet, as well as consumption of meat, eggs, and vegetables were associated with a significant and consistent improvement in the Language Comprehension score. Consumption of meat and eggs was also associated with a significant and consistent improvement in the Sensory Awareness score.

Conclusion: The results of this study demonstrate a strong correlation between a diet and developmental trajectories and suggest possible dietary interventions for young autistic children.

Keywords: ASD; Autism; Complex-language; Dietary intervention; Language comprehension; diet.