Parents’ and Child Health Professionals’ Attitudes Towards Dietary Interventions for Children with Autism Spectrum Disorders
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Parents of children with autism spectrum disorders (ASD) use a wide range of interventions including poorly evidenced dietary interventions. To investigate parents’ and professionals’ experience of dietary interventions and attitudes towards a proposed trial to evaluate the gluten free casein free diet (GFCFD). Survey of UK parents of children with ASD, and professionals. 258 parents and 244 professionals participated. 83 % of children had received a range of dietary manipulations; three quarters of professionals have been asked for advice about GFCFD. Respondents identified an inadequate evidence base for dietary interventions in ASD and suggested modifications to a proposed trial design. Both parents and professionals supported the need for further evaluation of dietary interventions in ASD.
KeywordsAutism ASD Dietary interventions Gluten Casein
The authors wish to thank all the parents and professionals who took the time completing the survey and Rachael Taylor for administrative assistance. The study was funded by Autism Speaks.
Conflict of interest
The authors declare that they have no conflicts of interest.
- Charman, T., & Clare, P. (2004). Mapping autism research: Identifying UK priorities for the future. London: National Autistic Society.Google Scholar
- Edwards, P., Roberts, I., Clarke, M., DiGuiseppi, C., Pratap, S., Wentz, R., et al. (2007). Methods to increase response rates to postal questionnaires. Cochrane Database Systematic Reviews, 2(10.1002), 14651858.Google Scholar
- Interagency Autism Coordinating Committee. (2010). US Department of Health and Human Services, National Institutes of Health. The 2010 Interagency Autism Coordinating Committee Strategic Plan for Autism Spectrum Disorder Research. http://iacc.hhs.gov/strategic-plan/2010/. Accessed January 19, 2010.
- INVOLVE. (2010). Supporting public involvement in NHS, public health and social care research. http://www.invo.org.uk. Accessed January 2010.
- Isherwood, E., Thomas, K., & Spicer, B. (2011). Dietary management of autism spectrum disorder. http://bda.uk.com/publications/statements/DietaryManagementAutism.pdf.
- Mackintosh, V. H., Myers, B. J., & Goin-Kochel, R. P. (2005). Sources of information and support used by parents of children with autism spectrum disorders. Journal on Developmental Disabilities, 12(1), 41–51.Google Scholar
- Maskey, M., Warnell, F., Parr, J., Le Couteur, A., & McConachie, H. (2012). Emotional and behavioural problems in children with autism spectrum disorder. Journal of Autism and Developmental Disorders, 1–9. doi: 10.1007/s10803-012-1622-9.
- McColl, E., Jacoby, A., Thomas, L., Soutter, J., Bamford, C., Steen, N., et al. (2001). Design and use of questionnaires: A review of best practice applicable to surveys of health service staff and patients. Health Technology Assessment, 5(31), 1–256.Google Scholar
- Medical Research Council. (2001). Review of autism research: Epidemiology and causes. London: Medical Research Council.Google Scholar
- Mills, R., & Wing, L. (2005). Researching interventions in ASD and priorities for research: Surveying the membership of the NAS. London: National Autistic Society.Google Scholar
- Millward, C., Ferriter, M., Calver, S. J., & Connell‐Jones, G. G. (2008). Gluten‐and casein‐free diets for autistic spectrum disorder (review). The Cochrane Database of Systematic Reviews, Issue 2, Art. No. CD003498.pub2. doi: 10.1002/14651858.CD003498.pub2.
- National Institute for Health and Clinical Excellence. (2010). National Institute for Health and Clinical Excellence (NICE) Clinical Guideline 99. Constipation in children and young people. Diagnosis and management of idiopathic childhood and constipation in primary and secondary care. http://www.nice.org.uk/nicemedia/live/12993/48741/48741.pdf. Accessed May 15, 2010.
- Parr, J. (2010). Early intensive behavioural interventions for young children with autism. http://clinicalevidence.bmj.com/x/systematic-review/0322/intervention/sr-0322-i2.html. Accessed January 7, 2010.
- Rutter, M. (2011). Looking backward and looking forward. In D. Amaral, D. Geschwind, & G. Dawson (Eds.), Autism spectrum disorders. OUP: USA.Google Scholar
- Scottish Intercollegiate Guidelines Network. (2009). Assessment, diagnosis and clinical interventions for children and young people with autism spectrum disorders: A national guideline. http://www.sign.ac.uk/guidelines/fulltext/98/contents.html. Accessed January 2010.
- Shattock, P., Kennedy, A., Rowell, F., & Berney, T. P. (1990). Role of neuropeptides in autism and their relationship with classical neurotransmitters. Brain Dysfunction, 3(5), 328–345.Google Scholar
- van Elburg, R. M., Uil, J. J., Kokke, F. T. M., Mulder, A. M., van de Broek, W. G. M., Mulder, C. J. J., et al. (1995). Repeatability of the sugar-absorption test, using lactulose and mannitol, for measuring intestinal permeability for sugars. Journal of Pediatric Gastroenterology and Nutrition, 20(2), 184–188.PubMedCrossRefGoogle Scholar
- Whiteley, P., Haracopos, D., Knivsberg, A. M., Reichelt, K. L., Parlar, S., Jacobsen, J., et al. (2010). The ScanBrit randomised, controlled, single-blind study of a gluten-and casein-free dietary intervention for children with autism spectrum disorders. Nutritional Neuroscience, 13(2), 87–100.PubMedCrossRefGoogle Scholar
- Williams, K. W., Wray, J. J., & Wheeler, D. M. (2005). Intravenous secretin for autism spectrum disorder. Cochrane Database of Systematic Reviews (online : Update Software), 3, CD003495.Google Scholar