with autism may be sensitive to gluten or dairy, this is not a one-size-fits-all approach, and there is mixed data in support of this regimen. Another choice is the specific
carbohydrate diet (SCD), which involves limiting certain carbohydrates, processed foods, most dairy, sugar and more, with the goal of reducing food sensitivities and improving the gut microbiome. Mixed outcomes have been reported with this diet due in part to its elimination of high- fiber foods that may be beneficial for brain health. McPherson explains, “Gut bacteria digest (or ferment) fiber in the large intestines to produce short-chain fatty acids, which are known to improve brain health significantly.” Te Feingold diet is another approach
that eliminates artificial flavors, sweeteners, preservatives and salicylates. Salicylates are compounds found in certain fruits and vegetables. While there is some evidence that food dyes may play a role in children’s behavior, most studies on this diet have not demonstrated a significant impact on ASD symptoms.
Personalized Nutrition Instead of following a specific therapeutic diet, most experts now understand that a diet for ASD needs to be personalized to each child. It is ideal to work with a registered dietitian that can address nutrient and feeding concerns and is trained to make individualized recommendations. A primary area to focus on, according
to Lambert, is correcting vitamin deficiencies, which may play a role in improving behavioral and digestive challenges. Nutrients of concern include zinc, vitamin D, calcium, magnesium and essential fatty acids. McPherson also relates that fiber
should be at the forefront of any diet to address digestive concerns. “While many children on the spectrum may strongly prefer foods like chips, crackers, bread or white pastas, these foods tend to be lacking in fiber,” she says. “Good sources of fiber are split peas, multigrain breads and pears.” A registered dietitian can also
help families evaluate whether a diet is working. Lvova says, “It can be challenging to see whether a specific diet is working or not. When a change is made, the parents and caregivers often pay more attention in order to see if there is a difference, and the child responds positively to the change in attention. By keeping expectations realistic and ensuring a relaxed mealtime atmosphere, your child will have the best chance to meet their nutritional needs.” Ultimately, the goal is to make meals a positive experience for the child, with less emotional investment on which foods they can or cannot eat.
Ana Reisdorf is a registered dietitian and freelance writer with more than 15 years of experience in the fields of nutrition and dietetics.
Is Your Child Struggling with Inattention, Hyperactivity and/or Impulsivity?
Dwight Franklin, DOM/AP, of The Franklin Family Wellness Institute, is the creator of “The Elementary Method.” With over a decade of experience, he helps children with various Brain Health Concerns using:
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www.shaktihc.com April 2023
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