Autism and Nutrition: Effective Diets for Autism Management

  • Julie Matthews, autism and nutrition expert, and author of The Personalized Autism Nutrition Plan talks with Dr. Mary Barbera about why autism and nutrition, as well as creating an autism diet can transform lives.
  • Gut Health and Behavior Are Connected: Autism and Nutrition are important because, addressing digestive issues like constipation and bloating can lead to significant improvements in behavior, sleep, and overall well-being in children with autism.
  • Eliminating Junk Food Can Transform Behavior: Removing artificial additives and dyes, such as red dye number 3, has been shown to reduce hyperactivity and improve focus, even in children without an autism diagnosis.
  • Nutrition Interventions Outperform Medications: Research shows that comprehensive autism dietary approaches often yield better results with fewer side effects compared to psychiatric or seizure medications for managing autism symptoms.

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This is an exciting episode because we’re diving deep into a topic that’s incredibly important for many families: the connection between nutrition and autism. With over 25 years of experience in the autism world, I’ve seen firsthand how diet can influence behavior and development in children with autism spectrum disorder (ASD).

Many parents and professionals often overlook the importance of diets and nutrition when managing autism symptoms, but the evidence is growing—and it’s compelling.

In this post, we’ll explore expert insights from a recent conversation I had with Julie, a leading authority in autism nutrition, and review some key research findings in addition to providing practical autism and nutrition tips to families who are ready to make the change! 

Why Nutrition Matters for Autism Management

Addressing nutrition and autism diets is crucial for children with autism because their condition often involves systemic inflammation and gut health issues.

Symptoms such as diarrhea, constipation, stomach pain, and food allergies are common and can exacerbate behavioral challenges.

By focusing on a diet that reduces inflammation and supports gut health, we can alleviate these physical symptoms, leading to improvements in behavior, mood, and overall quality of life.

Dr. Keith Williams, Director of the Feeding Program at Penn State Hershey Medical Center, emphasizes the importance of addressing medical issues related to diet in children with autism.

He notes that poor eating habits can lead to significant health problems, including vitamin and mineral deficiencies such as iron deficiency, which can further impact a child’s development and behavior.

Julie’s Expertise in Autism Nutrition

Julie Matthews, our guest expert, has been immersed in the world of autism and nutrition for over 22 years. With a master’s degree in medical nutrition from Arizona State University, she combines rigorous research with practical experience to help families navigate dietary interventions. Her latest book, The Personalized Autism Nutrition Plan, provides a comprehensive approach to improving the health and behavior of children with ASD, ADHD, anxiety, and other neurodevelopmental conditions.

How Did Julie Get Started with Autism Diets?

Julie’s journey began with studying how nutrition affects behavior in children with ADHD. After writing her first book “Nourishing Hope”,  She met a man who had successfully used dietary interventions to help his children with autism, sparking her interest in the field. Since then, Julie has dedicated her career to understanding the complex relationship between diet and neurodevelopmental disorders.

The Link Between Nutrition and Autism

One of the key takeaways from our conversation is that nutrition plays a significant role in managing autism symptoms. Here’s why:

Digestive Health and the Microbiome

Many children with autism experience digestive issues such as diarrhea, constipation, gas, and bloating. These symptoms often indicate an imbalanced microbiome and compromised gut health. Addressing digestive health can lead to improvements in behavior, sleep, and even toilet training.

The Role of Inflammation and Immune Function

Children with ASD often have heightened inflammatory responses and immune system challenges. These factors can influence how their bodies tolerate certain foods and absorb nutrients. By tailoring nutrition to support the immune system and reduce inflammation, families can see noticeable improvements in their child’s symptoms.

Mitochondrial Function and Detoxification

Another critical area is mitochondrial health and the body’s ability to detoxify. Many children with autism have difficulties handling oxidative stress, which can exacerbate behavioral issues. Nutritional strategies that support mitochondrial function can lead to better energy levels and cognitive functioning.

In Julie’s experience, many families making nutrition changes for their child with autism saw many health benefits for themselves as they may have also had intolerances or issues that led to weight gain, fatigue, a foggy brain, or other common health issues. 

So, autism diets may even be important for the whole family. 

Starting a Nutrition Plan for Autism

Julie recommends a 12-step approach to improving nutrition for children with autism that is outlined in her newest book. Here’s a simplified version of her strategy:

Step 1: Eliminate Junk Food

The first and simplest step is to remove artificial additives, preservatives, and dyes from your child’s diet. For example, red dye number 3 has been linked to hyperactivity in children. Studies in The Lancet and anecdotal reports from parents over the past 50 years confirm that reducing these additives can lead to dramatic behavioral improvements.

Step 2: Address Picky Eating

Picky eating is a common challenge among children with autism, with about 80% exhibiting restrictive eating habits. Addressing nutrient deficiencies and food intolerances can help expand your child’s diet. For example, gluten and dairy can produce opioid-like compounds in some children, leading to food addictions and behavioral issues.

My discussion with Dr. Keith Williams can provide some insights on how to start introducing new foods so we can eliminate foods that are making the picky eating worse.

Step 3: Introduce Special Diets Gradually

Rather than jumping into restrictive diets immediately, Julie suggests starting with simple changes and gradually introducing diets like the gluten-free, casein-free (GFCF) diet, specific carbohydrate diet, or ketogenic diet based on your child’s needs. 

We don’t want to remove all foods before we are able to add in some new ones. 

Research on Nutrition and Autism

Julie has coauthored several significant studies on the impact of nutrition on autism. I was so excited to hear this because research studies on nutrition and autism or autism diets is hard to get! 

Study 1: Comprehensive Nutritional and Dietary Intervention

This randomized control trial led by Dr. James Adams examined the effects of a comprehensive nutritional approach on children with autism. The study included a gluten-free, casein-free, soy-free diet combined with supplements like carnitine, essential fatty acids, and digestive enzymes. Over the course of a year, the intervention group showed 4.5 times the developmental age improvement and an increase of nearly 7 points in nonverbal IQ compared to the control group.

Study 2: Survey on Therapeutic Diets

In a second study, Julie and her team surveyed 800 families about their experiences with 13 different therapeutic diets and 24 symptom improvements. The results showed that dietary interventions were significantly more effective than psychiatric or seizure medications in improving autism symptoms—with fewer side effects. Changing to an autism diet was also more significant in helping these families than vitamin supplementation alone.

Practical Autism Diet Tips for Families

Involve the Whole Family

Julie recommends involving the entire family in dietary changes to create a supportive environment. This not only helps the child with autism but can also improve the health of siblings and parents.

Small Steps Lead to Big Changes

Start with manageable steps like replacing sugary cereals with healthier options or introducing freshly squeezed juices. For kids who are picky eaters, finding alternatives to their favorite foods that have less additives. Gradual changes make it easier for children to adapt and reduce resistance.

Seek Professional Guidance

For children with extreme picky eating or nutritional deficiencies, Julie advises consulting with behavioral feeding specialists and nutrition experts. Programs like mine and resources from professionals like Dr. Keith Williams offer valuable guidance.

Autism and Nutrition Wrap-Up

Nutrition is a powerful tool for managing autism symptoms. While it may not be a cure, addressing dietary issues can lead to significant improvements in behavior, cognitive functioning, and overall quality of life. I’m excited about the growing body of research supporting these interventions and look forward to seeing more families benefit from this knowledge.

Learn More for Autism Diets

For additional resources, check out my free digital assessment at marybarbera.com/assessment. You can also explore Julie’s work and her new book, The Personalized Autism Nutrition Plan, at personalizedautismnutritionplan.com.

Thanks for reading, and stay tuned for more insights on how to support children with autism through evidence-based strategies and compassionate care!

Julie Matthews on the Turn Autism Around Podcast

Julie Matthews, MS, is a Certified Nutrition Consultant and published researcher specializing in personalized nutrition for complex neurological conditions, particularly autism spectrum disorder and ADHD for over 20 years. She received her master’s degree in medical nutrition, with distinction, from Arizona State University, and she’s co-author of two research studies demonstrating the efficacy of nutrition and therapeutic diet intervention for autism spectrum disorder. And she has a brand-new book, The Personalized Autism Nutrition Plan.

Top 5 FAQ on Autism and Nutrition

Nutrition affects various aspects of health in children with autism, from digestive health and immune function to behavior and cognitive performance. Addressing nutritional deficiencies and gut imbalances can lead to noticeable improvements in behavior and development.

Start by eliminating artificial additives, preservatives, and dyes from your child’s diet. Simple changes like removing red dye number 3 can significantly reduce hyperactivity and improve focus.

Not necessarily. Julie recommends starting with small dietary changes and observing your child’s symptoms. A GFCF diet may be beneficial for some children, but it’s important to introduce changes gradually and monitor their effects. Her book outlines many different autism diets that are targeted for different struggles a child may be facing. 

Picky eating is common in children with autism. Addressing nutrient deficiencies, offering foods with preferred textures, and gradually introducing new foods can help expand your child’s diet.

Yes, extreme dietary restrictions without professional guidance can lead to nutrient deficiencies. It’s important to consult with nutrition and behavioral experts to create a balanced, effective dietary plan.

Resources

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