Missing Components in Current Management of Autism Spectrum Disorder (ASD): Nutrition, Dental Care, and House-Call Programs

Li, Jun; Amat, Morgane; Song, Rui; Kong, Xuejun

doi:10.1007/s40489-019-00182-x

Cited by 3 publications

(2 citation statements)

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“…Such feeding problem is also indicated to be associated with visual and/or oral sensory oversensitivity in children with autism (Chistol et al, 2018). Because of food refusal and/or selectiveness, these children are frequently found to have dietary imbalance or malnutrition (Liu et al, 2020), weight problems (Zhu & Dalby‐Payne, 2019), and/or maladaptive behaviours during mealtime (Sharp et al, 2019). Furthermore, parents of these children often experience stress during daily care and struggle with their children's high‐level of food selectivity (Aponte et al, 2019; Zhu & Dalby‐Payne, 2019).…”

Section: Introductionmentioning

confidence: 99%

“Still work?” Design and effect of interventions used to modify feeding problems in children with autism: A systematic review of studies employing group designs

Chung,

Fang,

et al. 2024

Child

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BackgroundFeeding problems in children with autism jeopardize the well‐being of both children with autism and their families. Mixed findings were reported from previous interventions, which were mostly evaluated by single subject research design (SSRD) studies. Moreover, feasibility assessment and social validity measurement were unaddressed by these SSRD studies. To fill this substantial knowledge gap, the present review systematically summarized and evaluated feeding interventions implemented in children with autism, which were assessed by studies employing group designs.MethodAn extensive literature search in eight established online databases was conducted, and a total of 17 eligible studies published in 2009–2021 were included for further analysis. A descriptive account of the features of the investigations is provided, including assessment of study quality.ResultsA total of 449 children with autism and 203 parents/caregivers participated in the included studies. The multiple use of five strategic intervention components were highlighted in this review, including nutrition education/consultations, environmental modifications, sensory exposure, cognitive components, and behaviour interventions. The reviewed interventions showed a preliminarily positive effect for modifying feeding problems in children with autism. Furthermore, the evaluation based on the RE‐AIM framework (reach, efficacy, adoption, implementation, and maintenance) demonstrated that an interdisciplinary multi‐component intervention strategy may achieve high effectiveness and feasibility in improving feeding problems in a wide range of children with autism.ConclusionsThis review found that interventions achieved and maintained a positive effect on modification of feeding problems in groups of children with autism. Information and gaps identified and summarized in the implementation process may assist both researchers and stakeholders to further support these vulnerable children.

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Section: Introductionmentioning

confidence: 99%

“Still work?” Design and effect of interventions used to modify feeding problems in children with autism: A systematic review of studies employing group designs

Chung,

Fang,

et al. 2024

Child

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“…Figure 1 shows an optimal procedure model in which important components of a health Figure 1. Integration nutrition ASD care, and the possible model of treatment [5,8] assessment cannot be omitted when implementing a diet therapy in ASD patients [5,8].…”

Section: Introductionmentioning

confidence: 99%

The importance of nutritional management and education in the treatment of autism

Mandecka

Regulska−Ilow

2022

Rocz Panstw Zakl Hig

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Autism spectrum disorders (ASDs) are an early-onset neurodevelopmental disorders. The key symptoms of ASD include social deficits, verbal and non-verbal communication deficits, and restricted, repetitive patterns of behaviour, interests, or activities. Dietary patterns have been evidenced to be related to maternal nutritional status that might lead to different metabolic conditions, and maternal metabolic dysfunction has been observed to be associated with ASD. Furthermore growing evidence suggests that the gut microbiota has a role in the pathophysiology of ASD. Differences in composition of the gastrointestinal (GI) microbiota in children with ASD compared to unaffected siblings and/or healthy unrelated controls have been reported in various studies. The above-mentioned ASD factors and symptoms can be regulated by proper nutrition. The importance of nutrition and its possible impact on ASD patients is key to integral therapy. According to numerous research studies, various nutritional approaches succeeded in reducing the severity of patients' core ASD symptoms. The numerous options for diet that is used in the ASD therapy, as described in the scientific literature, are related to the problem of choosing an appropriate nutritional treatment. Each nutrition programme needs to be personalised and tailored to an individual patient. The aim of the paper is to review the available literature on dietary interventions in children with ASD and provide up-to-date evidence.

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A FORMAL technique for retrieval of a partially lodged movable entity in the extra-pulpal chamber of a primary tooth in a child with autism: A Case Report

Savakiya,

Panda,

Shukla

et al. 2024

ClinicalDent

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The entrapment of foreign objects in the oral cavity is a glaring risk for its accidental aspiration. This paper details a case of a partially movable foreign body that was lodged in the primary mandibular second molar of a 5-year-old boy with autism. We opted for a conservative and risk-free management strategy as per the foreign body’s size and position. This case details a FORMAL (Foreign Object Removal with Minimal Aspiration Liability) technique whose application is justified when there is a high-risk of aspiration of the foreign body based on its location.The tooth was then managed by pulp therapy followed by stainless steel crown. Follow-up at 6-months and 12-months revealed the tooth to be asymptomatic. Key Words Foreign Body, Pediatric Dentistry, Instrumentation, Deciduous Dentition

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Missing Components in Current Management of Autism Spectrum Disorder (ASD): Nutrition, Dental Care, and House-Call Programs

Cited by 3 publications

References 54 publications

“Still work?” Design and effect of interventions used to modify feeding problems in children with autism: A systematic review of studies employing group designs

“Still work?” Design and effect of interventions used to modify feeding problems in children with autism: A systematic review of studies employing group designs

The importance of nutritional management and education in the treatment of autism

A FORMAL technique for retrieval of a partially lodged movable entity in the extra-pulpal chamber of a primary tooth in a child with autism: A Case Report

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