How can I manage my child’s autism better?

Answer: Try giving your child a multivitamin/mineral supplement.

BMC Pediatr. 2011 Dec 12;11:111.

Effect of a vitamin/mineral supplement on children and adults with autism.

Adams JB, Audhya T, McDonough-Means S, Rubin RA, Quig D, Geis E, Gehn E, Loresto M, Mitchell J, Atwood S, Barnhouse S, Lee W.

Abstract

ABSTRACT:

BACKGROUND:

Vitamin/mineral supplements are among the most commonly used treatments for autism, but the research on their use for treating autism has been limited.

METHOD:

This study is a randomized, double-blind, placebo-controlled three month vitamin/mineral treatment study. The study involved 141 children and adults with autism, and pre and post symptoms of autism were assessed. None of the participants had taken a vitamin/mineral supplement in the two months prior to the start of the study. For a subset of the participants (53 children ages 5-16) pre and post measurements of nutritional and metabolic status were also conducted.

RESULTS:

The vitamin/mineral supplement was generally well-tolerated, and individually titrated to optimum benefit. Levels of many vitamins, minerals, and biomarkers improved/increased showing good compliance and absorption. Statistically significant improvements in metabolic status were many including: total sulfate (+17%, p = 0.001), S-adenosylmethionine (SAM; +6%, p = 0.003), reduced glutathione (+17%, p = 0.0008), ratio of oxidized glutathione to reduced glutathione (GSSG:GSH; -27%, p = 0.002), nitrotyrosine (-29%, p = 0.004), ATP (+25%, p = 0.000001), NADH (+28%, p = 0.0002), and NADPH (+30%, p = 0.001). Most of these metabolic biomarkers improved to normal or near-normal levels.The supplement group had significantly greater improvements than the placebo group on the Parental Global Impressions-Revised (PGI-R, Average Change, p = 0.008), and on the subscores for Hyperactivity (p = 0.003), Tantrumming (p = 0.009), Overall (p = 0.02), and Receptive Language (p = 0.03). For the other three assessment tools the difference between treatment group and placebo group was not statistically significant.Regression analysis revealed that the degree of improvement on the Average Change of the PGI-R was strongly associated with several biomarkers (adj. R2 = 0.61, p < 0.0005) with the initial levels of biotin and vitamin K being the most significant (p < 0.05); both biotin and vitamin K are made by beneficial intestinal flora.

CONCLUSIONS:

Oral vitamin/mineral supplementation is beneficial in improving the nutritional and metabolic status of children with autism, including improvements in methylation, glutathione, oxidative stress, sulfation, ATP, NADH, and NADPH. The supplement group had significantly greater improvements than did the placebo group on the PGI-R Average Change. This suggests that a vitamin/mineral supplement is a reasonable adjunct therapy to consider for most children and adults with autism.

Read the complete scientific article:

Effect of a vitamin/mineral supplement on children and adults with autism.

Here are some other interesting findings suggesting autism may in some cases be somehow linked to a nutritional deficiency:

J Am Coll Nutr. 2011 Oct;30(5):348-53.

Autism rates associated with nutrition and the WIC program.

Shamberger RJ.

Abstract

OBJECTIVES:

Autism rates in the United States are increasing at a rate of 15% per year. Autistic children are diagnosed by age 3 when they have problems communicating and interacting socially. This study uses nutritional epidemiology and an ecologic study design to link the possible cause of autism to nutrition by creating autism rates for the 50 states of America and comparing them with published measures of infant nutrition such as duration of exclusive breast-feeding and participation in the Women, Infants, and Children (WIC) program. The percentage of infants with measles, mumps, and rubella (MMR) inoculations was also compared with the autism rates. Study

DESIGN:

Autism rates for each state were established. The percentage of infants who participate in the WIC program for low-income families was calculated for each of the 50 states as well as 21 New Jersey and 30 Oregon counties and compared with their autism rates. An ecologic study design with correlation coefficients is limited, but it is useful for generating hypotheses to be tested.

RESULTS:

The states with the highest WIC participation have significantly lower autism rates (p < 0.02). A similar pattern was observed in 21 New Jersey counties (p < 0.02) and 30 Oregon counties (p < 0.05). In contrast, there was a direct correlation with the increasing percentage of women exclusively breast-feeding from 2000-2004 (p < 0.001). Infants who were solely breast-fed had diets that contained less thiamine, riboflavin, and vitamin D than the minimal daily requirements (MDR). There was no correlation of MMR inoculations with the autism rate.

CONCLUSION:

The mothers who are exclusively breast-feeding should also continue their prenatal vitamins or their equivalent and make better dietary choices. These results suggest that autism may be nutritionally related to a possible deficiency of riboflavin or the cognitive vitamins such as thiamine or vitamin D. However, due to an ecologic study design there is a potential for fallacy because individuals were not examined. The results suggest the need for a robust observational study in advance of, and to confirm the need for, an intervention study.

Acta Psychiatr Scand. 2011 May;123(5):339-48. doi: 10.1111/j.1600-0447.2010.01662.x.

Prevalence of autism according to maternal immigrant status and ethnic origin.

Abstract

OBJECTIVE:

To examine the rates of autism separately according to maternal immigrant status and ethnic origin in respect to the vitamin D insufficiency hypothesis.

METHOD:

Articles were identified by electronic searches. Studies were selected when they analysed autism rates according to maternal immigrant status and/or ethnic origin using multivariate techniques.

RESULTS:

This review gave further support to the association between maternal immigrant status and an increased risk of autism. The relationship with ethnic origin was more complex. Although the crude rates did not differ, multivariate analyses taking into account confounding factors found that black ethnicity was associated with an increased risk for autism. The risk was highly significant when considering the strict definition of autistic disorders as opposed to the large definition of other pervasive developmental disorders. The risk was also very significant for autism associated with mental retardation.

CONCLUSION:

These results are consistent with the maternal vitamin D insufficiency hypothesis. Neurobiological studies are warranted to document the effect of maternal vitamin D insufficiency during pregnancy on the foetal brain and the window of vulnerability. This review stresses the importance of monitoring vitamin D levels in pregnant women, especially those who are immigrant, dark-skinned or veiled, and the urgency of randomized controlled trials.

Dermatoendocrinol. 2009 Jul;1(4):223-8.

Epidemiologic evidence supporting the role of maternal vitamin D deficiency as a risk factor for the development of infantile autism.

Grant WB, Soles CM.

Abstract

This study examines whether maternal vitamin D deficiency is a risk factor for infantile autism disease (IAD). We used epidemiologic data seasonal variation of birth rates and prevalence of IAD for cohorts born before 1985. For seven studies reporting spring-to-summer excess birth rates for IAD, the season progressed from broad near 30 degrees N latitude, spring/summer in midlatitudes, to winter at the highest latitude. Also, using data from 10 studies, we found a strong effective latitudinal (related to wintertime solar ultraviolet B radiation) increase in IAD prevalence. These findings are consistent with maternal vitamin D deficiency’s being a risk factor for IAD, possibly by affecting fetal brain development as well as possibly by affecting maternal immune system status during pregnancy. Further investigation of this hypothesis is warranted.

Read the complete scientific paper:

Epidemiologic evidence supporting the role of maternal vitamin D deficiency as a risk factor for the development of infantile autism.

J Altern Complement Med. 2010 Jun;16(6):641-5.

Reduced serum levels of 25-hydroxy and 1,25-dihydroxy vitamin D in Egyptian children with autism.

Meguid NA, Hashish AF, Anwar M, Sidhom G.

Abstract

OBJECTIVE:

The aim of this study was to investigate the potential role of vitamin D in autism through serum level assessment.

DESIGN:

This was a case-controlled cross-sectional study.

SETTING:

The study was conducted at the Out-patient Clinic for “Children with Special Needs” at the Medical Services Unit of the National Research Centre in Cairo, Egypt.

SUBJECTS:

Seventy (70) children with autism diagnosed according to the DSM-IV criteria of the American Psychiatric Association were recruited for this study. The mean age +/- standard deviation (SD) of the patients was 5.3 +/- 2.8 years. Controls included 42 age-matched randomly selected healthy children of the same socioeconomic status (mean age +/- SD, 6.1 +/- 1.8 years).

METHODS:

Circulating levels of both forms of vitamin D (25(OH)D and 1,25(OH)(2)D) and serum calcium were measured for all subjects. Associations between vitamin D status, birth season, and clinical characteristics of autism were examined.

RESULTS:

Children with autism had significantly lower 25(OH)D (p < 0.00001) and 1,25(OH)(2)D (p < 0.005) as well as lower calcium (p < 0.0001) serum values than the controls. A significant positive correlation was obtained between 25(OH)D and calcium (correlation coefficient r = 0.309, p < 0.01) within the children with autism. No significant difference was found on comparison of birth month and season of birth between children with autism and healthy controls. Furthermore, associations linking parental consanguinity or convulsions with vitamin D could not be established.

CONCLUSIONS:

Serum values of 25(OH)D in the children with autism of this study could classify them as being “vitamin D inadequate,” which lends support to the hypothesis that autism is a vitamin D deficiency disorder.

Br J Nutr. 2009 Apr;101(7):1052-8.

Vitamin D status among immigrant mothers from Pakistan, Turkey and Somalia and their infants attending child health clinics in Norway.

Madar AA, Stene LC, Meyer HE.

Abstract

High prevalences of vitamin D deficiency have been reported in non-Western immigrants moving to Western countries, including Norway, but there is limited information on vitamin D status in infants born to immigrant mothers. We aimed to describe the vitamin D status and potentially correlated factors among infants aged 6 weeks and their mothers with Pakistani, Turkish or Somali background attending child health clinics in Norway. Eighty-six healthy infants and their mothers with immigrant background were recruited at the routine 6-week check-up at nine centres between 2004 and 2006. Venous or capillary blood was collected at the clinics from the mother and infant, and serum separated for analysis of 25-hydroxyvitamin D (s-25(OH)D) and intact parathyroid hormone (s-iPTH). The mean maternal s-25(OH)D was 25.8 nmol/l, with 57 % below 25 nmol/l and 15 % below 12.5 nmol/l. Of the mothers, 26 % had s-iPTH>5.7 pmol/l. For infants, mean s-25(OH)D was 41.7 nmol/l, with 47 % below 25 nmol/l and 34 % below 12.5 nmol/l. s-25(OH)D was considerably lower in the thirty-one exclusively breast-fed infants (mean 11.1 nmol/l; P < 0.0001). Use of vitamin D supplements and education showed a positive association with maternal s-25(OH)D. There was no significant association between mother’s and child’s s-25(OH)D, and no significant ethnic or seasonal variation in s-25(OH)D for mothers or infants. In conclusion, there is widespread vitamin D deficiency in immigrant mothers and their infants living in Norway. Exclusively breast-fed infants who did not receive vitamin D supplements had particularly severe vitamin D deficiency.

And this fascinating review article reviewing the evidence that autism may be at least in part caused by a vitamin D deficiency in the mothers and the newborn child:

Acta Paediatr. 2010 Aug;99(8):1128-30. Epub 2010 May 19.

On the aetiology of autism.

Cannell JJ.
Read the complete article:

On the aetiology of autism

How can I manage my child’s chronic sinusitis better?

Answer: Try saline nasal irrigation.

Laryngoscope. 2011 Sep;121(9):1989-2000. doi: 10.1002/lary.21923. Epub 2011 Aug 16.

Safety and efficacy of once-daily nasal irrigation for the treatment of pediatric chronic rhinosinusitis.

Source

Department of Otolaryngology-Head and Neck Surgery, University of Kansas School of Medicine, Kansas City, Kansas, U.S.A.. jwei@kumc.edu.

Abstract

OBJECTIVES/HYPOTHESIS:

To compare efficacy and outcome of daily saline irrigation versus saline/gentamicin for treating chronic rhinosinusitis (CRS).

STUDY DESIGN:

Prospective, randomized, double-blinded study.

METHODS:

Forty children diagnosed with CRS were enrolled. Patients were randomized to once-daily irrigation with saline or saline/gentamicin for 6 weeks. Treatment outcomes were measured using 1) Lund-Mackay scoring system of pre- and post-treatment computer tomography (CT); and 2) Sinonasal Quality-of-Life Survey (SN-5) completed at baseline, and after 3 weeks and 6 weeks of irrigation.

RESULTS:

Thirty-four patients completed the study and follow-up. There were statistically significant improvements in quality-of-life (QoL) scores after 3 weeks of irrigation within both groups. However, there were no statistically significant differences in the SN-5 scores between the two treatment groups after 3 and 6 week (P = .067). CT scores for each sinus and total scores were reduced for both groups after 6 weeks, and the differences in scores were statistically significant within each group after treatment, but there were no differences between the two treatment groups. Only one patient required functional endoscopic sinus surgery due to persistent symptoms. Compliance was over 90% for once daily irrigation over the 6 week treatment period.

CONCLUSIONS:

Once-daily intranasal irrigation for 6 weeks is safe and equally effective in the treatment of pediatric CRS using saline or saline plus gentamicin, and QoL was significantly improved after 3 weeks of irrigation in both groups. High tolerance, compliance, and effectiveness of irrigation support its use as a first-line treatment for pediatric CRS before considering surgical intervention.

Warning: Check with your doctor first that this is OK!

How can I manage my child’s autism better?

Answer: Try giving your child a daily Qigong massage.


Am J Occup Ther. 2011 Sep-Oct;65(5):550-9.

Early intervention for autism with a parent-delivered Qigong massage program: a randomized controlled trial.

Source

Teaching Research Institute, Western Oregon University, P.O. Box 688, Salem, OR 97308, USA. Imtsilvaqigong@comcast.net

Abstract

A recent randomized controlled trial (RCT) of a dual parent and trainer-delivered qigong massage intervention for young children with autism resulted in improvement of measures of autism as well as improvement of abnormal sensory responses and self-regulation. The RCT evaluated the effects of the parent-delivered component of the intervention. Forty-seven children were randomly assigned to treatment and wait-list control groups. Treatment group children received the parent-delivered program for 4 mo. Trained therapists provided parent training and support. Improvement was evaluated in two settings–preschool and home–by teachers (blind to group) and parents. Results showed that the parent-delivered program was effective in improving measures of autism (medium effect size) and sensory and self-regulatory responses (large effect size). Teacher data on measures of autism were confirmed by parent data. Results indicate that the parent-delivered component of the program provided effective early intervention for autism that was suitable for delivery at home.

What is Qigong massage?

Read this Wikipedia article

Some videos:

How can I help my child with autism improve his ability to recognize other people’s facial expressions?

Answer: Get your child to watch The Transporters DVD series.

The Transporters is an animated DVD series designed to teach children with autism to read human emotions.

The DVD series cost half a million British pounds to create and has been scientifically shown to improve autistic children’s emotion-reading skills. The results sound amazing:  The creator of the project, Professor Simon Baron-Cohen, said that after watching The Transporters for just 15 minutes a day for a month, autistic children improved their emotion-reading ability to the level of non-autistic children.

These 2 videos show you Episode One from the series to show you how the idea works — the first video is the US version and the second, the British version:

The Transporters: US/Canada version: www.thetransporters.com

The Transporters has been created specially for children with autism who find it hard to recognize the causes of emotion and the facial expressions that go with them. Narrated by Kerry Shale. www.thetransporters.com

The Transporters: British English version: www.thetransporters.com

The Transporters has been created specially for children with autism who find it hard to recognize the causes of emotion and the facial expressions that go with them. Narrated by Stephen Fry. www.thetransporters.com

In this video, Professor Simon Baron-Cohen explains how the idea works:

The Transporters – How it Works: www.thetransporters.com

In this interview, Simon Baron-Cohen gives some more detail:

“The Transporters”-Dr. Simon Baron Cohen: Beyond the Headlines

And here’s another snippet from another Transporters episode:

The Transporters – Excerpt: “Barney’s Special Day” (US/Canada version)

More information from the The Transporters website:

The Transporters series has been evaluated by the Autism Research Centre for its effectiveness for children aged 4 to 8 with ASC (autistic spectrum condition).

The results are very exciting.

  • In all tasks on which the children were tested, most caught up their typically developing peers.
  • The results suggest that The Transporters DVD is an effective way to teach emotion recognition to children with ASC and that the learning generalises to new faces and new situations.
  • Children with ASC who did not watch the DVD remained below typically developing levels.

Download the full research paper: Enhancing Emotion Recognition in Children with Autism Spectrum Conditions: An Intervention Using Animated Vehicles
with Real Emotional Faces


How much does the DVD series cost, and where can I buy it?

The price quoted today for the 15-episode DVD series and the accompanying parent guide on The Transporters website is $65 US or £49.92 (inc UK VAT)

Sounds like a bargain to me! What’s the downside, apart from the money outlay? In fact, maybe all children could benefit from watching The Transporters! The better our kids can read other people’s expressions and emotions, the better they will get along with others.