CohortJournal of autism and developmental disorders2021

Young Adults with High Autistic-Like Traits Displayed Lower Food Variety and Diet Quality in Childhood.

Catherine Panossian, Philippa Lyons-Wall, Andrew Whitehouse and 4 others

PMID 32617793

WHAT IT FOUND

Young adults with more autistic-like traits had lower childhood food variety and diet quality, especially dairy, yoghurt and citrus.

The study did not show that diet caused these traits.

Key findings

01Higher autistic-like traits in young adulthood were associated with lower total, core and dairy food variety in early childhood.

02Frequency of yoghurt consumption fell by 35% from the lowest to the highest autistic-like trait quartile, and citrus fruit consumption fell by 50%.

03Diet quality differed across trait quartiles at ages 1, 2 and 3 in unadjusted analyses, and adjusted analyses showed differences mainly between the lowest and highest trait groups or versus the study mean.

STILL TO COME

How it was doneWhat they found

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What it does not show

This was an observational association, not a test of cause and effect, so it cannot show that childhood diet led to autistic-like traits or that changing diet would change them. Diet was measured by one caregiver-reported 24-hour recall at each age, which may not reflect usual intake, especially in toddlers. The analysed sample was not representative of the wider Raine Study: mothers were older, more likely to have completed 12 years of schooling, married, higher income and more likely to have breastfed. People with a previously reported autism spectrum disorder diagnosis were excluded, so the findings describe autistic-like traits in the general population rather than diagnosed autism spectrum disorder. Autistic-like traits were measured at age 20 by self-report, not by clinical diagnosis.

Declared interests

Funding was provided by the National Health and Medical Research Council. The supplied text does not list author conflict-of-interest declarations.

The easy way to misread this

Do not conclude that childhood diet caused autistic-like traits, or that dietary change would reduce them. The study measured an association between adult self-reported traits and earlier caregiver-reported diet, and the differences were small.

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The study

Participants
811 analysed (of 1280 who completed the Autism Spectrum Quotient at age 20)
Certainty of evidence
Low

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    Catherine Panossian, Philippa Lyons-Wall, Andrew Whitehouse, et al. Young Adults with High Autistic-Like Traits Displayed Lower Food Variety and Diet Quality in Childhood. Journal of autism and developmental disorders. 2021.

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