Food
Panel: Special diets don’t fight autism
A new report dismisses connections between the disorder and children's digestion
An expert panel says there’s no rigorous evidence that digestive problems are more common in children with autism compared to other children, or that special diets work, contrary to claims by celebrities and vaccine naysayers.
Painful digestive problems can trigger problem behavior in children with autism and should be treated medically, according to the panel’s report published in the January issue of Pediatrics and released Monday.
“There are a lot of barriers to medical care to children with autism,” said the report’s lead author, Dr. Timothy Buie of Harvard Medical School. “They can be destructive and unruly in the office, or they can’t sit still. The nature of their condition often prevents them from getting standard medical care.”
Some pediatricians’ offices “can’t handle those kids,” Buie said, especially if children are in pain or discomfort because of bloating or stomach cramps. Pain can set off problem behavior, further complicating diagnosis, especially if the child has trouble communicating — as is the case for children with autism.
Autism is a spectrum of disorders affecting a person’s ability to communicate and interact with others. Children with autism may make poor eye contact or exhibit repetitive movements such as rocking or hand-flapping. About 1 in 110 U.S. children have autism, according to a recent government estimate.
More than 25 experts met in Boston in 2008 to write the consensus report after reviewing medical research. The Autism Society and other autism groups funded the effort, but gave no input.
The report refutes the controversial idea that there’s a digestive problem specific to autism called “leaky gut” or “autistic enterocolitis.” The hypothesis was first floated in 1998 in a now-discredited study by British physician Dr. Andrew Wakefield. His paper tied a particular type of autism and bowel disease to the measles vaccine.
The new report says the existence of autistic enterocolitis “has not been established.” Buie said researchers and doctors have avoided digestive issues in autism because of their connection with Wakefield’s disputed research, which set off a backlash against vaccines that continues to this day.
The new report calls for more rigorous research into the prevalence of digestive problems and whether special diets might help some children.
For now, the report states, available information doesn’t support special diets for autism.
Diets have been promoted by actress Jenny McCarthy, whose best-seller “Louder Than Words” detailed her search for treatments for her autistic son.
Nearly 1 in 5 of children with autism are on a special diet, according to a project that tracks what treatments parents are trying. Most of them were on diets that eliminate gluten, found in many grains, or casein, a protein in milk, or both, according to the Interactive Autism Network at the Kennedy Krieger Institute in Baltimore, Md.
The new report advises doctors to watch for nutritional deficiencies in patients with autism. It recommends a nutritionist get involved if a patient is on a special diet or only eats certain foods.
The report drew praise from Rebecca Estepp of Poway, Calif., who believes a special diet is helping her autistic son. She said the paper gives pediatricians credible recommendations they’ve needed.
“I’m filled with hope after reading this report,” said Estepp of the support group Talk About Curing Autism. “I wish this report would have come out 10 years ago when my son was diagnosed.”
Lee Grossman, president of the Autism Society, a funder, said many doctors have written off autistic children’s digestive problems as untreatable.
“I think we still have a lot to learn about the gut and how it contributes to behavioral symptoms,” Grossman said. “We have a lot to learn about how to treat this.”
Buie said his clinic has various techniques for treating children with problem behavior. They schedule early morning appointments so children aren’t delayed in the waiting room or blow bubbles during a blood draw as a distraction. As a last resort, they use anesthesia.
“If a child is going to be asleep because of a dental evaluation or an MRI study, we will do our endoscopy, our blood work, spinal tap, haircuts or teeth cleaning at the same time,” Buie said. “Our nurses do beautiful haircuts.”
The making of the term ‘pink slime’
A simple nickname that forever changed an entire industry
FILE - In this March 29, 2012 file photo, the beef product known as lean finely textured beef, or "pink slime," is displayed during a plant tour of Beef Products Inc. in South Sioux City, Neb., where the product is made. Gerald Zirnstein, the microbiologist who coined the term "pink slime," says it came to him in the spur of the moment as he was composing an email to a coworker at the U.S. Department of Agriculture a decade ago. Although it's been used as a filler for decades, the product became the center of controversy only after Zirnstein's vivid moniker for it was quoted in a 2009 New York Times article on the safety of meat processing methods. (AP Photo/Nati Harnik, File)(Credit: AP) NEW YORK (AP) — “Pink slime” was almost “pink paste” or “pink goo.”
The microbiologist who coined the term for lean finely textured beef ran through a few iterations in his head before pressing send on an email to a co-worker at the U.S. Department of Agriculture a decade ago. Then, the name hit him like heartburn after a juicy burger.
“It’s pink. It’s pasty. And it’s slimy looking. So I called it pink slime,” said Gerald Zirnstein, the former meat inspector at the USDA. “It resonates, doesn’t it?”
Continue Reading CloseDid slaves catch your seafood?
Thailand, a major source of fish imported to the US, depends on forced labor for its product
(Credit: Alena Brozova via Shutterstock) PREY VENG, Cambodia, and SAMUT SAKHON, Thailand — In the sun-baked flatlands of Cambodia, where dust stings the eyes and chokes the pores, there is a tiny clapboard house on cement stilts. It is home to three generations of runaway slaves.
The man of the house, Sokha, recently returned after nearly two years in captivity. His home is just as he left it: barren with a few dirty pillows passing for furniture. Slivers of daylight glow through cracks in the walls. The family’s most valuable possession, a sow, waddles and snorts beneath the elevated floorboards.
Horrors we hide
From slaughterhouses to sweatshops, modern society is constructed to let us ignore atrocities
Workers at a Seagate Wuxi factory in China (Credit: Robert Scoble / CC BY 2.0) Would Americans eat less meat, and would animals be treated more humanely, if slaughterhouses were made with glass walls and we all could see the monstrous killing apparatus at work? This is the query at the heart of Timothy Pachirat’s new book, “Every Twelve Seconds” — the title a reference to the typical slaughterhouse’s cattle-killing rate.
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David Sirota is a best-selling author of the new book "Back to Our Future: How the 1980s Explain the World We Live In Now." He hosts the morning show on AM760 in Colorado. E-mail him at ds@davidsirota.com, follow him on Twitter @davidsirota or visit his website at www.davidsirota.com. More David Sirota.
Lessons of a reluctant hunter
A transplant to Oregon teaches me about growing up in rural Mexico, killing iguanas and grilling chicken
Jazmin Rudin with her mother, Esperanza Jazmin is 27 years old and beautiful. She has the fierce, dark beauty of a Mexican Indian, but she’s tall, and when you see her move, you think Masai warrior or maybe ninja. And it’s true: She does have ninja skills. When I first met Jazmin, she’d just killed a pheasant. She was sitting on the deck talking with a friend when she spotted the bird at the edge of the yard, 20 feet away. She casually picked up a two-by-four and hurled it. The missile hit the pheasant in the head, a neat kill. Jazmin walked over and picked it up. “Dinner,” she said.
Continue Reading CloseFelisa Rogers studied history and nonfiction writing at the Evergreen State College and went on to teach writing to kids for five years. She lives in Oregon’s coast range, where she works as a freelance writer and editor. More Felisa Rogers.
Pink slime monster runs amok
The beef product processing industry is in a world of pain. Another scalp for social media?
The beef ingredient dubbed “pink slime.” (Credit: AP/Beef Products, Inc.) The battle over “pink slime” is getting messier. Blaming an “unfounded public outcry over the use of boneless lean beef trimmings” in the nation’s commercially sold ground beef supply, meat processor AFA Foods Inc. filed for Chapter 11 bankruptcy protection on Monday. Beef Products Inc. — the South Dakota-based meat titan that invented the pink slime manufacturing process — is also reeling, idling plants in multiple states. In response, Iowa Gov. Terry Branstad, a politician who hails from a state where there is a whole lot of boneless beef extrusion going on, called for a congressional investigation into the causes of the public uproar.
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Andrew Leonard is a staff writer at Salon. On Twitter, @koxinga21. More Andrew Leonard.
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