Autism Spectrum Disorders (ASD) Presented by: Amanda Wilkins Scientists Reverse Autism Symptoms in Mice. SciTechDaily. November 22, 2013. Image available at: http://scitechdaily.com/scientists-reverse- autism-symptoms-in-mice/
Feb 08, 2016
Autism Spectrum Disorders (ASD) Presented by: Amanda Wilkins
Scientists Reverse Autism Symptoms in Mice. SciTechDaily. November 22, 2013. Image available at:
http://scitechdaily.com/scientists-reverse-autism-symptoms-in-mice/
Autism Impact Activity Demographics Types of Disorders Etiology & Pathophysiology Signs & Symptoms Diagnosis & Lab Values Nutritional Status Treatments Nutrition Care Process
Overview
What does it feel like to be autistic? Sensory Overload
Activity Time
1. Jiron M, Harris MJ, Kinder M. Interacting with Autism. Health Research and Quality. Available at: http://vimeo.com/52193530.
1 in 68 children; ◦ 1 in 42 boys◦ 1 in 189 girls
Five times more common in boys
$60,000 cost for a family per year
All racial, ethnic, and socioeconomic groups; Caucasians are highest
About 50% of children have at least average intellectual ability
25% with ASD are non-verbal
Demographics
2. Baio, J. Prevalence of Autism Spectrum Disorder Among Children Aged 8 Years – Autism and Developmental Disabilities Monitoring Network, 11 Sites, United States, 2010. Center for Disease Control and Prevention. Morbidity and Mortality Weekly Report. Available at: www.cdc.gov/mmwr/preview/mmwrhtml/ss6302a1.htm?s_cid=ss6302a1_w. Accessed on
March 20, 2013.
Classic Autism
Rett Syndrome
Pervasive Developmental Disorder – Not Otherwise Specified (PDD-NOS)
Asperger’s Syndrome
Childhood Disintegrative Disorder
Types of ASD
3. Autism Spectrum Disorders. American Psychiatric Publishing Association. 2013. Available at: http://www.dsm5.org/Documents/Autism%20Spectrum%20Disorder%20Fact%20Sheet.pdf. Accessed on March
20, 2014.4. Boyse K. Autism, Autistic Spectrum Disorders (ASD) and Pervasive Developmental Disorders (PDD).
University of Michigan Health System. Available at: http://www.med.umich.edu/yourchild/topics/autism.htm#ad.
5. Autism Fact Sheet. National Institute of Neurological Disorders and Stroke. Available at: http://www.ninds.nih.gov/disorders/autism/detail_autism.htm#243573082
“John's early history was totally normal. By age 2 he was speaking in sentences, and he made frequent eye contact with his parents, and his older brother. At age 3 1/2 he became extremely anxious, frequently awaking at night terrified. During the day he would cry inconsolably for long periods of time, often repeating the phrase, “it hurts, it hurts, make it go away”. After a month, his parents describe a steep decline in his communication skills. He began to flap his hands, to soil himself, and had no interest in social interaction. Extensive medical examinations were conducted at 2 pediatric hospitals, failing to reveal anything that might explain the regression. At follow-up at age 12 he still was not speaking, apart from an occasional single word, and had been placed in a school for the severely disabled.”
Why did they switch?
6. Autism Program at Yale. Yale School of Medicine. August 02, 2011. Available at: http://medicine.yale.edu/childstudy/autism/information/cdd.aspx.
Genetic DNA changes Vaccines Brain Connections and growth Immune System Environmental factors Serotonin levels
Etiology
7. Autism FAQ. Autism Speaks. Available at: www.autismspeaks.org/what-autism/faq. 5. Autism Fact Sheet. National Institue of Neurological Disorders and Stroke. Available at: http://
www.ninds.nih.gov/disorders/autism/detail_autism.htm. 8. About Autism. Autism Society. Available at: http://www.autism-society.org/about-autism/causes.
9. Gotts S, Matin A. Social Brain Circuits Disrupted in Autism. National Institute of Mental Health. July 19, 2012. Available at: http://
www.nimh.nih.gov/news/science-news/2012/social-brain-circuits-disrupted-in-autism.shtml. Accessed on March 10, 2014.
10. Casanova MF, El-Baz AS, and Suri JS. 2013. Imaging the brain in autism. New York, NY: Springer. Available at: http://
link.springer.com.ezproxy.memphis.edu/chapter/10.1007/978-1-4614-6843-1_2/fulltext.html. 11. Coleman, M. (2005). The neurology of autism. New York: Oxford University Press
Available at: http://web.a.ebscohost.com.ezproxy.memphis.edu/ehost/ebookviewer/ebook/bmxlYmtfXzE0MzM0NV9fQU41?sid=5a071554-54d6-4b53-a187-
917104eb9a05@sessionmgr4003&vid=1&ppid=pp_79&format=EB&nobk=y
ASD vs. Healthy Brain
9. Gotts S, Matin A. Social Brain Circuits Disrupted in Autism. National Institute of Mental Health. July 19, 2012. Available at: http://www.nimh.nih.gov/news/science-news/2012/social-brain-circuits-disrupted-in-autism.shtml.
Anatomy & Physiology
12. Treatment for Autism. Brain Performance Center. 2012. Available at: http://www.thebrainperformancecenter.com/conditions-and-symptoms/autism-
spectrum/.
Communication◦ Delayed response to name◦ Babbles then stops talking
Social Behavior◦ Lonely◦ Misses social cues
Repetitive Behaviors Other Physical and
Medical Conditions
Signs & Symptoms
13. Associated Medical Conditions. Autism Speaks. Available at: www.autismspeaks.org/what-autism/symptoms..
5. Autism Fact Sheet. National Institue of Neurological Disorders and Stroke. Available at: http://www.ninds.nih.gov/disorders/autism/detail_autism.htm .
14. DSM-5 Autism Spectrum Disorder Guidelines & Criteria Examples. Available at: http://depts.washington.edu/dbpeds/Screening%20Tools/DSM-5(ASD.Guidelines)Feb2013.pdf.
Autism Spectrum Disorder. Dream Health. Image available at: http://www.dreamresearchgroup.com/2014/02/autism-spectrum-disorder.html.
Modified Checklist of Autism in Toddlers
No confirmed medical test
Multidisciplinary team
Genetic testing
Sleep difficulties testing
Hearing and Vision
Diagnosis
15. How is Autism Diagnosed? Autism Speaks. 2014. Available at: http://www.autismspeaks.org/what-autism/diagnosis.
16. About Autism Diagnosis. Autism Society. 2013. Available at: http://www.autism-society.org/about-autism/diagnosis/.
17. Tongerloo M, Bor H, Lagro-Janssen A. Detecting Autism Spectrum Disorders in the General Practitioner'S Practice. Journal Of Autism & Developmental Disorders [serial online].
August 2012;42(8):1531-1538. Available from: OmniFile Full Text Mega (H.W. Wilson), Ipswich, MA. Accessed March 2, 2014
18. Bridgemohan C, Hanson E, and Spence S. Autism spectrum disorders (ASDs). Boston Children’s Hospital. Available
at:http://www.childrenshospital.org/health-topics/conditions/autism-spectrum-disorders.
Lab Values
19.Biochemical and Nutrient Issues. Academy of Nutrition and Dieitetics Nutrition Care Manual. 2014. Available at:
http://www.nutritioncaremanual.org/content.cfm?ncm_content_id=110027&highlight=autism
ASD Control
Urinary Protein 103.2 mcg/mL 64.5 mcg/mL
Urinary Sulfites 107 nmol/mL 2.1 nmol/mL
Urinary Sulfates 6,819 nmol/mL 3,030 nmol/mL
Cysteine (s-amino acid)
Can be lacking Normal
Vitamins – B Lower Normal
Omega-3 FAs Lower Normal
Early Intervention Medications
◦ Antipsychotic ◦ Antidepressant◦ Stimulant
Behavior and Communication Approaches Dietary Approaches Complementary and Alternative Medicine
◦ Parents
Treatments
20. Autism Spectrum Disorder (ASD) Treatment. Centers for Disease Control and Prevention. Available at: http://www.cdc.gov/ncbddd/autism/treatment.html.
21. A Parent’s Guide to Autism Spectrum Disorders. National Institute of Mental Health. Available at: http://www.nimh.nih.gov/health/publications/a-parents-guide-to-autism-
spectrum-disorder/index.shtml. 22. Rokuskie P., Ignasiak M, and Vega V. The Parent’s Perspectives on Autism Spectrum Disorders. ReachMD. 2014. Available at: http://www.reachmd.com/xmsegment.aspx?
sid=6812&&17&utm_source=ReachMD+Distribution&utm_campaign=bb423552db-ReachMD_Newsletter_09_09_2013&utm_medium=email&utm_term=0_9f0d11fa3d-
bb423552db-13524921.
Thinner Bones
GI discomfort
Adding vitamins and minerals
Gluten-Free or Casein-Free diets
Most often combined Gluten and Diary Free diets
Nutritional Treatment
23. Winburn E, Charlton J, McConachie H, et. al. Parents’ and Child Health Professionals’ Attitudes Towards Dietary Interventions for Children with Autism Spectrum Disorders. J
Autism Dev Disorders. September 9, 2013. 44:747–757. DOI 10.1007/s10803-013-1922-8. 19. Biochemical and Nutrient Issues. Academy of Nutrition and Dieitetics Nutrition Care
Manual. 2014. Available at: http://www.nutritioncaremanual.org/content.cfm?ncm_content_id=110027&highlight=autism.
24. Nutritional Therapy. Eunice Kennedy Shriver National Institute of Child Health and Human Development. January 16, 2014. Available at:
http://www.nichd.nih.gov/health/topics/autism/conditioninfo/Pages/nutritional-therapy.aspx
Each child is unique
Use a multidisciplinary team
Look for addition genetic disorders
Try a gluten-free, caesin-free diet for nutritional support
Make the child as comfortable as possible throughout the process
Nutrition Care Process
25. Goldstein, S., & Naglieri, J. A. (2013). Interventions for autism spectrum disorders: Translating science into practice. New York, NY: Springer.
http://www.nutritioncaremanual.org/content.cfm?ncm_content_id=110027&highlight=autism
Thank You!
http://www.williamsburgfamilies.com/wp-content/uploads/2013/03/autism-hands.png