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functional medicine and nutritional genomics - American Association ...

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AAPI’S NUTRITION GUIDE TO OPTIMAL HEALTH: USING PRINCIPLES OF FUNCTIONAL MEDICINE AND NUTRITIONAL GENOMICS<br />

indicates that up to 10 percent of the AI for ALA<br />

can be in the form of DHA <strong>and</strong> EPA combined.<br />

For example, a child’s daily need for DHA <strong>and</strong><br />

EPA are 70mg for a 1 – 3 year old, 90mg for<br />

a 4 – 8 year old, <strong>and</strong> 120mg for a 9 – 13<br />

year old child (26).<br />

The National Institutes of Health (NIH)<br />

recommends we consume even higher levels of<br />

DHA <strong>and</strong> EPA. According to the NIH, 30 percent<br />

of our daily calories should be DHA <strong>and</strong> EPA<br />

combined. The chart below lists the amount a<br />

child should consume according to these st<strong>and</strong>ards<br />

(44).<br />

ADEQUATE INTAKE OF DHA AND EPA<br />

(Based on 30 Percent of Calories)<br />

Age DHA <strong>and</strong> EPA combined (mg/day)<br />

1 – 3 years 390<br />

4 – 6 years 540<br />

7 years <strong>and</strong> older 650<br />

Source: National Institutes of Health (NIH)<br />

Since deficiencies of DHA <strong>and</strong> EPA are linked to<br />

autism, dyslexia, attention deficient hyperactivity<br />

disorder, dyspraxia, depression, <strong>and</strong> anxiety, it is<br />

suggested that the NIH’s recommendations be<br />

used to determine a child’s DHA <strong>and</strong> EPA needs.<br />

Omega-3 Fatty Acid Supplements for Children<br />

with Autism - Children with autism <strong>and</strong> other<br />

developmental disorders often have feeding<br />

problems, eat a limited variety of foods, <strong>and</strong><br />

refuse fish, so it may not be possible to get<br />

adequate amounts of omega-3 fatty acids into the<br />

diet of a child with autism. In this case, the<br />

child will need to take an omega-3 fatty acid<br />

supplement. A Registered Dietitian can assist<br />

parents on selecting a high quality child-friendly<br />

fish oil supplement.<br />

Examples of fish oil supplements are listed below:<br />

Fish Oil Supplement Amount DHA <strong>and</strong> EPA<br />

Cod liver oil (liquid) 1 teaspoon 1,035 mg<br />

Coromega― (original) 1 packet 580 mg<br />

DHA Junior<br />

(Nordic Naturals) 1 soft gel 52 mg<br />

Omega-3 Gummies 1 gummy 68 mg<br />

121<br />

(Nordic Naturals)<br />

Vitamin <strong>and</strong> Minerals also known as micronutrients<br />

are needed for normal growth, function, <strong>and</strong><br />

health. Our bodies do not make most<br />

micronutrients, so we have to get them from the<br />

food we eat or in some cases, from dietary<br />

supplements. Vitamins <strong>and</strong> minerals are critical for<br />

brain development <strong>and</strong> function; regulating cell <strong>and</strong><br />

tissue growth, processing <strong>and</strong> eliminating toxins<br />

from the body; maintaining a healthy<br />

gastrointestinal tract; supporting immune system<br />

function; converting protein, carbohydrate, <strong>and</strong> fat<br />

into energy; providing structure to bones; formation<br />

of blood; <strong>and</strong> numerous other body functions.<br />

Some vitamins also function as hormones,<br />

antioxidants, coenzymes, <strong>and</strong> precursors for<br />

enzymes. Each vitamin <strong>and</strong> mineral is unique <strong>and</strong><br />

has its own specific role in the body (45). The<br />

most important vitamins <strong>and</strong> minerals for brain<br />

function include:<br />

� Calcium is required for the transmission of<br />

nerve impulses in the brain <strong>and</strong> aids in<br />

the release of neurotransmitters from<br />

neurons.<br />

� Iron transports oxygen to the brain <strong>and</strong> is<br />

also needed to produce the<br />

neurotransmitter dopamine. A deficiency of<br />

iron can cause fatigue, impaired mental<br />

function, poor work <strong>and</strong> school<br />

performance, <strong>and</strong> decreased attention span,<br />

learning, <strong>and</strong> memory.<br />

� Vitamin B1 (thiamin) aids normal<br />

functioning of the nervous system <strong>and</strong> a<br />

deficiency can result in mental confusion<br />

<strong>and</strong> complications involving the brain.<br />

� Vitamin B2 (riboflavin) is required by the<br />

body for the production of energy, to form<br />

glutathione, <strong>and</strong> to convert vitamin B6 to<br />

pyridoxal 5-phosphate.<br />

� Vitamin B6 (pyridoxine) helps the body<br />

break down protein, <strong>and</strong> helps maintain<br />

the health of red blood cells, the nervous<br />

system, <strong>and</strong> parts of the immune system.<br />

Vitamin B6 is also involved in the<br />

production of the neurotransmitters<br />

serotonin <strong>and</strong> dopamine. A deficiency of<br />

2012

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