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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 />

Raw ½ small ½–1 small 1 medium<br />

Canned 1/3 cup 1/3–½ cup ½ cup<br />

Juice 3–4 oz 4 oz 4 oz<br />

Grains<br />

Bread, buns, bagels ¼–½ slice 1 slice 1 slice<br />

Pasta, rice ¼–1/3 cup ½ cup ½ cup<br />

Cereal, cooked ¼–1/3 cup ½ cup ½–1 cup<br />

Cereal, dry 1/3–½ cup 1 cup 1 cup<br />

Crackers 2–3 4–6 4–6<br />

Meat <strong>and</strong> Dried Beans<br />

Meat, poultry, fish 1–2 oz 1–2 oz 2 oz<br />

Eggs 1 1 1–2<br />

Peanut butter 1 Tbsp 1–2 Tbsp 2 Tbsp<br />

Beans 2–4 Tbsp ¼–½ cup ½ cup<br />

Source: ADA Pocket Guide to Pediatric Nutrition Assessment<br />

Daily Multivitamin <strong>and</strong> Mineral Supplement for a<br />

Child with Autism - Children with autism tend to<br />

eat a very poor diet limited to only a few foods,<br />

so they often suffer from numerous vitamin <strong>and</strong><br />

mineral deficiencies. If this is the case, the child<br />

will need to take a daily multivitamin <strong>and</strong> mineral<br />

supplement. Many healthcare professionals believe<br />

that vitamin <strong>and</strong> mineral supplements are<br />

unnecessary <strong>and</strong> that children can get everything<br />

they need just by eating a well-balanced diet.<br />

This may be true for children who eat a variety of<br />

healthy foods from the different food groups, have<br />

a properly functioning digestive system that can<br />

digest <strong>and</strong> absorb the nutrients consumed, <strong>and</strong><br />

whose bodies are able to utilize the nutrients<br />

absorbed. Unfortunately, most children with autism<br />

do not fall into this category. Children with autism<br />

often eat a very limited variety of foods <strong>and</strong> have<br />

mealtime behavior problems that interfere with their<br />

food consumption (50, 51, 52). Many have<br />

sensory problems that impact their acceptance of<br />

certain textures, flavors, <strong>and</strong> smells of foods,<br />

resulting in feeding problems. Some autistic<br />

children are on elimination diets that limit their<br />

intake of certain nutritious foods. Still, others have<br />

chronic gastrointestinal disorders that interfere with<br />

their ability to digest <strong>and</strong> absorb nutrients properly.<br />

All of these factors make children with autism far<br />

more vulnerable to having chronic vitamin <strong>and</strong><br />

mineral deficiencies.<br />

Severe vitamin <strong>and</strong> mineral deficiencies are rare in<br />

the U.S.; however, marginal vitamin <strong>and</strong> mineral<br />

123<br />

deficiencies are very common. A marginal vitamin<br />

or mineral deficiency can result from a chronic<br />

poor diet, which impacts the child slowly, over<br />

time, with more subtle symptoms. Marginal vitamin<br />

<strong>and</strong> mineral deficiency symptoms include poor<br />

attention <strong>and</strong> concentration, irritability, loss of<br />

appetite, mood <strong>and</strong> behavior changes, depression,<br />

anxiety, <strong>and</strong> sleep disturbances. Marginal<br />

deficiencies can affect a child globally, meaning<br />

they can prevent both his body <strong>and</strong> brain from<br />

functioning at their best. The child will be<br />

physically <strong>and</strong> mentally unable to fully respond to,<br />

participate in, <strong>and</strong> benefit from his therapies. While<br />

vitamin <strong>and</strong> mineral supplements can not replicate<br />

all the nutrients a child would naturally consume<br />

from eating a variety of whole foods, a<br />

supplement is a good complement to his diet. A<br />

Registered Dietitian will advise parents on selecting<br />

an appropriate daily multivitamin <strong>and</strong> mineral<br />

supplement for the child.<br />

Water is the most basic nutrient our bodies need,<br />

<strong>and</strong> it is also one of the most neglected<br />

components of our diet. Our bodies need a certain<br />

amount of water each day for proper body<br />

temperature regulation, muscle function, absorption<br />

of nutrients, transporting nutrients into body cells,<br />

transporting waste out of body cells, <strong>and</strong> the<br />

elimination of waste <strong>and</strong> toxins from the body. We<br />

get water not only from drinking it, but also from<br />

other liquids like milk <strong>and</strong> juice <strong>and</strong> from<br />

vegetables <strong>and</strong> fruits. If we do not have enough<br />

water in our diet, we are at risk for dehydration.<br />

2012

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