ASD NUTRITION STUDY
A major focus of the lab's research is on developing and implementing nutrition interventions for children with autism spectrum disorder (ASD) who often face additional barriers to healthy eating. Dr. Gray's expertise in behavioral nutrition enables her team to design interventions tailored to the unique needs of these populations, taking into account behavioral factors that may affect their dietary choices.
ASD Nutrition Study is nutrition education intervention for children with ASD and their parents. A nutrition intervention called Autism Eats was designed to prevent the development of feeding disorders and the long-term negative health impacts associated with poor dietary intake in young children (birth to 36 months) with ASD. This randomized controlled trial was funded by NIH and aimed to evaluate the feasibility and preliminary efficacy of the nutrition education intervention for children with ASD and their parents through the Early Intervention (EI) services. ClinicalTrials.gov registration number: NCT05194345
The Autism Eats intervention consists of ten 25-min weekly lessons plus two 25-min monthly booster sessions. Parent-child dyads receive the lessons through their regular EI services implemented by EI providers. The intervention integrates ASD-specific feeding strategies (e.g., repeated exposure, food chaining, and making regular mealtime routines), and behaviorally-focused nutrition content and activities (e.g., goal setting and healthy meal planning).
Autism Eats intervention components
Lessons: topics and objectives
1. Feeding Milestones
2. Sensory Properties of Foods: Taste, Flavors, & Textures
3. Introducing New Foods
4. Balanced Eating and Nutrition
5. Food Allergies, Special Diets, and Supplements
6. Beverages
7. Mealtime Routines and Schedules:
8. Restructuring Food Environment
9. Hunger and Fullness Cues
10. Maintaining Healthy Nutrition
Booster 1. Where are We Now?
Booster 2. Celebrating Achievements
Static website repository
Social media
Since 2023, the Autism Eats intervention has been expanded to the preschooler age group. This feasibility study is part of the Autism Intervention Research Network on Physical Health (AIR-P), supported by the Health Resources and Services Administration (HRSA) through University of California, Los Angeles (PI: Gray, Subcontract of UT2MC39440). The Autism Eats: Preschoolers program consists of age-appropriate lessons and various resources for parents.
The Autism Eats: Preschoolers version consists of ten 30-min weekly lessons plus two 30-min monthly booster sessions. Parent-child dyads receive the lessons through their regular service providers. The intervention materials has been updated from the original early childhood Autism Eats to provide developmentally appropriate content and materials for preschoolers with ASD and their caregivers. The provider manual and parent handbooks are currently being reviewed by a panel of service providers and parents. We have incorporated more kid-friendly recipes and hands-on activities.
Publications
Gray HL, Jimenez C, Pang T, Kim E, Shaffer-Hudkins E, Agazzi H, Rosado A, Klinger A, Young C, Kandil J, Won S, Perez A, Sayre W, Waters KA, Miltenberger RG, Stern M. Recruitment feasibility and dietary and behavioral patterns in toddlers with ASD: Preliminary results from the Autism Eats program. Contemp Clin Trials. 2024 Sep 11:107688. doi: 10.1016/j.cct.2024.107688. Epub ahead of print. PMID: 39270747.
Gray HL, Pang T, Agazzi H, Shaffer-Hudkins E, Kim E, Miltenberger RG, Waters KA, Jimenez C, Harris M, Stern M. A nutrition education intervention to improve eating behaviors of children with autism spectrum disorder: Study protocol for a pilot randomized controlled trial. Contemp Clin Trials. 2022 Aug;119:106814. doi: 10.1016/j.cct.2022.106814. Epub 2022 Jun 4. PubMed PMID: 35671902.
Presentations
More information about Autism Eats can be found here