Autism Therapy: ketogenic diet

definition of ketogenic diet: not yet defined.

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Journal of Child Neurology, by Kossoff, EH, Zupec-Kania BA, and Rho JM, published in 2009, summarized Jan 1, 2010

A ketogenic diet that cuts down on carbohydrates may be helpful for children with autism and may help reduce seizures.

With a ketogenic diet, most of the daily nutrition comes from eating fat and protein. The Atkins diet is a type of ketogenic diet. Ketogenic diets have been reported to be helpful for children with epilepsy. While on the diet, some children have fewer seizures. Some children with autism also have seizures, so the diet may be helpful for children with autism as well. Neurologists are exploring whether a ketogenic diet may also be helpful for other autism symptoms. However, there were no published studies reported in the article about this diet and autism. There have been side-effects reported, and some can be long-lasting. Side effects include slower growth, digestive system problems, kidney stones, bone fractures, and other problems.


Epilepsy Behavior, by Mantis, JG, Fritz CL, Marsh J., Heinrichs SC, and Seyfried TN, published in 2009, summarized Aug 17, 2009

Reduced calorie diets may improve behaviors in mice with symptoms like Rett syndrome.

These authors did a research study with mice that have a genetic condition that is like Rett syndrome in humans. The authors compared three diets fed to adult mice: 1) a low calorie ketogenic (high fat, low carbohydrate) diet; 2) a low calorie normal diet (normal amounts of fat and carbohydrates); and 3) a normal diet. Mice fed a low calorie diet (either ketogenic or normal) showed better behavior. The mice were more curious, explored more, and had better balance and motor skills. They also showed less anxiety than the normal diet mice. Other studies reported that a low calorie ketogenic diet led to improved behaviors in mice and in some girls with Rett syndrome. Those studies did not test a low calorie normal diet. Therefore, the authors of this article think that low calories may be more important for improved behaviors than the ketogenic diet. The authors said parents should be careful about starting a reduced calorie diet for girls with Rett syndrome. Girls with Rett syndrome tend to be smaller than normal girls and may have special dietary needs. They suggest that parents check with their child's doctor before trying any diet changes.


Current Treatment Options in Neurology, by Baranano, KW, and Hartman AL, published in 2008, summarized Mar 16, 2009

A high fat, low carbohydrate diet may improve behavior, especially in children with severe autism.

This review article describes the role of the high fat, low carbohydrate (ketogenic) diet as a treatment for many brain problems such as epilepsy, Alzheimer disease, and autism. There has been only one study on the use of the ketogenic diet as a treatment for children with autism. The children were in the study for 6 months, during which they had 4 weeks on the diet followed by two weeks off diet, followed by 4 weeks on diet, etc. The 18 children in the study lived on the island of Crete. Behavior was rated by a psychiatrist using a test known as the Childhood Autism Rating Scale (CARS).


Seminars in Pediatric Neurology, by Kayser, Ma, published in 2008, summarized Nov 12, 2008

High protein diets and creatine monohydrate may help some children who have inborn errors of metabolism that result in autism.

This paper reviews autism that is caused by problems in getting energy to the brain (inborn errors of metabolism). Inborn errors of metabolism can include problems with creatine biosynthesis, gamma-aminobutyric acid catabolism, purine and pyrimidine metabolism, and glucose transport across the blood-brain barrier. Creatine biosynthesis problems may be treated with store-bought creatine monohydrate. Patients with glucose transport problems may be treated with the high protein, low sugar ketogenic diet. Other inborn errors of metabolism are harder to treat.


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Seizures

Aug 10, 2009 by Anonymous

My daughter has Atonic Seizures ( Drop Attacks)  gets 5-10 a Day!   Has been on Ketogenic Diet for a month, now. There has been no change or reducing in the seizures.   My question is How do parents out there cope with such a illness?

Concern Mom from  E.P. ,Texas


Epilepsy

Feb 23, 2007 by Anonymous

Epilepsy has been described as "an excessive and disorderly discharge of cerebral nervous tissue on muscles." Between 30 and 40% of individuals with autism have epilepsy. It can be very stressful for the individual as well as the family. Treatments include: antiepileptic drugs, surgery, vagal nerve stimulation, and a ketogenic diet.



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