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Abstract

Autism spectrum disorder (ASD) is a neurodevelopmental disorder characterized by difficulties in social communication and interaction, along with restrictive and repetitive patterns of behavior. Its etiology involves a combination of genetic and environmental factors. Children with ASD have been shown to frequently prefer consuming the same foods and to have limited food choices. This situation may lead to inadequate intake of certain nutrients due to reduced dietary variety. One of the nutrients commonly found to be deficient in this population is iron. This review aims to evaluate the relationship between ASD and iron deficiency in children. In addition to limited food preferences, difficulties in chewing and swallowing harder foods —such as red meat, which is a rich source of iron —may further reduce iron intake. While some studies have indicated that children with ASD have a lower dietary iron intake compared to their typically developing peers and exhibit a higher prevalence of iron deficiency, others have found no significant differences. To better understand this relationship, there is a need for large-scale studies that utilize multiple types of biological samples and objective assessment methods. Additionally, since ASD is more commonly observed in boys, studies assessing iron intake and status should consider gender- and age-stratified analyses.

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References

  1. 1. Sharma SR, Gonda X, Tarazi FI. Autism spectrum disorder: Classification, diagnosis and therapy. Pharmacol Ther. 2018;190:91–104.
  2. 2. Kim JY, Son MJ, Son CY, Radua J, Eisenhut M, Gressier F, et al. Environmental risk factors and biomarkers for autism spectrum disorder: an umbrella review of the evidence. Lancet Psychiatry. 2019;6(7):590–600.
  3. 3. Hyman SL, Levy SE, Myers SM. Identification, evaluation, and management of children with autism spectrum disorder. Pediatrics. 2020;145(1):e20193447.
  4. 4. Tsujiguchi H, Miyagi S, Nguyen TTT, Hara A, Ono Y, Kambayashi Y, et al. Relationship between autistic traits and nutrient intake among Japanese children and adolescents. Nutrients. 2020;12(8):2258.
  5. 5. Peretti S, Mariano M, Mazzocchetti C, Mazza M, Pino MC, Verrotti Di Pianella A, et al. Diet: the keystone of autism spectrum disorder? Nutr Neurosci. 2019;22(12):825–39.
  6. 6. Pivina L, Semenova Y, Doşa MD, Dauletyarova M, Bjørklund G. Iron deficiency, cognitive functions, and neurobehavioral disorders in children. J Mol Neurosci. 2019;68(1):1–10.
  7. 7. Centers for Disease Control and Prevention. 2019. Data & statistics on autism spectrum disorder. Accessed March 20, 2021. Available at: https://www.cdc.gov/ncbddd/autism/data.html
  8. 8. Tohum Otizm Vakfı. Down Sendromu, Otizm ve Diğer Gelişim Bozukluklarının Yaygınlığının Tespiti ile İlgili Bireylerin ve Ailelerinin Sorunlarının Çözümü İçin Alınması Gereken Tedbirlerin Belirlenmesi Amacıyla Kurulan Meclis Araştırması Otizm Spektrum Bozukluğu Özelinde Rapor Özeti. 2020.
  9. 9. Lyall K, Croen L, Daniels J, Fallin MD, Ladd-Acosta C, Lee BK, et al. The changing epidemiology of autism spectrum disorders. Annu Rev Public Health. 2017;38:81–102.
  10. 10. Muhle RA, Reed HE, Stratigos KA, Veenstra-VanderWeele J. The emerging clinical neuroscience of autism spectrum disorder: A review. JAMA Psychiatry. 2018;75(5):514–23.
  11. 11. Modabbernia A, Velthorst E, Reichenberg A. Environmental risk factors for autism: an evidence-based review of systematic reviews and meta-analyses. Mol Autism. 2017;8(1):13.
  12. 12. Elsabbagh M. Linking risk factors and outcomes in autism spectrum disorder: is there evidence for resilience? BMJ. 2020;368:l6880.
  13. 13. Lord C, Elsabbagh M, Baird G, Veenstra-Vanderweele J. Autism spectrum disorder. Lancet. 2018;392(10146):508–20.
  14. 14. Gyawali S, Patra BN. Autism spectrum disorder: Trends in research exploring etiopathogenesis. Psychiatry Clin Neurosci. 2019;73(8):466–75.
  15. 15. Abd Wahil MS, Ja’afar MH, Md Isa Z. Assessment of urinary lead (Pb) and essential trace elements in autism spectrum disorder: A case-control study among preschool children in Malaysia. Biol Trace Elem Res. 2021:1–25.
  16. 16. Schmidt RJ, Tancredi DJ, Krakowiak P, Hansen RL, Ozonoff S. Maternal intake of supplemental iron and risk of autism spectrum disorder. Am J Epidemiol. 2014;180(9):890–900.
  17. 17. World Health Organization. Anaemia. Available at: https://www.who.int/health-topics/anaemia#tab=tab_1. Accessed May 3, 2025.
  18. 18. Şahan AK, Öztürk N, Demir N, Karaduman AA, Serel Arslan S. A comparative analysis of chewing function and feeding behaviors in children with autism. Dysphagia. 2021;1–6.
  19. 19. Page SD, Souders MC, Kral TVE, Chao AM, Pinto-Martin J. Correlates of feeding difficulties among children with autism spectrum disorder: A systematic review. J Autism Dev Disord. 2021;1–20.
  20. 20. Bicer AH, Alsaffar AA. Body mass index, dietary intake and feeding problems of Turkish children with autism spectrum disorder (ASD). Res Dev Disabil. 2013;34(11):3978–87.
  21. 21. Cekici H, Sanlier N. Current nutritional approaches in managing autism spectrum disorder: A review. Nutr Neurosci. 2019;22(3):145–55.
  22. 22. Zimmer MH, Hart LC, Manning-Courtney P, Murray DS, Bing NM, Summer S. Food variety as a predictor of nutritional status among children with autism. J Autism Dev Disord. 2012;42(4):549–56.
  23. 23. Siddiqi S, Urooj A, D’Souza MJ. Dietary patterns and anthropometric measures of Indian children with Autism Spectrum Disorder. J Autism Dev Disord. 2019;49(4):1586–98.
  24. 24. Marí-Bauset S, Llopis-González A, Zazpe-García I, Marí-Sanchis A, Morales-Suárez-Varela M. Nutritional status of children with autism spectrum disorders (ASDs): a case-control study. J Autism Dev Disord. 2015;45(1):203–12.
  25. 25. Hergüner S, Keleşoğlu FM, Tanıdır C, Cöpür M. Ferritin and iron levels in children with autistic disorder. Eur J Pediatr. 2012;171(1):143–6.
  26. 26. Gunes S, Ekinci O, Celik T. Iron deficiency parameters in autism spectrum disorder: clinical correlates and associated factors. Ital J Pediatr. 2017;43(1):1–6.
  27. 27. Reynolds A, Krebs NF, Stewart PA, Austin H, Johnson SL, Withrow N, et al. Iron status in children with autism spectrum disorder. Pediatrics. 2012;130(2):154–9.
  28. 28. Ma J, Wu J, Li H, Wang J, Han J, Zhang R. Association between essential metal elements and the risk of autism in Chinese Han population. Biol Trace Elem Res. 2021;1–11.
  29. 29. Tseng P-T, Cheng Y-S, Chen Y-W, Stubbs B, Whiteley P, Carvalho AF, et al. Peripheral iron levels in children with autism spectrum disorders vs controls: a systematic review and meta-analysis. Nutr Res. 2018;50:44–52.
  30. 30. Tang S, Xu Y, Liu X, Chen Z, Zhou Y, Nie L, et al. Quantitative susceptibility mapping shows lower brain iron content in children with autism. Eur Radiol. 2021;31(4):2073–83.
  31. 31. Zhou X, Deng YY, Qian L, Zhong SS, Zou FY, Shen L. et al. Alterations in brain iron and myelination in children with ASD: A susceptibility source separation imaging study. Neuroimage. 2025;310:121128.
  32. 32. Gogou M, Kolios G. Nutritional supplements during gestation and autism spectrum disorder: What do we really know and how far have we gone? J Am Coll Nutr. 2020;39(3):261–71.
  33. 33. Fraguas D, Díaz-Caneja CM, Pina-Camacho L, Moreno C, Durán-Cutilla M, Ayora M, et al. Dietary interventions for autism spectrum disorder: A meta-analysis. Pediatrics. 2019;144(5):e20183218.
  34. 34. Dosman CF, Brian JA, Drmic IE, Senthilselvan A, Harford MM, Smith RW, et al. Children with autism: effect of iron supplementation on sleep and ferritin. Pediatr Neurol. 2007;36(3):152–8.
  35. 35. Reynolds AM, Connolly HV, Katz T, Goldman SE, Weiss SK, Halbower AC, et al. Randomized, placebo-controlled trial of ferrous sulfate to treat insomnia in children with autism spectrum disorders. Pediatr Neurol. 2020;104:30–9.

Cite this publication

APA 7

Ulusoy Gezer, H. G., & Büyüktuncer Demirel, Z. (2025). Autism Spectrum Disorder and Iron Deficiency. Current Research in Nutritional Sciences and Dietetics Journal, 1(1), 1–10. https://hacettepe.hbtech.com.tr/en/publication/autism-spectrum-disorder-and-iron-deficiency

BibTeX

@article{ulusoygezer2025autism,
  author = {Ulusoy Gezer, Hande G{\"u}l and B{\"u}y{\"u}ktuncer Demirel, Zehra},
  title = {{Autism Spectrum Disorder and Iron Deficiency}},
  journal = {Current Research in Nutritional Sciences and Dietetics Journal},
  volume = {1},
  number = {1},
  pages = {1--10},
  publisher = {Hacettepe {\"U}niversitesi},
  year = {2025},
  month = {7},
  url = {https://hacettepe.hbtech.com.tr/en/publication/autism-spectrum-disorder-and-iron-deficiency},
  language = {en},
  keywords = {Public Health Nutrition},
  abstract = {Autism spectrum disorder (ASD) is a neurodevelopmental disorder characterized by difficulties in social communication and interaction, along with restrictive and repetitive patterns of behavior. Its etiology involves a combination of genetic and environmental factors. Children with ASD have been shown to frequently prefer consuming the same foods and to have limited food choices. This situation may lead to inadequate intake of certain nutrients due to reduced dietary variety. One of the nutrients commonly found to be deficient in this population is iron. This review aims to evaluate the relationship between ASD and iron deficiency in children. In addition to limited food preferences, difficulties in chewing and swallowing harder foods ---such as red meat, which is a rich source of iron ---may further reduce iron intake. While some studies have indicated that children with ASD have a lower dietary iron intake compared to their typically developing peers and exhibit a higher prevalence of iron deficiency, others have found no significant differences. To better understand this relationship, there is a need for large-scale studies that utilize multiple types of biological samples and objective assessment methods. Additionally, since ASD is more commonly observed in boys, studies assessing iron intake and status should consider gender- and age-stratified analyses.},
  affiliation = {HACETTEPE {\"U}N{\.I}VERS{\.I}TES{\.I} and HACETTEPE UNIVERSITY}
}
.bib

RIS

TY  - JOUR
AU  - Ulusoy Gezer, Hande Gül
AU  - Büyüktuncer Demirel, Zehra
TI  - Autism Spectrum Disorder and Iron Deficiency
T2  - Current Research in Nutritional Sciences and Dietetics Journal
VL  - 1
IS  - 1
PY  - 2025
DA  - 2025/07/31/
SP  - 1
EP  - 10
PB  - Hacettepe Üniversitesi
UR  - https://hacettepe.hbtech.com.tr/en/publication/autism-spectrum-disorder-and-iron-deficiency
AB  - Autism spectrum disorder (ASD) is a neurodevelopmental disorder characterized by difficulties in social communication and interaction, along with restrictive and repetitive patterns of behavior. Its etiology involves a combination of genetic and environmental factors. Children with ASD have been shown to frequently prefer consuming the same foods and to have limited food choices. This situation may lead to inadequate intake of certain nutrients due to reduced dietary variety. One of the nutrients commonly found to be deficient in this population is iron. This review aims to evaluate the relationship between ASD and iron deficiency in children. In addition to limited food preferences, difficulties in chewing and swallowing harder foods —such as red meat, which is a rich source of iron —may further reduce iron intake. While some studies have indicated that children with ASD have a lower dietary iron intake compared to their typically developing peers and exhibit a higher prevalence of iron deficiency, others have found no significant differences. To better understand this relationship, there is a need for large-scale studies that utilize multiple types of biological samples and objective assessment methods. Additionally, since ASD is more commonly observed in boys, studies assessing iron intake and status should consider gender- and age-stratified analyses.
KW  - Public Health Nutrition
LA  - en
AD  - HACETTEPE ÜNİVERSİTESİ
AD  - HACETTEPE UNIVERSITY
ER  - 
.ris