Asthma and Allergies in Children With Autism Spectrum Disorders: Results From the CHARGE Study

Kristen Lyall1, Judy Van de Water2, Paul Ashwood2

  • 1Department of Public Health Sciences, Univeristy of California, Davis, California, 95616 (K.L., I.H.P.).

Insights

Food allergies are more common in children with autism spectrum disorder (ASD). These allergies may correlate with increased stereotyped behaviors in children with ASD, suggesting a potential link between immune responses and autism characteristics.

Area of Science:

  • Neuroscience
  • Immunology
  • Developmental Pediatrics

Background:

  • Immune system aberrations are frequently observed in children with autism spectrum disorder (ASD).
  • The relationship between asthma, allergies, and ASD remains incompletely understood.
  • Investigating these connections is crucial for a comprehensive understanding of ASD comorbidities.

Purpose of the Study:

  • To examine the association between asthma and allergies and ASD.
  • To explore these associations within specific phenotypic subsets of ASD.
  • To determine if allergies correlate with cognitive and behavioral scores in children with ASD.

Main Methods:

  • A case-control study involving 560 children with confirmed ASD and 391 typically developing controls.
  • Data collected from the CHildhood Autism Risks from Genetics and the Environment (CHARGE) study.
  • Maternally reported asthma and allergy data were compared between groups and correlated with behavioral assessments.

Main Results:

  • No significant difference in asthma or overall allergy prevalence between children with ASD and controls.
  • Overall allergy in children with ASD was linked to higher stereotypy scores (Aberrant Behavior Checklist).
  • Reported food allergies showed a significant association with ASD (aOR = 2.23, 95% CI 1.28–3.89).

Conclusions:

  • Food allergies and sensitivities appear to be more prevalent in children with autism spectrum disorder.
  • These allergic conditions may correlate with specific behavioral characteristics, such as stereotypy, in children with ASD.
  • Further research into the interplay of immune function and behavior in ASD is warranted.

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