DOI: 10.1111/jpc.70606 ISSN: 1034-4810

Effect of a Novel Mediterranean‐Style Diet ( MIND ‐ DASE ) on Behavioural and Developmental Outcomes in Children With Autism Spectrum Disorder: A Pr

Hanim Seyma Topuz, Mehmet Eren Kurnaz, Eyup Sabri Keles, Atilla Ersen, Hasan Onal

ABSTRACT

Background

This study investigated the efficacy of the MIND‐DASE ( M editerranean‐style I ntervention for N euro‐ D evelopmental D iversity and A utism S ymptom E valuation) nutritional model in children with autism spectrum disorder (ASD). We hypothesized that increasing dietary diversity acts as a clinical catalyst for rapid behavioural improvement.

Methods

In this propensity score‐matched retrospective cohort study ( N  = 188), children in the diet group ( n  = 94) were matched 1:1 with non‐compliant controls ( n  = 94) based on age, gender and baseline symptom severity (ATEC/ABC). Behavioural and developmental outcomes were assessed at baseline, 6 and 12 months.

Results

At 6 months, the MIND‐DASE group demonstrated a significantly more rapid reduction in Aberrant Behavior Checklist (ABC) total scores compared to controls (−18.4 ± 21.7 vs. −3.6 ± 16.2; p  < 0.0001). Significant superiority was observed across all ABC subscales, including irritability ( p  = 0.0001) and hyperactivity ( p  = 0.0001). While both groups showed significant developmental progress in ATEC scores by the 12‐month mark, the dietary intervention induced a markedly earlier clinical response in behavioural symptoms within the first 6 months.

Conclusion

The MIND‐DASE model induces a rapid and significant improvement in aberrant behaviours. While long‐term standard care eventually leads to developmental gains, the nutritional intervention serves as a critical catalyst, accelerating clinical improvement in the early stages of treatment.

Trial Registration: This study was registered at ClinicalTrials.gov identifier: NCT06662916