脑-肠-脑轴、营养与自闭症谱系障碍:综述。

IF 1.5 4区 医学 Q2 PEDIATRICS
Translational pediatrics Pub Date : 2024-09-30 Epub Date: 2024-09-20 DOI:10.21037/tp-24-182
Najlaa Hamed Almohmadi
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引用次数: 0

摘要

自闭症是一种影响社交技能和行为的神经系统疾病。很多患有自闭症谱系障碍(ASD)的儿童在三岁或三岁以上才会出现明显的症状。包括遗传和环境问题在内的一些因素可能会影响儿童自闭症的发展。饮食行为或饮食管理可能在自闭症的发展过程中起着至关重要的作用。流行病学调查表明,环境影响在饮食变化如何影响行为和生理方面起着重要作用。然而,排除性饮食与这种影响的关系还没有得到深入研究。异常饮食行为、营养状况改变、超重、肥胖或体重不足都与儿童自闭症有关。超重或体重不足在自闭症儿童中很常见,但在发育正常的儿童中也不一定少见。此外,自闭症儿童还缺乏某些维生素(B12、B9 和 D)、矿物质(钙和铁)、脂肪酸(ω-3 和 -6)、能量和蛋白质。缺乏这些营养素可能会导致 ASD 儿童出现胃肠道症状并改变微生物群。一些营养干预措施可以帮助 ASD 患者改善心理健康。了解饮食习惯和营养需求有助于规划自闭症的最佳整体治疗方案。本综述讨论了与 ASD 营养和高营养饮食相关的肠道症状和紊乱。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Brain-gut-brain axis, nutrition, and autism spectrum disorders: a review.

Autism is a neurological disorder that affects social skills and behavior. A significant number of children with autism spectrum disorders (ASDs) may not display noticeable symptoms until they reach the age of three or older. Several factors, including genetic and environmental issues, could affect the progression of ASD in children. Dietary behavior or administration may have a crucial role in the development of autism. Epidemiological investigations have demonstrated that environmental influences play a significant role in how changes in diet can affect behavior and physiology. However, exclusion diets have not been thoroughly studied in relation to this effect. Atypical food behaviors, altered nutritional profiles, and being overweight, obese, or underweight are all associated with autism in children. Overweight or underweight was common in children with autism, but it was not necessarily uncommon in children with normal growth. Moreover, deficiencies in certain vitamins (B12, B9, and D), minerals (calcium and iron), fatty acids (omega-3 and -6), energy, and protein have been documented in children with ASD. The deficiency of these nutrients may lead to gastrointestinal (GI) symptoms and change the microbiota in children with ASD. Some nutritional interventions could help individuals with ASD to improve their mental health. Recognizing dietary habits and nutrient requirements can help in planning the best overall treatment for autism. This review discusses GI symptoms and disorders related to nutrition and nutrient-dense diets for ASD.

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来源期刊
Translational pediatrics
Translational pediatrics Medicine-Pediatrics, Perinatology and Child Health
CiteScore
4.50
自引率
5.00%
发文量
108
期刊介绍: Information not localized
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