随机临床试验中饮用骆驼奶对改善儿童自闭症症状疗效的元分析。

IF 0.9 Q3 VETERINARY SCIENCES
Open Veterinary Journal Pub Date : 2024-09-01 Epub Date: 2024-09-30 DOI:10.5455/OVJ.2024.v14.i9.33
Mahmoud Kandeel, Mohamed A Morsy, Khalid M Al Khodair, Sameer Alhojaily
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引用次数: 0

摘要

背景:骆驼奶已成为治疗自闭症谱系障碍(ASD)的潜在辅助疗法:目的:本研究旨在从随机对照试验(RCTs)中收集有关饮用骆驼奶对改善自闭症谱系障碍(ASD)儿童症状和相关措施的有效性的证据:截至 2024 年 3 月 14 日,我们对多个数据库进行了全面检索,以了解评估 ASD 儿童饮用骆驼奶是否比饮用对照物质更有益的 RCT。对质量和偏倚分析以及元分析数据进行了综合分析:结果:在已确定的 136 份记录中,选取了 5 项 RCT(n = 299 名儿童)。服用骆驼奶组与对照组在儿童自闭症评分量表(CARS)上的平均分差异为平均偏差(MD)-0.75,95% CI-1.97 至 0.47,P = 0.23。在亚组分析中,生骆驼奶的 CARS 评分平均差为 MD-0.95,95% CI-2.33 至 0.44,p = 0.18;煮沸骆驼奶的平均差为 MD-0.50,95% CI-1.93 至 0.93,p = 0.49。一项定性综合研究发现,饮用生骆驼奶可改善 ASD 儿童的各种社交行为。饮用骆驼奶可提高抗炎、抗氧化和免疫调节生物标志物的水平,在饮用生骆驼奶和饮用煮沸骆驼奶的患者之间观察到一些差异:骆驼奶有望改善 ASD 儿童的社交行为和某些生化标志物,尽管目前的荟萃分析并未记录所研究儿童的 CARS 评分有显著的统计学差异。未来的研究应侧重于严格的 RCT 和更大的样本量,以证实这些初步发现。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Meta-analysis of the efficacy of camel milk consumption for improving autism symptoms in children in randomized clinical trials.

Background: Camel milk has emerged as a potential complementary therapy for autism spectrum disorder (ASD).

Aim: This study aimed to gather evidence from randomized controlled trials (RCTs) on the effectiveness of camel milk consumption in improving symptoms and associated measures in children with ASD.

Methods: Comprehensive searches of multiple databases were conducted up to March 14, 2024, for RCTs that evaluated whether camel milk consumption by children with ASD was more beneficial than the consumption of a control substance. Quality and bias analyses and meta-anlaysis data were synthesized and analyzed.

Results: Of 136 records identified, 5 RCTs (n = 299 children) were selected. The mean difference in scores on the childhood autism rating scale (CARS) for the group given camel milk and the control groups was a mean deviation (MD) ‒0.75, 95% CI‒1.97 to 0.47, p = 0.23. The mean difference in CARS scores in the subgroup analyses for raw camel milk was MD‒0.95, 95% CI‒2.33 to 0.44, p = 0.18 and boiled camel milk MD ‒0.50, 95% CI‒1.93 to 0.93, p = 0.49. A qualitative synthesis found that raw camel milk intake led to improvements in various social behaviors in children with ASD. Camel milk consumption resulted in increased levels of anti-inflammatory, antioxidant, and immunomodulatory biomarkers, with some differences observed between patients given raw camel milk and boiled camel milk.

Conclusion: Camel milk shows promise in improving social behaviors and certain biochemical markers in children with ASD, although the current meta-analysis did not document a significant statistical difference in CARS scores for the children studied. Future studies should focus on rigorous RCTs and larger sample sizes to substantiate these preliminary findings.

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来源期刊
Open Veterinary Journal
Open Veterinary Journal VETERINARY SCIENCES-
CiteScore
1.40
自引率
0.00%
发文量
112
审稿时长
12 weeks
期刊介绍: Open Veterinary Journal is a peer-reviewed international open access online and printed journal that publishes high-quality original research articles. reviews, short communications and case reports dedicated to all aspects of veterinary sciences and its related subjects. Research areas include the following: Infectious diseases of zoonotic/food-borne importance, applied biochemistry, parasitology, endocrinology, microbiology, immunology, pathology, pharmacology, physiology, epidemiology, molecular biology, immunogenetics, surgery, ophthalmology, dermatology, oncology and animal reproduction. All papers are peer-reviewed. Moreover, with the presence of well-qualified group of international referees, the process of publication will be done meticulously and to the highest standards.
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