Gluten-casein-free feeding in children and adolescents with Autism Spectrum Disorders (DSA).
Autism Spectrum Disorders (DSA) are a range of neurodevelopmental dysfunctions, originating in childhood, characterized by the presence of alterations in the area of communication and social interaction and restrictive and repetitive patterns of behavior, interests or activities. Currently, t...
| Autores principales: | , , , |
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| Formato: | Artículo revista |
| Lenguaje: | Español |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2019
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| Materias: | |
| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/25808 |
| Aporte de: |
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I10-R327-article-25808 |
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ojs |
| institution |
Universidad Nacional de Córdoba |
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I-10 |
| repository_str |
R-327 |
| container_title_str |
Revista de la Facultad de Ciencias Médicas de Córdoba |
| language |
Español |
| format |
Artículo revista |
| topic |
autism spectrum disorder neurobehavioral alterations gastrointestinal symptoms gluten casein trastorno de espectro autista alteraciones neuroconductuales sintomatología gastrointestinal gluten caseína |
| spellingShingle |
autism spectrum disorder neurobehavioral alterations gastrointestinal symptoms gluten casein trastorno de espectro autista alteraciones neuroconductuales sintomatología gastrointestinal gluten caseína Piermarini, MC Sapei, D Láquis, MB Furnes, RA Gluten-casein-free feeding in children and adolescents with Autism Spectrum Disorders (DSA). |
| topic_facet |
autism spectrum disorder neurobehavioral alterations gastrointestinal symptoms gluten casein trastorno de espectro autista alteraciones neuroconductuales sintomatología gastrointestinal gluten caseína |
| author |
Piermarini, MC Sapei, D Láquis, MB Furnes, RA |
| author_facet |
Piermarini, MC Sapei, D Láquis, MB Furnes, RA |
| author_sort |
Piermarini, MC |
| title |
Gluten-casein-free feeding in children and adolescents with Autism Spectrum Disorders (DSA). |
| title_short |
Gluten-casein-free feeding in children and adolescents with Autism Spectrum Disorders (DSA). |
| title_full |
Gluten-casein-free feeding in children and adolescents with Autism Spectrum Disorders (DSA). |
| title_fullStr |
Gluten-casein-free feeding in children and adolescents with Autism Spectrum Disorders (DSA). |
| title_full_unstemmed |
Gluten-casein-free feeding in children and adolescents with Autism Spectrum Disorders (DSA). |
| title_sort |
gluten-casein-free feeding in children and adolescents with autism spectrum disorders (dsa). |
| description |
Autism Spectrum Disorders (DSA) are a range of neurodevelopmental dysfunctions, originating in childhood, characterized by the presence of alterations in the area of communication and social interaction and restrictive and repetitive patterns of behavior, interests or activities. Currently, the existence of the “micro microbiota-gut-brain axis” is highlighted, which strengthens the hypothesis that gastrointestinal abnormalities could trigger neuropsychiatric symptoms in DSA, showing that a personalized food approach can be beneficial. The Gluten and / or Casein Free Diet (DFCG) has become a decisive and at the same time controversial component for the treatment of medical problems concomitant to the diagnosis of DSA.
The objetive was to evaluate the changes in gastrointestinal and neurobehavioral symptoms after the implementation of a DFCG in children and adolescents with DSA residing in the province of Córdoba.
Observational descriptive study, simple correlational, cross-sectional (n: 24). The changes in neurobehavioral alterations and gastrointestinal symptoms evidenced after the implementation of the DFCG were investigated through a survey. For the data analysis, the mean was used as a summary measure and its standard deviation. Continuous variables were described on average and discrete in%, 95% CI. In the inferential phase, the Chi-square Test was applied.
The 77.8% showed improvements in neurobehavioral disorders (87.5% in social interaction, 75% in linguistic and communicative behavior, 70.8% in restrictive and stereotyped patterns). 70.8% showed favorable changes in gastrointestinal symptoms (pain / colic and bloating, diarrhea, constipation and vomiting). A statistically significant association was found between the improvements manifested in gastrointestinal symptoms (p: 0.0004), neurobehavioral disorders (p: 0.0005) and DFCG, directly proportional to the time of diet.
Being DSA is an individualized disorder dependent on the medical problems concomitant to the diagnosis, the benefits of DFCG are different for each individual. However, the main findings suggest favorable changes in all the variables studied. The results obtained enrich the scientific heritage by providing new evidence regarding the importance of the food component as part of the treatment of children and adolescents with DSA.
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| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2019 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/25808 |
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I10-R327-article-258082024-08-27T18:26:19Z Gluten-casein-free feeding in children and adolescents with Autism Spectrum Disorders (DSA). Alimentación libre de gluten-caseína en niños, niñas y adolescentes con Trastornos del Espectro Autista. Piermarini, MC Sapei, D Láquis, MB Furnes, RA autism spectrum disorder neurobehavioral alterations gastrointestinal symptoms gluten casein trastorno de espectro autista alteraciones neuroconductuales sintomatología gastrointestinal gluten caseína Autism Spectrum Disorders (DSA) are a range of neurodevelopmental dysfunctions, originating in childhood, characterized by the presence of alterations in the area of communication and social interaction and restrictive and repetitive patterns of behavior, interests or activities. Currently, the existence of the “micro microbiota-gut-brain axis” is highlighted, which strengthens the hypothesis that gastrointestinal abnormalities could trigger neuropsychiatric symptoms in DSA, showing that a personalized food approach can be beneficial. The Gluten and / or Casein Free Diet (DFCG) has become a decisive and at the same time controversial component for the treatment of medical problems concomitant to the diagnosis of DSA. The objetive was to evaluate the changes in gastrointestinal and neurobehavioral symptoms after the implementation of a DFCG in children and adolescents with DSA residing in the province of Córdoba. Observational descriptive study, simple correlational, cross-sectional (n: 24). The changes in neurobehavioral alterations and gastrointestinal symptoms evidenced after the implementation of the DFCG were investigated through a survey. For the data analysis, the mean was used as a summary measure and its standard deviation. Continuous variables were described on average and discrete in%, 95% CI. In the inferential phase, the Chi-square Test was applied. The 77.8% showed improvements in neurobehavioral disorders (87.5% in social interaction, 75% in linguistic and communicative behavior, 70.8% in restrictive and stereotyped patterns). 70.8% showed favorable changes in gastrointestinal symptoms (pain / colic and bloating, diarrhea, constipation and vomiting). A statistically significant association was found between the improvements manifested in gastrointestinal symptoms (p: 0.0004), neurobehavioral disorders (p: 0.0005) and DFCG, directly proportional to the time of diet. Being DSA is an individualized disorder dependent on the medical problems concomitant to the diagnosis, the benefits of DFCG are different for each individual. However, the main findings suggest favorable changes in all the variables studied. The results obtained enrich the scientific heritage by providing new evidence regarding the importance of the food component as part of the treatment of children and adolescents with DSA. Los Trastornos del Espectro Autista (TEA) son una gama de disfunciones del neurodesarrollo, de origen en la infancia, caracterizadas por la presencia de alteraciones en el área de la comunicación e interacción social y patrones restrictivos y repetitivos de comportamiento, intereses o actividades. Actualmente se destaca la existencia del ‘eje microbiota-intestino-cerebro’ que potencia la hipótesis de que las anomalías gastrointestinales podrían desencadenar síntomas neuropsiquiátricos en TEA, evidenciando que un abordaje alimentario personalizado puede resultar beneficioso. La Dieta Libre de Gluten y/o Caseína (DLGC) se ha convertido en un componente decisivo y al mismo tiempo controversial para el tratamiento de problemas médicos concomitantes al diagnóstico de TEA. El objetivo del trabajo fue evaluar los cambios en la sintomatología gastrointestinal y neuroconductual luego de la implementación de una DLGC en niños, niñas y adolescentes con TEA que residen en la provincia de Córdoba. Estudio descriptivo observacional, correlacional simple, de corte transversal (n:24). Se indagó mediante una encuesta los cambios en las alteraciones neuroconductuales y sintomatología gastrointestinal evidenciados posteriormente a la implementación de la DLGC. Para el análisis de datos se utilizó la media como medida resumen y su desvío estándar. Las variables continuas se describieron en promedio y las discretas en %, IC 95%. En la fase inferencial se aplicó el Test Chi-cuadrado. El 77,8% manifestó mejoras en las alteraciones neuroconductuales (87,5% en interacción social, 75% en conducta lingüística y comunicativa, 70,8% en patrones restrictivos y estereotipados). El 70,8% mostró cambios favorables en la sintomatología gastrointestinal (dolor/cólico y distensión abdominal, diarrea, constipación y vómitos). Se halló una asociación estadísticamente significativa entre las mejoras manifestadas en la sintomatología gastrointestinal (p:0,0004), las alteraciones neuroconductuales (p:0,0005) y la DLGC, directamente proporcionales al tiempo de dieta. Al ser el TEA un trastorno individualizado y dependiente de los problemas médicos concomitantes al diagnóstico, los beneficios de la DLGC son diferentes para cada individuo. Sin embargo, los principales hallazgos sugieren cambios favorables en todas las variables estudiadas. Los resultados obtenidos permiten enriquecer el acervo científico brindando nueva evidencia respecto a la importancia del componente alimentario como parte del tratamiento de niños, niñas y adolescentes con TEA. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2019-10-17 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/25808 Revista de la Facultad de Ciencias Médicas de Córdoba.; 2019: Suplemento JIC XX Revista de la Facultad de Ciencias Médicas de Córdoba; 2019: Suplemento JIC XX Revista da Faculdade de Ciências Médicas de Córdoba; 2019: Suplemento JIC XX 1853-0605 0014-6722 10.31053/1853.0605.v76.nSuplemento spa https://revistas.unc.edu.ar/index.php/med/article/view/25808/27594 Derechos de autor 2019 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0 |