无麸质无酪蛋白饮食对孤独症谱系障碍儿童治疗效果的系统评价

瞿玲玲, 万燕南, 程茜

中国儿童保健杂志 ›› 2022, Vol. 30 ›› Issue (8) : 884-889.

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中国儿童保健杂志 ›› 2022, Vol. 30 ›› Issue (8) : 884-889. DOI: 10.11852/zgetbjzz2021-0249
荟萃分析

无麸质无酪蛋白饮食对孤独症谱系障碍儿童治疗效果的系统评价

  • 瞿玲玲, 万燕南, 程茜
作者信息 +

Systematic review on the effect of gluten-free and casein-free diets inchildren with autism spectrum disorder

  • QU Ling-ling, WAN Yan-nan, CHENG Qian
Author information +
文章历史 +

摘要

目的 系统评价无麸质无酪蛋白(GFCF)饮食对孤独症谱系障碍(ASD)儿童的治疗效果,为临床治疗提供科学依据。方法 通过检索PubMed、EBSCO、Cochrane Library、SpringerLink、维普、万方、中国知网等数据库筛选符合标准的文献,进行文献质量评估,综合评估其治疗结果。结果 共筛选出7篇符合标准的原始文献,包括181例ASD患者,7篇文献均研究了GFCF对ASD核心症状的影响,5篇文献均显示GFCF饮食治疗对ASD核心症状无改善作用;其中2篇同时研究了GFCF饮食对患儿胃肠道的影响,2篇均显示GFCF饮食对胃肠道无明显影响。结论 GFCF饮食疗法对ASD儿童核心症状、胃肠道症状无明显改善作用。

Abstract

Objective To systematically interview the effects of gluten-free and casein-free (GFCF) diets in children with autism spectrum disorder(ASD), in order to provide scientific reference for clinical treatment. Methods Literature searches were conducted in PubMed, EBSCO, Cochrane Library, SpringerLink, Vip, Wan-fang and China National Knowledge Internet (CNKI) database. Only randomized controlled trails were included, and the quality of the literature was evaluated. Results A total of 7 studies with 181 ASD samples were included. Seven articles all studied the effects of GFCF diets on core symptoms of ASD, five articles showed that the GFCF diets could not improve the core symptoms of ASD. Two articles studied the effects of GFCF diets on gastrointestinal symptoms of ASD, but neither of them showed that GFCF diets could improve the gastrointestinal symptoms of ASD. Conclusion GFCF diets could not improve the core symptoms and gastrointestinal symptoms of ASDchildren.

关键词

孤独症谱系障碍 / 饮食 / 核心症状 / 胃肠道症状

Key words

autism spectrum disorder / diets / core symptoms / gastrointestinal symptoms

引用本文

导出引用
瞿玲玲, 万燕南, 程茜. 无麸质无酪蛋白饮食对孤独症谱系障碍儿童治疗效果的系统评价[J]. 中国儿童保健杂志. 2022, 30(8): 884-889 https://doi.org/10.11852/zgetbjzz2021-0249
QU Ling-ling, WAN Yan-nan, CHENG Qian. Systematic review on the effect of gluten-free and casein-free diets inchildren with autism spectrum disorder[J]. Chinese Journal of Child Health Care. 2022, 30(8): 884-889 https://doi.org/10.11852/zgetbjzz2021-0249
中图分类号: R749.94   

参考文献

[1] Lord C,Brugha TS, Charman T,et al. Autism spectrum disorder[J]. Nat Rev Dis Primers, 2020,6(1):5.
[2] World Health Organization. Autism spectrum disorders[EB/OL].[2021-04-02].http://www.who.int/mediacentre/factsheets/autism spectrum disorders/en/.
[3] Matthew JM, Kelly AS, Amanda VB, et al.Prevalenceand characteristus of autism spectrum disorder among children aged 8 years-autism and developmental disabilities monitoring Network, 11 Sites, United States, 2018[J].MMWRSurveill Summ, 2020,70(11):1-16.
[4] Zhou H,Xu X, Yan WL, et al. Prevalence of autism spectrum disorder in China: A nationwide multi-center population-based study among children aged 6 to 12 years[J]. Neurosci Bull, 2020,36(9):961-971.
[5] Nalan HN, Jennifer W, Kristen MR et al. The effect of the low FODMAP diet on gastrointestinal symptoms, behavioral problems and nutrient intake in children with autism spectrum disorder:A randomized controlled pilot trial[J].J Autism Dev Disord,2021,51(8):2800-2811.
[6] Khaled S, Azza AE, Ismail LM, et al. A randomized, placebo-controlled trail of digestive enzymes in children with autism spectrum disorders[J].Clin Psychopharmacol and Neurosci,2015,13(2):188-193.
[7] Dae-Wook K, James BA, Ann CG, et al. Microbiota transfer therapy alters gut ecosystem and improves gastrointestinal and autism symptoms:An open-label study[J]. Microbiome, 2017,5:10.
[8] Kvinsberg AM, Reichelt KL,Nødland M,et al.Autistic syndromes and diet: A follow-up study[J]. Scandinavian Journal of Educational Research,1995,39(3):223-236.
[9] Reichelt KL, Knivsberg AM. the posibility and probability of gut-to-brain connection in autism[J]. Ann Clin Psychiatry, 2009,21(4):205-211.
[10] de Magistris L,Familiari V, Pascotto R, et al. Alterations of the intestinal barrier in patients with autism spectrum disorders and in their first-degree relatives[J]. J Pediatr Gastroenterol Nutr,2010,51:418-424.
[11] Whiteley P, Shattock P, Knivsberg AM, et al. Gluten- and casein-free dietary intervention for autism spectrum conditions[J]. Front Hum Neurosci, 2012, 6(1): 344-351.
[12] Ghalichi F, Ghaemmaghami J, Malek A, et al. Effect of gluten free diet on gastrointestinal andbehavioral indices for children with autism spectrum disorders:A randomized clinical trial [J]. World J Pediatr, 2016,12(4):436-442.
[13] Pennesi CM, Klein LC. Effectiveness of the gluten-free casein-free diet for children diagnosed with autism spectrum disorderr: Based on parental report[J]. Nutr Neurosci, 2012,15(2):85-91.
[14] Omnia El-R,Farida El-B,Yasmin El-G et al. Ketogenic diet versus gluten free casein free diet in autistic children:A case-control study[J]. Metab Brain Dis, 2017,6:1935-1941.
[15] Piwowarczyk A, Horvath A, Łukasik J, et al. Gluten- and casein-free diet and autism spectrum disorders in children:A systematic review[J]. Eur J Nutr, 2018,57(2):433-440.
[16] Sathe N, Andrews JC, McPheeters ML, et al. Nutritional and dietary interventions for autism spectrum disorder:A systematic review[J]. Pediatrics,2017,139(6):e20170346.
[17] Seung H, Rogalski Y, Shankar M, et al. The gluten-free and casein-free diet in autism:Communication outcomes from a preliminary double-blind clinical trial[J]. J Med Speech Lang Pathol,2007,15(4): 337-345.
[18] Pablo JGD, Francisco DA, Carlos GP et al.Influence of a combined gluten-free and casein-free diet on behavior disorders in children and adolescents diagnosed with autism spectrum disorder: A 12-month follow-up clinical trial[J]. J Autism Dev Disord, 2020,50(3):935-948.
[19] Knivsberg AM, Reichelt KL, Hoien T, et al. A randomised controlled study of dietary intervention in autistic syndromes[J]. Nutr Neurosci, 2002,5:251-261.
[20] Elder JH, Shankar M, Shuster J, et al.The gluten-free, casein-free diet in autism:Results of a preliminary double blind clinical trial[J]. J Autism Dev Disord, 2006,36(3):413-420.
[21] Whiteley P, Haracopos D, Knivsberg AM, et al. The ScanBrit randomised, controlled, single-blind study of a gluten- and casein-free dietary intervention for children with autismspectrum disorders[J].Nutr Neurosci, 2010,13 (2): 87-100.
[22] Johnson CR,Handen BL, Zimmer M, et al. Effects of gluten free /casein free diet in young children with autism:A pilot study[J]. J Dev Phys Disabil, 2011,23(2):213-225.
[23] Navarro F, Pearson DA, Fatheree N, et al. Are‘leaky gut’and behavior associated with gluten and dairy containing diet in children with autism spectrum disorders? [J]. Nutr Neurosci, 2015,18(4):177-185.
[24] Pusponegoro HD, Ismael S, Firmansyah A, et al. Gluten and casein supplementation does not increase symptoms in children with autism spectrum disorder[J]. Acta Paediatr, 2015,104(11):e500-e505.
[25] Hyman SL, Stewart PA, Foley J, et al. The gluten-free/casein-free diet: A double-blind challenge trial in children with autism [J]. J Autism Dev Disord,2016,46(1): 205-220.
[26] González-Domenech PJ, Díaz Atienza F, García Pablos C, et al. Influence of a guten-free, casein-free diet on behavioral disturbances in children and adolescents diagnosed with autism spectrum disorder: A 3-month follow-up pilot study[J]. J Ment Health Res, 2019, 12(3-4): 256-272.
[27] Salomone E, Charman T,Mcconachie H, et al. Prevalence and correlates of use complementary and alternative medicine in children with autism spectrum disorders in Europe[J]. Eur J Pediatrics, 2015,174(10):1277-1285.
[28] Peretti S, Mariano M, Mazzocchetti C, et al. Diet: The keystone of autism spectrum disorder?[J]. Nutr Neurosci,2019,22(12): 825-839.
[29] Hediger ML, England LJ,Molloy CA, et al. Reduced bone cortical thickness in boys with autism or autism spectrum disorder[J]. J Autism Dev Disord, 2008,38(5):848-856.

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