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OTİZM SPEKTRUM BOZUKLUKLARI TEDAVİSİNDE BESLENME YAKLAŞIMLARI

Year 2019, , 127 - 143, 01.08.2019
https://doi.org/10.25279/sak.435435

Abstract



Yaygınlığı
giderek artan otizm spektrum bozuklukları; sosyal etkileşimde belirgin farklı
tutumlar, takıntılı ve tekrarlanan davranışlar, motor becerileri iyi
kullanamama gibi birçok semptom ile karakterize nörolojik bir hastalıktır.
Otizmde anormal beslenme alışkanlıkları, besin tüketiminde seçicilik ve gastrointestinal
sistem problemleri gibi beslenme problemleri de görülmektedir. Ayrıca otizmde mikrobiyota
da sağlıklı bireylere göre farklıdır. Bu nedenle görülen semptomları azaltmak
için beslenme tedavilerinin uygulanması elzemdir. Vitamin ve mineral
takviyeleri,  probiyotik takviyesi,
ketojenik diyet, glutensiz kazeinsiz diyet en çok tercih edilen ve otizmde
görülen semptomları azalttığı gösterilen beslenme tedavilerindendir. Bu derlemede,
otizmde görülen beslenme ile ilgili sorunlar ve güncel beslenme tedavilerinin
etkisini araştıran yayınlar değerlendirilerek
özetlenmiştir.




References

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  • Adams, J. B., & Holloway, C. (2004). Pilot study of a moderate dose multivitamin/mineral supplement for children with autistic spectrum disorder. J Altern Complement Med, 10(6), 1033-1039. doi:10.1089/acm.2004.10.1033
  • Adams, J. B., Johansen, L. J., Powell, L. D., Quig, D., & Rubin, R. A. (2011). Gastrointestinal flora and gastrointestinal status in children with autism--comparisons to typical children and correlation with autism severity. BMC Gastroenterol, 11, 22. doi:10.1186/1471-230x-11-22
  • Al-Farsi, Y. M., Waly, M. I., Deth, R. C., Al-Sharbati, M. M., Al-Shafaee, M., Al-Farsi, O., . . . Ouhtit, A. (2013). Low folate and vitamin B12 nourishment is common in Omani children with newly diagnosed autism. Nutrition, 29(3), 537-541. doi:10.1016/j.nut.2012.09.014
  • Atladóttir, H. Ó., Henriksen, T. B., Schendel, D. E., & Parner, E. T. (2012). Autism After Infection, Febrile Episodes, and Antibiotic Use During Pregnancy: An Exploratory Study. Pediatrics, 130(6), e1447-e1454. doi:10.1542/peds.2012-1107
  • Barnhill, K., Gutierrez, A., Ghossainy, M., Marediya, Z., Marti, C. N., & Hewitson, L. (2017). Growth status of children with autism spectrum disorder: a case-control study. J Hum Nutr Diet, 30(1), 59-65. doi:10.1111/jhn.12396
  • Berding, K., & Donovan, S. M. (2016). Microbiome and nutrition in autism spectrum disorder: current knowledge and research needs. Nutr Rev, 74(12), 723-736. doi:10.1093/nutrit/nuw048
  • Boccuto, L., Chen, C. F., Pittman, A. R., Skinner, C. D., McCartney, H. J., Jones, K., . . . Schwartz, C. E. (2013). Decreased tryptophan metabolism in patients with autism spectrum disorders. Mol Autism, 4(1), 16. doi:10.1186/2040-2392-4-16
  • Castro, K., Baronio, D., Perry, I. S., Riesgo, R. D. S., & Gottfried, C. (2017). The effect of ketogenic diet in an animal model of autism induced by prenatal exposure to valproic acid. Nutr Neurosci, 20(6), 343-350. doi:10.1080/1028415x.2015.1133029
  • Castro, K., Faccioli, L. S., Baronio, D., Gottfried, C., Perry, I. S., & dos Santos Riesgo, R. (2015). Effect of a ketogenic diet on autism spectrum disorder: A systematic review. Research in Autism Spectrum Disorders, 20, 31-38. doi:https://doi.org/10.1016/j.rasd.2015.08.005
  • Cekici, H., & Sanlier, N. (2017). Current nutritional approaches in managing autism spectrum disorder: A review. Nutr Neurosci, 1-11.
  • Christison, G. W., & Ivany, K. (2006). Elimination diets in autism spectrum disorders: any wheat amidst the chaff? J Dev Behav Pediatr, 27(2 Suppl), S162-171.
  • DeVilbiss, E. A., Gardner, R. M., Newschaffer, C. J., & Lee, B. K. (2015). Maternal folate status as a risk factor for autism spectrum disorders: a review of existing evidence. British Journal of Nutrition, 114(5), 663-672.
  • Ding, H. T., Taur, Y., & Walkup, J. T. (2017). Gut Microbiota and Autism: Key Concepts and Findings. J Autism Dev Disord, 47(2), 480-489. doi:10.1007/s10803-016-2960-9
  • El-Ansary, A. K., Ben Bacha, A., & Kotb, M. (2012). Etiology of autistic features: the persisting neurotoxic effects of propionic acid. J Neuroinflammation, 9, 74. doi:10.1186/1742-2094-9-74
  • Evangeliou, A., Vlachonikolis, I., Mihailidou, H., Spilioti, M., Skarpalezou, A., Makaronas, N., . . . Smeitink, J. (2003). Application of a ketogenic diet in children with autistic behavior: pilot study. J Child Neurol, 18(2), 113-118. doi:10.1177/08830738030180020501
  • Geier, D. A., King, P. G., Sykes, L. K., & Geier, M. R. (2008). A comprehensive review of mercury provoked autism. Indian J Med Res, 128(4), 383-411.
  • Ghalichi, F., Ghaemmaghami, J., Malek, A., & Ostadrahimi, A. (2016). Effect of gluten free diet on gastrointestinal and behavioral indices for children with autism spectrum disorders: a randomized clinical trial. World J Pediatr, 12(4), 436-442. doi:10.1007/s12519-016-0040-z
  • Gökçe Ünal, A. Ö. (2016). Nörogelişimsel Bozukluklarda Beslenme. Clinical and Experimental Health Sciences, 6(2), 80-85.
  • Graf-Myles, J., Farmer, C., Thurm, A., Royster, C., Kahn, P., Soskey, L., . . . Swedo, S. (2013). Dietary adequacy of children with autism compared with controls and the impact of restricted diet. J Dev Behav Pediatr, 34(7), 449-459. doi:10.1097/DBP.0b013e3182a00d17
  • Harris, C., & Card, B. (2012). A pilot study to evaluate nutritional influences on gastrointestinal symptoms and behavior patterns in children with Autism Spectrum Disorder. Complement Ther Med, 20(6), 437-440. doi:10.1016/j.ctim.2012.08.004
  • Herbert, M. R., & Buckley, J. A. (2013). Autism and dietary therapy: case report and review of the literature. J Child Neurol, 28(8), 975-982. doi:10.1177/0883073813488668
  • Hsu, C. L., Lin, C. Y., Chen, C. L., Wang, C. M., & Wong, M. K. (2009). The effects of a gluten and casein-free diet in children with autism: a case report. Chang Gung Med J, 32(4), 459-465.
  • Hyman, S. L., Stewart, P. A., Schmidt, B., Cain, U., Lemcke, N., Foley, J. T., . . . Ng, P. K. (2012). Nutrient intake from food in children with autism. Pediatrics, 130 Suppl 2, S145-153. doi:10.1542/peds.2012-0900L
  • James, S. J., Melnyk, S., Fuchs, G., Reid, T., Jernigan, S., Pavliv, O., . . . Gaylor, D. W. (2009). Efficacy of methylcobalamin and folinic acid treatment on glutathione redox status in children with autism. The American Journal of Clinical Nutrition, 89(1), 425-430. doi:10.3945/ajcn.2008.26615
  • Jory, J. (2016). Abnormal fatty acids in Canadian children with autism. Nutrition, 32(4), 474-477. doi:10.1016/j.nut.2015.10.019
  • Kaluzna-Czaplinska, J., & Blaszczyk, S. (2012). The level of arabinitol in autistic children after probiotic therapy. Nutrition, 28(2), 124-126. doi:10.1016/j.nut.2011.08.002
  • Lange, K. W., Hauser, J., & Reissmann, A. (2015). Gluten-free and casein-free diets in the therapy of autism. Curr Opin Clin Nutr Metab Care, 18(6), 572-575. doi:10.1097/mco.0000000000000228
  • Lobar, S. L. (2016). DSM-V Changes for Autism Spectrum Disorder (ASD): Implications for Diagnosis, Management, and Care Coordination for Children With ASDs. Journal of Pediatric Health Care, 30(4), 359-365. doi:https://doi.org/10.1016/j.pedhc.2015.09.005
  • Lyall, K., Schmidt, R. J., & Hertz-Picciotto, I. (2014). Maternal lifestyle and environmental risk factors for autism spectrum disorders. International Journal of Epidemiology, 43(2), 443-464. doi:10.1093/ije/dyt282
  • Madore, C., Leyrolle, Q., Lacabanne, C., Benmamar-Badel, A., Joffre, C., Nadjar, A., & Laye, S. (2016). Neuroinflammation in Autism: Plausible Role of Maternal Inflammation, Dietary Omega 3, and Microbiota. Neural Plast, 2016, 3597209. doi:10.1155/2016/3597209
  • Mangiola, F., Ianiro, G., Franceschi, F., Fagiuoli, S., Gasbarrini, G., & Gasbarrini, A. (2016). Gut microbiota in autism and mood disorders. World Journal of Gastroenterology, 22(1), 361-368. doi:10.3748/wjg.v22.i1.361
  • Marí-Bauset, S., Llopis-González, A., Zazpe-García, I., Marí-Sanchis, A., & Morales-Suárez-Varela, M. (2015). Nutritional Status of Children with Autism Spectrum Disorders (ASDs): A Case–Control Study. Journal of autism and developmental disorders, 45(1), 203-212. doi:10.1007/s10803-014-2205-8
  • Mezzelani, A., Landini, M., Facchiano, F., Raggi, M. E., Villa, L., Molteni, M., . . . Marabotti, A. (2015). Environment, dysbiosis, immunity and sex-specific susceptibility: A translational hypothesis for regressive autism pathogenesis. Nutr Neurosci, 18(4), 145-161. doi:10.1179/1476830513Y.0000000108
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Nutritional Approach In Treatment of Autism Spectrum Disorders

Year 2019, , 127 - 143, 01.08.2019
https://doi.org/10.25279/sak.435435

Abstract

With an increasing prevalence, autism spectrum disorders are neurological disorders
that characterized by a number of symptoms such as significantly different attitudes in
social interactions and communication, repetitive and obsessively behaviors, and
inability to use motor skills. In addition, nutritional problems such as abnormal eating
habits, sensitivity to food texture, selectivity in food consumption, and gastrointestinal
problems are also accompanied. Besides, microbiota of patients with autism seems to
be different when compared to healthy individuals. Therefore, nutritional treatment
applications are essential for reducing the symptoms and to replace nutritional
deficiencies. The most preferred nutritional therapies that have been shown to reduce
the symptoms in autism are vitamin, mineral, and probiotic supplements, ketogenic
diet, gluten-free and casein-free diets. Since nutritional treatments don’t show the same
effect in every autistic child, nutritional therapy should be applied specific to the
individual. This review summarizes the literature that investigate nutritional problems
and the effects of current nutritional treatments in autism. 

References

  • Adams, J. B., Audhya, T., McDonough-Means, S., Rubin, R. A., Quig, D., Geis, E., . . . Lee, W. (2011). Effect of a vitamin/mineral supplement on children and adults with autism. BMC Pediatr, 11, 111. doi:10.1186/1471-2431-11-111
  • Adams, J. B., & Holloway, C. (2004). Pilot study of a moderate dose multivitamin/mineral supplement for children with autistic spectrum disorder. J Altern Complement Med, 10(6), 1033-1039. doi:10.1089/acm.2004.10.1033
  • Adams, J. B., Johansen, L. J., Powell, L. D., Quig, D., & Rubin, R. A. (2011). Gastrointestinal flora and gastrointestinal status in children with autism--comparisons to typical children and correlation with autism severity. BMC Gastroenterol, 11, 22. doi:10.1186/1471-230x-11-22
  • Al-Farsi, Y. M., Waly, M. I., Deth, R. C., Al-Sharbati, M. M., Al-Shafaee, M., Al-Farsi, O., . . . Ouhtit, A. (2013). Low folate and vitamin B12 nourishment is common in Omani children with newly diagnosed autism. Nutrition, 29(3), 537-541. doi:10.1016/j.nut.2012.09.014
  • Atladóttir, H. Ó., Henriksen, T. B., Schendel, D. E., & Parner, E. T. (2012). Autism After Infection, Febrile Episodes, and Antibiotic Use During Pregnancy: An Exploratory Study. Pediatrics, 130(6), e1447-e1454. doi:10.1542/peds.2012-1107
  • Barnhill, K., Gutierrez, A., Ghossainy, M., Marediya, Z., Marti, C. N., & Hewitson, L. (2017). Growth status of children with autism spectrum disorder: a case-control study. J Hum Nutr Diet, 30(1), 59-65. doi:10.1111/jhn.12396
  • Berding, K., & Donovan, S. M. (2016). Microbiome and nutrition in autism spectrum disorder: current knowledge and research needs. Nutr Rev, 74(12), 723-736. doi:10.1093/nutrit/nuw048
  • Boccuto, L., Chen, C. F., Pittman, A. R., Skinner, C. D., McCartney, H. J., Jones, K., . . . Schwartz, C. E. (2013). Decreased tryptophan metabolism in patients with autism spectrum disorders. Mol Autism, 4(1), 16. doi:10.1186/2040-2392-4-16
  • Castro, K., Baronio, D., Perry, I. S., Riesgo, R. D. S., & Gottfried, C. (2017). The effect of ketogenic diet in an animal model of autism induced by prenatal exposure to valproic acid. Nutr Neurosci, 20(6), 343-350. doi:10.1080/1028415x.2015.1133029
  • Castro, K., Faccioli, L. S., Baronio, D., Gottfried, C., Perry, I. S., & dos Santos Riesgo, R. (2015). Effect of a ketogenic diet on autism spectrum disorder: A systematic review. Research in Autism Spectrum Disorders, 20, 31-38. doi:https://doi.org/10.1016/j.rasd.2015.08.005
  • Cekici, H., & Sanlier, N. (2017). Current nutritional approaches in managing autism spectrum disorder: A review. Nutr Neurosci, 1-11.
  • Christison, G. W., & Ivany, K. (2006). Elimination diets in autism spectrum disorders: any wheat amidst the chaff? J Dev Behav Pediatr, 27(2 Suppl), S162-171.
  • DeVilbiss, E. A., Gardner, R. M., Newschaffer, C. J., & Lee, B. K. (2015). Maternal folate status as a risk factor for autism spectrum disorders: a review of existing evidence. British Journal of Nutrition, 114(5), 663-672.
  • Ding, H. T., Taur, Y., & Walkup, J. T. (2017). Gut Microbiota and Autism: Key Concepts and Findings. J Autism Dev Disord, 47(2), 480-489. doi:10.1007/s10803-016-2960-9
  • El-Ansary, A. K., Ben Bacha, A., & Kotb, M. (2012). Etiology of autistic features: the persisting neurotoxic effects of propionic acid. J Neuroinflammation, 9, 74. doi:10.1186/1742-2094-9-74
  • Evangeliou, A., Vlachonikolis, I., Mihailidou, H., Spilioti, M., Skarpalezou, A., Makaronas, N., . . . Smeitink, J. (2003). Application of a ketogenic diet in children with autistic behavior: pilot study. J Child Neurol, 18(2), 113-118. doi:10.1177/08830738030180020501
  • Geier, D. A., King, P. G., Sykes, L. K., & Geier, M. R. (2008). A comprehensive review of mercury provoked autism. Indian J Med Res, 128(4), 383-411.
  • Ghalichi, F., Ghaemmaghami, J., Malek, A., & Ostadrahimi, A. (2016). Effect of gluten free diet on gastrointestinal and behavioral indices for children with autism spectrum disorders: a randomized clinical trial. World J Pediatr, 12(4), 436-442. doi:10.1007/s12519-016-0040-z
  • Gökçe Ünal, A. Ö. (2016). Nörogelişimsel Bozukluklarda Beslenme. Clinical and Experimental Health Sciences, 6(2), 80-85.
  • Graf-Myles, J., Farmer, C., Thurm, A., Royster, C., Kahn, P., Soskey, L., . . . Swedo, S. (2013). Dietary adequacy of children with autism compared with controls and the impact of restricted diet. J Dev Behav Pediatr, 34(7), 449-459. doi:10.1097/DBP.0b013e3182a00d17
  • Harris, C., & Card, B. (2012). A pilot study to evaluate nutritional influences on gastrointestinal symptoms and behavior patterns in children with Autism Spectrum Disorder. Complement Ther Med, 20(6), 437-440. doi:10.1016/j.ctim.2012.08.004
  • Herbert, M. R., & Buckley, J. A. (2013). Autism and dietary therapy: case report and review of the literature. J Child Neurol, 28(8), 975-982. doi:10.1177/0883073813488668
  • Hsu, C. L., Lin, C. Y., Chen, C. L., Wang, C. M., & Wong, M. K. (2009). The effects of a gluten and casein-free diet in children with autism: a case report. Chang Gung Med J, 32(4), 459-465.
  • Hyman, S. L., Stewart, P. A., Schmidt, B., Cain, U., Lemcke, N., Foley, J. T., . . . Ng, P. K. (2012). Nutrient intake from food in children with autism. Pediatrics, 130 Suppl 2, S145-153. doi:10.1542/peds.2012-0900L
  • James, S. J., Melnyk, S., Fuchs, G., Reid, T., Jernigan, S., Pavliv, O., . . . Gaylor, D. W. (2009). Efficacy of methylcobalamin and folinic acid treatment on glutathione redox status in children with autism. The American Journal of Clinical Nutrition, 89(1), 425-430. doi:10.3945/ajcn.2008.26615
  • Jory, J. (2016). Abnormal fatty acids in Canadian children with autism. Nutrition, 32(4), 474-477. doi:10.1016/j.nut.2015.10.019
  • Kaluzna-Czaplinska, J., & Blaszczyk, S. (2012). The level of arabinitol in autistic children after probiotic therapy. Nutrition, 28(2), 124-126. doi:10.1016/j.nut.2011.08.002
  • Lange, K. W., Hauser, J., & Reissmann, A. (2015). Gluten-free and casein-free diets in the therapy of autism. Curr Opin Clin Nutr Metab Care, 18(6), 572-575. doi:10.1097/mco.0000000000000228
  • Lobar, S. L. (2016). DSM-V Changes for Autism Spectrum Disorder (ASD): Implications for Diagnosis, Management, and Care Coordination for Children With ASDs. Journal of Pediatric Health Care, 30(4), 359-365. doi:https://doi.org/10.1016/j.pedhc.2015.09.005
  • Lyall, K., Schmidt, R. J., & Hertz-Picciotto, I. (2014). Maternal lifestyle and environmental risk factors for autism spectrum disorders. International Journal of Epidemiology, 43(2), 443-464. doi:10.1093/ije/dyt282
  • Madore, C., Leyrolle, Q., Lacabanne, C., Benmamar-Badel, A., Joffre, C., Nadjar, A., & Laye, S. (2016). Neuroinflammation in Autism: Plausible Role of Maternal Inflammation, Dietary Omega 3, and Microbiota. Neural Plast, 2016, 3597209. doi:10.1155/2016/3597209
  • Mangiola, F., Ianiro, G., Franceschi, F., Fagiuoli, S., Gasbarrini, G., & Gasbarrini, A. (2016). Gut microbiota in autism and mood disorders. World Journal of Gastroenterology, 22(1), 361-368. doi:10.3748/wjg.v22.i1.361
  • Marí-Bauset, S., Llopis-González, A., Zazpe-García, I., Marí-Sanchis, A., & Morales-Suárez-Varela, M. (2015). Nutritional Status of Children with Autism Spectrum Disorders (ASDs): A Case–Control Study. Journal of autism and developmental disorders, 45(1), 203-212. doi:10.1007/s10803-014-2205-8
  • Mezzelani, A., Landini, M., Facchiano, F., Raggi, M. E., Villa, L., Molteni, M., . . . Marabotti, A. (2015). Environment, dysbiosis, immunity and sex-specific susceptibility: A translational hypothesis for regressive autism pathogenesis. Nutr Neurosci, 18(4), 145-161. doi:10.1179/1476830513Y.0000000108
  • Millward, C., Ferriter, M., Calver, S., & Connell-Jones, G. (2008). Gluten- and casein-free diets for autistic spectrum disorder. Cochrane Database Syst Rev(2), Cd003498. doi:10.1002/14651858.CD003498.pub3
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There are 54 citations in total.

Details

Primary Language Turkish
Journal Section reviews
Authors

Selin Aktitiz 0000-0001-6781-8681

Ece Yalçın 0000-0002-4469-7255

Zeynep Göktaş 0000-0001-7241-8017

Publication Date August 1, 2019
Submission Date June 21, 2018
Acceptance Date October 10, 2018
Published in Issue Year 2019

Cite

APA Aktitiz, S., Yalçın, E., & Göktaş, Z. (2019). OTİZM SPEKTRUM BOZUKLUKLARI TEDAVİSİNDE BESLENME YAKLAŞIMLARI. Health Academy Kastamonu, 4(2), 127-143. https://doi.org/10.25279/sak.435435

Sağlık Akademisi Kastamonu, 2017 yılından itibaren UAK doçentlik kriterlerine göre 1-b dergiler (SCI, SSCI, SCI-expanded, ESCI dışındaki uluslararası indekslerde taranan dergiler) sınıfında yer almaktadır. SAĞLIK AKADEMİSİ KASTAMONU Dergi kapağı Türk Patent Enstitüsü tarafından tescil edilmiştir.