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Otizm Spektrum Bozukluğu Olan Çocuklarda Beslenme Tedavisi Yaklaşımları

Yıl 2023, Cilt: 2 Sayı: 2, 33 - 42, 30.06.2023
https://doi.org/10.59518/farabimedj.1237543

Öz

Otizm spektrum bozukluğu (OSB), gelişimin erken evrelerinde ortaya çıkan, sosyal iletişim ve etkileşim davranışlarındaki kısıtlamalar, tekrarlayıcı sınırlayıcı davranışlar ve sınırlı ilgilerle karakterize edilen nörogelişimsel bir bozukluktur. OSB'de görülen beslenme sorunları ve gastrointestinal şikayetler, hastalığın ilk tanısından itibaren bilinmekte ve hastalığın bir özelliği olarak kabul edilmektedir. OSB'li çocukların normal gelişim gösteren çocuklara göre beş kat daha fazla beslenme sorunu yaşadıkları bilinmektedir. OSB'li çocuklarda en sık görülen beslenme sorunları, besin seçiciliği, yeme becerisinde güçlük, seçici, garip ve sıra dışı yeme davranışı, belirli bir besin sunumuna karşı duyarlılık, yeni besinlerden kaçınma, bir tür besinin aşırı ve ısrarlı alımı ve yemek zamanı davranış sorunlarıdır. Glutensiz kazeinsiz diyet, ketojenik diyet, özel karbonhidrat diyeti, feingold diyeti, Candida vücut ekolojisi diyeti, elimine alerji diyetleri gibi beslenme yaklaşımları uygulanmaktadır. Ancak, bu uygulamalar için kanıt sınırlıdır. OSB'li çocukların yetersiz ve dengesiz beslenme açısından izlenmesi, kısıtlayıcı ve özel diyetlerin uygulanmasında beslenme sorunları ve yetersiz beslenmenin göz önünde bulundurulması önerilir.

Kaynakça

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Nutrition Therapy Approaches in Children with Autism Spectrum Disorder

Yıl 2023, Cilt: 2 Sayı: 2, 33 - 42, 30.06.2023
https://doi.org/10.59518/farabimedj.1237543

Öz

Autism spectrum disorder (ASD) is a neurodevelopmental disorder that occurs in the early stages of development, characterized by limitations in social communication and interaction behaviors, repetitive limiting behaviors, and limited interests. Nutritional problems and gastrointestinal complaints seen in ASD have been known since the first diagnosis of the disease and are considered a feature of the disease. It is known that children with ASD have feeding problems five times more often than children with normal development. The most common nutritional problems seen in children with ASD are food selectivity, difficulty in eating skills, selective, strange, and unusual eating behavior, sensitivity to a particular presentation of food, avoidance of new foods, excessive and persistent intake of one type of food and meal time behavioral problems. Dietary approaches such as gluten-free, casein-free, ketogenic, special carbohydrate, Feingold, Candida body ecology, and eliminated allergy diets are applied. However, the evidence for these practices is limited. Therefore, it is recommended to monitor children with ASD in terms of inadequate and unbalanced nutrition and to consider feeding problems and malnutrition in applying restrictive and special diets.

Kaynakça

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  • Adams J. Vitamin/mineral supplements for children and adults with autism. Vitamin Mineral. 2015; 3(127): 1-4. DOI: 10.4172/2376-1318.1000127.
  • Navarro F, Liu Y, Rhoads JM. Can probiotics benefit children with autism spectrum disorders? World journal of gastroenterology. 2016; 22(46): 10093. DOI: 10.3748/wjg.v22.i46.10093.
  • Parracho HM, Gibson GR, Knott F, Bosscher D, Kleerebezem M, McCartney AL. A double-blind, placebo-controlled, crossover-designed probiotic feeding study in children diagnosed with autistic spectrum disorders. International Journal of Probiotics & Prebiotics. 2010; 5(2): 69.
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  • Volkert VM, Vaz PC. Recent studies on feeding problems in children with autism. Journal of applied behavior analysis. 2010; 43(1): 155-9. DOI: 10.1901/JABA.2010.43-155.
  • Emre Bolatbaş D, Yıldız Bıçakçı M. Bebeklik ve ilk çocukluk döneminde gelişimsel değerlendirme ve izlem, bebeklik ve ilk çocukluk döneminde (0-36 ay) gelişim, duyuların gelişimi ve desteklenmesi, editör: M. Yıldız Bıçakçı (2015): 179-210.
  • Buie T, Campbell DB, Fuchs GJ, et al. Evaluation, diagnosis, and treatment of gastrointestinal disorders in individuals with ASDs: a consensus report. Pediatrics. 2010; 125(Supplement 1): 1-18 DOI: 10.1542/peds.2009-1878C.
  • Buie T, Fuchs GJ, Furuta GT, Kooros K, et al. Recommendations for evaluation and treatment of common gastrointestinal problems in children with ASDs. Pediatrics. 2010; 125(Supplement 1: S19-29. DOI: 10.1542/peds.2009-1878D.
  • Najdowski AC, Wallace MD, Doney JK, Ghezzi PM. Parental assessment and treatment of food selectivity in natural settings. Journal of Applied Behavior Analysis. 2003; 36(3): 383-6. DOI: 10.1901/JABA.2003.36-383.
  • Berry RC, Novak P, Withrow N, et al. Nutrition management of gastrointestinal symptoms in children with autism spectrum disorder: guideline from an expert panel. Journal of the Academy of Nutrition and Dietetics. 2015; 115(12): 1919-27. DOI: 10.1016/j.jand.2015.05.016.
  • Levy SE, Souders MC, Ittenbach RF, Giarelli E, Mulberg AE, Pinto-Martin JA. Relationship of dietary intake to gastrointestinal symptoms in children with autistic spectrum disorders. Biological psychiatry. 2007; 61(4): 492-7. DOI: 10.1016/j.biopsych.2006.07.013.
  • Seda Ö, Aslı U. Otizm spektrum bozukluğu tedavisinde beslenme yaklaşımları. Ankara Sağlık Bilimleri Dergisi. 2017; 6(1): 179-94.
  • Salomone E, Charman T, McConachie H, Warreyn P. Prevalence and correlates of use of complementary and alternative medicine in children with autism spectrum disorder in Europe. European Journal of Pediatrics. 2015; 174(10): 1277-85. DOI: 10.1007/s00431-015-2531-7.
  • Millward C, Ferriter M, Calver SJ, Connell‐Jones GG. Gluten‐and casein‐free diets for autistic spectrum disorder. Cochrane database of systematic reviews. 2008; 16(2). DOI: 10.1002/14651858.CD003498.pub3.
  • Cubala-Kucharska M. The review of most frequently occurring medical disorders related to aetiology of autism and the methods of treatment. Acta Neurobiol Exp (Wars). 2010; 70(2): 141-6.
  • Mulloy A, Lang R, O’Reilly M, Sigafoos J, Lancioni G, Rispoli M. Gluten-free and casein-free diets in the treatment of autism spectrum disorders: A systematic review. Research in Autism Spectrum Disorders. 2010; 4(3): 328-39. DOI: 10.1016/j.rasd.2009.10.008.
  • Kałużna-Czaplińska J, Jóźwik-Pruska J. Nutritional strategies and personalized diet in autism-choice or necessity? Trends in Food Science & Technology. 2016; 49: 45-50. DOI: 10.1016/j.tifs.2016.01.005.
  • Lange KW, Hauser J, Reissmann A. Gluten-free and casein-free diets in the therapy of autism. Current Opinion in Clinical Nutrition & Metabolic Care. 2015; 18(6): 572-5. DOI: 10.1097/MCO.0000000000000228.
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  • El-Rashidy O, El-Baz F, El-Gendy Y, Khalaf R, Reda D, Saad K. Ketogenic diet versus gluten free casein free diet in autistic children: a case-control study. Metabolic brain disease. 2017; 32(6): 1935-41. DOI: 10.1007/s11011-017-0088-z.
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  • Mulloy A, Lang R, O’Reilly M, Sigafoos J, Lancioni G, Rispoli M. Addendum to “gluten-free and casein-free diets in treatment of autism spectrum disorders: A systematic review”. Research in Autism Spectrum Disorders. 2011; 5(1): 86-8. DOI: 10.2147/NDS.S74718.
  • Sharma S, Jain P. The ketogenic diet and other dietary treatments for refractory epilepsy in children. Annals of Indian Academy of Neurology. 2014; 17(3): 253. DOI: 10.4103/0972-2327.138471.
  • Napoli E, Dueñas N, Giulivi C. Potential therapeutic use of the ketogenic diet in autism spectrum disorders. Frontiers in pediatrics. 2014; 2: 69. DOI: 10.3389/fped.2014.00069.
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  • Suskind DL, Wahbeh G, Gregory N, Vendettuoli H, Christie D. Nutritional therapy in pediatric Crohn disease: the specific carbohydrate diet. Journal of pediatric gastroenterology and nutrition. 2014; 58(1): 87-91. DOI: 10.1097/MPG.0000000000000103.
  • Kakodkar S, Farooqui AJ, Mikolaitis SL, Mutlu EA. The specific carbohydrate diet for inflammatory bowel disease: a case series. Journal of the Academy of Nutrition and Dietetics. 2015; 115(8): 1226-32. DOI: 10.1016/j.jand.2015.04.016.
  • Barnhill K, Devlin M, Moreno HT, et al. Brief report: implementation of a specific carbohydrate diet for a child with autism spectrum disorder and Fragile X syndrome. Journal of autism and developmental disorders. 2020; 50(5): 1800-8. DOI: 10.1007/s10803-018-3704-9.
  • Gottschall E. Digestion-gut-autism connection: the specific carbohydrate diet. Medical Veritas. 2004; 1(2): 261-71. DOI: 10.1588/medver.2004.01.00029.
  • Waring R, Reichelt K. The biochemistry of the autistic syndrome. Autism on the Agenda NAS, London. 1996: 125-7.
  • Feingold B. Why your child is hyperactive: Random House Incorporated; 1985.
  • Abdallah H, Soliman S, El-kader A. Language Training Program Coupled With Feingold Diet For Caregivers To Develop Autisticreceptive Language Skills. Mansoura Nursing Journal. 2019; 6(2): 107-25. DOI: 10.21608/MNJ.2019.176375.
  • Nanayakkara WS, Skidmore PM, O’Brien L, Wilkinson TJ, Gearry RB. Efficacy of the low FODMAP diet for treating irritable bowel syndrome: the evidence to date. Clinical and experimental gastroenterology. 2016; 9: 131. DOI: 10.2147/CEG.S86798.
  • Hill P, Muir JG, Gibson PR. Controversies and recent developments of the low-FODMAP diet. Gastroenterology & hepatology. 2017; 13(1): 36.
  • Magge S, Lembo A. Low-FODMAP diet for treatment of irritable bowel syndrome. Gastroenterology & hepatology. 2012; 8(11): 739.
  • Catassi G, Lionetti E, Gatti S, Catassi C. The low FODMAP diet: many question marks for a catchy acronym. Nutrients. 2017; 9(3): 292. DOI: 10.3390/nu9030292.
  • Halmos EP, Power VA, Shepherd SJ, Gibson PR, Muir JG. A diet low in FODMAPs reduces symptoms of irritable bowel syndrome. Gastroenterology. 2014; 146(1): 67-75. e5. DOI: 10.1053/j.gastro.2013.09.046.
Toplam 98 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Derlemeler
Yazarlar

Melis Akhalil 0000-0002-0146-6609

Seda Çiftçi 0000-0002-4103-1618

Zehra Batu 0000-0002-9748-1116

Erken Görünüm Tarihi 30 Mayıs 2023
Yayımlanma Tarihi 30 Haziran 2023
Gönderilme Tarihi 21 Ocak 2023
Yayımlandığı Sayı Yıl 2023 Cilt: 2 Sayı: 2

Kaynak Göster

AMA Akhalil M, Çiftçi S, Batu Z. Nutrition Therapy Approaches in Children with Autism Spectrum Disorder. Farabi Med J. Haziran 2023;2(2):33-42. doi:10.59518/farabimedj.1237543

*Dergiye gönderilecek yazılar aşağıda verilen örnek dosyalara göre hazırlanmalıdır. Dergi formatına uygun hazırlanmayan yazılar Yazar(lar)a iade edilecektir.

1. ÖZGÜN MAKALE ŞABLONU/ORIJINAL ARTICLE TEMPLATE

2. OLGU SUNUMU ŞABLONU/CASE REPORT TEMPLATE

3. DERLEME ŞABLONU/REVİEW TEMPLATE

4. BAŞLIK SAYFASI/TİTLE PAGE

5. TELİF HAKKI TRANSFER FORMU/COPYRİGHT TRANSFER FORM

6. KAPAK YAZISI /COVER LETTER

**Uluslararası Tıp Dergileri Editörler Kurulu (ICMJE) yönergesi