Araştırma Makalesi

Otistik Spektrum Bozukluğu BulunanÇocuklarda Vitamin B12, Folat ve Vitamin D Seviyelerinin İncelenmesi

Cilt: 9 Sayı: 4 26 Temmuz 2017
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Otistik Spektrum Bozukluğu BulunanÇocuklarda Vitamin B12, Folat ve Vitamin D Seviyelerinin İncelenmesi

Öz

ÖzOtizm spektrum bozukluğu (OSB) bulunan çocuklarda belirgin yiyecek seçiciliği vebazı davranış özellikleri bulunmaktadır. Bunun sonucunda bu çocuklarda besin öğele-ri eksiklikleri gelişebilmektedir. Ayrıca tek karbon metabolizması ve vitamin D,OSB’nun patogenezinde rol oynayabilmektedir. Bu amaçla yapılan incelemede OSB bu-lunan çocuklarda Vitamin B12 ve Vitamin D eksikliği belirgin şekilde saptanmıştır (heriki değer için de p<0.001). Folat düzeylerinde ise anlamlı bir farklılık tespit edilememiş-tir (p:0.487). Ayrıca sözel iletişim yetersizliği ile vitamin B12 ve vitamin D değerleri ara-sında anlamlı olarak negatif  korelasyonlar bulunmuştur (r:-0.234; p:0.042 ve r:-0297;p:0.009 sırasıyla). Bununla birlikte OSB şiddetini gösteren Çocukluk çağı otizm dere-celendirme ölçeği (CARS, Childhood autism rating scale) skoru ile vitamin B12 ve vi-tamin D arasında anlamlı olarak negatif korelasyon bulunmuştur (r:-0.293; p:0.001 ver:-0.320; p<0.001, sırasıyla) .  Buna göre vitamin B12 ve vitamin D, OSB’nin patoge-nezinde rol oynayabilir ve OSB belirtilerinin şiddetlenmesine neden olabilir. Ayrıca OSBbulunan çocuklar sıklıkla vitamin eksiklikleri geliştirebilirler. 

Anahtar Kelimeler

Kaynakça

  1. Kaynaklar1. American Psychiatry Association. Diagnostic and StatisticalManual of Mental Disorders, Fifth Edition. 2013 Washington,DC.2. Lai MC, Lombardo MV, Baron-Cohen S, Autism. Lancet 2014;383:896-910.3. Baron-Cohen S, Scott FJ, Allison C, Williams J, Bolton P, Matt-hews FE, Brayne C. Prevalence of autism-spectrum conditi-ons: UK school-based population study. Br J Psychiatry2009;194: 500-509.4. Kim YS, Fombonne E, Koh YJ, Kim SJ, Cheon KA, LeventhalBL. A comparison of DSM-IV pervasive developmental disor-der and DSM-5 autism spectrum disorder prevalence in an epi-demiologic sample. Journal of the American Academy of Child& Adolescent Psychiatry 2014;53(5):500-508.5. Ashwood P, Wills S, Van de Water J. The immune response inautism: a new frontier for autism research. J Leukoc Biol2006;80:1-15.6. Kinney DK, Barch DH, Chayka B, Napoleon S, Munir KM. En-vironmental risk factors for autism: do they help cause de novogenetic mutations that contribute to the disorder?. Medicalhypotheses 2010:74(1):102-106.7. Stanger O, Fowler B, Piertzik K, Huemer M, Haschke-BecherE, Semmler A et al.. Homocysteine, folate and vitamin B12 inneuropsychiatric diseases: review and treatment recommen-dations.Expert review of neurotherapeutics 2009;9(9): 1393-1412.8. Kim TH, Moon SW. Serum homocysteine and folate levels inkorean schizophrenic patients. Psychiatry investigation2011;8(2):134-140.9. Haidemenos A, Kontis D, Gazi A, Kallai E, Allin M, Lucia B.Plasma homocysteine, folate and B12 in chronic schizophre-nia. Progress in Neuro-Psychopharmacology and BiologicalPsychiatry 2007;31(6):1289-1296.10.Mabrouk H, Douki W, Mechri A, Younes MK, Omezzine A, Bo-uslama A, et al.. Hyperhomocysteinemia and schizophrenia:case control study. L'Encephale 2011;37(4):308-313.11.Muntjewerff JW, Kahn RS, Blom HJ, den Heijer M. Homocys-teine, methylenetetrahydrofolate reductase and risk of schi-zophrenia: a meta-analysis. Molecular psychiatry2006;11(2):143-149.12.Zhang Y, Hodgson NW, Trivedi MS, Abdolmaleky HM, Four-nier M, Cuenod M, et al.. Decreased brain levels of vitaminB12 in aging, autism and schizophrenia. PloS one2016:11(1):e0146797.13.Tu WJ, Yin CH, Guo YQ, Li SO, Chen H, Zhang Y, et al.. Se-rum homocysteine concentrations in Chinese children with au-tism. Clinical Chemistry and Laboratory Medicine2013;51(2):e19-e22.14. Al-Farsi YM, Waly MI, Deth RC, Al-Sharbati MM, Al-Sha-faee M, Al-Farsi O, et al.. Low folate and vitamin B12 nou-rishment is common in Omani children with newly diagnosedautism. Nutrition 2013;29(3):537-541.15. Ali A, Waly MI, Al-Farsi YM, Essa MM, Al-Sharbati MM, DethRC. Hyperhomocysteinemia among Omani autistic children:a case-control study. Acta Biochim Pol 2011;58(4):547-551.16.Puig-Alcaraz C, Fuentes-Albero M, Calderón J, Garrote D,Cauli O. Increased homocysteine levels correlate with the com-munication deficit in children with autism spectrum disorder.Psychiatry research 2015;229(3):1031-1037.17.Tolmunen T, Hintikka J, Voutilainen S, Ruusunen A, AlfthanG, Nyyssönen K, et al.. Association between depressivesymptoms and serum concentrations of homocysteine inmen: a population study. The American journal of clinical nut-rition 2004;80(6):1574-1578.18.Tiemeier H, Van Tuijl HR, Hofman A, Meijer J, Kiliaan AJ,Breteler MM. Vitamin B12, folate, and homocysteine in dep-ression: the Rotterdam Study. American Journal of Psychiatry2002;159(12):2099-2101.19. Esnafoğlu E, Yaman E. Vitamin B12, folic acid, homocystei-ne and vitamin D levels in children and adolescents with ob-sessive compulsive disorder. Psychiatry Research2017;254:232-237.20. Saad K, Abdel-rahman AA, Elserogy YM, Al-Atram AA, Can-nell JJ, Bjørklund G, et al.. Vitamin D status in autism spect-rum disorders and the efficacy of vitamin D supplementation in autistic children. Nutritional neuroscience 2015:1-6.21.Wang T, Shan L, Du L, Feng J, Xu Z, Staal WG, Jia F. Serumconcentration of 25-hydroxyvitamin D in autism spectrum di-sorder: a systematic review and meta-analysis. European child& adolescent psychiatry 2016;25(4):341-350.22.Feng J, Shan L, Du L, Wang B, Li H, Wang W, Staal WG. Cli-nical improvement following vitamin D3 supplementation in Au-tism Spectrum Disorder. Nutritional neuroscience 2016:1-7.23.Valipour G, Saneei P, Esmaillzadeh A. Serum vitamin D le-vels in relation to schizophrenia: a systematic review and meta-analysis of observational studies. The Journal of Clinical En-docrinology & Metabolism 2014;99(10):3863-3872.24.Crews M, Lally J, Gardner-Sood P, Howes O, Bonaccorso S,Smith S, Gaughran F. Vitamin D deficiency in first episodepsychosis: A case–control study. Schizophrenia research2013;150(2):533-537.25.McGrath JJ, Eyles DW, Pedersen CB, Anderson C, Ko P, Bur-ne TH, Mortensen PB. Neonatal vitamin D status and risk ofschizophrenia: a population-based case-control study. Arc-hives of general psychiatry 2010;67(9):889-894.26.Berk M, Sanders KM, Pasco JA, Jacka FN, Williams LJ, Hay-les AL, Dodd S. Vitamin D deficiency may play a role in dep-ression.Medical hypotheses 2007;69(6):1316-1319.27.Bertone-Johnson ER. Vitamin D and the occurrence of dep-ression: causal association or circumstantial evidence?.Nutrition reviews 2009;67(8):481-492.28.Milaneschi Y, Hoogendijk W, Lips P, Heijboer AC, SchoeversR, Van Hemert AM, et al.. The association between low vita-min D and depressive disorders. Molecular psychiatry2014;19(4).29.Anglin RE, Samaan Z, Walter SD, McDonald SD. Vitamin Ddeficiency and depression in adults: systematic review andmeta-analysis. The British journal of psychiatry2013;202(2):100-107.30.Bicíková M, Dusková M, Vítku J, Kalvachová B, Rípová D,Mohr P, Stárka L. Vitamin D in Anxiety and Affective Disor-ders. Physiological Research 2015;64:S101.31.Eyles DW, Burne TH, McGrath JJ. Vitamin D, effects on bra-in development, adult brain function and the links between lowlevels of vitamin D and neuropsychiatric disease. Frontiersin neuroendocrinology 2013;34(1):47-64.32.Harms LR, Burne TH, Eyles DW, McGrath JJ. Vitamin D andthe brain. Best Practice & Research Clinical Endocrinology& Metabolism 2011;25(4):657-669.33.McCann JC, Ames BN. Is there convincing biological or be-havioral evidence linking vitamin D deficiency to braindysfunction?. The FASEB Journal 2008;22(4):982-1001.34. Sucuoglu B, Oktem F, Akkok F, Gokler B. A study of the sca-les for the assessment of the children with autism. Psikiyat-ri, Psikoloji, Psikofarmakoloji 1996;4:116-121.35. Bottiglieri T. Homocysteine and folate metabolism in depres-sion.Progress in Neuro-Psychopharmacology and BiologicalPsychiatry 2005;29(7):1103-1112.36.Coşar A, İpcioğlu OM, Özcan Ö, Gültepe M. Folate and ho-mocysteine metabolisms and their roles in the biochemical ba-sis of neuropsychiatry. Turkish journal of medical sciences2014;44(1):1-9.37.Ho PI, Ortiz D, Rogers E, Shea TB. Multiple aspects of homocys-teine neurotoxicity: glutamate excitotoxicity, kinase hyperac-tivation and DNA damage. Journal of neuroscience research2002;70(5):694-702.38.Bhatia P, Singh N. Homocysteine excess: delineating the pos-sible mechanism of neurotoxicity and depression. Fundamen-tal & clinical pharmacology 2015;29(6):522-528.39.Mattson MP, Shea TB. Folate and homocysteine metabolismin neural plasticity and neurodegenerative disorders. Trendsin neurosciences 2003;26(3):137-146.40. Schaevitz LR, Berger-Sweeney JE. Gene–environment interac-tions and epigenetic pathways in autism: The importance of one-carbon metabolism. ILAR Journal 2012;53(3-4):322-340.41. Kauna-Czapliska J, urawicz E, Michalska M, RynkowskiJ. A focus on homocysteine in autism. Acta Biochim Pol2013;60(2):137-142.42. Cannell JJ, Grant WB. What is the role of vitamin D in au-tism?.Dermato-endocrinology 2013;5(1):199-204.43.Patrick RP, Ames BN. Vitamin D hormone regulates seroto-nin synthesis. Part 1: relevance for autism. The FASEB Jo-urnal 2014;28(6):2398-2413.44.Patrick RP, Ames BN. Vitamin D and the omega-3 fatty acidscontrol serotonin synthesis and action, part 2: relevance forADHD, bipolar disorder, schizophrenia, and impulsive beha-vior. The FASEB Journal 2015;29(6):2207-2222.45. Bandini LG, Anderson SE, Curtin C, Cermak S, Evans EW,Scampini R, et al.. Food selectivity in children with autismspectrum disorders and typically developing children. The Jo-urnal of pediatrics 2010;157(2):259-264.46. Clark JH, Rhoden DK, Turner DS. Symptomatic vitamin A andD deficiencies in an eight-year-old with autism. Journal of Pa-renteral and Enteral Nutrition 1993;17(3):284-286.47. McAbee GN, Prieto DM, Kirby J, Santilli AM, Setty R. Per-manent visual loss due to dietary vitamin A deficiency in anautistic adolescent. Journal of child neurology2009;24(10):1288-1289.48. Tanoue K, Matsui K, Takamasu T. Fried-potato diet causesvitamin A deficiency in an autistic child. Journal of Parente-ral and Enteral Nutrition 2012;36(6):753-755.49. Swartz A, Patton K, Phillips S, Truex L, Weems M, Must A,Bandini L. Dietary Absence of Fruits and Vegetables over a3-Day Period: An Analysis Comparing Children with AutismSpectrum Disorder (ASD) and Typically Developing (TD)Children. Journal of the Academy of Nutrition and Dietetics2016;116(9):A76.50. Adams JB, Audhya T, McDonough-Means S, Rubin RA, QuigD, Geis E, et al.. Effect of a vitamin/mineral supplement onchildren and adults with autism. BMC pediatrics2011;11(1):111.51. Leeming RJ, Lucock M. Autism: Is there a folate connection?.Journal of inherited metabolic disease 2009;32(3):400-402.52. Schmidt RJ, Hansen RL, Hartiala J, Allayee H, Schmidt LC,Tancredi DJ, et al.. Prenatal vitamins, one-carbon metabo-lism gene variants, and risk for autism. Epidemiology (Cam-bridge, Mass.) 2011;22(4):476.

Ayrıntılar

Birincil Dil

Türkçe

Konular

-

Bölüm

Araştırma Makalesi

Yayımlanma Tarihi

26 Temmuz 2017

Gönderilme Tarihi

7 Mart 2017

Kabul Tarihi

-

Yayımlandığı Sayı

Yıl 2017 Cilt: 9 Sayı: 4

Kaynak Göster

APA
Esnafoğlu, Y. D. D. E. (2017). Otistik Spektrum Bozukluğu BulunanÇocuklarda Vitamin B12, Folat ve Vitamin D Seviyelerinin İncelenmesi. Klinik Tıp Aile Hekimliği, 9(4), 36-41. https://izlik.org/JA48MT49NC
AMA
1.Esnafoğlu YDDE. Otistik Spektrum Bozukluğu BulunanÇocuklarda Vitamin B12, Folat ve Vitamin D Seviyelerinin İncelenmesi. Aile Hekimliği. 2017;9(4):36-41. https://izlik.org/JA48MT49NC
Chicago
Esnafoğlu, Yrd. Doç. Dr. Erman. 2017. “Otistik Spektrum Bozukluğu BulunanÇocuklarda Vitamin B12, Folat ve Vitamin D Seviyelerinin İncelenmesi”. Klinik Tıp Aile Hekimliği 9 (4): 36-41. https://izlik.org/JA48MT49NC.
EndNote
Esnafoğlu YDDE (01 Temmuz 2017) Otistik Spektrum Bozukluğu BulunanÇocuklarda Vitamin B12, Folat ve Vitamin D Seviyelerinin İncelenmesi. Klinik Tıp Aile Hekimliği 9 4 36–41.
IEEE
[1]Y. D. D. E. Esnafoğlu, “Otistik Spektrum Bozukluğu BulunanÇocuklarda Vitamin B12, Folat ve Vitamin D Seviyelerinin İncelenmesi”, Aile Hekimliği, c. 9, sy 4, ss. 36–41, Tem. 2017, [çevrimiçi]. Erişim adresi: https://izlik.org/JA48MT49NC
ISNAD
Esnafoğlu, Yrd. Doç. Dr. Erman. “Otistik Spektrum Bozukluğu BulunanÇocuklarda Vitamin B12, Folat ve Vitamin D Seviyelerinin İncelenmesi”. Klinik Tıp Aile Hekimliği 9/4 (01 Temmuz 2017): 36-41. https://izlik.org/JA48MT49NC.
JAMA
1.Esnafoğlu YDDE. Otistik Spektrum Bozukluğu BulunanÇocuklarda Vitamin B12, Folat ve Vitamin D Seviyelerinin İncelenmesi. Aile Hekimliği. 2017;9:36–41.
MLA
Esnafoğlu, Yrd. Doç. Dr. Erman. “Otistik Spektrum Bozukluğu BulunanÇocuklarda Vitamin B12, Folat ve Vitamin D Seviyelerinin İncelenmesi”. Klinik Tıp Aile Hekimliği, c. 9, sy 4, Temmuz 2017, ss. 36-41, https://izlik.org/JA48MT49NC.
Vancouver
1.Yrd. Doç. Dr. Erman Esnafoğlu. Otistik Spektrum Bozukluğu BulunanÇocuklarda Vitamin B12, Folat ve Vitamin D Seviyelerinin İncelenmesi. Aile Hekimliği [Internet]. 01 Temmuz 2017;9(4):36-41. Erişim adresi: https://izlik.org/JA48MT49NC