Nutrition Management of Gastrointestinal Symptoms in Children with Autism Spectrum Disorder: Guideline from an Expert Panel

Berry, Rashelle C.; Novak, Patricia; Withrow, Nicole; Schmidt, Brianne; Rarback, Sheah; Feucht, Sharon; Criado, Kristen K.; Sharp, William G.

doi:10.1016/j.jand.2015.05.016

Cited by 59 publications

(34 citation statements)

References 41 publications

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“…This may be especially true for children with ASD and disruptive behavior. Food selectivity in this population often involves strong preference for processed foods, snacks, and sweets, and a lower intake of fruits and vegetables (Sharp et al, 2013; Berry et al, 2015; Ledford and Gast, 2006). Disruptive behavior may make it difficult for parents to limit carbohydrates, introduce novel foods into the diet, or engage children with ASD in physical activity.…”

Section: Discussionmentioning

confidence: 99%

Overweight and obese status in children with autism spectrum disorder and disruptive behavior

Criado

Sharp

McCracken

et al. 2017

Autism

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Background Overweight and obesity are common in pediatric populations. Children with autism spectrum disorder (ASD) and disruptive behavior may be at higher risk. Objective This study examined whether children with ASD and disruptive behavior are more likely to be overweight or obese than matched controls. Methods Baseline data from medication-free children with ASD who participated in trials conducted by the Research Units on Pediatric Psychopharmacology Autism Network (N=276) were compared to 544 control children from the National Health and Nutrition Examination Survey database matched on age, sex, race, parent education, and era of data collection. Results Complete data were available on 276 children with ASD (mean age = 7.9 ± 2.6 years; 84.4% males). In the ASD group, the prevalence was 42.4% for overweight and 21.4% for obesity compared to 26.1% for overweight and 12.0% for obesity among controls (p < 0.001 for each contrast). Within the ASD sample, obesity was associated with minority status and lower daily living skills. Conclusion To date, this is the largest case-control study of overweight and obesity in children with ASD and disruptive behavior. Findings suggest children with ASD and disruptive behavior are at increased risk for obesity, underscoring the need for weight management interventions in this population.

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Section: Discussionmentioning

confidence: 99%

Overweight and obese status in children with autism spectrum disorder and disruptive behavior

Criado

Sharp

McCracken

et al. 2017

Autism

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“…Sujetos con TEA, presentan altas tasas de trastornos de la alimentación, con prevalencia de sobrepeso/obesidad, y, en pocas ocasiones, bajo peso, sobre todo en edades de 2 a 6 años 27 . Los individuos con TEA, a menudo presentan condiciones médicas con compromiso de sistemas, entre ellos el tracto gastrointestinal, con presencia de estreñimiento o diarrea 27,28 , sumado a retraso de la motricidad oral, con dificultades mecánicas para consumir alimentos 27,28 . Infecciones crónicas, como micosis intestinal, también son frecuentes, lo que puede asociarse con problemas conductuales como dificultades de concentración, agresividad, hiperactividad y manifestarse por dolores de cabeza y problemas estomacales, fatiga o depresión 29,30 .…”

Section: Atención Nutricionalunclassified

“…Hay preferencia por alimentos altamente procesados, dulces y menor ingesta de frutas y verduras 28 , causa de déficit nutricional. Son comunes problemas de comportamiento al comer 31,32 , con actitudes aversivas, como asfixia o arcadas y vómito sin causa fisiológica aparente 32 .…”

Section: Atención Nutricionalunclassified

“…Son comunes problemas de comportamiento al comer 31,32 , con actitudes aversivas, como asfixia o arcadas y vómito sin causa fisiológica aparente 32 . Aún no se sabe por qué algunos problemas gastrointestinales coinciden con la alta ingesta de carbohidratos simples y grasas, y baja ingesta de fibra, por lo que es difícil determinar si la selectividad alimentaria contribuye directamente a la aparición de los síntomas gastrointestinales, o solo exacerba una afección gastrointestinal preexistente 28 .…”

Section: Atención Nutricionalunclassified

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Abordaje nutricional en pacientes con parálisis cerebral, espectro autista, síndrome de Down: un enfoque integral

et al. 2019

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Las enfermedades mentales abarcan un grupo de patologías relacionadas con factores fisiológicos, genéticos, psicológicos, sociales y medioambientales. Dentro de estas enfermedades se encuentran la parálisis cerebral, la discapacidad mental, la enfermedad del espectro autista y el síndrome de Down, las cuales son abordadas en la presente revisión. El abordaje integral del paciente por parte del equipo de salud es imprescindible. Se destaca el rol del nutricionista dietista, ya que su atención oportuna y regular permite evitar el deterioro del estado nutricional, el compromiso de la talla en caso de niños, o adquirir comorbilidades prevenibles en adultos, como sucede cuando está presente una de las complicaciones comunes como el reflujo gastroesofágico y la disfagia, permitiendo mejorar la calidad de vida de pacientes, cuidadores y familia. A pesar de esto, los sistemas de salud sólo autorizan la atención nutricional cada dos o tres meses; adicional a esto, se suman el tiempo prolongado que tardan los trámites para la consulta y las autorizaciones, pudiendo desencadenarse complicaciones que ponen en riesgo la vida del paciente. Se realizó una revisión bibliográfica en bases de datos Scielo, Dialnet, PubMed, para soportar la importancia del papel del nutricionista dietista en todos los estados de las patologías relacionadas con las enfermedades mentales.

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“…In children affected by ASD the risk of developing gastrointestinal disorders, constipation and diarrhoea is tripled as compared to non-autistic children, and the risk of abdominal pain is twice as high [28]. Selective heating often results in inadequate nutrition which in turn leads to altered bowel habits and constipation [29] [30]. Data in the literature shows that epilepsy is more frequent in patients affected by ASD [31].…”

Section: Physical Health and Psychiatric Comorbiditymentioning

confidence: 99%

Rehabilitation in Autism. Pilot Project on the Health Centre-Based Primary Care Model within the National Health Plan Implementation Projects

Marini¹,

D’Ambrogio²,

Esposito³

et al. 2018

OJPsych

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Background: In Italy, there is a lack of reliable data on the epidemiology of Autism Spectrum Disorder (ASD) on a national scale. The exact etiopathogenesis of ASDs is still largely unknown, with autism representing the final common pathway of different pathological conditions. Aim of the Study: Assessment of the effects produced by the individualised, intensive and holistic rehabilitation programme used by the Il Cireneo Foundation on the daily living skills of people diagnosed with ASD. Materials and Methods: Out of the eighty-seven (n = 87) enrolees, seventy-nine (n = 79), of whom 19 were females (24.1%) and 60 were males (75.9%), with a mean age of 13.41 years (SD = 6.93 years; range = 2 -33 years) terminated the three-year study. The enrolees were evaluated two times: at the beginning of the rehabilitation programme and at the end of the three-year goal-oriented project. Results: Statistically significant results between T0 and T1 were recorded for CARS (t-4.221; p < 0.05) and for the domains of Communication (t-2.750; p < 0.05), Daily Living Skills (t-6.526; p < 0.05) and Motor Skills (t-3.524; p < 0.05) of the VABS. Conclusions: People diagnosed with autism can be helped to become more autonomous and independent in carrying out activities of daily living thanks to an intensive psycho-educational and cognitive-behavioural rehabilitation programme, of which the Il Cireneo Foundation is the only expression in the Abruzzo region.

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Nutrition Management of Gastrointestinal Symptoms in Children with Autism Spectrum Disorder: Guideline from an Expert Panel

Cited by 59 publications

References 41 publications

Overweight and obese status in children with autism spectrum disorder and disruptive behavior

Overweight and obese status in children with autism spectrum disorder and disruptive behavior

Abordaje nutricional en pacientes con parálisis cerebral, espectro autista, síndrome de Down: un enfoque integral

Rehabilitation in Autism. Pilot Project on the Health Centre-Based Primary Care Model within the National Health Plan Implementation Projects

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