Parents’ and Child Health Professionals’ Attitudes Towards Dietary Interventions for Children with Autism Spectrum Disorders

Winburn, Elizabeth; Charlton, Jenna; McConachie, Helen; McColl, Elaine; Parr, Jeremy; O’Hare, Anne; Baird, Gillian; Gringras, Paul; Wilson, David C.; Adamson, Ashley J.; Adams, Sandra; Couteur, Ann Le

doi:10.1007/s10803-013-1922-8

Cited by 32 publications

(21 citation statements)

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“…The studies were conducted to investigate the popularity of complementary and alternative medicine (CAM) treatment in ASD populations. These studies indicated a current use of GFCF diets in 8-32 % of families and a lifetime use in 20-50 % of families [24][25][26][27][28][29][30][31][32][33][34][35]. These studies show that parents frequently report the use of multiple CAM treatments including dietary treatments.…”

Section: Results Of Prevalence Studiesmentioning

confidence: 84%

“…For example, Green et al [27] showed that parents report a current use of a mean of seven different treatment modalities (including CAM) for their children. The high number of different treatment options was confirmed by some [30,35] but not all [32] studies and should be assessed more thoroughly using various national and socio-demographic levels. As there are indications that the parents of both more severe and younger cases of ASD use CAM treatments more frequently, it is obvious that scientific investigations need to assess and control for these alternative treatments and their potential effects regarding ASD symptoms.…”

Section: Results Of Prevalence Studiesmentioning

confidence: 99%

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Gluten-free and casein-free diets in the treatment of autism

Reißmann

Hauser

Makulska-Gertruda

et al. 2014

FFHD

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Background: Autism is a complex psychiatric disorder characterized by three core symptoms, i.e. impairments in social interaction, restricted patterns of behavior and impairments in communication. In the framework of the “opioid excess theory”, the disorder symptoms are compared to the behavioral effects of opiates. Based on this, a possible nutritional basis of autism has been proposed, hypothesizing that certain food proteins such as gluten and casein can be transformed to opioid peptides during digestion. These peptides might eventually be able to enter the blood stream and act upon the central nervous system. As a consequence, a diet low in such proteins has been hypothesized to ameliorate the behavioral symptoms of autistic children.Objective: The scope of this review was to analyze the effects of gluten-free and casein-free (GFCF) diets on children with autism, as well as to provide information concerning additional aspects related to the GFCF diet in autism.Methods: A literature search was conducted including scientific publications up until December 2013. Search results were screened for any kind of GFCF dietary intervention as well as surveys dealing with GFCF as a treatment for autism.Results: A review of survey data shows that up to 25 % of parents of affected children report on current use of a GFCF diet. The majority of identified studies evaluating GFCF diet outcomes failed to meet basic methodological standards of interventional science. Comparison of study results did not show any clear-cut results, with a substantial proportion of studies failing to show any positive dietary effect. The results of more sophisticated trials were far from equivocal and the studies differed by many methodological aspects. Some variables such as information source and trial duration seemed to affect outcome. Conclusions: Evidence for the effectiveness of the GFCF diet in the treatment of autism is sparse. Rigorous scientific evaluations partly failed to confirm therapeutic effects of the GFCF diet. These and other negative results related to the opioid excess theory weaken the underlying rationale for GFCF diet use. Nevertheless, more sophisticated investigations should be conducted in order to identify possible benefits and harms of such a dietary approach.Key words: gluten-free and casein-free diet, opioid excess theory, autism, autistic spectrum disorder, therapeutic effects, evidence base, prevalence of use

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Section: Results Of Prevalence Studiesmentioning

confidence: 84%

Section: Results Of Prevalence Studiesmentioning

confidence: 99%

Gluten-free and casein-free diets in the treatment of autism

Reißmann

Hauser

Makulska-Gertruda

et al. 2014

FFHD

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“…При аутизмі, який часто характеризується високим ступенем мультиморбідності, одним із безпечних методів запобігання прогресуванню захворювання і покращення функціонального стану центральної нервової системи та інших органів є дієтотерапія [9]. Клітини нервової системи чутливі до дії токсичних речовин, які входять до складу сучасних продуктів харчування, тому при призначенні дієти слід рекомендувати виключення зі споживання продуктів промислового виробництва, які містять небажані ксенобіотики, сою, естрогени, пестициди, а також є чутливими до токсинів, що утворюються в кишечнику [22,25,42,45,50].…”

Section: розлади аутистичного спектра і харчуванняunclassified

Features of the nutrition for the autism spectrum disorders

Anokhina¹

2019

Reproductive Endocrinology

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МІЖДИСЦИПЛІНАРНИЙ КОНСИЛІУМ ВСТУП Вроджені вади розвитку посідають одне з перших місць в структурі дитячої захворюваності, інвалідності, пренатальної та ранньої дитячої смертності. Останніми десятиліттями в більшості країн світу спостерігається збільшення кількості дітей із розладами аутистичного спектра (РАС). РАС-одна з найважливіших проблем сучасної нейропедіатрії. За даними американських учених, у США спостерігається епідемія аутизму. Так, за інформацією Центрів з контролю та профілактики захворювань (Centers for Disease Control and

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“…Estes sintomas além de gerar um impacto na vida social do indivíduo, também gera uma situação de grande estresse para a família, que precisa gerar uma grande mobilização para se adaptar as necessidades do indivíduo 16,17 . 22 .…”

Section: Introductionunclassified

Dieta isenta de glúten e caseína no transtorno do espectro autista: uma revisão sistemática

et al. 2018

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Dieta isenta de glúten e caseína no transtorno do espectro autista: uma revisão sistemáticaGluten-free and casein-free diet in autism spectrum disorder: a systematic review Dieta exenta de gluten y caseína en el trastorno del espectro autista: una revisión sistemática Check for updatesResumo Introdução: A dieta sem glúten e sem caseína é uma prática comum no Transtorno do Espectro Autista, mas sem consenso quanto ao seu benefício clínico ou cognitivo. Objetivo: Revisar sistematicamente a literatura que avalia a isenção de glúten e/ou caseína da dieta para indivíduos com Transtorno do Espectro Autista. Materiais e Métodos: Revisão sistemática de literatura analisando estudos originais disponíveis até dezembro/2016 nas bases de dados: PubMed, SciELO, LILACS e BDENF. Os termos usados para a pesquisa foram: autismo, espectro autista, autismo e sem glúten, autismo e dieta livre de caseína. Para melhor direcionamento da busca de dados foi utilizado o método PICO (população, intervenção, comparação e desfecho). Resultados: No total, foram incluídos 22 artigos, sendo 13 ensaios clínicos randomizados, 4 estudos de caso, 4 transversais e 1 coorte. Do total, 15 encontraram uma associação positiva de intervenção para os resultados avaliados e 7 não encontraram associação significativa. Discussão: Foi encontrada grande variabilidade do tamanho amostral, idade, tempo de intervenção, cegamento, controle ou análise dietética mais apurada. Conclusões: não há evidências científicas para apoiar o uso de uma dieta livre de glúten e caseína em pacientes com Transtorno do Espectro Autista. Há necessidade de novos estudos bem delineados, principalmente ensaios clínicos randomizados bem controlados, cegos, com cálculos amostrais que permitam um poder de observação apropriado, para maior segurança nessa prática. Palavras chave: Transtorno do Espectro Autista; Glútens; Caseínas; Revisão, Nutrição. Abstract Introduction:The gluten-free and casein-free diet is a common practice in Autism Spectrum Disorder, but without consensus regarding their clinical or cognitive benefit. Objective: To review systematically the literature assessing gluten-and/or casein-free diet for individuals with Autism Spectrum Disorder. Materials and Methods: Systematic review of the literature analyzing original studies available until December 2016 in the databases: PubMed, SciELO, LILACS, and BDENF. The terms used for the search were autism, autism spectrum, autism and gluten-free, autism and casein-free diet. To better target the data search, the study used the PICO method (population, intervention, comparison, and outcome). Results: In total, 22 articles were included, of which 13 were randomized clinical trials, four case studies, four cross-sectional studies, and one cohort. Of the total, 15 found a positive intervention association for the results evaluated and seven found no significant association. Discussion: This work found much variability in sample size, age, intervention time, blinding, control, or more precise dietary analysis. Conclusions: No scien...

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Parents’ and Child Health Professionals’ Attitudes Towards Dietary Interventions for Children with Autism Spectrum Disorders

Cited by 32 publications

References 44 publications

Gluten-free and casein-free diets in the treatment of autism

Gluten-free and casein-free diets in the treatment of autism

Features of the nutrition for the autism spectrum disorders

Dieta isenta de glúten e caseína no transtorno do espectro autista: uma revisão sistemática

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