Council for Nutritional and Environmental Medicine (CONEM), Toften 24, 8610 Mo i Rana, Norway
Department of Research on Children with Special Needs, Medical Research Division, National Research Centre, Giza, Egypt
Curr Med Chem. 2020;27(40):6771-6786. doi: 10.2174/0929867327666200217101908.
As a major neurodevelopmental disorder, Autism Spectrum Disorder (ASD) encompasses deficits in communication and repetitive and restricted interests or behaviors in childhood and adolescence. Its etiology may come from either a genetic, epigenetic, neurological, hormonal, or an environmental cause, generating pathways that often altogether play a synergistic role in the development of ASD pathogenesis. Furthermore, the metabolic origin of ASD should be important as well. A balanced diet consisting of the essential and special nutrients, alongside the recommended caloric intake, is highly recommended to promote growth and development that withstand the physiologic and behavioral challenges experienced by ASD children. In this review paper, we evaluated many studies that show a relationship between ASD and diet to develop a better understanding of the specific effects of the overall diet and the individual nutrients required for this population. This review will add a comprehensive update of knowledge in the field and shed light on the possible nutritional deficiencies, metabolic impairments (particularly in the gut microbiome), and malnutrition in individuals with ASD, which should be recognized in order to maintain the improved socio-behavioral habit and physical health.
自闭症谱系障碍(ASD)是一种主要的神经发育障碍,包括儿童和青少年时期的沟通障碍以及重复和受限的兴趣或行为。其病因可能来自遗传、表观遗传、神经、激素或环境因素,产生的途径通常在 ASD 发病机制的发展中共同发挥协同作用。此外,ASD 的代谢起源也应该很重要。建议 ASD 儿童食用均衡的饮食,包括必需和特殊营养素以及推荐的热量摄入,以促进生长发育,从而应对 ASD 儿童所经历的生理和行为挑战。在这篇综述论文中,我们评估了许多表明 ASD 与饮食之间存在关系的研究,以更好地了解总体饮食以及该人群所需的个别营养素的具体影响。这篇综述将全面更新该领域的知识,并阐明 ASD 个体可能存在的营养缺乏、代谢损伤(特别是肠道微生物组)和营养不良,为了维持改善的社会行为习惯和身体健康,这些问题应该得到认识。