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随机临床试验中骆驼奶摄入对改善儿童自闭症症状功效的荟萃分析。

Meta-analysis of the efficacy of camel milk consumption for improving autism symptoms in children in randomized clinical trials.

机构信息

Department of Biomedical Sciences, College of Veterinary Medicine, King Faisal University, Al-Ahsa, Saudi Arabia.

Department of Pharmacology, Faculty of Veterinary Medicine, Kafrelsheikh University, Kafrelsheikh, Egypt.

出版信息

Open Vet J. 2024 Sep;14(9):2441-2452. doi: 10.5455/OVJ.2024.v14.i9.33. Epub 2024 Sep 30.

Abstract

BACKGROUND

Camel milk has emerged as a potential complementary therapy for autism spectrum disorder (ASD).

AIM

This study aimed to gather evidence from randomized controlled trials (RCTs) on the effectiveness of camel milk consumption in improving symptoms and associated measures in children with ASD.

METHODS

Comprehensive searches of multiple databases were conducted up to March 14, 2024, for RCTs that evaluated whether camel milk consumption by children with ASD was more beneficial than the consumption of a control substance. Quality and bias analyses and meta-anlaysis data were synthesized and analyzed.

RESULTS

Of 136 records identified, 5 RCTs ( = 299 children) were selected. The mean difference in scores on the childhood autism rating scale (CARS) for the group given camel milk and the control groups was a mean deviation (MD) ‒0.75, 95% CI‒1.97 to 0.47, = 0.23. The mean difference in CARS scores in the subgroup analyses for raw camel milk was MD‒0.95, 95% CI‒2.33 to 0.44, = 0.18 and boiled camel milk MD ‒0.50, 95% CI‒1.93 to 0.93, = 0.49. A qualitative synthesis found that raw camel milk intake led to improvements in various social behaviors in children with ASD. Camel milk consumption resulted in increased levels of anti-inflammatory, antioxidant, and immunomodulatory biomarkers, with some differences observed between patients given raw camel milk and boiled camel milk.

CONCLUSION

Camel milk shows promise in improving social behaviors and certain biochemical markers in children with ASD, although the current meta-analysis did not document a significant statistical difference in CARS scores for the children studied. Future studies should focus on rigorous RCTs and larger sample sizes to substantiate these preliminary findings.

摘要

背景

骆驼奶已成为自闭症谱系障碍(ASD)的一种潜在补充疗法。

目的

本研究旨在收集关于骆驼奶消费对改善 ASD 儿童症状和相关措施的有效性的随机对照试验(RCT)的证据。

方法

对截至 2024 年 3 月 14 日的多个数据库进行了全面搜索,以评估 ASD 儿童食用骆驼奶是否比食用对照物质更有益。对质量和偏倚分析以及荟萃分析数据进行了综合分析。

结果

在 136 条记录中,选择了 5 项 RCT(=299 名儿童)。给予骆驼奶组和对照组儿童的儿童自闭症评定量表(CARS)评分的平均差异为平均差值(MD)为-0.75,95%CI为-1.97 至 0.47,=0.23。在原始骆驼奶亚组分析中,CARS 评分的平均差异为 MD-0.95,95%CI为-2.33 至 0.44,=0.18,煮沸骆驼奶 MD-0.50,95%CI为-1.93 至 0.93,=0.49。定性综合分析发现,原始骆驼奶摄入可改善 ASD 儿童的各种社交行为。骆驼奶消费导致抗炎、抗氧化和免疫调节生物标志物水平升高,在给予原始骆驼奶和煮沸骆驼奶的患者之间观察到一些差异。

结论

骆驼奶有望改善 ASD 儿童的社交行为和某些生化标志物,尽管目前的荟萃分析并未记录研究儿童的 CARS 评分有显著的统计学差异。未来的研究应侧重于严格的 RCT 和更大的样本量,以证实这些初步发现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79ed/11563599/82eeb18a45ff/OpenVetJ-14-2441-g001.jpg

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