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自闭症谱系障碍的营养干预方法:一项范围综述

Nutritional Approaches in Autism Spectrum Disorder: A Scoping Review.

作者信息

Ozler Ebru, Sanlier Nevin

机构信息

Department of Nutrition and Dietetics, School of Health Sciences, Ankara Medipol University, 06050, Altındağ, Ankara, Turkey.

出版信息

Curr Nutr Rep. 2025 Apr 22;14(1):61. doi: 10.1007/s13668-025-00655-y.

Abstract

PURPOSE OF REVIEW

This review was conducted to discuss the etiology of autism in the light of current information, to draw attention to the fact that defects in different biological mechanisms cause autism, and to examine the effectiveness of dietary interventions and supplements in relieving ASD symptoms.

RECENT FINDINGS

Autism spectrum disorder (ASD) is an extremely heterogeneous condition characterized by delays in reciprocal social interaction and communication skills, stereotyped behaviors, and a narrowed range of interests and limited activities. Comorbid conditions such as cognitive impairment, epilepsy, psychiatric diseases, and behavioral symptoms such as impaired social communication, repetitive behaviors, lack of interest in the environment, nutritional disorders, gastrointestinal diseases and abnormal (dysbiotic) states, sleep disorders, and dysmorphism are frequently encountered in individuals with ASD. Although nutrition is one of the environmental factors affecting ASD, it can also be effective in alleviating the behavioral and gastrointestinal symptoms of ASD. Various dietary models (GFCF diet, low glycemic index diet, ketogenic diet, specific carbohydrate diet, Mediterranean diet, GAPS, Feingold, Candida body ecology, allergy elimination diets, etc.) and supplements (vitamin D, polyunsaturated fatty acids, probiotics and prebiotics, phytochemicals) can be used to alleviate symptoms in individuals with ASD. The effectiveness and reliability of dietary interventions in individuals with ASD are a matter of significant debate, and the evidence for these practices is limited. Furthermore, there is no consensus on establishing an ideal nutritional model for individuals with ASD.

摘要

综述目的

本综述旨在根据当前信息讨论自闭症的病因,提醒人们注意不同生物机制的缺陷会导致自闭症这一事实,并研究饮食干预和补充剂在缓解自闭症谱系障碍(ASD)症状方面的有效性。

最新发现

自闭症谱系障碍(ASD)是一种极其异质性的疾病,其特征为社交互动和沟通技能的延迟、刻板行为、兴趣范围狭窄和活动受限。自闭症患者常伴有认知障碍、癫痫、精神疾病等合并症,以及社交沟通障碍、重复行为、对环境缺乏兴趣、营养失调、胃肠道疾病和异常(生态失调)状态、睡眠障碍和畸形等行为症状。虽然营养是影响自闭症的环境因素之一,但它也可能有助于缓解自闭症的行为和胃肠道症状。各种饮食模式(无谷蛋白/无酪蛋白饮食、低血糖指数饮食、生酮饮食、特定碳水化合物饮食、地中海饮食、肠道及心理综合营养干预、费因戈尔德饮食、念珠菌身体生态饮食、过敏消除饮食等)和补充剂(维生素D、多不饱和脂肪酸、益生菌和益生元、植物化学物质)可用于缓解自闭症患者的症状。饮食干预对自闭症患者的有效性和可靠性存在重大争议,而且这些做法的证据有限。此外,对于为自闭症患者建立理想的营养模式尚未达成共识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0427/12011661/5297da637cd5/13668_2025_655_Fig1_HTML.jpg

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