Prevalencia de alteraciones de la conducta alimentaria, trastornos gastrointestinales e infecciones recurrentes en niños afectos de Trastornos del Espectro Autista (TEA) en comparación con sus hermanos sanos

  1. F. Díaz Atienza 1
  2. S. Serrano Nieto 1
  3. P.J. Domenech 1
  4. C. García Pablos 1
  1. 1 Unidad de Salud Mental Infanto- JuvenilHospital U. Virgen de las Nieves, Granada, España
Revista:
Revista de Psiquiatría Infanto-Juvenil

ISSN: 2660-7271,  1130-9512

Año de publicación: 2012

Volumen: 29

Número: 4

Páginas: 11-16

Tipo: Artículo

DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: Revista de Psiquiatría Infanto-Juvenil

Resumen

Introduction: Autism Spectrum Disorders (ASD) are a heterogeneous group of different neurobiological proces-ses, which are characterized by the existence of deficits in multiple functional areas. One area of growing con-cern is that related to the diet. The cause of the alterations in the development of the feeding area in autistic children is unclear, and there is currently no agreement to define the primary or secondary nature of these alterations.Aim: To analyze feeding habits, history of intestinal di-sorders, allergies and recurrent infections in a population of children and adolescents with ASD. Subjects and methods: A cross-sectional design and retrospective case-control study was made. The sample comprised 138 subjects: 84 children and adolescents suffering from ASD (DSM-IV criteria) and 54 controls (brothers of the sample subjects). A questionnaire was designed specifically for this study that was completed by parents.Results: When comparing the feeding habits of chil-dren with autism and controls, we see that autistic chil-dren have more difficulties in: incorporating solid foods, absorb with straw, developmental delay to drink from a cup, incorporating new foods, difficulties chewing food, more rejections and pica behavior. Differences in recu-rrent infections or gastrointestinal disorders were not sta-tistically significant.Conclusion: Children and adolescents suffering from autistic disorders have more alterations in the develop-ment of the feeding area that their siblings. These altera-tions do not correspond to a higher frequency of gastro-intestinal disorders and allergies.

Referencias bibliográficas

  • Popper C, West, SA. Trastornos de inicio en la infancia, la niñez y la adolescencia. En: Hales R,Yudofsky SC, Talbot JA. DSM IV Tratado de Psiquiatría (T II). 2000, Masson, Barcelona, 823- 985.
  • Maciques E. La nutrición: una estrategia de intervención en el niño autista. Acta Médica 2003; 11 (1): 26-37.
  • Wing L. Social, behavioural and cognitive characteristics, En: Rutter M, Schopler E, editores. Autism. A reappraisal of concepts and treatment. New York: Plenum, 1978; 27-45.
  • Wing, L. Children Apart. Washington, D.C.-. Na tional Society for Autistic Children, 1979.
  • Volkert VM, Vaz PC. Recent studies on feeding problems in children with autism Journal of Applied Behavior Analysis. 2010; 43 (1): 155-9.
  • Kanner L. Autistic disturbances of affective contact. Nervous Child 1943; 2: 217-50.
  • Magistris L. Alterations of the intestinal barrier in patients with autism spectrum disorders and in their first-degree relatives. Journal of Pediatric Gastroenterology and Nutrition. 2010; 51 (4): 418-24.
  • Shattock P, Kennedy A, Rowell F, Berney T. Role of neuropeptides in autism and their relationships with classical neurotransmitters. Brain Dysfunc 1990; 3: 328-345.
  • Reichet KL, Knivsberg AM, Lind G, Nodland M Probable etiology and treatment of childhood autism. Brain Dysfunct 1991; 4: 308-319.
  • Whiteley P, Rodgers J, Savery D, Shattock P. A gluten-free diet as an intervention for autism and associated spectrum disorder: Preliminary findings. Autism 1999; 3: 45-65.
  • Quigley EMM, Hurley MB. Autism and the Gastrointestinal Tract. Am J Gastroeenterol. 2000; 95 (9): 154-6.
  • Stefano Pallanti, Stefano Lassi, Giampaolo La Malfa, Marco Campigli, Roberto Di Rubbo, Giulia Paolini et al. Short report: autistic gastrointestinal and eating symptoms treated with secretin: a subtype of autism. Clin Pract Epidemol Ment Health. 2005; 1: 24.
  • Horvath K, Papadimitriou JC, Rabsztyn A, Drachenberg C, Tildon JT. Gastrointestinal abnormalities in children with autistic disorder. Jpediatr. 1999; 135 (5): 533-5.
  • Horvath K, Perman JA. Autism and gastrointestinal symptoms. Curr Gastroenterol Rep. 2002; 4 (3): 251-8.
  • Krishnaswami S, McPheeters ML, Veenstra-Vanderweele J. A systematic review of secretin for children with autism spectrum disorders. Pediatrics. 2011; 127 (5): e1322-5.
  • Wakefield AJ, Murch SH, Anthony A, Linnell J, Casson DM, Malik M, et al. Ileal-lymphoid-nodular hyperplasia, non-specific colitis, and pervasive developmental disorder in children. Lancet 1998; 351: 637-41
  • Miller L, Reynolds J. Autism and vaccination-the current evidence.J Spec Pediatr Nurs. 2009; 14 (3): 166-72.
  • Field D, Garland M, Williams K. Correlates of specific childhood feeding problems. J. Paediatr. Child Health 2003; 39: 299–304.
  • Ahearn WH, Castine T, Nault, Green K. An Assessment of Food Acceptance in Children With Autism or Pervasive Developmental Disorder- NotOtherwise Specified. Journal of Autism and Developmental Disorders 2001; 31 (5): 505-11.
  • Sullivan PB. Gastrointestinal disorders in children with neurodevelopmental disabilities. Development Disabilities Research Review. 2008; 14 (2): 128-36.
  • American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4ªed. Washington: American Psychiatric Association; 1994.
  • Lord, C., Schopler, E., Revicki, D. Sex differences in autism. Journal of Autism & Developmental Disorders 1982; 12: 317-30
  • Schreck K, Williams K, Smith, A. A Comparison of Eating Behaviors Between Children with and Without Autism. Journal of Autism & Developmental Disorders 2004; 34 (4): 433-6.
  • Stern L, Francoeur MJ, Primeau MN, Sommerville W, Fombonne E, Mazer BD. Inmune function in autistic children. Ann Allergy Asthma Immunol. 2005; 95 (6): 558-65.
  • Careaga M, Van de Water J, Ashwood P. Immune dysfunction in autism: a pathway to treatment. Neurotherapeutics: The Journal of the American Society for Experimental Neuro Therapeutics. 2010; 7 (3): 283-92.
  • Onore C, Careaga M, Ashwood P The role of immune dysfunction in the pathophysiology of autism. Brain, Behavior and Immunity. 2011 Aug 28.
  • Corri Black, James A Kaye, Hershel Jick. Relation of childhood gastrointestinal disorders to autism: nested case-control study using data from the UK General Practice Research Database. BMJ.2002; 325: 419-21.
Fuente de los datos: Dialnet