Gluten-Free Diet in Children with Autism Spectrum Disorders: A Randomized, Controlled, Single-Blinded Trial

被引:34
作者
Piwowarczyk, Anna [1 ]
Horvath, Andrea [2 ]
Pisula, Ewa [3 ]
Kawa, Rafal [3 ]
Szajewska, Hania [2 ]
机构
[1] Med Univ Warsaw, Dept Paediat, Clin Assessment Unit, Zwirki Wigury 63a, PL-02091 Warsaw, Poland
[2] Med Univ Warsaw, Dept Paediat, Zwirki Wigury 63A, PL-02091 Warsaw, Poland
[3] Univ Warsaw, Fac Psychol, Dept Hlth & Rehabil Psychol, Stawki 5-7, PL-00183 Warsaw, Poland
关键词
Randomized controlled trial; Autism spectrum disorder; Children; Gluten; GASTROINTESTINAL DISORDERS; INTERVENTIONS; DIAGNOSIS; SYMPTOMS;
D O I
10.1007/s10803-019-04266-9
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 ;
摘要
To determine whether a gluten-free diet (GFD) compared with a gluten-containing diet (GD) influences functioning of children with autism spectrum disorders (ASD), we performed a randomized, controlled, single-blinded trial. Sixty-six children (36-69 months) with ASD, within the normal IQ (> 70) range, who had been on a GFD for at least 8 weeks before enrollment were eligible for inclusion. After an 8-week run-in period on a GFD, the GFD group continued this diet and the GD group consumed at least one normal meal containing gluten per day for 6 months. There were no differences between groups in autistic symptoms, maladaptive behaviors, or intellectual abilities after the intervention. A GFD compared with a GD did not affect functioning of children with ASD. Trial registration ClinicalTrials.gov, number NCT02280746.
引用
收藏
页码:482 / 490
页数:9
相关论文
共 38 条
[21]   Kinetics of the histological, serological and symptomatic responses to gluten challenge in adults with coeliac disease [J].
Leffler, Daniel ;
Schuppan, Detlef ;
Pallav, Kumar ;
Najarian, Robert ;
Goldsmith, Jeffery D. ;
Hansen, Joshua ;
Kabbani, Toufic ;
Dennis, Melinda ;
Kelly, Ciaran P. .
GUT, 2013, 62 (07) :996-1004
[22]  
Leiter RG, 1980, INT PERFORMANCE SCAL
[23]   Challenges in evaluating psychosocial interventions for autistic spectrum disorders [J].
Lord, C ;
Wagner, A ;
Rogers, S ;
Szatmari, P ;
Aman, M ;
Charman, T ;
Dawson, G ;
Durand, VM ;
Grossman, L ;
Guthrie, D ;
Harris, S ;
Kasari, C ;
Marcus, L ;
Murphy, S ;
Odom, S ;
Pickles, A ;
Scahill, L ;
Shaw, E ;
Siegel, B ;
Sigman, M ;
Stone, W ;
Smith, T ;
Yoder, P .
JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS, 2005, 35 (06) :695-708
[24]  
Lord C., 2012, Autism Diagnostic Observation Schedule, V2nd ed
[25]   Intellectual disability and its relationship to autism spectrum disorders [J].
Matson, Johnny L. ;
Shoemaker, Mary .
RESEARCH IN DEVELOPMENTAL DISABILITIES, 2009, 30 (06) :1107-1114
[26]   Gastrointestinal Symptoms in Autism Spectrum Disorder: A Meta-analysis [J].
McElhanon, Barbara O. ;
McCracken, Courtney ;
Karpen, Saul ;
Sharp, William G. .
PEDIATRICS, 2014, 133 (05) :872-883
[27]  
Myszkowska-Ryciak J., 2015, MED OGOLNA NAUKI ZDR, V21, P312, DOI [DOI 10.5604/20834543.1165359, 10.5604/20834543.1165359]
[28]   Gluten- and casein-free diet and autism spectrum disorders in children: a systematic review [J].
Piwowarczyk, Anna ;
Horvath, Andrea ;
Lukasik, Jan ;
Pisula, Ewa ;
Szajewska, Hania .
EUROPEAN JOURNAL OF NUTRITION, 2018, 57 (02) :433-440
[29]   The prevalence of gluten free diet use among preschool children with autism spectrum disorder [J].
Rubenstein, Eric ;
Schieve, Laura ;
Bradley, Chyrise ;
DiGuiseppi, Carolyn ;
Moody, Eric ;
Thomas, Kathleen ;
Daniels, Julie .
AUTISM RESEARCH, 2018, 11 (01) :185-193
[30]  
Rutter M, 2003, The Social Communication Questionnaire