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Published on: February 3, 2016
[Gastrointestinal abnormalities in children with autism]
Jolanta Wasilewska1, Elzbieta Jarocka-Cyrta, Maciej Kaczmarski
1Uniwersytet Medyczny w Białymstoku, Klinika Pediatrii, Gastroenterologii i Alergologii. jolanta@umwb.edu.pl
Insights
Gastrointestinal problems like constipation and diarrhea are common in children with autism spectrum disorder (ASD). Dietary interventions show promise, suggesting a gut-brain connection in ASD.
Area of Science:
- Neurodevelopmental Disorders
- Gastroenterology
- Pediatrics
Context:
- Autism spectrum disorder (ASD) is a neurodevelopmental condition affecting social interaction and communication.
- Gastrointestinal (GI) issues are frequently reported in children with ASD, impacting their quality of life.
Purpose:
- This review synthesizes current literature on the prevalence and nature of GI problems in children with ASD.
- To explore the potential link between the gut microbiome, diet, and ASD symptoms.
Summary:
- GI symptoms such as constipation, diarrhea, and abdominal distension affect 9-54% of children with ASD.
- Reported GI abnormalities include inflammation, increased intestinal permeability, dysbiosis, and food intolerances.
- Dietary interventions have shown potential benefits for behavior and cognition in some children with ASD.
Impact:
- Highlights the significant gastrointestinal burden in children with ASD.
- Suggests a functional relationship between the alimentary tract and the central nervous system in ASD.
- Identifies a need for further research into the specific mechanisms and epidemiological data of GI issues in ASD.
Abstract:
The autistic spectrum disorder (ASD) is a neurodevelopmental disorder characterized by socially aloof behavior and impairment of language and social interaction. This paper is a review of literature on gastrointestinal problems in children with ASD. Gastrointestinal symptoms are described in 9-54% of autistic children, among which most common are: constipation, diarrhea and abdominal distension. The gastro-intestinal abnormalities reported in autism include: inflammation (esophagitis, gastritis, duodenitis, enterocolitis) with or without autoimmunity, lymphoid nodular hyperplasia, increased intestinal permeability, low activities of disaccharidase enzymes, impairment of detoxification (e.g. defective sulfation of ingested phenolic amines), dysbiosis with bacterial overgrowth, food intolerance or exorphin intoxication (by opioid derived from casein and gluten). A beneficial effect of dietary intervention on behavior and cognition of some autistic children indicates a functional relationship between the alimentary tract and the central nervous system. There are no epidemiologic data concerning the incidence or prevalence of gastrointestinal problems within the population of children with ASD in comparison to the population of non-ASD children.
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