Cited by 71Child Nutrition and Feeding IssuesAutism Spectrum Disorder ResearchBehavioral and Psychological Studies

Autism spectrum disorder: A systematic review about nutritional interventions

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Monteiro, Manuela Albernaz, Santos, Andressa Assumpção Abreu dos, Gomes, Lidiane Martins Mendes, Rito, Rosane Valéria Viana Fonseca·2020·Revista Paulista de Pediatria

Abstract

OBJECTIVE: To identify and analyze the scientific evidence of nutritional interventions performed in children and adolescents with Autism Spectrum Disorder. DATA SOURCES: A systematic review was conducted in the MEDLINE, Cochrane Library, Embase, LILACS, Google Scholar, PubMed, PsycINFO and Periódicos CAPES databases, using a search strategy to identify studies published between January 2003 and March 2018, in Portuguese, English and Spanish. Were included studies that described nutritional interventions in children and adolescents with autism spectrum disorders and assessed autistic behavior and/or gastrointestinal symptoms. We excluded other review articles and studies that did not include a control group in the research design. The studies were reviewed for descriptive information, and the quality of evidence was assessed through the GRADE system. DATA SYNTHESIS: 18 studies were included in the review, being 16 randomized clinical trials, 1 case-control study and 1 open-label trial. As a result, the implementation of a gluten-free and casein-free diet was the most used intervention among the studies. Of the total, 10 studies showed a positive association of intervention with the evaluated results, while 8 did not find of a significant association. CONCLUSIONS: Although some authors report progress in the symptoms associated with autism in individuals with Autistic Spectrum Disorder undergoing nutritional interventions, there is little scientific evidence to support the use of nutritional supplements or dietary therapies in children and adolescents with autism.

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  1. [3]Silva NI Relação entre hábito alimentar e a síndrome do espectro autista master’s thesis Piracicaba (SP) Escola Superior de Agricultura “Luiz de Queiroz”, Universidade de São Paulo, Piracicaba 2011

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Authors
Monteiro, M. A., Santos, A. A. A. D., Gomes, L. M. M., & Rito, R. V. V. F.
Affiliations
Universidade Federal Fluminense (BR)
Corresponding author
Gomes, Lidiane Martins Mendes
Venue
Revista Paulista de Pediatria
Published
2020
Volume
38
Pages
e2018262-e2018262
ISSN
  • 0103-0582 (ISSN-L)
  • 1984-0462
OpenAlex
W3011775500
Cited by
71
References
34
Citations by year
2026: 2 · 2025: 15 · 2024: 10 · 2023: 22 · 2022: 15 · 2021: 5 · 2020: 2
FWCI
1.82
Type
journal article
Language
en
Open access
Locations
  • Revista Paulista de Pediatria (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (publishedVersion, other-oa)
  • Americanae (AECID Library) (submittedVersion, cc-by)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
  • Social Sciences › Psychology › Developmental and Educational Psychology › Behavioral and Psychological Studies
Keywords
autism spectrum disorder, dietary intervention, gluten-free diet, casein-free diet, dietary therapy, autistic behavior, gastrointestinal symptoms, children and adolescents, dietary supplements
MeSH terms
Autism Spectrum Disorder, Adolescent, Caseins, Child, Humans, Randomized Controlled Trials as Topic, Dietary Supplements, Diet, Gluten-Free

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