An audit of referrals of children with autistic spectrum disorder to the dietetic service
An audit of referrals of children with autistic spectrum disorder to the dietetic service
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DOI：
10.1046/j.1365-277x.2002.00345.x
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发表时间：
2002-04-01
影响因子：
3.3
通讯作者：
Bowers, L
中科院分区：
文献类型：
--
作者：
Bowers, L
自闭症谱系障碍（ASD）是一个发展中的饮食转诊领域。关于当前饮食实践的公开数据很少。一些患有ASD的儿童被推荐为无麸质/酪蛋白饮食。该理论认为，尿液中的异常代谢物可能是肠道中谷蛋白和酪蛋白不完全分解的结果。有一些公开发表的研究支持这种饮食的有效性[Jesvsberg等（1995）Scand.J.Educ.Res.39：223; Lucarelli等（1995）Panminerva Med.37：137; Whiteley等（1999）Int. J. Res. Practice 3：451，也有许多轶事报道说，饮食有助于一些儿童。目的和目的这项研究的目的是审计类型的转介营养服务，以确定关键的饮食问题，并描述因素，可能会影响结果/疾病管理。方法饮食记录被用来审计的转介到饮食服务超过3个月的时间。七天的饮食史进行了评估，使用计算机的食物成分表和感兴趣的主题记录对草案议定书内professional.Results无麸质和酪蛋白的饮食建议，和/或管理的食物选择性和功能失调的喂养行为构成了大多数的转介。在许多情况下，孩子的环境很少simplic.Conclusions尽管这个小的研究的局限性，研究结果表明，这些转介的管理是非常复杂的。营养师的意见应确保维持或恢复饮食的营养充足性。
Autistic spectrum disorder (ASD) is a developing area for dietetic referrals. There is little published data on current dietetic practice. Some children with ASD are referred for gluten/casein free diet. The theory is that abnormal metabolites in the urine may be a result of incomplete breakdown of gluten and casein in the gut. There are some published open studies that support the efficiency of such a diet [Knivsberg et al. (1995) Scand. J. Educ. Res. 39: 223; Lucarelli et al. (1995) Panminerva Med. 37: 137; Whiteley et al. (1999) Int. J. Res. Practice 3: 451 and also that there are many anecdotal reports that the diet helps some children.Aims and objectives This study aimed to audit the types of referral made to the dietetic service to identify key dietetic issues and to describe factors which may influence outcome/disease management.Methods Dietetic records were used to audit the referrals to the dietetic service over a 3-month period. Seven-day diet histories were assessed using computer food composition tables and topics of interest recorded against a draft protocol agreed within the profession.Results Requests for gluten-free and casein-free dietetic advice, and/ or the management of food selectivity and dysfunctional feeding behaviour constituted the majority of referrals. In many cases, child's environment was rarely simple.Conclusions Despite the limitations of this small study, the findings suggest that the management of these referrals is highly complex. A dietitian's input should ensure that the nutritional adequacy of the diet is maintained or restored.