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首页> 外文期刊>Journal of human nutrition and dietetics >An audit of referrals of children with autistic spectrum disorder to the dietetic service.
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An audit of referrals of children with autistic spectrum disorder to the dietetic service.

机译：对自闭症儿童转介到饮食服务的审核。

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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. Practice3: 45] 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.
机译：自闭症谱系障碍（ASD）是饮食推荐的发展领域。关于当前饮食实践的公开数据很少。某些患有ASD的儿童被推荐不含麸质/酪蛋白的饮食。从理论上讲，尿液中异常代谢产物可能是肠道中面筋和酪蛋白未完全分解的结果。有一些公开的公开研究支持这种饮食的有效性[Knivsberg等。 （1995）扫描。 J.教育决议39：223; Lucarelli等。 （1995）Panminerva Med.37：137; J.Med.Chem.37：137。 Whiteley等。 （1999）Int。 J.水库练习3：45]，还有许多传闻说，饮食对一些孩子有帮助。目的和目的：本研究旨在审核转介到饮食服务的类型，以识别关键的饮食问题并描述可能影响结果/疾病管理的因素。方法：使用饮食记录来审核为期3个月的转诊饮食服务。使用计算机食品成分表评估了7天的饮食历史，并根据专业界同意的协议草案记录了感兴趣的主题。结果：要求无麸质和无酪蛋白的饮食建议，和/或食物选择性和功能失常的喂养行为的管理构成了大多数推荐。在许多情况下，孩子的环境很少那么简单。结论：尽管这项小型研究存在局限性，但研究结果表明，这些转诊的管理非常复杂。营养师的投入应确保维持或恢复饮食的营养充足。

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