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Introduccion: Los trastornos del espectro autista, presentan alteraciones gastrointestinales tales como diarrea, flatulencia, reflujo gastroesofagico y constipacion las cuales se han relacionado con el consumo de dietas con gluten y caseina. Objetivo: Evaluar el efecto de la dieta sin gluten y caseina sobre sintomas gastrointestinales en ninos con trastornos del espectro autista. Material y Metodos: Previo consentimiento del padre o tutor se evaluaron ninos de 3 a 12 anos de edad, aplicando una historia nutricional con datos antropometricos y dieteticos por frecuencia alimentaria; la permeabilidad intestinal se evaluo por el cuestionario de signos y sintomas gastrointestinales “ brea King the vicious cycle”, intestinal health trhough diet , al inicio y final de la intervencion durante 10 semanas. Donde se proporciono menu semanal de acuerdo a recomendaciones caloricas por edad con alimentos libres de gluten y caseina. Los datos se analizaron por estadistica descriptiva y pruebas no parametricas utilizando Chi 2 de dos variables, test de McNemar y prueba de Friedman utilizando el paquete estadistico SPSS version 24.0 . Resultados: Del total de 26 sujetos, 77% de genero masculino y 23% femenino, con media de edad 7.6 + 2.6 anos, se observo una disminucion del consumo de alimentos con gluten y caseina a menos de tres veces por semana, lo cual aminora la presencia de distencion abdominal, diarrea, flatulencia. Siendo la permeabilidad intestinal estadisticamente significativa (≤0.05) despues de 10 semanas de intervencion. Conclusiones: La disminucion en el consumo de alimentos con gluten y caseina disminuye sintomas gastrointestinales asociados a permeabilidad intestinal . ABSTRACT Introduction: Autistic spectrum disorders present gastrointestinal disorders such as diarrhea, flatulence, gastroesophageal reflux and constipation, which have been related to the consumption of diets with gluten and casein. Objective: To evaluate the effect of the gluten-free and casein-free diet on gastrointestinal symptoms in children with autism spectrum disorders. Methods: After the consent of the parent or guardian, children 3 to 12 years of age were evaluated, applying a nutritional history with anthropometric and dietary data by food frequency; intestinal permeability was assessed by the questionnaire for gastrointestinal signs and symptoms "breaking the vicious cycle", intestinal health through diet, at the beginning and end of the intervention for 10 weeks. Where weekly menu was provided according to calorie-age recommendations with gluten-free and casein-free foods. Data were analyzed by descriptive statistics and non-parametric tests using Chi2 of two variables, McNemar test and Friedman test using the statistical package SPSS version. Results Of the total of 26 subjects, 77% male and 23% female, with a mean age of 7.6 + 2.6 years, a decrease in food consumption with gluten and casein was observed less than three times a week, The presence of abdominal distention, diarrhea, flatulence. The intestinal permeability was statistically significant (≤0.05) after 10 weeks of intervention. Conclusions: The decrease in food consumption with gluten and casein decreases gastrointestinal symptoms associated with intestinal permeability Palabras Clave: Autismo, nutricion, gluten, caseina, autism, nutrition,  casein

revista salud pública y nutrición

Impacto del bajo consumo de alimentos con gluten y caseína sobre síntomas gastrointestinales en niños de 3-12 años de edad con trastorno del espectro autista.