自闭症谱系障碍学龄前儿童和小学生的进食障碍及其临床意义

Nataliya A. Smolko, Rezeda A. Fayzullina, Y. Mukhamedshina
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摘要

自闭症谱系障碍是世界上增长最快的神经和精神发育障碍。因此,不仅需要解决自闭症主要症状的诊断和矫治问题,还需要解决众多相关躯体疾病的诊断和矫治问题。自闭症谱系障碍儿童常见的临床表现之一是病态饮食行为,包括饮食习惯和偏好、进餐频率等方面的紊乱。尽管饮食失调也可能发生在正常的同龄人中,但在自闭症谱系障碍儿童中,这些表现在临床上更为多样,严重程度也各不相同,而且往往比疾病的主要症状出现得更早。必须强调的是,由于潜在疾病的病程特点,纠正这类儿童的某些营养失调往往很困难。父母焦虑的增加可能会进一步加剧这种情况。及时解决自闭症儿童的饮食行为问题,对增强他们的健康和减轻潜在疾病的严重程度具有重要意义,因为神经心理健康和躯体健康之间的联系是密不可分的。在这篇综述中,我们试图找出自闭症谱系障碍儿童饮食失调形成的主要因素,并介绍了现有的实用工具,用于分析这一医学问题和管理他们的营养,以达到预防和治疗的目的。
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Eating disorders in preschool and primary school children with autism spectrum disorder and its clinical significance
Autism spectrum disorder is the fastest growing form of nervous and mental development disorder in the world. In this regard, there is a special need to resolve issues of diagnosis and correction of not only the main symptoms of this disease, but also numerous associated somatic disorders. One of the common clinical manifestations in children with autism spectrum disorder is pathological eating behavior, which includes disturbances in eating habits and preferences, frequency of meals, etc. Despite the fact that eating disorders can also occur among normotypical coevals, in children with autism spectrum disorder, these manifestations are clinically more diverse, vary in severity and often appear earlier than the main symptoms of the disease. It must be emphasized that the correction of certain nutritional disorders in this group of children is often difficult due to the characteristics of the course of the underlying disease. This may be further exacerbated by increased parental anxiety. A timely solution to the problem of eating behavior in children with autistic disorder is of great importance for strengthening their health and reducing the severity of the underlying disease, since the connection between neuropsychic and somatic health is inseparable. In the review, we tried to identify the main factors involved in the formation of eating disorders in children with autism spectrum disorder, and presented existing practical tools for analyzing this medical problem and managing their nutrition for preventive and therapeutic purposes.
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