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Autism Studies and Related Medical Conditions, January 2009 - TACA

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analyzed by a registered pediatric dietician to compare to RDA st<strong>and</strong>ards for total<br />

calories, protein, carbohydrate, <strong>and</strong> fat. Dietary intake was correlated with<br />

descriptors of stool consistency using cumulative logistic regression methods.<br />

RESULTS: Intake of calories, carbohydrates, <strong>and</strong> fat were in the average range;<br />

protein intake was increased (211% of RDA). Reported frequency of GI<br />

abnormalities, including abnormal stool consistency (e.g., bulky or loose), was<br />

increased (54%). No statistically significant relationships between stool<br />

consistency <strong>and</strong> dietary intake were observed. CONCLUSIONS: In this sample,<br />

there was a high rate of reported gastrointestinal symptoms, despite lack of<br />

medical causes. Intake was adequate for calories <strong>and</strong> carbohydrates <strong>and</strong><br />

increased for protein. The children did not exhibit excessive carbohydrate intake.<br />

There was no association of nutrient intake to changes in stool consistency.<br />

Liu, Z., N. Li, et al. (2005). "Tight junctions, leaky intestines, <strong>and</strong> pediatric diseases."<br />

Acta Paediatr 94(4): 386-93.<br />

BACKGROUND: Tight junctions (TJs) represent the major barrier within the<br />

paracellular pathway between intestinal epithelial cells. Disruption of TJs leads to<br />

intestinal hyperpermeability (the so-called "leaky gut") <strong>and</strong> is implicated in the<br />

pathogenesis of several acute <strong>and</strong> chronic pediatric disease entities that are likely<br />

to have their origin during infancy. AIM: This review provides an overview of<br />

evidence for the role of TJ breakdown in diseases such as systemic inflammatory<br />

response syndrome (SIRS), inflammatory bowel disease, type 1 diabetes,<br />

allergies, asthma, <strong>and</strong> autism. CONCLUSION: A better basic underst<strong>and</strong>ing of<br />

this structure might lead to prevention or treatment of these diseases using<br />

nutritional or other means.<br />

Macdonald, T. T. <strong>and</strong> P. Domizio (2007). "Autistic enterocolitis: is it a histopathological<br />

entity?" Histopathology 51(4): 552-3.<br />

MacFabe, D. F., D. P. Cain, et al. (2007). "Neurobiological effects of intraventricular<br />

propionic acid in rats: possible role of short chain fatty acids on the pathogenesis <strong>and</strong><br />

characteristics of autism spectrum disorders." Behav Brain Res 176(1): 149-69.<br />

Clinical observations suggest that certain gut <strong>and</strong> dietary factors may transiently<br />

worsen symptoms in autism spectrum disorders (ASD), epilepsy <strong>and</strong> some<br />

inheritable metabolic disorders. Propionic acid (PPA) is a short chain fatty acid<br />

<strong>and</strong> an important intermediate of cellular metabolism. PPA is also a by-product of<br />

a subpopulation of human gut enterobacteria <strong>and</strong> is a common food<br />

preservative. We examined the behavioural, electrophysiological,<br />

neuropathological, <strong>and</strong> biochemical effects of treatment with PPA <strong>and</strong> related<br />

compounds in adult rats. Intraventricular infusions of PPA produced reversible<br />

repetitive dystonic behaviours, hyperactivity, turning behaviour, retropulsion,<br />

caudate spiking, <strong>and</strong> the progressive development of limbic kindled seizures,<br />

suggesting that this compound has central effects. Biochemical analyses of brain<br />

homogenates from PPA treated rats showed an increase in oxidative stress<br />

<strong>Autism</strong> <strong>Studies</strong> & <strong>Related</strong> <strong>Medical</strong> <strong>Conditions</strong> – <strong>TACA</strong> © Page 25

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