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EmergingSystematic Review

The effect of nutritional interventions reducing oxidative stress on behavioural and gastrointestinal problems in autism spectrum disorder.

International journal of developmental neuroscience : the official journal of the International Society for Developmental Neuroscience2023

Colak Hatice, Sariyer Esra Tansu, Nogay Nalan Hakime

What this study means for families

This review looked at studies testing vitamins and supplements that fight cell damage in autistic people. Most studies found these supplements helped with autism symptoms and stomach problems, with no serious side effects. However, researchers say more studies are needed to know exactly how well these supplements work.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Research summary

This systematic review examined 24 studies (9 clinical trials, 15 animal studies) investigating nutritional interventions that reduce oxidative stress in autism spectrum disorder. The review found that individuals with autism show increased oxidative stress markers and decreased antioxidant enzymes. Most studies reported statistically significant improvements in ASD symptoms with antioxidant supplementation compared to placebo, with no serious side effects observed. However, the authors emphasize that more interventional studies are needed to determine precise effects of oxidative stress-reducing nutritional supplementation on behavioral and gastrointestinal problems in autism.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Key findings

  • 1

    Most studies found statistically significant improvements in ASD symptoms with antioxidant supplementation compared to placebo

    Confidence: moderateRelevance: Suggests potential therapeutic benefit of antioxidant interventions for autism symptoms
  • 2

    No serious side effects were observed with oxidative stress-reducing nutritional interventions

    Confidence: moderateRelevance: Indicates good safety profile for antioxidant supplementation approaches
  • 3

    Individuals with autism show increased oxidative stress markers and decreased antioxidant enzymes

    Confidence: moderateRelevance: Supports biological rationale for antioxidant-based interventions in autism

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Clinical implications

Antioxidant supplementation may offer therapeutic benefits for autism symptoms with good safety profile. However, more rigorous clinical trials needed before definitive treatment recommendations. Healthcare providers should consider individual assessment of oxidative stress status when evaluating potential interventions.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Limitations

Only 9 clinical trials included among 24 studies, with 15 being animal studies. Authors note more interventional studies needed to determine precise effects. Specific details about study quality, participant characteristics, and effect sizes not provided in abstract.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Original abstract

Although the exact cause of autism spectrum disorder (ASD), which is a neurodevelopmental disorder, is not known, it is thought that environmental factors are also effective in addition to genetic risk factors. Studies are showing an increase in oxidative stress markers and a decrease in some antioxidant enzymes in individuals with autism. This study aims to try to explain the effect of nutritional interventions that reduce oxidative stress on behavioural and gastrointestinal problems in ASD based on a literature review. All relevant studies from 2000 to 2021 were identified through a systematic search in the PubMed and Web of Science databases by using key search terms.

A systematic search of the electronic databases resulted in a total of 3235 potential articles, and data were extracted from 24 studies. There were 9 clinical trials and 15 animal studies. Most studies find statistically significant results for nutritional supplementation compared with placebo ASD symptoms. Most studies on the interventions of nutritional supplements that reduce oxidative stress in individuals with ASD have found improving effects on ASD symptoms, and no serious side effects have been observed.

However, more interventional studies are needed to determine the precise effects of oxidative stress-reducing nutritional supplementation.

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Evidence Grade

Emerging

moderate

Grade assigned by AutismInsights based on study type and published abstract.

Study Details

Type
Systematic Review
Journal
International journal of developmental neuroscience : the official journal of the International Society for Developmental Neuroscience
Year
2023
PMID
36843243
DOI
10.1002/jdn.10254

MeSH Terms

AnimalsAntioxidantsAutism Spectrum DisorderAutistic DisorderDietary SupplementsOxidative Stress