Dermatología Clínica Pediátrica Acceso abierto

Abstracto

Euro Pediatrics 2020: Efecto de la modificación de la dieta en el resultado del trastorno por déficit de atención con hiperactividad y su relación con la esfingosina-1-fosfato sérica - Rania Nabil Sabry - Centro Nacional de Investigación

Rania Nabil Sabry

Objetivo: El estudio pretendía estudiar el impacto del cambio de dieta en los resultados del TDAH, el papel de los alimentos como factor desencadenante de la sintomatología del TDAH y su relación con la S1P sérica.

Pacientes y métodos: Se examinaron 47 niños a los que se les había diagnosticado recientemente TDAH, que no aceptaron tratamiento clínico ni conductual, de 6 a 9 años, con un cociente intelectual no inferior a 70 y sin comorbilidades relacionadas. Se tomó la historia clínica completa; se realizó una evaluación clínica, mediciones antropométricas, revisión dietética de 24 horas, investigación dietética, escala de calificación de padres de Conner actualizada de estructura corta y S1P sérica durante el programa de cambio de dieta durante 5 semanas.

Resultados: Hubo una mejora en las manifestaciones del TDAH, según lo estimado por la escala de calificación de padres de Conner actualizada en formato breve (CPR-RS) después de 5 semanas de programa de cambio de dieta. La ingesta de almidón y proteína se reduce significativamente después del programa de cambio de dieta. El consumo de energía no mostró una diferencia significativa, mientras que la ingesta de grasas aumentó por completo después del programa de cambio de dieta. Las ingestas de vitamina A, C, riboflavina, tiamina y hierro disminuyeron significativamente después del programa de cambio de dieta, pero se mantuvieron dentro del aporte nutricional recomendado. Los niveles séricos de S1P disminuirán significativamente después del cambio de dieta.

Conclusión: seguir los consejos de bienestar y el programa de cambio de dieta mejoró los efectos secundarios del TDAH, como se registró mediante la reducción de las evaluaciones de la CPR con la disminución concomitante de la S1P sérica. La ingesta de almidón y proteínas en la dieta se ajusta enfáticamente con la evaluación de la escala de calificación de padres reconsiderada de Conner (CPR-RS) y la S1P.

Fondo: Attention-shortfall/hyperactivity issue (ADHD) is a confusion set apart by a continuous example of heedlessness or potentially hyperactivity-impulsivity that meddles with working or advancement. Obliviousness implies an individual stray’s task, needs diligence, experiences issues continuing center, and is complicated; and these issues are not because of disobedience or absence of cognizance. Hyperactivity implies an individual appears to move about continually, remembering for circumstances in which it isn't proper; or exorbitantly squirms, taps, or talks. In grown-ups, it might be extraordinary eagerness or destroying others with consistent action. Impulsivity implies an individual makes hurried activities that happen at the time without first contemplating them and that may have a high potential for hurt, or a craving for guaranteed prizes or powerlessness to defer satisfaction. A hasty individual might be socially nosy and unreasonably intrude on others or settle on significant choices without thinking about the drawn out results. Carelessness and hyperactivity/impulsivity are the key practices of ADHD. A few people with ADHD just have issues with one of the practices, while others have both negligence and hyperactivity-impulsivity. Most kids have the joined kind of ADHD. Analysis of ADHD requires a far reaching assessment by an authorized clinician, for example, a pediatrician, therapist, or specialist with mastery in ADHD. For an individual to get a finding of ADHD, the side effects of negligence or potentially hyperactivity-impulsivity must be constant or dependable, disable the individual's working, and cause the individual to fall behind run of the mill advancement for their age. The specialist will likewise guarantee that any ADHD manifestations are not because of another clinical or mental condition. Most youngsters with ADHD get a conclusion during the grade school years. For a young adult or grown-up to get a determination of ADHD, the side effects need to have been available before age 12. ADHD indications can show up as right on time as between the ages of 3 and 6 and can proceed through puberty and adulthood. Manifestations of ADHD can be confused with passionate or disciplinary issues or missed altogether in peaceful, respectful youngsters, prompting a postponement in determination. Grown-ups with undiscovered ADHD may have a background marked by helpless scholastic execution, issues at work, or troublesome or bombed connections. ADHD side effects can change after some time as individual ages. In small kids with ADHD, hyperactivity-impulsivity is the most transcendent manifestation. As a kid arrives at grade school, the side effect of negligence may turn out to be progressively unmistakable and cause the youngster to battle scholastically. In pre-adulthood, hyperactivity appears to reduce and may show all the more regularly as sentiments of fretfulness or squirming, however negligence and impulsivity may remain. Numerous teenagers with ADHD likewise battle with connections and solitary practices. Negligence, eagerness, and impulsivity will in general persevere into adulthood. ADHD is one of the most widely recognized neurodevelopmental messes, influence 5% of youngsters worldwide and portrayed by weakening obliviousness, hyperactivity and impulsivity and can be maintained a strategic distance from by barring hazard factors, for example, food. Sphingosin-1-phosphate (S1P) is thought to have job in neuropsychiatric issues, immunological maladies/unfavorably susceptible responses and aggravations in its metabolic pathway were related with admission of certain nourishments and supplements