<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2216-0973</journal-id>
<journal-title><![CDATA[Revista Cuidarte]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cuid]]></abbrev-journal-title>
<issn>2216-0973</issn>
<publisher>
<publisher-name><![CDATA[Programa de Enfermería, Facultad de Ciencias de la Salud, Universidad de Santander UDES]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2216-09732018000102059</article-id>
<article-id pub-id-type="doi">10.15649/cuidarte.v9i1.485</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Dieta isenta de glúten e caseína no transtorno do espectro autista: uma revisão sistemática]]></article-title>
<article-title xml:lang="en"><![CDATA[Gluten-free and casein-free diet in autism spectrum disorder: a systematic review]]></article-title>
<article-title xml:lang="es"><![CDATA[Dieta exenta de gluten y caseína en el trastorno del espectro autista: una revisión sistemática]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Dias]]></surname>
<given-names><![CDATA[Ebiene Chaves]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rocha]]></surname>
<given-names><![CDATA[Jokasta Sousa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ferreira]]></surname>
<given-names><![CDATA[Gabrielle Bemfica]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pena]]></surname>
<given-names><![CDATA[Geórgia das Graças]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidade Federal de Uberlândia Faculdade de Medicina ]]></institution>
<addr-line><![CDATA[Uberlândia MG]]></addr-line>
<country>Brasil</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidade Federal de Uberlândia Faculdade de Medicina ]]></institution>
<addr-line><![CDATA[Uberlândia MG]]></addr-line>
<country>Brasil</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidade Federal de Uberlândia  ]]></institution>
<addr-line><![CDATA[ MG]]></addr-line>
<country>Brasil</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2018</year>
</pub-date>
<volume>9</volume>
<numero>1</numero>
<fpage>2059</fpage>
<lpage>2073</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S2216-09732018000102059&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S2216-09732018000102059&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S2216-09732018000102059&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução  A dieta sem glúten e sem caseína é uma prática comum no Transtorno do Espectro Autista, mas sem consenso quanto ao seu benefício clínico ou cognitivo.  Objetivo  Revisar sistematicamente a literatura que avalia a isenção de glúten e/ou caseína da dieta para indivíduos com Transtorno do Espectro Autista.  Materiais e Métodos  Revisão sistemática de literatura analisando estudos originais disponíveis até dezembro/2016 nas bases de dados: PubMed, SciELO, LILACS e BDENF. Os termos usados para a pesquisa foram: autismo, espectro autista, autismo e sem glúten, autismo e dieta livre de caseína. Para melhor direcionamento da busca de dados foi utilizado o método PICO (população, intervenção, comparação e desfecho).  Resultados  No total, foram incluídos 22 artigos, sendo 13 ensaios clínicos randomizados, 4 estudos de caso, 4 transversais e 1 coorte. Do total, 15 encontraram uma associação positiva de intervenção para os resultados avaliados e 7 não encontraram associação significativa.  Discussão  Foi encontrada grande variabilidade do tamanho amostral, idade, tempo de intervenção, cegamento, controle ou análise dietética mais apurada.  Conclusões  não há evidências científicas para apoiar o uso de uma dieta livre de glúten e caseína em pacientes com Transtorno do Espectro Autista. Há necessidade de novos estudos bem delineados, principalmente ensaios clínicos randomizados bem controlados, cegos, com cálculos amostrais que permitam um poder de observação apropriado, para maior segurança nessa prática.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction  The gluten-free and casein-free diet is a common practice in Autism Spectrum Disorder, but without consensus regarding their clinical or cognitive benefit.  Objective  To review systematically the literature assessing gluten- and/or casein-free diet for individuals with Autism Spectrum Disorder.  Materials and Methods  Systematic review of the literature analyzing original studies available until December 2016 in the databases: PubMed, SciELO, LILACS, and BDENF. The terms used for the search were autism, autism spectrum, autism and gluten-free, autism and casein-free diet. To better target the data search, the study used the PICO method (population, intervention, comparison, and outcome).  Results  In total, 22 articles were included, of which 13 were randomized clinical trials, four case studies, four cross-sectional studies, and one cohort. Of the total, 15 found a positive intervention association for the results evaluated and seven found no significant association.  Discussion  This work found much variability in sample size, age, intervention time, blinding, control, or more precise dietary analysis.  Conclusions  No scientific evidence supports using a gluten-free and casein-free diet in patients with Autism Spectrum Disorder. There is a need for further, well-delineated studies, especially well-controlled, blinded randomized clinical trials with sample calculations that allow appropriate observation power for greater security in this practice.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción  La dieta sin gluten y sin caseína es una práctica común en el Trastorno del Espectro Autista, pero sin consenso en cuanto a su beneficio clínico o cognitivo.  Objetivo  Revisar sistemáticamente la literatura que evalúa la exención de gluten y/o caseína de la dieta para individuos con Trastorno del Espectro Autista.  Materiales y Métodos  Revisión sistemática de literatura analizando estudios originales disponibles hasta diciembre/2016 en las bases de datos: PubMed, SciELO, LILACS y BDENF. Los términos utilizados para la investigación fueron: autismo, espectro autista, autismo y sin gluten, autismo y dieta libre de caseína. Para una mejor dirección de la búsqueda de datos se utilizó el método PICO (población, intervención, comparación y desenlace).  Resultados  En total, se incluyeron 22 artículos, siendo 13 ensayos clínicos controlados, 4 estudios de caso, 4 transversales y 1 cohorte. Del total, 15 encontraron una asociación positiva de intervención para los resultados evaluados y 7 no encontraron asociación significativa.  Discusión  Se encontró gran variabilidad del tamaño muestral, edad, tiempo de intervención, enmascaramiento, control o análisis dietético más preciso.  Conclusiones  no hay evidencias científicas para apoyar el uso de una dieta libre de gluten y caseína en pacientes con Trastorno del Espectro Autista. Hay necesidad de nuevos estudios bien diseñados, principalmente ensayos clínicos controlados, ciegos, con cálculos muestrales que permitan un poder de observación apropiado, para mayor seguridad en esa práctica]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Transtorno do Espectro Autista]]></kwd>
<kwd lng="pt"><![CDATA[Glútens]]></kwd>
<kwd lng="pt"><![CDATA[Caseínas]]></kwd>
<kwd lng="pt"><![CDATA[Revisão, Nutrição]]></kwd>
<kwd lng="en"><![CDATA[Autism Spectrum Disorder]]></kwd>
<kwd lng="en"><![CDATA[Gluten]]></kwd>
<kwd lng="en"><![CDATA[Casein]]></kwd>
<kwd lng="en"><![CDATA[Review]]></kwd>
<kwd lng="en"><![CDATA[Nutrition]]></kwd>
<kwd lng="es"><![CDATA[Trastorno del Espectro Autista]]></kwd>
<kwd lng="es"><![CDATA[Gluten]]></kwd>
<kwd lng="es"><![CDATA[Caseína]]></kwd>
<kwd lng="es"><![CDATA[Revisión]]></kwd>
<kwd lng="es"><![CDATA[Nutrición]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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