Evidence map›Paper›PMID 34976244›Full record

ArticlePrzeglad gastroenterologiczny2021

Gastrointestinal manifestations and their relation to faecal calprotectin in children with autism.

Hanan Galal Azouz, Nermine Hossam El-Din Zakaria, Ahmed Fouad Khalil, Sara Mohammad Naguib, Mona Khalil

Open access · goldAbstract read
In one paragraph

Article in Przeglad gastroenterologiczny, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
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  4. Review
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  7. Article
  8. The Microbiota-Gut-Brain Axis in Psychiatric Disorders.International journal of molecular sciences · 2022
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Hanan Galal AzouzDepartment of Paediatrics, Faculty of Medicine, Alexandria University, Alexandria, Egypt.
Nermine Hossam El-Din ZakariaDepartment of Clinical and chemical Pathology, Faculty of Medicine, Alexandria University, Alexandria, Egypt.
Ahmed Fouad KhalilDepartment of Paediatrics, Faculty of Medicine, Alexandria University, Alexandria, Egypt.
Sara Mohammad NaguibDepartment of Paediatrics, Faculty of Medicine, Alexandria University, Alexandria, Egypt.
Mona KhalilDepartment of Paediatrics, Faculty of Medicine, Alexandria University, Alexandria, Egypt.
Alexandria University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionA common comorbidity in autism spectrum disorder (ASD) children is gastrointestinal problems, and a possible link between active gastrointestinal inflammation and autism has been suggested. Faecal calprotectin (FC) is a non-invasive marker for of gastrointestinal inflammation.

aimTo study the level of FC as a marker of bowel inflammation in children with ASD and its possible relation to gastrointestinal manifestations. MATERIAL AND

methodsCalprotectin levels were assessed in stool samples of 40 ASD children. Autism severity was assessed by the Childhood Autism Rating Scale (CARS). Severity of gastrointestinal symptoms was assessed using a modified version of the 6-Item Gastrointestinal Severity Index (6-GSI) questionnaire. A control group of 40 healthy children matched for age and sex with the cases was also included to compare their levels of FC.

resultsGastrointestinal symptoms were present in 82.5% of children with autism; the most reported offensive stool odour (70%) and the least diarrhoea (17.5%), and a high 6-GSI score was observed in 35% of ASD children. FC levels were elevated in 35% of the cases and in 25% of the control group. The mean levels of FC of cases were significantly elevated compared to levels of controls. FC levels positively correlated with severity of gastrointestinal symptoms (6-GSI) in autistic patients. There was positive correlation between CARS and 6-GSI.

conclusionsGastrointestinal manifestations are a common comorbidity in autistic patients. ASD patients have significantly higher FC levels than healthy controls. FC levels are strongly correlated with the severity of gastrointestinal manifestations in ASD children. So, gastrointestinal manifestations among autistic patients could be caused by gastrointestinal inflammation.

Indexed as

autism spectrum disorderfaecal calprotectingastrointestinal symptoms

Identifiers

PMID34976244
PMCPMC8690952
OpenAlexW4206784290

What OpenQuestion holds

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LicenceCC BY-NC-SA
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.