Нутрициология с учетом нейроразнообразия: Оценка системы NutriSteppe-AI в управлении диетическими ограничениями и метаболическим синдромом при аутизме
DOI:
https://doi.org/10.53498/rw6jqz83Ключевые слова:
расстройство аутистического спектра, пищевые ограничения, избирательность в еде, скрытая недостаточность питания, метаболический синдром, нейроразнообразие, цифровое здравоохранение, искусственный интеллект, поддержка лиц, осуществляющих уход, Центральная АзияАннотация
Лица с расстройством аутистического спектра (РАС) сталкиваются с особой и клинически недооцениваемой формой пищевых ограничений, обусловленной не предпочтениями, а нейроонтогенетическими особенностями состояния — нарушением сенсорной фильтрации, когнитивной ригидностью и дисфункцией интероцепции. Возникающее сужение пищевого рациона, нередко до менее чем двадцати преимущественно ультрапереработанных продуктов, формирует картину скрытой недостаточности питания, которая на протяжении жизни каскадно приводит к дисбиозу кишечника, хроническому воспалению, метаболическому синдрому и повышенному риску неинфекционных заболеваний. Стандартное диетологическое консультирование и распространенные цифровые инструменты для здоровья, ориентированные на нейротипичного пользователя, для этой группы зачастую недоступны или прямо вредны, а рекомендуемая доказательной медициной междисциплинарная специализированная помощь структурно недоступна большинству семей, особенно в странах Центральной Азии и постсоветского пространства.
В настоящем нарративном обзоре обобщаются современные данные о нейроонтогенетических истоках пищевых ограничений при РАС и их прогрессировании в сторону метаболических заболеваний, а также рассматриваются концептуальные основы и клиническая архитектура системы NutriSteppe-AI — цифровой системы питания, учитывающей нейроразнообразие.
Описываются разделение детерминированных нутрициологических расчетов и коммуникации на основе языковой модели, пять последовательных уровней сенсорной безопасности, функции формирования навыков у лиц, осуществляющих уход, и культурно адаптированная база данных продуктов Центральной Азии как механизмы обеспечения безопасной, непрерывной и персонализированной нутритивной поддержки без опоры на дефицитные команды специалистов. Для оценки клинической эффективности в Алматы проводится 12-недельное рандомизированное контролируемое исследование.
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