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Dietary patterns in children with attention deficit/hyperactivity disorder (ADHD).

Abstract

The role of diet in the behavior of children has been controversial, but the association of several nutritional factors with childhood behavioral disorders has been continually suggested. We conducted a case-control study to identify dietary patterns associated with attention deficit hyperactivity disorder (ADHD). The study included 192 elementary school students aged seven to 12 years. Three non-consecutive 24-h recall (HR) interviews were employed to assess dietary intake, and 32 predefined food groups were considered in a principal components analysis (PCA). PCA identified four major dietary patterns: the "traditional" pattern, the "seaweed-egg" pattern, the "traditional-healthy" pattern, and the "snack" pattern. The traditional-healthy pattern is characterized by a diet low in fat and high in carbohydrates as well as high intakes of fatty acids and minerals. The multivariate-adjusted odds ratio (OR) of ADHD for the highest tertile of the traditional-healthy pattern in comparison with the lowest tertile was 0.31 (95% CI: 0.12-0.79). The score of the snack pattern was positively associated with the risk of ADHD, but a significant association was observed only in the second tertile. A significant association between ADHD and the dietary pattern score was not found for the other two dietary patterns. In conclusion, the traditional-healthy dietary pattern was associated with lower odds having ADHD.

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  • Authors+Show Affiliations

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    Molecular Epidemiology Branch, National Cancer Center, 323 Ilsan-ro, Ilsandong-gu, Goyang-si, Gyeonggi-do 410-769, Korea. eastsea93@hanmail.net.

    ,

    Molecular Epidemiology Branch, National Cancer Center, 323 Ilsan-ro, Ilsandong-gu, Goyang-si, Gyeonggi-do 410-769, Korea. ellebass@gmail.com.

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    Department of Preventive Medicine, College of Medicine, Dong-A University, Dong-A University Hospital, 26, Daesingongwon-ro, Seo-gu, Busan 602-715, Korea. juhui978@dau.ac.kr.

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    Department of Preventive Medicine, College of Medicine, Dong-A University, Dong-A University Hospital, 26, Daesingongwon-ro, Seo-gu, Busan 602-715, Korea. juhui978@dau.ac.kr.

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    Heavy Metal Exposure Environmental Health Center, Dong-A University, 32, Daesingongwon-ro, Seo-gu, Busan 602-714, Korea. juhui978@dau.ac.kr.

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    Department of Psychiatry, College of Medicine, Dong-A University, Dong-A University Hospital, 26 Daesingongwon-ro, Seo-gu, Busan 602-715, Korea. bmchoe@dau.ac.kr.

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    Department of Psychiatry, College of Medicine, Dong-A University, Dong-A University Hospital, 26 Daesingongwon-ro, Seo-gu, Busan 602-715, Korea. pjhkorea@hanmail.net.

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    Department of Child and Adolescent Psychiatry, College of Medicine, Inje University Busan Paik Hospital, 75 Bokji-ro, Busanjin-gu, Busan 614-735, Korea. forevery99@hanmail.net.

    ,

    Department of Pediatrics, College of Medicine, Dong-A University, Dong-A University Hospital, 26 Daesingongwon-ro, Seo-gu, Busan 602-715, Korea. pedendo@dau.ac.kr.

    ,

    Department of Pediatrics, College of Medicine, Dong-A University, Dong-A University Hospital, 26 Daesingongwon-ro, Seo-gu, Busan 602-715, Korea. hwchueh@dau.ac.kr.

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    Department of Pediatrics, Kosin University Gospel Hospital, 262, Gamcheon-ro, Seo-gu, Busan 602-702, Korea. agasoa@hanmail.net.

    ,

    Department of Pediatrics, Pusan National University Hospital, Pusan National University School of Medicine, 179, Gudeok-ro, Seo-gu, Busan 602-739, Korea. glory0123@hanmail.net.

    Molecular Epidemiology Branch, National Cancer Center, 323 Ilsan-ro, Ilsandong-gu, Goyang-si, Gyeonggi-do 410-769, Korea. jskim@ncc.re.kr.

    Source

    Nutrients 6:4 2014 Apr 14 pg 1539-53

    MeSH

    Attention Deficit Disorder with Hyperactivity
    Case-Control Studies
    Child
    Diet
    Dietary Carbohydrates
    Dietary Fats
    Fatty Acids, Omega-3
    Feeding Behavior
    Female
    Humans
    Logistic Models
    Male
    Mental Recall
    Odds Ratio
    Principal Component Analysis
    Republic of Korea
    Surveys and Questionnaires
    Trace Elements

    Pub Type(s)

    Journal Article
    Research Support, Non-U.S. Gov't

    Language

    eng

    PubMed ID

    24736898

    Citation

    Woo, Hae Dong, et al. "Dietary Patterns in Children With Attention Deficit/hyperactivity Disorder (ADHD)." Nutrients, vol. 6, no. 4, 2014, pp. 1539-53.
    Woo HD, Kim DW, Hong YS, et al. Dietary patterns in children with attention deficit/hyperactivity disorder (ADHD). Nutrients. 2014;6(4):1539-53.
    Woo, H. D., Kim, D. W., Hong, Y. S., Kim, Y. M., Seo, J. H., Choe, B. M., ... Kim, J. (2014). Dietary patterns in children with attention deficit/hyperactivity disorder (ADHD). Nutrients, 6(4), pp. 1539-53. doi:10.3390/nu6041539.
    Woo HD, et al. Dietary Patterns in Children With Attention Deficit/hyperactivity Disorder (ADHD). Nutrients. 2014 Apr 14;6(4):1539-53. PubMed PMID: 24736898.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Dietary patterns in children with attention deficit/hyperactivity disorder (ADHD). AU - Woo,Hae Dong, AU - Kim,Dong Woo, AU - Hong,Young-Seoub, AU - Kim,Yu-Mi, AU - Seo,Ju-Hee, AU - Choe,Byeong Moo, AU - Park,Jae Hong, AU - Kang,Je-Wook, AU - Yoo,Jae-Ho, AU - Chueh,Hee Won, AU - Lee,Jung Hyun, AU - Kwak,Min Jung, AU - Kim,Jeongseon, Y1 - 2014/04/14/ PY - 2014/02/12/received PY - 2014/03/17/revised PY - 2014/03/28/accepted PY - 2014/4/17/entrez PY - 2014/4/17/pubmed PY - 2014/12/17/medline SP - 1539 EP - 53 JF - Nutrients JO - Nutrients VL - 6 IS - 4 N2 - The role of diet in the behavior of children has been controversial, but the association of several nutritional factors with childhood behavioral disorders has been continually suggested. We conducted a case-control study to identify dietary patterns associated with attention deficit hyperactivity disorder (ADHD). The study included 192 elementary school students aged seven to 12 years. Three non-consecutive 24-h recall (HR) interviews were employed to assess dietary intake, and 32 predefined food groups were considered in a principal components analysis (PCA). PCA identified four major dietary patterns: the "traditional" pattern, the "seaweed-egg" pattern, the "traditional-healthy" pattern, and the "snack" pattern. The traditional-healthy pattern is characterized by a diet low in fat and high in carbohydrates as well as high intakes of fatty acids and minerals. The multivariate-adjusted odds ratio (OR) of ADHD for the highest tertile of the traditional-healthy pattern in comparison with the lowest tertile was 0.31 (95% CI: 0.12-0.79). The score of the snack pattern was positively associated with the risk of ADHD, but a significant association was observed only in the second tertile. A significant association between ADHD and the dietary pattern score was not found for the other two dietary patterns. In conclusion, the traditional-healthy dietary pattern was associated with lower odds having ADHD. SN - 2072-6643 UR - https://www.unboundmedicine.com/medline/citation/24736898/full_citation L2 - http://www.mdpi.com/resolver?pii=nu6041539 DB - PRIME DP - Unbound Medicine ER -