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Nutritional status and feeding problems in pediatric attention deficit-hyperactivity disorder.
Pediatr Int. 2017 Apr; 59(4):408-415.PI

Abstract

BACKGROUND

Children with attention deficit-hyperactivity disorder (ADHD) may be at risk of nutrient deficiency due to the inability to sit through meals. This comparative cross-sectional study was therefore carried out to determine the nutritional status and feeding problems of ADHD children aged 4-12 years.

METHODS

Sociodemographic data, anthropometric measurements and 3 day dietary intake record were collected from 54 ADHD children and 54 typical development (TD) children. The Behavioral Pediatrics Feeding Assessment Scale was used to assess feeding problems.

RESULTS

Mean subject age was 8.6 ± 2.1 years. On anthropometric assessment, 11.1% of the ADHD children had wasting, while 1.9% had severe wasting. In contrast, none of the TD children had wasting. Approximately 5.6% of the ADHD children had stunting, as compared with 3.7% of the TD children, while none of the TD children had severe stunting compared with 3.7% of the ADHD children. More than half of the ADHD children had mid-upper arm circumference (MUAC) below the 5th percentile, indicating undernutrition, compared with only 35.2% of TD children. More than one-third of the ADHD children had feeding problems compared with 9.3% of TD children. There was a significant negative relationship between the ADHD children's feeding problems and bodyweight (r = -0338, P = 0.012), body mass index (r = -0322, P = 0.017) and MUAC (r = -0384, P = 0.004).

CONCLUSION

Almost half of the ADHD children had suboptimal nutrition compared with 11.1% of the TD children. It is imperative to screen ADHD children for nutritional status and feeding problems to prevent negative health impacts later on.

Authors+Show Affiliations

Department of Dietetics and Food Service, Kuala Lumpur Hospital, Kuala Lumpur, Malaysia.Dietetic Department, Faculty of Health Sciences, National University of Malaysia, Kuala Lumpur, Malaysia.Health Psychology Programme, Faculty of Health Sciences, National University of Malaysia, Kuala Lumpur, Malaysia.Psychiatry Department, Faculty of Medicine, National University of Malaysia, Kuala Lumpur, Malaysia.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

27805287

Citation

Sha'ari, Norsuhaila, et al. "Nutritional Status and Feeding Problems in Pediatric Attention Deficit-hyperactivity Disorder." Pediatrics International : Official Journal of the Japan Pediatric Society, vol. 59, no. 4, 2017, pp. 408-415.
Sha'ari N, Manaf ZA, Ahmad M, et al. Nutritional status and feeding problems in pediatric attention deficit-hyperactivity disorder. Pediatr Int. 2017;59(4):408-415.
Sha'ari, N., Manaf, Z. A., Ahmad, M., & Rahman, F. N. (2017). Nutritional status and feeding problems in pediatric attention deficit-hyperactivity disorder. Pediatrics International : Official Journal of the Japan Pediatric Society, 59(4), 408-415. https://doi.org/10.1111/ped.13196
Sha'ari N, et al. Nutritional Status and Feeding Problems in Pediatric Attention Deficit-hyperactivity Disorder. Pediatr Int. 2017;59(4):408-415. PubMed PMID: 27805287.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Nutritional status and feeding problems in pediatric attention deficit-hyperactivity disorder. AU - Sha'ari,Norsuhaila, AU - Manaf,Zahara Abdul, AU - Ahmad,Mahadir, AU - Rahman,Fairuz Nazri Abd, Y1 - 2017/01/05/ PY - 2015/10/16/received PY - 2016/08/02/revised PY - 2016/09/30/accepted PY - 2016/11/3/pubmed PY - 2017/10/4/medline PY - 2016/11/3/entrez KW - attention deficit-hyperactivity disorder KW - child KW - feeding problem KW - nutrition SP - 408 EP - 415 JF - Pediatrics international : official journal of the Japan Pediatric Society JO - Pediatr Int VL - 59 IS - 4 N2 - BACKGROUND: Children with attention deficit-hyperactivity disorder (ADHD) may be at risk of nutrient deficiency due to the inability to sit through meals. This comparative cross-sectional study was therefore carried out to determine the nutritional status and feeding problems of ADHD children aged 4-12 years. METHODS: Sociodemographic data, anthropometric measurements and 3 day dietary intake record were collected from 54 ADHD children and 54 typical development (TD) children. The Behavioral Pediatrics Feeding Assessment Scale was used to assess feeding problems. RESULTS: Mean subject age was 8.6 ± 2.1 years. On anthropometric assessment, 11.1% of the ADHD children had wasting, while 1.9% had severe wasting. In contrast, none of the TD children had wasting. Approximately 5.6% of the ADHD children had stunting, as compared with 3.7% of the TD children, while none of the TD children had severe stunting compared with 3.7% of the ADHD children. More than half of the ADHD children had mid-upper arm circumference (MUAC) below the 5th percentile, indicating undernutrition, compared with only 35.2% of TD children. More than one-third of the ADHD children had feeding problems compared with 9.3% of TD children. There was a significant negative relationship between the ADHD children's feeding problems and bodyweight (r = -0338, P = 0.012), body mass index (r = -0322, P = 0.017) and MUAC (r = -0384, P = 0.004). CONCLUSION: Almost half of the ADHD children had suboptimal nutrition compared with 11.1% of the TD children. It is imperative to screen ADHD children for nutritional status and feeding problems to prevent negative health impacts later on. SN - 1442-200X UR - https://www.unboundmedicine.com/medline/citation/27805287/Nutritional_status_and_feeding_problems_in_pediatric_attention_deficit_hyperactivity_disorder_ L2 - https://doi.org/10.1111/ped.13196 DB - PRIME DP - Unbound Medicine ER -