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Dietary patterns are associated with attention-deficit/hyperactivity disorder (ADHD) symptoms among preschoolers in mainland China.
Eur J Clin Nutr. 2018 11; 72(11):1517-1523.EJ

Abstract

BACKGROUND/OBJECTIVES

To identify the major dietary patterns among preschoolers and assess the relation of major dietary patterns to attention-deficit/hyperactivity disorder (ADHD).

SUBJECTS/METHODS

A cross-sectional survey was conducted comprising a large sample of 14,912 children aged 3-6 years old in Ma'anshan city of Anhui Province in China. A semi-quantitative food frequency questionnaire and the 10-item Chinese version of the Conners' abbreviated symptom questionnaire were administered to assess usual dietary intakes and ADHD. Social-demographic information was also collected. Major dietary patterns were identified by principal components analysis. Logistic regression was employed to explore the association of dietary patterns with ADHD.

RESULTS

Five dietary patterns were identified explaining 47.96% of the total diet variation. The "processed" dietary component was the principal pattern that explained the higher percentage of variability, 24.69%. After controlling for potential confounders, preschoolers in the top quintile of the "processed" (odds ratio (OR) = 1.56, 95% confidence interval (CI): 1.31-1.86) and "snack" (OR = 1.76, 95% CI = 1.49-2.07) dietary pattern score had greater odds for having ADHD symptoms compared with those in the lowest quintile. Lowest scores on the "vegetarian" were associated with significantly a higher likelihood of indications of ADHD symptoms (OR = 0.67, 95% CI = 0.56-0.79).

CONCLUSIONS

This study showed that preschoolers tend to choose unhealthy dietary pattern in Ma'anshan, China. "Processed" and "snack" dietary patterns were significantly and positively correlated with ADHD symptoms, while "vegetarian" dietary patterns were negatively correlated with ADHD symptoms.

Authors+Show Affiliations

Maanshan Maternity and Child Health Hospital, Maanshan, 243000, Anhui, China.Maanshan Maternity and Child Health Hospital, Maanshan, 243000, Anhui, China.Maanshan Maternity and Child Health Hospital, Maanshan, 243000, Anhui, China.Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, 81 Mei Shan Road, Hefei, 230032, Anhui, China. Anhui Provincial Key Laboratory of Population Health and Aristogenics, Hefei, 230032, China.Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, 81 Mei Shan Road, Hefei, 230032, Anhui, China. Anhui Provincial Key Laboratory of Population Health and Aristogenics, Hefei, 230032, China.Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, 81 Mei Shan Road, Hefei, 230032, Anhui, China. Anhui Provincial Key Laboratory of Population Health and Aristogenics, Hefei, 230032, China.Maanshan Maternity and Child Health Hospital, Maanshan, 243000, Anhui, China.Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, 81 Mei Shan Road, Hefei, 230032, Anhui, China. taofangbiao1@126.com. Anhui Provincial Key Laboratory of Population Health and Aristogenics, Hefei, 230032, China. taofangbiao1@126.com.

Pub Type(s)

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

Language

eng

PubMed ID

29535404

Citation

Yan, Shuangqin, et al. "Dietary Patterns Are Associated With Attention-deficit/hyperactivity Disorder (ADHD) Symptoms Among Preschoolers in Mainland China." European Journal of Clinical Nutrition, vol. 72, no. 11, 2018, pp. 1517-1523.
Yan S, Cao H, Gu C, et al. Dietary patterns are associated with attention-deficit/hyperactivity disorder (ADHD) symptoms among preschoolers in mainland China. Eur J Clin Nutr. 2018;72(11):1517-1523.
Yan, S., Cao, H., Gu, C., Ni, L., Tao, H., Shao, T., Xu, Y., & Tao, F. (2018). Dietary patterns are associated with attention-deficit/hyperactivity disorder (ADHD) symptoms among preschoolers in mainland China. European Journal of Clinical Nutrition, 72(11), 1517-1523. https://doi.org/10.1038/s41430-018-0131-0
Yan S, et al. Dietary Patterns Are Associated With Attention-deficit/hyperactivity Disorder (ADHD) Symptoms Among Preschoolers in Mainland China. Eur J Clin Nutr. 2018;72(11):1517-1523. PubMed PMID: 29535404.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Dietary patterns are associated with attention-deficit/hyperactivity disorder (ADHD) symptoms among preschoolers in mainland China. AU - Yan,Shuangqin, AU - Cao,Hui, AU - Gu,Chunli, AU - Ni,Lingling, AU - Tao,Huihui, AU - Shao,Ting, AU - Xu,Yeqing, AU - Tao,Fangbiao, Y1 - 2018/03/13/ PY - 2017/07/11/received PY - 2018/02/07/accepted PY - 2017/12/25/revised PY - 2018/3/15/pubmed PY - 2019/6/22/medline PY - 2018/3/15/entrez SP - 1517 EP - 1523 JF - European journal of clinical nutrition JO - Eur J Clin Nutr VL - 72 IS - 11 N2 - BACKGROUND/OBJECTIVES: To identify the major dietary patterns among preschoolers and assess the relation of major dietary patterns to attention-deficit/hyperactivity disorder (ADHD). SUBJECTS/METHODS: A cross-sectional survey was conducted comprising a large sample of 14,912 children aged 3-6 years old in Ma'anshan city of Anhui Province in China. A semi-quantitative food frequency questionnaire and the 10-item Chinese version of the Conners' abbreviated symptom questionnaire were administered to assess usual dietary intakes and ADHD. Social-demographic information was also collected. Major dietary patterns were identified by principal components analysis. Logistic regression was employed to explore the association of dietary patterns with ADHD. RESULTS: Five dietary patterns were identified explaining 47.96% of the total diet variation. The "processed" dietary component was the principal pattern that explained the higher percentage of variability, 24.69%. After controlling for potential confounders, preschoolers in the top quintile of the "processed" (odds ratio (OR) = 1.56, 95% confidence interval (CI): 1.31-1.86) and "snack" (OR = 1.76, 95% CI = 1.49-2.07) dietary pattern score had greater odds for having ADHD symptoms compared with those in the lowest quintile. Lowest scores on the "vegetarian" were associated with significantly a higher likelihood of indications of ADHD symptoms (OR = 0.67, 95% CI = 0.56-0.79). CONCLUSIONS: This study showed that preschoolers tend to choose unhealthy dietary pattern in Ma'anshan, China. "Processed" and "snack" dietary patterns were significantly and positively correlated with ADHD symptoms, while "vegetarian" dietary patterns were negatively correlated with ADHD symptoms. SN - 1476-5640 UR - https://www.unboundmedicine.com/medline/citation/29535404/Dietary_patterns_are_associated_with_attention_deficit/hyperactivity_disorder__ADHD__symptoms_among_preschoolers_in_mainland_China_ L2 - https://doi.org/10.1038/s41430-018-0131-0 DB - PRIME DP - Unbound Medicine ER -