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Dietary patterns are associated with attention-deficit hyperactivity disorder (ADHD) symptoms among preschoolers in
Kyung-Shin Lee1,2, Yoon-Jung Choi1,2, Youn-Hee Lim2,3
1Department of Preventive Medicine, Seoul National University College of Medicine, Seoul, South Korea.
Insights
A sweet diet in young children is linked to increased attention deficit hyperactivity disorder (ADHD) symptoms. Conversely, a vegetable-rich diet may reduce ADHD risk, highlighting diet
Area of Science:
- Pediatric Neurobehavioral Disorders
- Nutritional Psychiatry
- Child Psychology
Background:
- Attention-deficit hyperactivity disorder (ADHD) is a common neurobehavioral condition in children, with limited research on dietary influences in Asian preschool populations.
- Understanding the impact of early childhood diet on ADHD development is crucial for preventative strategies.
Purpose of the Study:
- To investigate the association between dietary patterns in 4-year-old children and the emergence of ADHD symptoms at age 6.
- To explore specific food group contributions to ADHD risk in early childhood.
Main Methods:
- Dietary intake of 4-year-olds was assessed using a food frequency questionnaire, analyzing 33 food groups.
- Major dietary patterns were identified, focusing on sweets, vegetables, meats, and carbohydrates.
- ADHD symptoms in 6-year-olds were evaluated using the Korean version of the ADHD Rating Scale.
Main Results:
- A sweet dietary pattern was significantly associated with increased risk for attention deficit, hyperactivity, and overall ADHD symptoms (RR 1.37, CI 1.23-1.52).
- Consumption of sweets like chocolate, chips, and fruit jams showed a positive correlation with AD, hyperactivity, and ADHD symptoms.
- A vegetable-rich dietary pattern was linked to a reduced risk of ADHD symptoms (RR 0.81, CI 0.72-0.90).
Conclusions:
- Dietary patterns, particularly high intake of sweets, are associated with a greater risk of ADHD symptoms in children.
- A vegetable-rich diet may play a protective role against ADHD development.
- These findings underscore the importance of dietary factors in understanding and potentially managing ADHD.
Objectives:
Attention-deficit hyperactivity disorder (ADHD) is a prevalent neurobehavioral disorder in children. There are limited studies for diet or dietary supplement effects on ADHD in preschool children in Asia. This study aimed to determine the association between dietary patterns in 4-year-old children and ADHD symptoms in 6-year-old children.
Methods:
We estimated dietary intake in 4-year-old children using a food frequency questionnaire. Using 33 food groups, major dietary patterns were identified in relation to the consumption of sweets, vegetables, meats, and carbohydrates. Parents of 6-year-old children used the Korean version of the ADHD Rating Scale for ADHD symptom assessment.
Results:
A sweet dietary pattern was associated with a higher risk of attention deficit (AD) (relative risk [RR], 1.34; confidence interval [CI], 1.17-1.55), hyperactivity (RR, 1.40; CI, 1.19-1.64), and ADHD symptoms (RR, 1.37; CI, 1.23-1.52). A vegetable dietary pattern was associated with a lower risk of ADHD symptoms (RR, 0.81; CI, 0.72-0.90). Food item analysis of the sweet dietary pattern showed that intake scores for chocolate, chips, and fruit jams positively correlated with AD, hyperactivity, and ADHD symptoms.
Discussion:
These findings can be useful to further understand the roles of dietary factors in ADHD.
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