【摘要】：目的探討營養(yǎng)和膳食因素對(duì)兒童注意力缺陷多動(dòng)障礙(ADHD)的影響。方法通過橫斷面調(diào)查,整群隨機(jī)抽樣選取上海、昆山和無錫幼兒園3~7歲兒童417名,男女各半,通過Conners父母用癥狀問卷調(diào)查,計(jì)算多動(dòng)指數(shù)及注意力缺陷多動(dòng)障礙患病率,應(yīng)用膳食頻率調(diào)查問卷調(diào)查半年內(nèi)各類食物攝入量,采用偏相關(guān)和線性回歸方法分析營養(yǎng)、膳食因素對(duì)兒童注意力缺陷多動(dòng)障礙的影響。結(jié)果 417名兒童ADHD的患病率為3.2%,性別、地區(qū)間差異均無統(tǒng)計(jì)學(xué)意義。對(duì)膳食種類的偏相關(guān)分析發(fā)現(xiàn):肉類加工品和咸味零食的攝入量與多動(dòng)指數(shù)之間呈正相關(guān)(P0.05),蔬菜、雜糧、水產(chǎn)品、牛羊肉和牛奶等攝入量與多動(dòng)指數(shù)呈負(fù)相關(guān)(P0.05)。對(duì)營養(yǎng)素的回歸分析發(fā)現(xiàn):鈣與多動(dòng)指數(shù)呈負(fù)相關(guān)(P0.05)。結(jié)論兒童的營養(yǎng)和膳食為ADHD的環(huán)境影響因素。
[Abstract]:Objective to investigate the effects of nutrition and dietary factors on attention deficit hyperactivity disorder (ADHD) in children. Methods A total of 417 children (half male and half male) aged from 37 years old in Shanghai Kunshan and Wuxi kindergartens were randomly selected by cross-sectional investigation. The hyperactivity index and the prevalence rate of attention deficit hyperactivity disorder (ADHD) were calculated by questionnaire survey of Conners parents. The effects of nutrition and dietary factors on children's attention deficit hyperactivity disorder (ADHD) were analyzed by means of partial correlation and linear regression. Results the prevalence rate of ADHD in 417 children was 3.2. There was no significant difference between sex and region. The partial correlation analysis of dietary types showed that the intake of meat processed products and salty snacks was positively correlated with the hyperactivity index (P0.05), vegetables, cereals, aquatic products, etc. The intake of beef, mutton and milk was negatively correlated with hyperactivity index (P0.05). Regression analysis of nutrients found that calcium and hyperactivity index were negatively correlated (P0.05). Conclusion the nutrition and diet of children are the environmental factors of ADHD.
【作者單位】： 復(fù)旦大學(xué)公共衛(wèi)生學(xué)院營養(yǎng)與食品衛(wèi)生教研室公共衛(wèi)生安全教育部重點(diǎn)實(shí)驗(yàn)室;上海幼兒園;江蘇省昆山市衛(wèi)生監(jiān)督所;無錫市南長(zhǎng)區(qū)疾病預(yù)防控制中心;
【基金】：國家自然科學(xué)基金(No.30972474) 復(fù)旦大學(xué)本科生學(xué)術(shù)研究資助計(jì)劃(FDUROP)-望道項(xiàng)目(No.12062)
【分類號(hào)】：R749.94

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