Buka Irena, Osornio-Vargas Alvaro, Clark Brenda
Pediatric Environmental Health Centre, Misericordia Hospital, University of Alberta, Edmonton, Alberta;
Paediatr Child Health. 2011 Aug;16(7):e54-6. doi: 10.1093/pch/16.7.e54.
In recent decades, changing lifestyles in Canadian homes has led to demand for foods with long shelf lives that are cosmetically appealing, palatable, easy to prepare and to consume. Food additives, especially preservatives and artificial colours as well as suboptimal intake of essential nutrients, have been linked to hyperactive behaviours and poor attention in a subgroup of children. Although other risk factors (ie, genetic, etc) for these conditions have received more attention in the scientific literature, the authors believe that there is enough evidence to consider dietary influences as a modifiable risk factor. This would involve raising awareness among clinicians and, subsequently, reviewing food regulatory processes to better protect children in Canada - similar to the regulations recently undertaken by the British Food Standards Agency. Conflicts of interest due to food and medication industry support for organizations advocating for children would need to be resolved by open communication between government regulatory agencies, academia and industry. Canadian parents and children need to be advised to limit unnecessary food additives and consume a diet rich in essential nutrients while more complete relationships are being explored further.
近几十年来，加拿大家庭生活方式的改变导致人们对保质期长、外观诱人、口感良好、易于准备和食用的食品产生了需求。食品添加剂，尤其是防腐剂和人工色素，以及必需营养素摄入不足，与一部分儿童的多动行为和注意力不集中有关。尽管这些情况的其他风险因素（如遗传等）在科学文献中受到了更多关注，但作者认为有足够的证据将饮食影响视为一个可改变的风险因素。这将包括提高临床医生的认识，并随后审查食品监管程序，以更好地保护加拿大的儿童——类似于英国食品标准局最近实施的规定。食品和制药行业对倡导儿童权益组织的支持所引发的利益冲突，需要通过政府监管机构、学术界和行业之间的公开沟通来解决。在进一步探索更完整的关系时，需要建议加拿大的家长和儿童限制不必要的食品添加剂，并食用富含必需营养素的饮食。
