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自闭症儿童和发育正常儿童的饮食模式与体重指数

Dietary Patterns and Body Mass Index in Children with Autism and Typically Developing Children.

作者信息

Evans E Whitney, Must Aviva, Anderson Sarah E, Curtin Carol, Scampini Renee, Maslin Melissa, Bandini Linda

机构信息

Tufts University Friedman School of Nutrition Science and Policy, 150 Harrison Ave, Boston, MA 02111.

出版信息

Res Autism Spectr Disord. 2012;6(1):399-405. doi: 10.1016/j.rasd.2011.06.014.

Abstract

To determine whether dietary patterns (juice and sweetened non-dairy beverages, fruits, vegetables, fruits & vegetables, snack foods, and kid's meals) and associations between dietary patterns and body mass index (BMI) differed between 53 children with autism spectrum disorders (ASD) and 58 typically developing children, ages 3 to 11, multivariate regression models including interaction terms were used. Children with ASD were found to consume significantly more daily servings of sweetened beverages (2.6 versus 1.7, p=0.03) and snack foods (4.0 versus 3.0, p=0.01) and significantly fewer daily servings of fruits and vegetables (3.1 versus 4.4, p=0.006) than typically developing children. There was no evidence of statistical interaction between any of the dietary patterns and BMI z-score with autism status. Among all children, fruits and vegetables (p=0.004) and fruits alone (p=0.005) were positively associated with BMI z-score in our multivariate models. Children with ASD consume more energy-dense foods than typically developing children; however, in our sample, only fruits and vegetables were positively associated with BMI z-score.

摘要

为了确定53名患有自闭症谱系障碍(ASD)的儿童与58名3至11岁发育正常的儿童在饮食模式(果汁和甜味非乳类饮料、水果、蔬菜、水果和蔬菜、休闲食品以及儿童餐)以及饮食模式与体重指数(BMI)之间的关联是否存在差异,使用了包含交互项的多元回归模型。结果发现,与发育正常的儿童相比,患有ASD的儿童每天饮用的甜味饮料份数显著更多(2.6份对1.7份,p = 0.03),休闲食品份数也显著更多(4.0份对3.0份,p = 0.01),而每天食用的水果和蔬菜份数则显著更少(3.1份对4.4份,p = 0.006)。没有证据表明任何饮食模式与BMI z评分之间存在与自闭症状态相关的统计学交互作用。在所有儿童中,在我们的多元模型中,水果和蔬菜(p = 0.004)以及单独的水果(p = 0.005)与BMI z评分呈正相关。患有ASD的儿童比发育正常的儿童摄入更多高能量密度食物;然而,在我们的样本中,只有水果和蔬菜与BMI z评分呈正相关。

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