Marí-Bauset Salvador, Llopis-González Agustín, Zazpe Itziar, Marí-Sanchis Amelia, Suárez-Varela María Morales
a Unit of Public Health and Environmental Care, Department of Preventive Medicine , University of Valencia , Valencia , Spain.
b Biomedical Research Center Network on Epidemiology and Public Health (CIBERESP) , Institute of Health Carlos III , Madrid , Spain.
Nutr Neurosci. 2016 Nov;19(9):377-386. doi: 10.1179/1476830515Y.0000000029. Epub 2015 May 28.
Children with autism spectrum disorder (ASD) have been found to have alterations in dietary fat intake and fat quality. The fat intakes of the foods consumed by children with and without ASD were compared, and the deficiency and excess of these nutrients were examined.
In a matched case-control study, 3-day food diaries were completed by 105 children with ASD and 495 typically developing (TD) 6- to 9-year-old children in Valencia (Spain). We used the probabilistic approach and estimated average requirement cut-point to evaluate the risk of inadequate nutrients intakes. These were compared between groups and with Spanish recommendations using linear and logistic regression, respectively.
Groups did not differ significantly in age, total dietary intake, Healthy Eating Index, or food variety score. Children with ASD had lower saturated fatty acids (SFAs) and ω-3 polyunsaturated fatty acids (PUFAs) intakes, but their total PUFAs and (PUFAs + monounsaturated fatty acids (MUFAs)/SFAs, PUFAs/SFAs intakes and ω-6/ω-3 ratios were higher than TD children. The total fat and cholesterol intakes of both groups were slightly above Spanish recommendations. Both groups had low ω-6 intakes, very low ω-3 intakes, and high ω-6/ω-3 ratios.
Further research is required to clarify associations between ASD symptomatology, fat-eating patterns and health status.
已发现自闭症谱系障碍(ASD)儿童的膳食脂肪摄入量和脂肪质量存在改变。比较了患ASD和未患ASD儿童所食用食物的脂肪摄入量,并检查了这些营养素的缺乏和过量情况。
在一项匹配病例对照研究中,西班牙巴伦西亚的105名ASD儿童和495名6至9岁发育正常(TD)儿童完成了3天的食物日记。我们采用概率方法并估计平均需求量切点来评估营养素摄入不足的风险。分别使用线性回归和逻辑回归对两组之间以及与西班牙建议值进行比较。
两组在年龄、总膳食摄入量、健康饮食指数或食物种类得分方面无显著差异。ASD儿童的饱和脂肪酸(SFA)和ω-3多不饱和脂肪酸(PUFA)摄入量较低,但其总PUFA以及(PUFA + 单不饱和脂肪酸(MUFA)/SFA)、PUFA/SFA摄入量和ω-6/ω-3比值高于TD儿童。两组的总脂肪和胆固醇摄入量均略高于西班牙建议值。两组的ω-6摄入量均较低,ω-3摄入量极低,且ω-6/ω-3比值较高。
需要进一步研究以阐明ASD症状、脂肪摄入模式与健康状况之间的关联。