Li Ya-Min, Shen Yi-Dong, Li Yong-Jiang, Xun Guang-Lei, Liu Huaqing, Wu Ren-Rong, Xia Kun, Zhao Jing-Ping, Ou Jian-Jun
Clinical Nursing Teaching and Research Section, the Second Xiangya Hospital, Central South University.
Department of Psychiatry & Mental Health Institute of the Second Xiangya Hospital, Central South University, the China National Clinical Research Center for Mental Health Disorders, National Technology Institute of Psychiatry, Key Laboratory of Psychiatry and Mental Health of Hunan Province.
Medicine (Baltimore). 2018 Dec;97(52):e13902. doi: 10.1097/MD.0000000000013902.
The aim of this study was first to investigate associations between maternal dietary patterns and autism spectrum disorders (ASDs) and second to investigate association between maternal supplement intake and ASD.We used a case-control study design to enroll typically developing (TD) children and children with ASD, and data were derived from the Autism Clinical and Environmental Database (ACED).Three seventy four children with AUTISM and 354 age matched TD children were included. The multivariate logistic regression model revealed that maternal unbalanced dietary patterns before conception had a significant increased risk of ASD in offspring (mostly meat: adjusted OR, 4.010 [95% CI, 1.080, 14.887]; mostly vegetable: adjusted OR, 2.234 [95% CI, 1.009, 4.946]); maternal supplementation of calcium during pregnancy preparation was associated with decreased ASD risk (adjusted OR, 0.480 [95% CI, 0.276, 0.836]).This study provided preliminary evidence that maternal unbalanced dietary patterns may be a risk factor for ASD and supplementation of calcium during pregnancy preparation may be inversely associated with ASD in offspring.
本研究的目的,一是调查母亲的饮食模式与自闭症谱系障碍(ASD)之间的关联,二是调查母亲补充剂摄入量与ASD之间的关联。我们采用病例对照研究设计,纳入发育正常(TD)的儿童和患有ASD的儿童,数据来源于自闭症临床与环境数据库(ACED)。研究纳入了374名患有自闭症的儿童和354名年龄匹配的TD儿童。多因素逻辑回归模型显示,受孕前母亲不均衡的饮食模式会显著增加后代患ASD的风险(主要是肉类:调整后的比值比,4.010 [95%置信区间,1.080,14.887];主要是蔬菜:调整后的比值比,2.234 [95%置信区间,1.009,4.946]);孕期准备期间母亲补充钙与ASD风险降低相关(调整后的比值比,0.480 [95%置信区间,0.276,0.836])。本研究提供了初步证据,表明母亲不均衡的饮食模式可能是ASD的一个风险因素,孕期准备期间补充钙可能与后代患ASD呈负相关。