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儿童抗氧化状态与注意力缺陷多动障碍之间的关系

Relationship between Antioxidant Status and Attention Deficit Hyperactivity Disorder Among Children.

作者信息

Nasim Sorraya, Naeini Amirmansour Alavi, Najafi Mostafa, Ghazvini Mohammadreza, Hassanzadeh Akbar

机构信息

Department of Community Nutrition, School of Nutrition and Food Science and Food Security Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.

Department of Psychiatry, Faculty of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

Int J Prev Med. 2019 Apr 3;10:41. doi: 10.4103/ijpvm.IJPVM_80_18. eCollection 2019.

Abstract

BACKGROUND

Attention deficit hyperactivity disorder (ADHD) is one of the prevalent neuropsychiatric disorders in childhood. In general, diagnoses of ADHD include inattention, hyperactivity, and impulsivity. Recent studies have reported increased oxidative stress in psychiatric disorders such as ADHD, but the results are conflicting. This research aimed to study the relationship between antioxidant status and ADHD in children of 6-13 years old.

METHODS

From schools, 32 ADHD students whose diseases were diagnosed by child and adolescence psychiatrist based on Diagnostic and Statistical Manual of Mental Disorders-IV index were recruited; moreover, 32 healthy subjects, which according to the medical history questionnaire of psychiatric disorder had not had chronic disease, were selected. Total antioxidant capacity (TAC), catalase (CAT), glutathione (GSH), and malondiadehyde (MDA) were measured. General information, health history, and medication history were collected. All participants completed a 168-item food frequency questionnaire. Dietary intakes of antioxidants were obtained through this questionnaire.

RESULTS

There was no significant difference between mean of energy intake and Zn, Se, vitamin E, C, and β-carotene as antioxidants between the two groups. The mean of serum TAC, GSH level, and CAT level in the patients were significantly lower than the healthy group ( < 0.001), but the mean of MDA was not significantly different between the two groups ( = 0.18).

CONCLUSIONS

The result of this study indicates that, in ADHD, the serum levels of GSH, CAT, and TAC decrease; the level of antioxidant in the serum has been compromised to fight oxidative stress. More perspective studies with large sample sizes are essential to confirm these findings.

摘要

背景

注意力缺陷多动障碍(ADHD)是儿童期常见的神经精神疾病之一。一般来说,ADHD的诊断包括注意力不集中、多动和冲动。最近的研究报告了ADHD等精神疾病中氧化应激增加,但结果相互矛盾。本研究旨在探讨6至13岁儿童抗氧化状态与ADHD之间的关系。

方法

从学校招募了32名经儿童和青少年精神科医生根据《精神疾病诊断与统计手册》第四版指标诊断为ADHD的学生;此外,根据精神疾病病史问卷选择了32名无慢性疾病的健康受试者。测量了总抗氧化能力(TAC)、过氧化氢酶(CAT)、谷胱甘肽(GSH)和丙二醛(MDA)。收集了一般信息、健康史和用药史。所有参与者完成了一份168项的食物频率问卷。通过该问卷获得抗氧化剂的膳食摄入量。

结果

两组之间作为抗氧化剂的能量摄入量以及锌、硒、维生素E、C和β-胡萝卜素的平均值没有显著差异。患者血清TAC、GSH水平和CAT水平的平均值显著低于健康组(<0.001),但两组之间MDA的平均值没有显著差异(=0.18)。

结论

本研究结果表明,在ADHD中,血清GSH、CAT和TAC水平降低;血清中的抗氧化剂水平已受到损害,无法抵抗氧化应激。需要更多大样本的前瞻性研究来证实这些发现。

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