含糖饮料消费与学龄前儿童行为问题有关：中国基于人群的横断面研究。
Sugar-sweetened beverages consumption are associated with behavioral problems among preschoolers: A population based cross-sectional study in China.
机构信息
Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, No 81 Meishan Road, Hefei 230032, Anhui, China; MOE Key Laboratory of Population Health Across Life Cycle, No 81 Meishan Road, Hefei 230032, Anhui, China; NHC Key Laboratory of Study on Abnormal Gametes and Reproductive Tract, No 81 Meishan Road, Hefei 230032, Anhui, China; Anhui Provincial Key Laboratory of Population Health and Aristogenics, Anhui Medical University, No 81 Meishan Road, Hefei 230032, Anhui, China.
Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, No 81 Meishan Road, Hefei 230032, Anhui, China; MOE Key Laboratory of Population Health Across Life Cycle, No 81 Meishan Road, Hefei 230032, Anhui, China; NHC Key Laboratory of Study on Abnormal Gametes and Reproductive Tract, No 81 Meishan Road, Hefei 230032, Anhui, China; Anhui Provincial Key Laboratory of Population Health and Aristogenics, Anhui Medical University, No 81 Meishan Road, Hefei 230032, Anhui, China.
出版信息
J Affect Disord. 2020 Mar 15;265:519-525. doi: 10.1016/j.jad.2020.01.076. Epub 2020 Jan 21.
BACKGROUND
Previous researches showed a positive association between sugar-sweetened beverages (SSB) and behavioral problems, but there is a little known in Chinese preschoolers.
METHODS
A population based survey was conducted in 109 kindergartens, in 11 cities across China. Children's SSB consumption was assessed by questionnaires completed by caregivers. The Strengths and Difficulties Questionnaire (SDQ) and the Clancy Autism Behavior Scale (CABS) were used to assessing the children's behavioral problems.
RESULT
The prevalence of SSB consumption ≥ 1 time/day was 24.9%. The adjusted odds ratios (95% confidence interval) of having elevated total difficulties by increasing levels of SSB consumption were 1.00, 1.13 (1.05, 1.22) and 1.24 (1.10, 1.41) (P for trend < 0.001), respectivly. Similar results were found in emotional symptoms, conduct problems, peer problems, and CABS. No significantly increased the risk of hyperactivity and prosocial were observed for higher SSB consumption. No gender differences were found in these associations.
LIMITATIONS
This is a cross-sectional survey and the causal relationship is unclear.
CONCLUSIONS
Higher SSB consumption is positively associated with behavioral problems among preschoolers in China.
背景
先前的研究表明，含糖饮料（SSB）与行为问题之间存在正相关关系，但在中国学龄前儿童中知之甚少。
方法
在中国 11 个城市的 109 所幼儿园进行了一项基于人群的调查。通过照顾者填写的问卷评估儿童 SSB 的消费情况。使用《长处与困难问卷》（SDQ）和《克兰西自闭症行为量表》（CABS）评估儿童的行为问题。
结果
SSB 消费≥1 次/天的患病率为 24.9%。随着 SSB 消费水平的增加，总困难程度升高的调整优势比（95%置信区间）分别为 1.00、1.13（1.05，1.22）和 1.24（1.10，1.41）（P 趋势<0.001）。在情绪症状、行为问题、同伴问题和 CABS 中也发现了类似的结果。对于更高的 SSB 消费，并未观察到多动和亲社会行为风险显著增加。在这些关联中未发现性别差异。
局限性
这是一项横断面调查，因果关系尚不清楚。
结论
较高的 SSB 消费与中国学龄前儿童的行为问题呈正相关。
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