自闭症谱系障碍儿童中含糖饮料和牛奶摄入量与情绪及行为问题之间的关联。
The association between sugar-sweetened beverages and milk intake with emotional and behavioral problems in children with autism spectrum disorder.
作者信息
Tan Si, Pan Ning, Xu Xiaoyu, Li Hailin, Lin Lizi, Chen Jiajie, Jin Chengkai, Pan Shuolin, Jing Jin, Li Xiuhong
机构信息
Department of Maternal and Child Health, School of Public Health, Sun Yat-sen University, Guangzhou, China.
Guangdong Provincial Engineering Technology Research Center of Environmental Pollution and Health Risk Assessment, Department of Occupational and Environmental Health, School of Public Health, Sun Yat-sen University, Guangzhou, China.
出版信息
Front Nutr. 2022 Aug 4;9:927212. doi: 10.3389/fnut.2022.927212. eCollection 2022.
BACKGROUND
Emotional and behavioral problems are common in children with autism spectrum disorder (ASD). It's still unclear whether children with ASD have abnormal sugar-sweetened beverages (SSBs) and milk intake and whether this abnormality will affect their emotions and behavior remains unclear. The current study aims to investigate the association of SSBs and milk intake with emotional and behavioral problems in children with autism spectrum disorder (ASD).
METHODS
107 children with ASD and 207 typical developing (TD) children aged 6-12 years old were recruited for the study. The frequency of SSBs and milk intake was assessed by a self-designed questionnaire. Emotional and behavioral problems were assessed by Strength and Difficulties Questionnaire (SDQ). Then, the linear regression model was produced to evaluate the association of SSBs and milk intake with emotional and behavioral problems.
RESULTS
In the current study, there was no difference in frequency of SSBs intake between children with ASD and TD children ( > 0.05), and children with ASD consumed less milk compared to TD children ( < 0.05). After adjusting sex, age, maternal and paternal education, and monthly family income, we found a significant difference in each subscale score of SDQ in the two groups ( < 0.05). In children with ASD, higher frequent SSBs intake was positively associated with the scores of the emotional problem ( for trend <0.05), and lower frequent milk intake was inversely associated with the scores of prosocial behavior ( for trend <0.05). No interactive effects were found on SSBs and milk intake with emotional and behavioral problems ( for trend > 0.05).
CONCLUSION
In children with ASD, frequency of SSBs and milk intake was associated with the emotional problem and prosocial behavior, respectively. Children with ASD should increase the frequency of milk intake and decrease the frequency of SSBs intake.
背景
情绪和行为问题在自闭症谱系障碍（ASD）儿童中很常见。目前尚不清楚ASD儿童的含糖饮料（SSB）和牛奶摄入量是否异常，以及这种异常是否会影响他们的情绪和行为。本研究旨在调查ASD儿童中SSB和牛奶摄入量与情绪和行为问题之间的关联。
方法
招募了107名6至12岁的ASD儿童和207名发育正常（TD）儿童参与研究。通过自行设计的问卷评估SSB和牛奶的摄入频率。采用优势与困难问卷（SDQ）评估情绪和行为问题。然后，建立线性回归模型来评估SSB和牛奶摄入量与情绪和行为问题之间的关联。
结果
在本研究中，ASD儿童和TD儿童的SSB摄入频率没有差异（>0.05），与TD儿童相比，ASD儿童的牛奶摄入量较少（<0.05）。在调整性别、年龄、父母教育程度和家庭月收入后，我们发现两组SDQ各子量表得分存在显著差异（<0.05）。在ASD儿童中，较高频率的SSB摄入与情绪问题得分呈正相关（趋势检验<0.05），较低频率的牛奶摄入与亲社会行为得分呈负相关（趋势检验<0.05）。未发现SSB和牛奶摄入量与情绪和行为问题之间存在交互作用（趋势检验>0.05）。
结论
在ASD儿童中，SSB和牛奶的摄入频率分别与情绪问题和亲社会行为相关。ASD儿童应增加牛奶摄入频率，减少SSB摄入频率。
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