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自闭症谱系障碍患者的营养摄入量和膳食抗氧化能力的测定:一项病例对照研究。

Determination of Nutrient Intake and Dietary Antioxidant Capacity in Autism Spectrum Disorder: A Case-Control Study.

机构信息

Nutrition and Dietetics Department, Faculty of Health Sciences, Gazi University, Emek, Ankara, Turkey.

出版信息

J Autism Dev Disord. 2024 Jun;54(6):2322-2332. doi: 10.1007/s10803-023-05925-8. Epub 2023 Mar 30.

Abstract

The aim of this study was to evaluate the nutrient intake and dietary antioxidant capacity of children and adolescents with ASD. The study included 38 children and adolescents with ASD aged 6-18 years and 38 gender and age-matched peers without ASD. Caregivers of participants who met inclusion criteria completed a questionnaire form, three-day food consumption record and antioxidant nutrient questionnaire. There were 26 (68.4%) boys and 12 (31.6%) girls in both groups and mean age of participants with and without ASD was 10.9 ± 4.03 years versus 11.1 ± 4.09 years, respectively. The average intake of carbohydrates, vitamin D, calcium, sodium and selenium was lower in participants with ASD than in participants without ASD (p < 0.05). In both groups, dietary fiber, vitamin D, potassium, calcium and selenium intake insufficiency were high, and there was a significant difference between the two groups in terms of carbohydrate, omega 3, vitamin D and sodium intake insufficiency. Considering the antioxidant intakes of the participants, the median value of dietary antioxidant capacity from food consumption record of participants with and without ASD was 3.2 (1.9) mmol versus 4.3 (1.9) mmol, respectively, whereas the dietary antioxidant capacity from antioxidant nutrient questionnaire was 3.5 (2.9) mmol versus 4.8 (2.7) mmol, respectively (p < 0.05). It is predicted that providing nutritional counseling and regulation of diet, especially keeping the antioxidant capacity of diets high, may be effective in reducing some of the symptoms of ASD.

摘要

本研究旨在评估 ASD 儿童和青少年的营养摄入和饮食抗氧化能力。研究纳入了 38 名 6-18 岁的 ASD 儿童和青少年,以及 38 名性别和年龄匹配的非 ASD 儿童。符合纳入标准的参与者的照顾者完成了一份问卷表格、三天的食物消费记录和抗氧化营养素问卷。两组参与者中分别有 26 名(68.4%)男孩和 12 名(31.6%)女孩,有 ASD 和无 ASD 儿童的平均年龄分别为 10.9±4.03 岁和 11.1±4.09 岁。与无 ASD 儿童相比,有 ASD 儿童的碳水化合物、维生素 D、钙、钠和硒的平均摄入量较低(p<0.05)。在两组中,膳食纤维、维生素 D、钾、钙和硒的摄入量不足都很高,且两组之间在碳水化合物、ω-3、维生素 D 和钠的摄入量不足方面存在显著差异。考虑到参与者的抗氧化剂摄入量,有 ASD 和无 ASD 儿童的食物消费记录中的饮食抗氧化能力中位数分别为 3.2(1.9)mmol 和 4.3(1.9)mmol,而抗氧化营养素问卷中的饮食抗氧化能力中位数分别为 3.5(2.9)mmol 和 4.8(2.7)mmol(p<0.05)。预测提供营养咨询和饮食调节,特别是保持饮食的抗氧化能力较高,可能有助于减轻 ASD 的一些症状。

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