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营养表观遗传学教育改善了自闭症或注意力缺陷多动障碍儿童家长的饮食和态度。

Nutritional epigenetics education improves diet and attitude of parents of children with autism or attention deficit/hyperactivity disorder.

作者信息

Dufault Renee J, Adler Katherine M, Carpenter David O, Gilbert Steven G, Crider Raquel A

机构信息

College of Graduate Health Studies, A.T. Still University, Kirksville, MO 63501, United States.

Department of Research, Food Ingredient and Health Research Institute, Naalehu, HI 96772, United States.

出版信息

World J Psychiatry. 2024 Jan 19;14(1):159-178. doi: 10.5498/wjp.v14.i1.159.

Abstract

BACKGROUND

Unhealthy maternal diet leads to heavy metal exposures from the consumption of ultra-processed foods that may impact gene behavior across generations, creating conditions for the neurodevelopmental disorders known as autism and attention deficit/hyperactivity disorder (ADHD). Children with these disorders have difficulty metabolizing and excreting heavy metals from their bloodstream, and the severity of their symptoms correlates with the heavy metal levels measured in their blood. Psychiatrists may play a key role in helping parents reduce their ultra-processed food and dietary heavy metal intake by providing access to effective nutritional epigenetics education.

AIM

To test the efficacy of nutritional epigenetics instruction in reducing parental ultra-processed food intake.

METHODS

The study utilized a semi-randomized test and control group pretest-posttest pilot study design with participants recruited from parents having a learning-disabled child with autism or ADHD. Twenty-two parents who met the inclusion criteria were randomly selected to serve in the test ( = 11) or control ( = 11) group. The test group participated in the six-week online nutritional epigenetics tutorial, while the control group did not. The efficacy of the nutritional epigenetics instruction was determined by measuring changes in parent diet and attitude using data derived from an online diet survey administered to the participants during the pre and post intervention periods. Diet intake scores were derived for both ultra-processed and whole/organic foods. Paired sample -tests were conducted to determine any differences in mean diet scores within each group.

RESULTS

There was a significant difference in the diet scores of the test group between the pre- and post-intervention periods. The parents in the test group significantly reduced their intake of ultra-processed foods with a pre-intervention diet score of 70 (mean = 5.385, SD = 2.534) and a post-intervention diet score of 113 (mean = 8.692, SD = 1.750) and the paired -test analysis showing a significance of < 0.001. The test group also significantly increased their consumption of whole and/or organic foods with a pre-intervention diet score of 100 (mean = 5.882, SD = 2.472) and post-intervention diet score of 121 (mean = 7.118, SD = 2.390) and the paired -test analysis showing a significance of < 0.05.

CONCLUSION

Here we show nutritional epigenetics education can be used to reduce ultra-processed food intake and improve attitude among parents having learning-disabled children with autism or ADHD.

摘要

背景

不健康的孕产妇饮食会导致因食用超加工食品而接触重金属,这可能会影响多代人的基因行为,为自闭症和注意力缺陷多动障碍(ADHD)等神经发育障碍创造条件。患有这些疾病的儿童难以从血液中代谢和排出重金属,其症状的严重程度与血液中检测到的重金属水平相关。精神科医生可以通过提供有效的营养表观遗传学教育,在帮助父母减少超加工食品和膳食重金属摄入量方面发挥关键作用。

目的

测试营养表观遗传学指导在减少父母超加工食品摄入量方面的效果。

方法

该研究采用半随机试验和对照组干预前后的试点研究设计,参与者从患有自闭症或多动症学习障碍儿童的父母中招募。随机选择22名符合纳入标准的父母,分别进入试验组(n = 11)或对照组(n = 11)。试验组参加了为期六周的在线营养表观遗传学教程,而对照组没有。营养表观遗传学指导的效果通过在干预前后对参与者进行在线饮食调查所获得的数据来衡量父母的饮食和态度变化来确定。得出了超加工食品和全食/有机食品的饮食摄入分数。进行配对样本t检验以确定每组内平均饮食分数的任何差异。

结果

试验组干预前后的饮食分数存在显著差异。试验组的父母显著减少了超加工食品的摄入量,干预前饮食分数为70(平均值 = 5.385,标准差 = 2.534),干预后饮食分数为113(平均值 = 8.692,标准差 = 1.750),配对t检验分析显示p < 0.001具有显著性。试验组还显著增加了全食和/或有机食品的消费量,干预前饮食分数为100(平均值 = 5.882,标准差 = 2.472),干预后饮食分数为121(平均值 = 7.118,标准差 = 2.390),配对t检验分析显示p < 0.05具有显著性。

结论

我们在此表明,营养表观遗传学教育可用于减少患有自闭症或多动症学习障碍儿童的父母的超加工食品摄入量并改善其态度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95bc/10845225/423901b46c00/WJP-14-159-g001.jpg

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