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青少年大脑认知发展研究中自闭症青少年的估计营养摄入量及其与精神和睡眠问题的关联。

Estimated Nutrient Intake and Association With Psychiatric and Sleep Problems in Autistic Youth in the Adolescent Brain Cognitive Development Study.

作者信息

Radoeva Petya D, Li Elizabeth A, Legere Christopher H, Saletin Jared M, Philip Noah S, Dickstein Daniel P

机构信息

Emma Pendleton Bradley Hospital, East Providence, Rhode Island, USA.

Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA.

出版信息

Autism Res. 2025 Jun;18(6):1182-1186. doi: 10.1002/aur.70040. Epub 2025 May 6.

Abstract

Autistic children often consume less varied diets, experience sleep difficulties, and have higher rates of mental health problems as compared to neurotypical peers. Yet, the direct relationship between all of these domains is not well characterized. We leveraged the Adolescent Brain Cognitive Development study (ABCD study) dataset to explore whether estimated levels of consumption of specific macro- and micronutrients correlated with the severity of mental health and sleep problems in autistic youth. We found that low vitamin B3, B6, C, and iron intake was associated with more severe psychiatric problems in autistic children in the ABCD cohort, though these findings did not reach statistical significance after correction for multiple comparisons. In a post hoc analysis, we found that the severity of sleep difficulties was correlated with estimated levels of Vitamins B3, B6, C, and iron intake and with the severity of anxiety/depressive symptoms and/or thought problems. Our analysis on a large number of nutrients, psychiatric symptoms, and sleep serves as an exploratory, initial analysis to identify specific nutrients and psychiatric symptoms that could be the focus of future (confirmatory) studies on the relationship between nutrition, sleep, and mental health in autistic individuals.

摘要

与神经正常的同龄人相比,自闭症儿童的饮食种类往往较少,存在睡眠困难,且心理健康问题的发生率更高。然而,所有这些方面之间的直接关系尚未得到充分描述。我们利用青少年大脑认知发展研究(ABCD研究)数据集,探讨特定宏量营养素和微量营养素的估计摄入量是否与自闭症青少年心理健康和睡眠问题的严重程度相关。我们发现,在ABCD队列中,自闭症儿童维生素B3、B6、C和铁的低摄入量与更严重的精神问题相关,尽管在进行多重比较校正后,这些发现未达到统计学显著性。在一项事后分析中,我们发现睡眠困难的严重程度与维生素B3、B6、C和铁的估计摄入量以及焦虑/抑郁症状和/或思维问题的严重程度相关。我们对大量营养素、精神症状和睡眠的分析是一项探索性的初步分析,旨在确定特定的营养素和精神症状,这些可能成为未来关于自闭症个体营养、睡眠和心理健康之间关系的(验证性)研究的重点。

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