Correlation between attention deficit hyperactivity disorder and sugar consumption, quality of diet, and dietary behavior in school children

Kim, Yujeong; Hyeja, Chang

doi:10.4162/nrp.2011.5.3.236

Cited by 54 publications

(42 citation statements)

References 11 publications

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“…Sweet foods are relevant to sucrose that could produce a rapid rise of blood glucose, which in turn induces a rapid fall to a level that disrupts brain function (11,34) . Less sugar from fruit snacks and/or lower vitamin C intake has been reported to have a positive association with the risk for attention-deficit hyperactivity disorder in school-aged Korean children (35) , although the adverse influence of sugar is not clear (34) . Glucose may need a shorter period of time to respond to human body needs than micronutrients (34) .…”

Section: Discussionmentioning

confidence: 99%

Dietary patterns and weight status associated with behavioural problems in young children

Ahn

Chang

et al. 2013

Public Health Nutr.

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Objective: To investigate the associations of behavioural problems with dietary patterns and weight status in young children. Design: We assessed poor social skills and behavioural problems with a seventysix-item Preschool and Kindergarten Behavior Scale (PKBS) and found three dietary patterns ('Korean healthy', 'animal foods' and 'sweets') in food/food group intake data assessed by an FFQ and analysed using factor analysis. Multiple logistic regression analyses were used to assess the association of diet and weight status with behaviour. Setting: Pre-schools in the metropolitan areas of Korea. Subjects: A total of 1458 children (mean age 5?2 (SD 0?9) years) from the Practical Approach for Better Maternal and Child Nutrition and Health Study conducted from 2001 to 2005. Results: The 'Korean healthy' pattern showed a significant inverse association with poor social skills in the second highest quartile group (OR 5 0?42; 95 % CI 0?21, 0?82) compared with the lowest quartile group for boys. For girls, the 'sweets' pattern was associated with a greater risk of poor social skills (OR 5 3?41; 95 % CI 1?29, 9?01 at Q4 v. Q1) and problem behaviours (OR 5 2?80; 95 % CI 1?05, 7?43 at Q4 v. Q1). Regarding weight status, both underweight and overweight boys had a higher risk of poor social skills than normal-weight boys. Conclusions: Dietary patterns and weight status are important indicators for the behaviour of young children. Healthy and unhealthy dietary patterns, underweight and overweight status, and gender differences should thus be considered for further studies.

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Section: Discussionmentioning

confidence: 99%

Dietary patterns and weight status associated with behavioural problems in young children

Ahn

Chang

et al. 2013

Public Health Nutr.

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“…There are studies that have suggested that children with ADHD have lower levels of zinc and copper, 22 as well as a decreased intake of Vitamin C. 23 It is possible that dietary intake in children with ADHD may be an unidentified confounder for constipation and fecal incontinence.…”

Section: Figurementioning

confidence: 99%

Association of Constipation and Fecal Incontinence With Attention-Deficit/Hyperactivity Disorder

et al. 2013

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WHAT'S KNOWN ON THIS SUBJECT: Several studies have shown that behavioral problems can be associated with defecation and voiding disorders, although few studies have looked directly at a link between a diagnosis of attention-deficit/hyperactivity disorder (ADHD) and constipation or fecal incontinence. WHAT THIS STUDY ADDS:We identified an increased risk for both constipation and fecal incontinence in children with ADHD. In patients with concomitant ADHD and defecation disorders, more aggressive medical and behavioral treatment of the constipation or fecal incontinence may be warranted. abstract OBJECTIVE: Functional constipation and fecal incontinence are common childhood gastrointestinal conditions. Both conditions may be associated with behavioral problems. Attention-deficit/hyperactivity disorder (ADHD) is the most common behavioral disorder of childhood, characterized by shortened attention span and hyperactivity. We hypothesize that a diagnosis of ADHD increases the risk for functional constipation and fecal incontinence. METHODS:A retrospective cohort study of children was performed by using the military health system database. Children of active-duty military personnel, aged 4 to 12 years, from October 2005 to September 2007, were included. ADHD, constipation, and fecal incontinence were identified by International Classification of Diseases, Ninth Revision, Clinical Modification diagnostic codes. Relative risks and adjusted incidence rate ratios (IRRs) were calculated. A subgroup analysis of subjects receiving medical therapy was performed.RESULTS: There were 742 939 children identified in the study, 32 773 (4.4%) of whom had ADHD. Children with ADHD had an increased prevalence of constipation (4.1% of children with ADHD vs 1.5% children without ADHD; P , .001) and fecal incontinence (0.9% of children with ADHD vs 0.15% of children without ADHD; P , .0001). Children with ADHD had more visits than those without ADHD for both constipation (IRR 3.39; 95% confidence interval 2.59-4.43) and fecal incontinence (IRR 7.74; 95% confidence interval 5.01-11.98). Children with ADHD receiving medicinal therapy did not differ significantly from children with ADHD not receiving medicinal therapy on rates of constipation visits (P = .57) or fecal incontinence visits (P = .32). CONCLUSIONS:Children with ADHD are significantly more likely to have constipation and fecal incontinence. Medical therapy for ADHD does not impact visit rates for defecation disorders.

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“…Balanced nutrition is important during childhood and adolescence, which are periods of growth, development of body functions, and social cognitive ability (3). Behavioral and social skills achieved in childhood may determine the person's ability to cope with the many demands of modern society (4).…”

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confidence: 99%

Diet and behavioral problems at school in Norwegian adolescents

Øverby

Høigaard

2012

Food & Nutrition Research

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BackgroundDiscussion about dietary factors in relation to behavioral problems in children and adolescents has been going on for a long time.ObjectiveThe aim of this study was to investigate the cross-sectional relation between diet and self-reported behavioral problems at school in adolescents in the southern part of Norway.DesignIn total, 475 ninth- and tenth-grade students (236 boys and 239 girls) out of 625 eligible students from four different secondary schools in three different communities in Vest-Agder County, Norway, participated, giving a participation rate of 77%. The students filled in a questionnaire with food frequency questions of selected healthy (e.g. fruits, vegetables, and fish) and unhealthy (e.g. sweets, sugar-sweetened beverages, and crisps) food items, questions of meal frequency, and four questions regarding behavioral problems at school.ResultsHaving breakfast regularly was significantly associated with decreased odds of behavioral problems (OR: 0.29 (0.15 − 0.55), p≤0.001). A high intake of unhealthy foods, such as sugar-sweetened soft drinks (OR: 2.8 (1.06 − 7.42), p=0.03) and sweets (OR: 2.63 (1.39 − 4.98), p=0.003), was significantly associated with increased odds of behavioral problems. At the same time, a high intake of fruits was associated with decreased odds of behavioral problems in Norwegian adolescents (OR: 0.30 (0.10 − 0.87), p=0.03). All ORs are adjusted for sex and BMI.ConclusionsThis study shows that having an optimal diet and not skipping meals are associated with decreased odds of behavioral problems at school in Norwegian adolescents. Hence, it is important to improve the dietary intake and meal pattern of Norwegian adolescents. The cross-sectional design of this study limits any causal interpretations of the results of the study.

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Correlation between attention deficit hyperactivity disorder and sugar consumption, quality of diet, and dietary behavior in school children

Cited by 54 publications

References 11 publications

Dietary patterns and weight status associated with behavioural problems in young children

Dietary patterns and weight status associated with behavioural problems in young children

Association of Constipation and Fecal Incontinence With Attention-Deficit/Hyperactivity Disorder

Diet and behavioral problems at school in Norwegian adolescents

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