Early ultra-processed foods consumption and hyperactivity/inattention in adolescence
DOI:
https://doi.org/10.11606/s1518-8787.2024058005636Palavras-chave:
Adolescent, Longitudinal Studies, Food AdditivesResumo
OBJECTIVE: To investigate the relationship between childhood consumption of ultra-processed foods and symptoms of hyperactivity/inattention in adolescents from São Leopoldo, a city in southern Brazil.
METHODS: Data were collected at four distinct stages: when participants were 12-16 months old in 2001 and 2002 and later when they were 3–4, 7–8, and 12–13 years old. During the interview at 12–16 months, mothers were asked about the introduction of sugar in their child’s diet. Two 24-hour recall surveys were conducted with children aged 3–4, 7–8, and 12–13 years to assess their consumption of ultra-processed foods. At the age of 12–13 years, the participants completed the Hyperactivity/Inattention subscale of the Strengths and Difficulties Questionnaire (SDQ), which screens for mental health problems.
RESULTS: Among the 173 adolescents, 22.5% exhibited hyperactivity symptoms. The consumption of ultra-processed foods in grams, kilocalories, and as a percentage of energy intake at 3-4 years old were found to be predictors of hyperactivity/inattention symptoms (RR: 0.81, 95%CI: 0.69–0.95; RR: 1.01, 95%CI: 1.00–1.02; RR: 1.02, 95%CI:1.01–1.02; RR: 1.25, 95%CI:1.04–1.51, respectively).
CONCLUSION: The consumption of ultra-processed foods at an early age was associated with hyperactivity and inattention symptoms in adolescence.
Referências
American Psychiatry Association. DSM-V-TR - Manual diagnóstico e estatístico de transtornos mentais. 5a ed. rev. Porto Alegre: Artmed; 2013.
Polanczyk GV, Salum GA, Sugaya LS, Caye A, Rohde LA. Annual research review: A meta-analysis of the worldwide prevalence of mental disorders in children and adolescents. J Child Psychol Psychiatry. 2015 Mar;56(3):345-65. https://doi.org/10.1111/jcpp.12381
San Mauro Martin I, Sanz Rojo S, Garicano Vilar E, González Cosano L, Conty de la Campa R, Blumenfeld Olivares JA. Lifestyle factors, diet and attention-deficit/hyperactivity disorder in Spanish children: an observational study. Nutr Neurosci. 2021 Aug;24(8):614-23. https://doi.org/10.1080/1028415X.2019.1660486
Wang LJ, Yang CY, Chou WJ, Lee MJ, Chou MC, Kuo HC, et al. Gut microbiota and dietary patterns in children with attention-deficit/hyperactivity disorder. Eur Child Adolesc Psychiatry. 2020 Mar;29(3):287-97. https://doi.org/10.1007/s00787-019-01352-2
Johnson RJ, Gold MS, Johnson DR, Ishimoto T, Lanaspa MA, Zahniser NR, et al. Attention-deficit/ hyperactivity disorder: is it time to reappraise the role of sugar consumption? Postgrad Med. 2011 Sep;123(5):39-49. https://doi.org/10.3810/pgm.2011.09.2458
Yulantari NL, Gusti Putu Martha Kusuma I. High Sugar Intake Increases ADHD Symptoms: a literature study. Int J Public Health Excell. 2023;3(1):124-7. https://doi.org/10.55299/ijphe.v3i1.513
Del-Ponte B, Quinte GC, Cruz S, Grellert M, Santos IS. Dietary patterns and attention deficit/hyperactivity disorder (ADHD): a systematic review and meta-analysis. J Affect Disord. 2019 Jun;252:160-73. https://doi.org/10.1016/j.jad.2019.04.061
Rauber F, Campagnolo PD, Hoffman DJ, Vitolo MR. Consumption of ultra-processed food products and its effects on children’s lipid profiles: a longitudinal study. Nutr Metab Cardiovasc Dis. 2015 Jan;25(1):116-22. https://doi.org/10.1016/j.numecd.2014.08.001
Vitolo MR, Bortolini GA, Feldens CA, Drachler ML. [Impacts of the 10 Steps to healthy feeding in infants: a randomized field trial]. Cad Saude Publica. 2005;21(5):1448-57. Portuguese. https://doi.org/10.1590/S0102-311X2005000500018
Monteiro CA, Cannon G, Moubarac JC, Levy RB, Louzada ML, Jaime PC. The UN Decade of Nutrition, the NOVA food classification and the trouble with ultra-processing. Public Health Nutr. 2018 Jan;21(1):5-17. https://doi.org/10.1017/S1368980017000234
Harttig U, Haubrock J, Knüppel S, Boeing H. The MSM program: web-based statistics package for estimating usual dietary intake using the Multiple Source Method. Eur J Clin Nutr. 2011 Jul;65(1 Suppl 1):S87-91. https://doi.org/10.1038/ejcn.2011.92
WHO Multicentre Growth Reference Study Group. WHO Child Growth Standards based on length/height, weight and age. Acta Paediatr Suppl. 2006 Apr;450 Suppl. 450:76-85. https://doi.org/10.1111/j.1651-2227.2006.tb02378.x
Onis M, Onyango AW, Borghi E, Siyam A, Nishida C, Siekmann J. Development of a WHO growth reference for school-aged children and adolescents. Bull World Health Organ. 2007 Sep;85(9):660-7. https://doi.org/10.2471/BLT.07.043497
Goodman R. The Strengths and Difficulties Questionnaire: a research note. J Child Psychol Psychiatry. 1997 Jul;38(5):581-6. https://doi.org/10.1111/j.1469-7610.1997.tb01545.x
Fleitlich B, Cortázar PG, Goodman R. Questionário de capacidades e dificuldades (SDQ). Infanto Rev Neuropsiquiatr Infanc Adolesc. 2000;8(1):44-50.
Shareghfarid E, Sangsefidi ZS, Salehi-Abargouei A, Hosseinzadeh M. Empirically derived dietary patterns and food groups intake in relation with Attention Deficit/Hyperactivity Disorder (ADHD): a systematic review and meta-analysis. Clin Nutr ESPEN. 2020 Apr;36:28-35. https://doi.org/10.1016/j.clnesp.2019.10.013
Chou WJ, Lee MF, Hou ML, Hsiao LS, Lee MJ, Chou MC, et al. Dietary and nutrient status of children with attention-deficit/ hyperactivity disorder: a case-control study. Asia Pac J Clin Nutr. 2018;27(6):1325-31. https://doi.org/10.6133/apjcn.201811_27(6).0020.
Wiles NJ, Northstone K, Emmett P, Lewis G. ‘Junk food’ diet and childhood behavioural problems: results from the ALSPAC cohort. Eur J Clin Nutr. 2009 Apr;63(4):491-8. https://doi.org/10.1038/sj.ejcn.1602967
Heilskov Rytter MJ, Andersen LB, Houmann T, Bilenberg N, Hvolby A, Mølgaard C, et al. Diet in the treatment of ADHD in children: a systematic review of the literature. Nord J Psychiatry. 2015 Jan;69(1):1-18. https://doi.org/10.3109/08039488.2014.921933
Chang JP, Su KP, Mondelli V, Pariante CM. Omega-3 polyunsaturated fatty acids in youths with attention deficit hyperactivity disorder: a systematic review and meta-analysis of clinical trials and biological studies. Neuropsychopharmacology. 2018 Feb;43(3):534-45. https://doi.org/10.1038/npp.2017.160
Martínez Leo EE, Segura Campos MR. Effect of ultra-processed diet on gut microbiota and thus its role in neurodegenerative diseases. Nutrition. 2020 Mar;71:110609. https://doi.org/10.1016/j.nut.2019.110609
Cenit MC, Nuevo IC, Codoñer-Franch P, Dinan TG, Sanz Y. Gut microbiota and attention deficit hyperactivity disorder: new perspectives for a challenging condition. Eur Child Adolesc Psychiatry. 2017 Sep;26(9):1081-92. https://doi.org/10.1007/s00787-017-0969-z
Borre YE, O’Keeffe GW, Clarke G, Stanton C, Dinan TG, Cryan JF. Microbiota and neurodevelopmental windows: implications for brain disorders. Trends Mol Med. 2014 Sep;20(9):509-18. https://doi.org/10.1016/j.molmed.2014.05.002
Rosales FJ, Reznick JS, Zeisel SH. Understanding the role of nutrition in the brain and behavioral development of toddlers and preschool children: identifying and addressing methodological barriers. Nutr Neurosci. 2009 Oct;12(5):190-202. https://doi.org/10.1179/147683009X423454
Russell G, Rodgers LR, Ford T. The strengths and difficulties questionnaire as a predictor of parent-reported diagnosis of autism spectrum disorder and attention deficit hyperactivity disorder. PLoS One. 2013 Dec;8(12):e80247. https://doi.org/10.1371/journal.pone.0080247
Downloads
Publicado
Edição
Seção
Licença
Copyright (c) 2024 Paula Dal Bo Campagnolo, Angela Helena Marin, Marcia Regina Vitolo, Ricardo Campos Ferreira
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
Como Citar
Dados de financiamento
-
Conselho Nacional de Desenvolvimento Científico e Tecnológico
Números do Financiamento 478206/2013-5 -
Fundação de Amparo à Pesquisa do Estado do Rio Grande do Sul
Números do Financiamento 13/1238-7
