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

  • Kim, Yu-Jeong (Nutrition Education, Graduate School of Education, Dankook University) ;
  • Chang, Hye-Ja (Department of Food Science and Nutrition, Dankook University)
  • Received : 2010.12.17
  • Accepted : 2011.04.28
  • Published : 2011.06.30

Abstract

This study investigated the correlation between consumption of sugar intake by fifth grade students in primary schools and development of Attention Deficit Hyperactivity Disorder (ADHD). A total of 107 students participated, and eight boys and one girl (8.4% of the total) categorized as high risk for ADHD according to diagnostic criteria. There were significant differences in the occupations and drinking habits of the respondents' fathers between the normal group and risk group. In a comparison of students' nutrition intake status with daily nutrition intake standards for Koreans, students consumed twice as much protein as the recommended level, whereas their calcium intake was only 60% of the recommended DRI (dietary reference intake). Regarding intake volume of vitamin C, the normal group posted 143.9% of the recommended DRI, whereas the risk group showed only 65.5% of the recommended DRI. In terms of simple sugar intake from snacks, students in the normal group consumed 58.4 g while the risk group consumed 50.2 g. These levels constituted 12.5% of their total daily volume of sugar intake from snacks, which is higher than the 10% standard recommended by the WHO. In conclusion, children who consumed less sugar from fruit snacks or whose vitamin C intake was less than RI was at increased risks for ADHD (P < 0.05). However, no significant association was observed between total volume of simple sugar intake from snacks and ADHD development.

Keywords

References

  1. Choi MH, Kwon KI, Kim JY, Lee JS, Kim JW, Park HK, Kim MC, Kim GH. Monitoring of total sugar contents in processed foods and noncommercial foodservice foods. Korean J Food Sci Technol 2008;40:337-42.
  2. Kim KN, Kim MY, Kim EJ, Park SM, Hong JS, Cho JS. Dietary behaviors and snack consumption of primary school children in Chungbuk area. Hum Ecol Res 2007;10:241-50.
  3. Jo JI, Kim HK. Food habits and eating snack behaviors of middle school students in Ulsan area. Korean J Nutr 2008;41:797-808.
  4. Oh KJ, Lee H. Assessment of ADHD with abbreviated Conners rating scale. Korean J Clin Psychol 1989;8:135-42.
  5. Lahey BB, Pelham WE, Chronis A, Massetti G, Kipp H, Ehrhardt A, Lee SS. Predictive validity of ICD-10 hyperkinetic disorder relative to DSM-IV attention-deficit/hyperactivity disorder among younger children. J Child Psychol Psychiatry 2006;47:472-9. https://doi.org/10.1111/j.1469-7610.2005.01590.x
  6. Schnoll R, Burshteyn D, Cea-Aravena J. Nutrition in the treatment of attention-deficit hyperactivity disorder: a neglected but important aspect. Appl Psychophysiol Biofeedback 2003;28:63-75. https://doi.org/10.1023/A:1022321017467
  7. Rader R, McCauley L, Callen EC. Current strategies in the diagnosis and treatment of childhood attention-deficit/hyperactivity disorder. Am Fam Physician 2009;78:657-65.
  8. Cho SC, Shin MS. Diagnosis and Assessment of Mental Pathology for Child. Seoul: Hakjisa Publishing Inc.; 2006.
  9. Dykman KD, Dykman RA. Effect of nutritional supplements on attentional-deficit hyperactivity disorder. Integr Physiol Behav Sci 1998;33:49-60. https://doi.org/10.1007/BF02688675
  10. Chung HK, Park SS. The effect of sugar intake on attention deficit hyperactivity disorder of school children. Korean J Nutr 1995;28:644-52.
  11. Lee JK, Rhie SG. The effect of carbohydrate processed snacks on middle school students' emotional intelligence. Korean J Community Living Sci 2008;19:335-51.
  12. Lim KH, Cho BH. The prevalence of ADHD in elementary school children. J Elementary Educ 2004;17:235-60.
  13. Im HJ, Ghim HR, Sohn JW, Kim YR. The effects of the combined treatment of social skills training and parent training in school-aged children with ADHD. J Child Educ 2008;17:225-39.
  14. Yun JJ, Kim YH. Problem behaviors related to attention-deficit hyperactivity disorder children. Hum Ecol Res 1999;2:39-51.
  15. Kavale KA, Forness SR. Hyperactivity and diet treatment: a meta-analysis of the Feingold hypothesis. J Learn Disabil 1983;16:324-30. https://doi.org/10.1177/002221948301600604
  16. Wolraich M, Milich R, Stumbo P, Schultz F. Effects of sucrose ingestion on the behavior of hyperactive boys. J Pediatr 1985;106:675-82. https://doi.org/10.1016/S0022-3476(85)80102-5
  17. Korea Health Industry Development Institute. The third Korea National Health & Nutrition Examination Survey, 2005-Nutrition Survey (I). 2006.
  18. Park HY, Kim KN. Relationships among snacks, unbalanced diet, and eating behavior of middle school students. J Korean Home Econ Educ Assoc 1995;7:79-89.
  19. Cho YK. Survey on screening and subtype of children with attention-deficit/hyperactivity disorder: Based on teachers' observation and rating in the inclusive educare center. Korea J Child Care Educ 2007;50:275-95.
  20. Goyette CH, Conners CK, Ulrich RF. Normative data on revised Conners parent and teacher rating scales. J Abnorm Child Psychol 1978;6:221-36. https://doi.org/10.1007/BF00919127
  21. The Korean Nutrition Society. Dietary reference intakes for Koreans. 2005.
  22. United States Department of Agriculture (USDA) [Internet]. USDA Nutritional Nutrient Database for Standard Reference, Release 16. Nutrient Lists. 2004. [Accessed on 2009 March 20]. Available from: http://www.usda.gov/wps/portal/usdahome.
  23. Korea Food and Drug Administration. Monitoring of total sugar and sodium contents. 2007. [Accessed on 2009 March 20]. Available from: http://www.kfda.go.kr/intro.html.
  24. Korean Society for the Study of Obesity. Guideline for Childhood and Adolescent Obesity Management. 2006. p.158.
  25. Ministry of Environment [Internet]. Exposure of secondary smoking of elementary school child and an increase of prevalence rate of ADHD. 2008. [Accessed on 2009 March 31]. Available from: http://me.go.kr/kor/notice/notice_02_01.jsp?id=notice_02&mode=view&idx=166169.
  26. McCann D, Barrett A, Cooper A, Crumpler D, Dalen L, Grimshaw K, Kitchin E, Lok K, Porteous L, Prince E, Sonuga-Barke E, Warner JO, Stevenson J. Food additives and hyperactive behaviour in 3-year-old and 8/9-year-old children in the community: a randomised, double-blinded, placebo-controlled trial. Lancet 2007;370:1560-7. https://doi.org/10.1016/S0140-6736(07)61306-3
  27. Striegel-Moore RH, Thompson D, Affenito SG, Franko DL, Obarzanek E, Barton BA, Schreiber GB, Daniels SR, Schmidt M, Crawford PB. Correlates of beverage intake in adolescent girls: the National Heart, Lung, and Blood Institute Growth and Health Study. J Pediatr 2006;148:183-7. https://doi.org/10.1016/j.jpeds.2005.11.025
  28. Braun JM, Kahn RS, Froehlich T, Auinger P, Lanphear BP. Exposures to environmental toxicants and attention deficit hyperactivity disorder in U.S. children. Environ Health Perspect 2006;114:1904-9.
  29. Ministry of Health & Welfare. The 4th Korea National Health and Nutrition Examination Survey. 2008.
  30. Kim YK. Parent's behavior and perception of their kids' snacking behavior and dietary life education. Korean J Food Cookery Sci 2010;26:596-602.
  31. Idaho State Department of Education [Internet]. New nutrition standards for IDAHO school meals. [Accessed on 2010 November 31]. Available from: http://healthymeals.nal.usda.gov/hsmrs/Idaho/Nutrition%20Standards/NutritionStandardsBookletFinal.pdf.
  32. Kim WK, Cho S. Sugar and cognitive performance. Korean J Nutr 2007;40(Suppl):50-65.

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