Journal of Nutrition and Health

The Korean Nutrition Society (한국영양학회)
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The relationship between attention deficit hyperactivity disorder, dietary habit and caffeine intake in upper-grade elementary school children

초등학교 고학년의 주의력결핍.과잉행동장애와 식습관 및 카페인 섭취와의 관련성

  • Jang, Court-Bin (Nutrition Education Major, Graduate School of Education, Yongin University) ;
  • Kim, Hye-Young (Department of Foods and Nutrition, Yongin University)
  • 장꽃빈 (용인대학교 교육대학원 영양교육전공) ;
  • 김혜영 (용인대학교 식품영양학과)
  • Received : 2012.08.27
  • Accepted : 2012.11.14
  • Published : 2012.12.31
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Abstract

This study was performed in order to investigate the relationship between attention deficit hyperactivity disorder (ADHD), dietary habit and caffeine intake in upper-grade elementary school children. The total number of the study subjects was 237 students (111 boys and 126 girls), where 30 students (12.7%) were diagnosed as ADHD. The dietary habit score of the ADHD group was significantly lower than that of the normal group. In particular, the ADHD group had lower dietary scores in consuming daily breakfast, diverse foods, fruit and milk than those in the normal group. Meanwhile, the daily intake frequency of instant noodle (ramyeon) was significantly higher in the ADHD group than that in the normal group. The mean caffeine intake of the students was 42.95 mg and the proportion of students consuming more than the ADI (acceptable daily intake) was 11.8%. The caffeine intake of ADHD group (63.63 mg) tended to be higher than that of the normal group (39.95 mg); however, it was not significantly different. The ADHD score of the students was negatively related with the dietary habit score (r = -0.279, p < 0.01) but positively related with caffeine intake (r = 0.164, p < 0.05). The dietary habit score had a negative relationship with caffeine intake (r = -0.180, p < 0.01) and a positive relationship with height (r = 0.195, p < 0.01). Caffeine intake had a negative relationship with the height of the students (r = -0.171, p < 0.05). In conclusion, ADHD in children was related to poor dietary habit and high caffeine intake.

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References

  1. Brown JE. Nutrition through the life cycle, 2nd edition. Belmont: Wadsworth; 2004. p.286-288
  2. Barkley RA. Attention-deficit hyperactivity disorder: a handbook for diagnosis and treatment, 2nd edition. New York: The Guilford Press; 1998
  3. American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-IV-TR, 4th edition, text revision. Washington D.C.: American Psychiatric Association; 2000. p.92-93
  4. Rowland AS, Lesesne CA, Abramowitz AJ. The epidemiology of attention-deficit/hyperactivity disorder (ADHD): a public health view. Ment Retard Dev Disabil Res Rev 2002; 8(3): 162-170 https://doi.org/10.1002/mrdd.10036
  5. 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: 275-295
  6. Root RW II, Resnick RJ. An update on the diagnosis and treatment of attention-deficit/hyperactivity disorder in children. Prof Psychol Res Pr 2003; 34(1): 34-41 https://doi.org/10.1037/0735-7028.34.1.34
  7. Lee HS. A study on attention-deficit/hyperactivity disorder. J Spec Educ Rehabil Sci 2007; 46(1): 169-190
  8. Sinn N. Nutritional and dietary influences on attention deficit hyperactivity disorder. Nutr Rev 2008; 66(10): 558-568 https://doi.org/10.1111/j.1753-4887.2008.00107.x
  9. Chung HK, Park SS. The effect of sugar intake on attention deficit hyperactivity disorder of school children. Korean J Nutr 1995; 28(7): 644-652
  10. Choi JY, Lee SS. Relation between dietary habit and nutrition knowledge, and attention deficit hyperactivity disorder (ADHD) in the middle school students in Seoul. Korean J Nutr 2009; 42(8): 682-690 https://doi.org/10.4163/kjn.2009.42.8.682
  11. Joo N, Kim S, Park H, Lee S, Kim M, Jung K. The effect of snack intake of preschoolers on ADHD. Korean J Food Cult 2006; 21(2): 193-201
  12. Curtis LT, Patel K. Nutritional and environmental approaches to preventing and treating autism and attention deficit hyperactivity disorder (ADHD): a review. J Altern Complement Med 2008; 14 (1): 79-85 https://doi.org/10.1089/acm.2007.0610
  13. 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 (12): 1904-1909
  14. Orbeta RL, Overpeck MD, Ramcharran D, Kogan MD, Ledsky R. High caffeine intake in adolescents: associations with difficulty sleeping and feeling tired in the morning. J Adolesc Health 2006; 38(4): 451-453 https://doi.org/10.1016/j.jadohealth.2005.05.014
  15. Barry RJ, Rushby JA, Wallace MJ, Clarke AR, Johnstone SJ, Zlojutro I. Caffeine effects on resting-state arousal. Clin Neurophysiol 2005; 116(11): 2693-2700 https://doi.org/10.1016/j.clinph.2005.08.008
  16. Temple JL. Caffeine use in children: what we know, what we have left to learn, and why we should worry. Neurosci Biobehav Rev 2009; 33(6): 793-806 https://doi.org/10.1016/j.neubiorev.2009.01.001
  17. Nawrot P, Jordan S, Eastwood J, Rotstein J, Hugenholtz A, Feeley M. Effects of caffeine on human health. Food Addit Contam 2003; 20(1): 1-30 https://doi.org/10.1080/0265203021000007840
  18. Castellanos FX, Rapoport JL. Effects of caffeine on development and behavior in infancy and childhood: a review of the published literature. Food Chem Toxicol 2002; 40(9): 1235-1242 https://doi.org/10.1016/S0278-6915(02)00097-2
  19. Pollak CP, Bright D. Caffeine consumption and weekly sleep patterns in US seventh-, eighth-, and ninth-graders. Pediatrics 2003; 111(1): 42-46 https://doi.org/10.1542/peds.111.1.42
  20. Berkey CS, Rockett HR, Field AE, Gillman MW, Colditz GA. Sugar-added beverages and adolescent weight change. Obes Res 2004; 12(5): 778-788 https://doi.org/10.1038/oby.2004.94
  21. Blum JW, Jacobsen DJ, Donnelly JE. Beverage consumption patterns in elementary school aged children across a two-year period. J Am Coll Nutr 2005; 24(2): 93-98 https://doi.org/10.1080/07315724.2005.10719449
  22. Marshall TA, Broffitt B, Eichenberger-Gilmore J, Warren JJ, Cunningham MA, Levy SM. The roles of meal, snack, and daily total food and beverage exposures on caries experience in young children. J Public Health Dent 2005; 65(3): 166-173 https://doi.org/10.1111/j.1752-7325.2005.tb02807.x
  23. Korea Food and Drug Administration. Maximum daily intake levels for caffeine. Cheongwon; 2007
  24. Kim SH. Study of establishment of recommended daily allowance for caffeine. The annual report of KFDA. Seoul: The Korea Food and Nutrition Foundation; 2007
  25. Kim HY, Chun DW. Relationships among personality preferences, dietary habit and nutrient intake of university students. Korean J Food Cult 2003; 18(5): 418-427
  26. Haller J. Vitamins and brain function. In: Lieberman HR, Kanarek RB, Prasad C, editors. Nutritional Neuroscience. Boca Raton: Taylor & Francis; 2005. p.207-233
  27. Gornick MC, Addington A, Shaw P, Bobb AJ, Sharp W, Greenstein D, Arepalli S, Castellanos FX, Rapoport JL. Association of the dopamine receptor D4 (DRD4) gene 7-repeat allele with children with attention-deficit/hyperactivity disorder (ADHD): an update. Am J Med Genet B Neuropsychiatr Genet 2007; 144B(3): 379-382 https://doi.org/10.1002/ajmg.b.30460
  28. Scheffer RE. Psychopharmacology: clinical implications of brain neurochemistry. Pediatr Clin North Am 2006; 53(4): 767-775 https://doi.org/10.1016/j.pcl.2006.05.012
  29. School Health Promotion Center. Yearbook of school health. Seoul; 2011
  30. Kim KA, Shim YH. Cognitive performance and hyperactivity in terms of eating behavior and physical growth among preschoolers:-2. The relationships of several factors (nutritional and social factors, cognition and hyperactivity) on preschoolers-. Korean J Diet Cult 1995; 10(4): 269-279
  31. Gross MD. Effect of sucrose on hyperkinetic children. Pediatrics 1984; 74(5): 876-878
  32. Virkkunen M. Reactive hypoglycemic tendency among habitually violent offenders. Nutr Rev 1986; 44 Suppl: 94-103
  33. Bernstein GA, Carroll ME, Thuras PD, Cosgrove KP, Roth ME. Caffeine dependence in teenagers. Drug Alcohol Depend 2002; 66 (1): 1-6 https://doi.org/10.1016/S0376-8716(01)00181-8
  34. Health Canada. Caffeine. It's your health. 2006 Feb [cited 2012 Aug 1]. Available from: http://www.hc-sc.gc.ca/hl-vs/iyh-vsv/ food-aliment/caffeine-eng.php
  35. Warzak WJ, Evans S, Floress MT, Gross AC, Stoolman S. Caffeine consumption in young children. J Pediatr 2011; 158(3): 508-509 https://doi.org/10.1016/j.jpeds.2010.11.022
  36. Chang YE, Chung HK. Survey of caffeine intake from children's favorite foods. Korean J Nutr 2010; 43(5): 475-488 https://doi.org/10.4163/kjn.2010.43.5.475
  37. Lee E, Kim HJ, Im JY, Kim JA, Park H, Ryu JY, Ko KR, Kim HS. Survey of caffeine levels in the favorite diets of children. J Food Hyg Saf 2007; 22(3): 173-178
  38. Kim SD, Yun ES, Chang MS, Park YA, Jung SO, Kim DG, Kin YC, Chae YZ, Kim MY. Survey of daily caffeine intakes from children's beverage consumption and the effectiveness of nutrition education. J Korean Soc Food Sci Nutr 2009; 38(6): 709-720 https://doi.org/10.3746/jkfn.2009.38.6.709
  39. Walker LR, Abraham AA, Tercyak KP. Adolescent caffeine use, ADHD, and cigarette smoking. Child Health Care 2010; 39: 73-90 https://doi.org/10.1080/02739610903455186
  40. Cruz NV, Bahna SL. Do food or additives cause behavior disorders? Pediatr Ann 2006; 35(10): 744-745, 748-754 https://doi.org/10.3928/0090-4481-20061001-12
  41. Dagan Y, Doljansky JT. Cognitive performance during sustained wakefulness: a low dose of caffeine is equally effective as modafinil in alleviating the nocturnal decline. Chronobiol Int 2006; 23(5): 973-9831 https://doi.org/10.1080/07420520600920734

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