Efeito do açúcar associado ao TDAH em crianças até 12 anos
##plugins.themes.bootstrap3.article.sidebar##
##plugins.themes.bootstrap3.article.main##
Resumo
Objetivo: Identificar produções científicas publicadas nos últimos 10 anos relacionando o efeito do açúcar em crianças com Transtorno de Déficit de Atenção e Hiperatividade (TDAH). Métodos: Revisão integrativa da literatura nas bases de dados Cochrane Library, EMBASE, LILACS, MEDLINE (PubMed), ScienceDirect, e SciELO, dos últimos 10 anos, realizada entre novembro de 2023 até fevereiro de 2024. Foram usados os descritores “Sugar”, “Child”, “Attention Deficit Hyperactivity Disorder”, e “ADHD”. Resultados: A amostra final foi composta por 12 artigos, os quais descreveram diversos estudos que avaliaram o consumo de açúcares, através de diferentes dietas, seja por alimentos ou bebidas por crianças com TDAH. Considerações finais: Através dos estudos selecionados foi possível compreender que ainda existe muito a ser estudado para que se possa chegar em uma conclusão causal sobre o açúcar e o TDAH. Embora não exista uma relação comprovada entre o consumo de açúcar na alimentação e os sintomas, o consumo excessivo de açúcar pode ser um de vários fatores potencialmente relevantes. Ainda se faz necessário mais estudo para a compreensão de como dietas e bebidas com adição de açúcares são capazes de influenciar nos sintomas, mas já foram destacados que podem apresentar um resposta dose-dependente principalmente quando o consumo for através de bebidas.
##plugins.themes.bootstrap3.article.details##
Copyright © | Todos os direitos reservados.
A revista detém os direitos autorais exclusivos de publicação deste artigo nos termos da lei 9610/98.
Reprodução parcial
É livre o uso de partes do texto, figuras e questionário do artigo, sendo obrigatória a citação dos autores e revista.
Reprodução total
É expressamente proibida, devendo ser autorizada pela revista.
Referências
2. BRUNAULT P, et al. Adulthood and childhood ADHD in patients consulting for obesity is associated with food addiction and binge eating, but not sleep apnea syndrome. Appetite, 2019; 136(January): 25–32.
3. COGHILL D, et al. The management of ADHD in children and adolescents: bringing evidence to the clinic: perspective from the European ADHD Guidelines Group (EAGG). Eur Child Adolesc Psychiatry, 2023; 32(8):1 337–1361.
4. CURADO HTAM, et al. As implicações da alimentação e seus distúrbios no TDAH em crianças. RESU Rev Educ em saúde, 2019; 7(1): 83–87.
5. DEL-PONTE B, et al. Sugar consumption and attention-deficit/hyperactivity disorder (ADHD): A birth cohort study. J Affect Disord., 2019; 243(March 2018): 290–296.
6. DRECHSLER R, et al. ADHD: Current concepts and treatments in children and adolescents. Neuropediatrics, 2020; 51(5): 315–335.
7. ENDREFFY I, et al. High Levels of Glycosaminoglycans in the Urines of Children with Attention-Deficit/Hyperactivity Disorder (ADHD). J Mol Neurosci., 2020; 70(7): 1018–1025.
8. ESPARHAM A, et al. Pediatric integrative medicine approaches to attention deficit hyperactivity disorder (Adhd). Children, 2014; 1(2): 186–207.
9. FARSAD-NAEIMI A, et al. Sugar consumption, sugar sweetened beverages and Attention Deficit Hyperactivity Disorder: A systematic review and meta-analysis. Complement Ther Med., 2020; 53(June): 102512.
10. FUEMMELER BF, et al. Associations between attention deficit hyperactivity disorder symptoms and eating behaviors in early childhood. Pediatr Obes., 2020; 15(7): e12631.
11. GEISSLER J, et al. Individualised short-term therapy for adolescents impaired by attention-deficit/hyperactivity disorder despite previous routine care treatment (ESCAadol)-Study protocol of a randomised controlled trial within the consortium ESCAlife. Trials, 2018; 19(1): 1–16.
12. GOYAL MS, et al. Feeding the brain and nurturing the mind: Linking nutrition and the gut microbiota to brain development. Proc Natl Acad Sci USA, 2015; 112(46): 14105–14112.
13. HILBERT A, et al. Cue reactivity, habituation, and eating in the absence of hunger in children with loss of control eating and attention-deficit/hyperactivity disorder. Int J Eat Disord., 2018; 51(3): 223–232.
14. JOHNSON RJ, et al. Fructose and Uric Acid as Drivers of a Hyperactive Foraging Response: A Clue to Behavioral Disorders Associated with Impulsivity or Mania? Evol Hum Behav., 2021; 42(3): 194–203.
15. KIM JH, et al. Environmental risk factors, protective factors, and peripheral biomarkers for ADHD: an umbrella review. The Lancet Psychiatry, 2020; 7(11): 955–970.
16. LEE KS, et al. Dietary patterns are associated with attention-deficit hyperactivity disorder (ADHD) symptoms among preschoolers in South Korea: a prospective cohort study. Nutr Neurosci., 2020; 25(3): 603–611.
17. LI Y, et al. Prevalence and Trends in Diagnosed ADHD among US Children and Adolescents, 2017-2022. JAMA Netw Open, 2023; 6(10): E2336872.
18. MECHLER K, et al. Evidence-based pharmacological treatment options for ADHD in children and adolescents. Pharmacol Ther., 2022; 230: 107940.
19. NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE N. Attention deficit hyperactivity disorder: diagnosis and management. (September 2019). 2018.
20. QI X and TESTER RF. Fructose, galactose and glucose – In health and disease. Clin Nutr ESPEN, 2019; 33: 18–28.
21. RICCIUTO L, et al. Trends in Added Sugars Intake and Sources Among US Children, Adolescents, and Teens Using NHANES 2001-2018. J Nutr., 2022; 152(2): 568–578.
22. RIPPE JM, et al. What is the appropriate upper limit for added sugars consumption? Nutr Rev., 2017; 75(1): 18–36.
23. RÖDER PV, et al. Pancreatic regulation of glucose homeostasis. Exp Mol Med., 2016; 48(December 2015): e219.
24. ROJO-MARTICELLA M, et al. Do Children with Attention-Deficit/Hyperactivity Disorder Follow a Different Dietary Pattern than That of Their Control Peers? Nutrients, 2022; 14(1131): 1–15.
25. RYTTER MJH, et al. Diet in the treatment of ADHD in children-A systematic review of the literature. Nord J Psychiatry, 2014; 69(1): 1–18.
26. RYU SA, et al. Associations between Dietary Intake and Attention Deficit Hyperactivity Disorder (ADHD) Scores by Repeated Measurements in School-Age Children. Nutrients, 2022; 14(14).
27. SALARI N, et al. The global prevalence of gallstones in pregnancy: A systematic review and meta-analysis. Eur J Obstet Gynecol Reprod Biol X., 2023; 19: 1–12.
28. SALVAT H, et al. Nutrient intake, dietary patterns, and anthropometric variables of children with ADHD in comparison to healthy controls: a case-control study. BMC Pediatr., 2022; 22(1): 1–9.
29. SHA’ARI N, et al. Nutritional status and feeding problems in pediatric attention deficit–hyperactivity disorder. Pediatr Int., 2017; 59(4): 408–415.
30. STOREBO O, et al. Methylphenidate for attention deficit hyperactivity disorder (ADHD) in children and adolescents – assessment of adverse events in non- randomised studies. Cochrane Database Syst Rev., 2018; 5(5): CD012069.
31. WOO HD, et al. Dietary patterns in children with attention deficit/hyperactivity disorder (ADHD). Nutrients, 2014; 6(4): 1539–1553.
32. YAN S, et al. Dietary patterns are associated with attention-deficit/hyperactivity disorder (ADHD) symptoms among preschoolers in mainland China. Eur J Clin Nutr., 2018; 72(11): 1517–1523.
33. YAN W, et al. Processed Food–Sweets Patterns and Related Behaviors with Attention Deficit Hyperactivity Disorder among Children: A Case–Control Study. Nutrients, 2023; 15(5): 1254.
34. YINGCHANKUL N, et al. Is the Consumption of Added Sugar from Common Beverages Associated with the Presence of Attention Deficit Hyperactivity Disorder Symptoms in Thai Medical Students? Nutrients, 2023; 15(20).
35. YU CJ, et al. Sugar-sweetened beverage consumption is adversely associated with childhood attention deficit/hyperactivity disorder. Int J Environ Res Public Health, 2016; 13(7): 1–18.
36. ZHANG Y, et al. Association between Hyperactivity and SSB Consumption in Schoolchildren: A Cross-Sectional Study in China. Nutrients, 2023; 15(4): 1034.