学龄前儿童含糖饮料摄入与情绪行为问题的关联

目的 探讨学龄前儿童含糖饮料(sugar-sweetened beverages,SSBs)摄入情况及其与行为问题的关联,为儿童行为问题预防提供参考依据.方法 于2017年10-11月选择长江中下游流域的扬州、徐州、镇江3座城市,采取随机整群抽样的方法选取7634名3～6岁学龄前儿童为研究对象,通过对父母或监护人进行问...

Associations between sugar-sweetened beverage intake and emotional and behavioral problems in preschoolers

  Objective  To explore the consumption of sugar-sweetened beverages (SSBs) and its association with behavioral problems in Chinese preschool children, and to provide a scientific basis for the prevention of behavioral problems of children.  Methods  A total of 7 634 children aged 3-6 years were chosen from kindergartens in 3 cities (Yangzhou, Xuzhou, Zhenjiang) in the lower reaches of Yangtze River using method of cluster sampling during October to November in 2017. Parental or guardian questionnaires were used to obtain information regarding child consumption of SSBs. The Strengths and Difficulties Questionnaire (SDQ) was used to assess children's emotional and behavioral problems. Multivariate Logistic regression model was used to explore the association between different SSBs intake frequency and children's behavioral problems.  Results  A total of 5 509(72.2%) consumed SSBs less than once a day, 830(10.9%) reported SSBs consumption once a day, and 1 295(16.9%) had 2 times or more intake of sugar-sweetened beverages per day. After adjusting for confounding factors including age, sex, BMI, family financial status, parental education, screen time, sleep duration, and physical activities duration, multiple Logistic regression model revealed that intake of SSBs once a day was associated with an increased risk of hyperactivity disorder (OR=1.26, 95%CI=1.01-1.57) and SDQ total difficulties (OR=1.44, 95%CI=1.14-1.82) in boys and with an increased risk of emotional symptoms (OR=1.34, 95%CI=1.02-1.76), conduct problems (OR=1.53, 95%CI=1.18-2.00), hyperactivity disorder (OR=1.79, 95%CI=1.42-2.27) and prosocial behavior (OR=1.48, 95%CI=1.14-1.91) in girls. Intake of SSBs≥2 times per day was associated with an increased risk of emotional symptoms (OR=1.28, 95%CI=1.02-1.59) and SDQ difficulties (OR=1.30, 95%CI=1.07-1.58) in boys and not with behavioral problems in girls.  Conclusion  Sex differences are observed with respect to the association between SSBs intake and behavioral problems in preschoolers, but no significant dose-response relationship was observed. More longitudinal studies are needed to further explore the association between SSBs intake and behavioral problems in preschool children as well as the underlying physiological mechanisms in future.