Consumption of ultra-processed foods and nutritional status of children with autism spectrum disorder

Authors

DOI:

https://doi.org/10.5020/18061230.2018.7986

Keywords:

Autistic Disorder, Food Consumption, Nutritional Status, Children.

Abstract

Objective: To analyze the consumption of ultra-processed foods among children with autism spectrum disorder (ASD) and its association with nutritional status. Methods: Cross-sectional study of 29 children conducted in 2017 in São Luís, Maranhão, Brazil. A semistructured questionnaire was used with parents or caregivers to obtain sociodemographic information. The nutritional status was assessed based on body mass index/age and height/age. The food consumption was assessed using a 24h recall, which was used to estimate the percentage of caloric contribution and the mean of the foods consumed according to the level of processing. Student’s t test with a significance level of 5% was used to compare the consumption of ultra-processed foods in relation to the nutritional status. Results: Overweight was observed in 55.2% (n=16) of the children and the consumption of ultra-processed foods was responsible for 28% (560 kcal/day) of caloric contribution. Overweight children consumed a higher mean percentage of ultra-processed foods than those who were not overweight (34.2% vs. 19.4%, p=0.009). Fruit consumption represented only 4.3% (74.6 kcal) of total caloric contribution and vegetables were the least consumed whole foods among children. Conclusion: Whole foods or minimally processed foods were the most consumed food among the analyzed children. However, the higher consumption of ultra-processed foods was associated with overweight in children with ASD.

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References

Buie T, Campbell DB, Fuchs GJ, Furuta GT, Levy J, Vande Water J, et al. Evaluation, diagnosis, and treatment of gastrointestinal disorders in individuals with ASDs: a consensus report. Pediatrics [Internet]. 2010 Jan [acesso em 2018 Fev 4];125 Supp 1:S1-18. Disponível em: http://www.ncbi.nlm.nih.gov/pubmed/20048083

Baio J, Wiggins L, Christensen DL, Maenner MJ, Daniels J, Warren Z, et al. Prevalence of autism spectrum disorder among children aged 8 years - Autism and Developmental Disabilities Monitoring Network, 11 Sites, United States, 2014. MMWR Surveill Summ [Internet]. 2018 Apr 27 [acesso em 2018 Ago 20];67(6):1-23. Disponível em: http://www.ncbi.nlm.nih.gov/pubmed/29701730

Sanctuary MR, Kain JN, Angkustsiri K, German JB. Dietary considerations in autism spectrum disorders: the potential role of protein digestion and microbial putrefaction in the gut-brain axis. Front Nutr [Internet]. 2018 [acesso em 2018 Ago 20];5:40. Disponível em: http://www.ncbi.nlm.nih.gov/pubmed/29868601

Barnhill K, Gutierrez A, Ghossainy M, Marediya Z, Devlin M, Sachdev P, et al. Dietary status and nutrient intake of children with autism spectrum disorder: A case-control study. Res Autism Spectr Disord [Internet]. 2018 [acesso em 2018 Ago 20];50:51-9. Disponível em: https://www.sciencedirect.com/science/article/pii/S1750946718300448

Won H, Mah W, Kim E. Autism spectrum disorder causes, mechanisms, and treatments: focus on neuronal synapses. Front Mol Neurosci [Internet]. 2013 [acesso em 2017 Dez 29];6:19. Disponível em: http://www.ncbi.nlm.nih.gov/pubmed/23935565

Sparrenberger K, Friedrich RR, Schiffner MD, Schuch I, Wagner MB. Ultra-processed food consumption in children from a Basic Health Unit. J Pediatr (Rio J) [Internet]. 2015 Nov [acesso em 2017 Dez 29];91(6):535-42. Disponível em: http://www.ncbi.nlm.nih.gov/pubmed/26092227

Batalha MA, França AKTC, Conceição SIO, Santos AM, Silva FS, Padilha LL, et al. Processed and ultra-processed food consumption among children aged 13 to 35 months and associated factors. Cad Saúde Pública [Internet]. 2017 [acesso em 2017 Dez 29];33(11):16. Disponível em: http://www.scielo.br/pdf/csp/v33n11/1678-4464-csp-33-11-e00152016.pdf

Barcelos GT, Rauber F, Vitolo MR. Produtos processados e ultraprocessados e ingestão de nutrientes em crianças. Ciência Saúde [Internet]. 2014 [acesso em 2017 Dec 29];7(3):155. Disponível em: http://revistaseletronicas.pucrs.br/ojs/index.php/faenfi/article/view/19755

Rauber F, Campagnolo PDB, 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 [Internet]. 2015 Jan [acesso em 2017 Dez 29];25(1):116–22. Disponível em: http://www.ncbi.nlm.nih.gov/pubmed/25240690

Louzada MLC, Martins APB, Canella DS, Baraldi LG, Levy RB, Claro RM, et al. Impact of ultra-processed foods on micronutrient content in the Brazilian diet. Rev Saude Publica [Internet]. 2015 [acesso em 2017 Dez 29];49:1-8. Disponível em: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102015000100238&lng=en&tlng=en

Bielemann RM, Motta JV, Minten GC, Horta BL, Gigante DP. Consumption of ultra-processed foods and their impact on the diet of young adults. Rev Saúde Pública [Internet]. 2015 [acesso em 2017 Dez 29];49:28. Disponível em: https://www.ncbi.nlm.nih.gov/pubmed/26018785

Canella DS, Levy RB, Martins APB, Claro RM, Moubarac J-C, Baraldi LG, et al. Ultra-processed food products and obesity in brazilian households (2008–2009). PLoS One [Internet]. 2014 [acesso em 2018 Fev 4];9(3):e92752. Disponível em: http://www.ncbi.nlm.nih.gov/pubmed/24667658

Louzada MLC, Baraldi LG, Steele EM, Martins APB, Canella DS, Moubarac J-C, et al. Consumption of ultra-processed foods and obesity in Brazilian adolescents and adults. Prev Med (Baltim) [Internet]. 2015 [acesso em 2018 Feb 4];81:9-15. Disponível em: http://www.ncbi.nlm.nih.gov/pubmed/26231112

Tavares LF, Fonseca SC, Garcia Rosa ML, Yokoo EM. Relationship between ultra-processed foods and metabolic syndrome in adolescents from a Brazilian Family Doctor Program. Public Health Nutr [Internet]. 2012 [acesso em2018 Fev 4];15(1):82-7. Disponível em: http://www.ncbi.nlm.nih.gov/pubmed/21752314

World Health Organization. WHO Child Growth Standards WHO Child Growth Standards Length/height-for-age, weight-for-age, weight-for-length, weight-for-height and body mass index-for-age Methods and development [Internet]. Genebra: WHO; 2006 [acesso em 2017 Dec 29]. Disponível em: http://www.who.int/childgrowth/standards/Technical_report.pdf

Ministério da Saúde (BR), Secretaria de Atenção à Saúde, Departamento de Atenção Básica. Guia alimentar para a população brasileira [Internet]. Brasília: Ministério da Saúde; 2014 [acesso em 2017 Dez 29]. Disponível em: www.saude.gov.br/bvs

Malhi P, Venkatesh L, Bharti B, Singhi P. Feeding problems and nutrient intake in children with and without autism: a comparative study. Indian J Pediatr [Internet]. 2017 [acesso em 2017 Dez 29];84(4):283-8. Disponível em: http://www.ncbi.nlm.nih.gov/pubmed/28078576

Schreck KA, Williams K, Smith AF. A comparison of eating behaviors between children with and without autism. J Autism Dev Disord [Internet]. 2004 [acesso em 2017 Dez 29];34(4):433-8. Disponível em: http://www.ncbi.nlm.nih.gov/pubmed/15449518

Emond A, Emmett P, Steer C, Golding J. Feeding symptoms, dietary patterns, and growth in young children with autism spectrum disorders. Pediatrics [Internet]. 2010 [acesso em 2017 Dez 29];126(2):e337-42. Disponível em: http://www.ncbi.nlm.nih.gov/pubmed/20643716

Liu X, Liu J, Xiong X, Yang T, Hou N, Liang X, et al. Correlation between nutrition and symptoms: nutritional survey of children with autism spectrum disorder in Chongqing, China. Nutrients [Internet]. 2016 [acesso em 2017 Dez 29];8(5):E294. Disponível em: http://www.ncbi.nlm.nih.gov/pubmed/27187463

Ministério da Saúde (BR), Secretaria de Atenção à Saúde, Departamento de Atenção Básica. Dez passos para uma alimentação saudável: guia alimentar para crianças menores de dois anos: um guia para o profissional da saúde na atenção básica [Internet]. Brasília: Ministério da Saúde; 2015 [acesso em 2017 Dez 29]. Disponível em: http://bvsms.saude.gov.br/bvs/publicacoes/guia_dez_passos_alimentacao_saudavel_2ed.pdf

Ferreira NVR. Estado nutricional em crianças com transtorno do espectro autista. Curitiba: Universidade Federal do Paraná; 2016.

Bortolini GA, Gubert MB, Santos LMP. Consumo alimentar entre crianças brasileiras com idade de 6 a 59 meses. Cad Saúde Pública [Internet]. 2012 [acesso em 2017 Dez 29];28(9):1759-71. Disponível em http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2012000900014&lng=pt&tlng=pt

Schmitt L, Heiss CJ, Campbell EE. A Comparison of nutrient intake and eating behaviors of boys with and without autism. Top Clin Nutr [Internet]. 2008 [acesso em 2017 Dez 29];23(1):23-31. Disponível em: http://content.wkhealth.com/linkback/openurl?sid=WKPTLP:landingpage&an=00008486-200801000-00003

Barcelos GT, Rauber F, Vitolo MR. Produtos processados e ultraprocessados e ingestão de nutrientes em crianças. Rev Ciência Saúde [Internet]. 2014 [acesso em 2018 Ago 21];7(3):155-61. Disponível em: https://www.researchgate.net/publication/277476324

Park MH, Falconer C, Viner RM, Kinra S. The impact of childhood obesity on morbidity and mortality in adulthood: a systematic review. Obes Rev [Internet]. 2012 [acesso em 2017 Dez 29];13(11):985-1000. Disponível em: http://www.ncbi.nlm.nih.gov/pubmed/22731928

Domingues G. Relação entre medicamentos e ganho de peso em indivíduos portadores de autismo e outras síndromes relacionadas [Internet]. Campo Grande; 2007 [acesso em 2017 Dez 29]. Disponível em: http://www.nutricaoativa.com.br/arquivos/monografia9.pdf

Hyman SL, Stewart PA, Schmidt B, Cain U, Lemcke N, Foley JT, et al. Nutrient intake from food in children with autism. Pediatrics [Internet]. 2012 [acesso em 2017 Dez 29];130(Suppl 2):S145-53. Disponível em: http://www.ncbi.nlm.nih.gov/pubmed/23118245

Caetano MV, Gurgel D. Perfil nutricional de crianças portadoras do transtorno do espectro autista. Rev Bras Promoç Saúde [Internet]. 2018 [acesso em 2018 Ago 20];31(1):1-11. Disponível em: http://periodicos.unifor.br/RBPS/article/view/6714

Khogali Salih NA, Ibrahim NM, Ahmed LA. Nutritional status of autistic children and relationship with nutritional awareness of their mothers. Glob J Health Sci [Internet]. 2017 [acesso em 2017 Dez 29];9(7):177-85. Disponível em: http://www.ccsenet.org/journal/index.php/gjhs/article/view/68152

Ministério da Saúde (BR). Política Nacional de Alimentação e Nutrição [Internet]. Brasília: Ministério da Saúde; 2013 [acesso em 2018 Aug 20]. Disponível em: http://dab.saude.gov.br/portaldab/pnan.php

Malta DC, Morais OL Neto, Silva MMA, Rocha D, Castro AM, Reis AAC, et al. Política Nacional de Promoção da Saúde (PNPS): capítulos de uma caminhada ainda em construção. Ciênc Saúde Coletiva [Internet]. 2016 [acesso 2018 Aug 20];21(6):1683-94. Disponível em: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-81232016000601683&lng=pt&tlng=pt

Gomes PTM, Lima LHL, Bueno MKG, Araújo LA, Souza NM. Autism in Brazil: a systematic review of family challenges and coping strategies. J Pediatr (Rio J) [Internet]. 2015 [acesso em 2018 Set 2];91(2):111-21. Disponível em: http://linkinghub.elsevier.com/retrieve/pii/S002175571400165X

Bandini LG, Anderson SE, Curtin C, Cermak S, Evans EW, Scampini R, et al. Food selectivity in children with autism spectrum disorders and typically developing children. J Pediatr [Internet]. 2010 [acesso em 2018 Set 2];157(2):259-64. Disponível em: http://dx.doi.org/10.1016/j.jpeds.2010.02.013

Sharp WG, Berry RC, McCracken C, Nuhu NN, Marvel E, Saulnier CA, et al. Feeding problems and nutrient intake in children with autism spectrum disorders: a meta-analysis and comprehensive review of the literature. J Autism Dev Disord. 2013;43(9):2159-73.

Published

2018-10-31

How to Cite

Almeida, A. K. de A., Fonseca, P. C. de A., Oliveira, L. A., Santos, W. R. C. C., Zagmignan, A., Oliveira, B. R. de, Lima, V. N., & Carvalho, C. A. de. (2018). Consumption of ultra-processed foods and nutritional status of children with autism spectrum disorder. Brazilian Journal in Health Promotion, 31(3). https://doi.org/10.5020/18061230.2018.7986

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Original Articles