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http://hdl.handle.net/2445/178955
Title: | Prenatal Omega-6:Omega-3 Ratio and Attention Deficit and Hyperactivity Disorder Symptoms |
Author: | López Vicente, Mònica Ribas Fitó, Núria Vilor Tejedor, Natalia Garcia Esteban, Raquel Fernández Barrés, Sílvia Dadvand, Payam Murcia, Mario Rebagliato, Marisa Ibarluzea, Jesús Lertxundi, Aitana Fernández Somoano, Ana Tardón, Adonina López Sabater, María del Carmen Romaguera, Dora Vrijheid, Martine Sunyer Deu, Jordi Julvez, Jordi |
Keywords: | Infants Neurobiologia del desenvolupament Trastorns per dèficit d'atenció amb hiperactivitat en els infants Àcids grassos Children Developmental neurobiology Attention deficit disorder with hyperactivity in children Fatty acids |
Issue Date: | 28-Mar-2019 |
Publisher: | Elsevier |
Abstract: | Objective: To evaluate whether higher omega-6:omega-3 (n-6:n-3) long-chain polyunsaturated fatty acid ratio in cord plasma is associated with more symptoms of attention deficit and hyperactivity disorder (ADHD) at 4 and 7 years of age. Study design: This study was based on a population-based birth cohort in Spain. N-6 arachidonic acid and n-3 eicosapentaenoic and docosahexaenoic acid concentrations were measured in cord plasma. At 4 years old, ADHD symptoms were reported by teachers through the ADHD Diagnostic and Statistical Manual of Mental Disorders, 4th ed checklist (n = 580). At 7 years old, ADHD symptoms were reported by parents through the Conners' Rating Scale-Revised (short form; n = 642). The ADHD variable was treated as continuous (score) and as dichotomous (symptom diagnostic criteria). Child and family general characteristics were prospectively collected through questionnaires. We applied pooled zero-inflated negative binomial and logistic regressions adjusted for covariates. Results: A higher omega-6:omega-3 long-chain polyunsaturated fatty acid ratio in cord plasma was associated with a higher ADHD index (incidence rate ratio, 1.13; 95% CI, 1.03, 1.23) at 7 years old. The association was not observed at 4 years old (incidence rate ratio, 1.04; 95% CI, 0.92-1.18). No associations were found using ADHD symptom diagnostic criteria. Conclusions: High prenatal omega-6:omega-3 long-chain polyunsaturated fatty acid ratio preceded the appearance of subclinical ADHD symptoms during mid-childhood. Our findings suggest that maternal diet during pregnancy may modulate the risk to develop long-term ADHD symptoms in the offspring. |
Note: | Versió postprint del document publicat a: https://doi.org/10.1016/j.jpeds.2019.02.022 |
It is part of: | Journal of Pediatrics, 2019, vol. 209, p. 204-211.e4 |
URI: | http://hdl.handle.net/2445/178955 |
Related resource: | https://doi.org/10.1016/j.jpeds.2019.02.022 |
ISSN: | 0022-3476 |
Appears in Collections: | Articles publicats en revistes (Nutrició, Ciències de l'Alimentació i Gastronomia) Articles publicats en revistes (ISGlobal) |
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