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. 2021 Dec;75(12):1809-1818.
doi: 10.1038/s41430-021-00888-4. Epub 2021 Mar 5.

Dietary patterns in middle childhood and behavior problems in adolescence

Sonia L Robinson  1 , Mercedes Mora-Plazas  2 , Henry Oliveros  3 , Constanza Marin  3 , Betsy Lozoff  4 , Eduardo Villamor  5
Affiliations

Dietary patterns in middle childhood and behavior problems in adolescence

Sonia L Robinson et al. Eur J Clin Nutr. 2021 Dec.

Abstract

Background/objectives: Adherence to a "Western" style dietary pattern has been related to behavior problems in children in high-income countries; however, dietary patterns may differ in countries undergoing the nutrition transition. Associations of dietary patterns with behavior problems in a Latin American context have not been evaluated.

Subjects/methods: Mothers of 385 children 5 to 12 y old completed a food frequency questionnaire (FFQ) on the children's usual intake at enrollment into a cohort study. Four dietary patterns were identified through principal component analysis of the FFQ: animal protein, snacking, cheaper protein, and traditional/starch. After a median 6 y follow-up, adolescents reported behavior problems via the Youth Self Report, a standardized questionnaire. We compared the continuous distributions of externalizing and internalizing behavior problems and their subscales across quartiles of adherence to the four dietary patterns using multivariable linear regression.

Results: Boys in the highest quartile of adherence to the animal protein pattern in middle childhood had an adjusted 5.5 units lower (95% CI -9.5, -1.5) mean total externalizing problems score compared with boys in the lowest quartile (P trend = 0.008). Adherence to the animal protein pattern was also inversely related to the aggressive behavior externalizing subscale in a dose-response manner among boys (P trend = 0.009). There were no associations between adherence to other dietary patterns and externalizing problems in boys or girls. There were no associations with internalizing problems.

Conclusion: Adherence to an animal protein dietary pattern in middle childhood was associated with less externalizing behavior problems in adolescent boys.

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References

    1. Kieling C, Baker H, Belfer M, Conti G, Ertem I, Omigbadun O, et al. Child and adolescent mental health worldwide: evidence for action. Lancet. 2011;378:1515–25. - PubMed - DOI
    1. Kessler RC, Berglund P, Demler O, Jin R, Merikangas KR, Walters EE. Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatr. 2005;62:593–602. - PubMed - DOI
    1. von Stumm S, Deary IJ, Kivimaki M, Jokela M, Clark H, Batty GD. Childhood behavior problems and health at midlife: 35-year follow-up of a Scottish birth cohort. J Child Psychol Psychiatry. 2011;52:992–1001. - DOI
    1. Roza SJ, Hofstra MB, van der Ende J, Verhulst FC. Stable prediction of mood and anxiety disorders based on behavioral and emotional problems in childhood: a 14-year follow-up during childhood, adolescence, and young adulthood. Am J Psychiatry. 2003;160:2112–21. - DOI
    1. Galera C, Heude B, Forhan A, Bernard JY, Peyre H, Van der Waerden J, et al. Prenatal diet and children’s trajectories of hyperactivity-inattention and conduct problems from 3 to 8 years: the EDEN mother-child cohort. J Child Psychol Psychiatry. 2018;59:1003–11. - PubMed - DOI

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