Association between Hyperactivity and SSB Consumption in Schoolchildren: A Cross-Sectional Study in China

Sugar-sweetened beverages (SSBs) consumption has risen significantly, which may lead to various health problems. Studies about the association between SSBs and attention-deficit/hyperactivity disorder (ADHD) in children are rare and inconsistent. We have used the two-stage cluster sampling method to...

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Main Authors: Yushan Zhang, Zhaohuan Gui, Nan Jiang, Xueya Pu, Meiling Liu, Yingqi Pu, Shan Huang, Shaoyi Huang, Yajun Chen
Format: Article
Language:English
Published: MDPI AG 2023-02-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/15/4/1034
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author Yushan Zhang
Zhaohuan Gui
Nan Jiang
Xueya Pu
Meiling Liu
Yingqi Pu
Shan Huang
Shaoyi Huang
Yajun Chen
author_facet Yushan Zhang
Zhaohuan Gui
Nan Jiang
Xueya Pu
Meiling Liu
Yingqi Pu
Shan Huang
Shaoyi Huang
Yajun Chen
author_sort Yushan Zhang
collection DOAJ
description Sugar-sweetened beverages (SSBs) consumption has risen significantly, which may lead to various health problems. Studies about the association between SSBs and attention-deficit/hyperactivity disorder (ADHD) in children are rare and inconsistent. We have used the two-stage cluster sampling method to select 6541 students aged 6–12. We further investigated their basic information and SSB intake. Teachers’ questionnaires and parents’ questionnaires were used to evaluating the hyperactive behaviors in children. We examined the associations between SSB consumption and hyperactivity index (HI) by adopting the censored least absolute deviation (CLAD) estimator. Then, we further evaluated the impacts of sex and age on the association between SSB intake and hyperactivity. Children who weekly drank SSB two or more times were associated with 0.05 (0.04, 0.07) and 0.04 (0.02, 0.06) higher scores of ln (HI+1) reported by teachers and parents, respectively, compared to non-consumers children (<i>p</i> for trend < 0.05). A stronger association between SSB intake and hyperactivity occurred in girls and old children. (<i>p</i> for interaction < 0.05). SSB intake has a positive correlation with the risk of hyperactivity in children, and the frequency of SSB consumption and hyperactivity have a dose–response relationship.
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spelling doaj.art-1bc3098e993c43469ad464016de8cfec2023-11-16T22:32:20ZengMDPI AGNutrients2072-66432023-02-01154103410.3390/nu15041034Association between Hyperactivity and SSB Consumption in Schoolchildren: A Cross-Sectional Study in ChinaYushan Zhang0Zhaohuan Gui1Nan Jiang2Xueya Pu3Meiling Liu4Yingqi Pu5Shan Huang6Shaoyi Huang7Yajun Chen8Department of Maternal and Child Health, School of Public Health, Sun Yat-sen University, Guangzhou 510080, ChinaDepartment of Maternal and Child Health, School of Public Health, Sun Yat-sen University, Guangzhou 510080, ChinaDepartment of Maternal and Child Health, School of Public Health, Sun Yat-sen University, Guangzhou 510080, ChinaDepartment of Maternal and Child Health, School of Public Health, Sun Yat-sen University, Guangzhou 510080, ChinaDepartment of Maternal and Child Health, School of Public Health, Sun Yat-sen University, Guangzhou 510080, ChinaDepartment of Maternal and Child Health, School of Public Health, Sun Yat-sen University, Guangzhou 510080, ChinaDepartment of Maternal and Child Health, School of Public Health, Sun Yat-sen University, Guangzhou 510080, ChinaDepartment of Maternal and Child Health, School of Public Health, Sun Yat-sen University, Guangzhou 510080, ChinaDepartment of Maternal and Child Health, School of Public Health, Sun Yat-sen University, Guangzhou 510080, ChinaSugar-sweetened beverages (SSBs) consumption has risen significantly, which may lead to various health problems. Studies about the association between SSBs and attention-deficit/hyperactivity disorder (ADHD) in children are rare and inconsistent. We have used the two-stage cluster sampling method to select 6541 students aged 6–12. We further investigated their basic information and SSB intake. Teachers’ questionnaires and parents’ questionnaires were used to evaluating the hyperactive behaviors in children. We examined the associations between SSB consumption and hyperactivity index (HI) by adopting the censored least absolute deviation (CLAD) estimator. Then, we further evaluated the impacts of sex and age on the association between SSB intake and hyperactivity. Children who weekly drank SSB two or more times were associated with 0.05 (0.04, 0.07) and 0.04 (0.02, 0.06) higher scores of ln (HI+1) reported by teachers and parents, respectively, compared to non-consumers children (<i>p</i> for trend < 0.05). A stronger association between SSB intake and hyperactivity occurred in girls and old children. (<i>p</i> for interaction < 0.05). SSB intake has a positive correlation with the risk of hyperactivity in children, and the frequency of SSB consumption and hyperactivity have a dose–response relationship.https://www.mdpi.com/2072-6643/15/4/1034sugar-sweetened beveragesattention-deficit/hyperactivity disorderchildren
spellingShingle Yushan Zhang
Zhaohuan Gui
Nan Jiang
Xueya Pu
Meiling Liu
Yingqi Pu
Shan Huang
Shaoyi Huang
Yajun Chen
Association between Hyperactivity and SSB Consumption in Schoolchildren: A Cross-Sectional Study in China
Nutrients
sugar-sweetened beverages
attention-deficit/hyperactivity disorder
children
title Association between Hyperactivity and SSB Consumption in Schoolchildren: A Cross-Sectional Study in China
title_full Association between Hyperactivity and SSB Consumption in Schoolchildren: A Cross-Sectional Study in China
title_fullStr Association between Hyperactivity and SSB Consumption in Schoolchildren: A Cross-Sectional Study in China
title_full_unstemmed Association between Hyperactivity and SSB Consumption in Schoolchildren: A Cross-Sectional Study in China
title_short Association between Hyperactivity and SSB Consumption in Schoolchildren: A Cross-Sectional Study in China
title_sort association between hyperactivity and ssb consumption in schoolchildren a cross sectional study in china
topic sugar-sweetened beverages
attention-deficit/hyperactivity disorder
children
url https://www.mdpi.com/2072-6643/15/4/1034
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