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            "title": "Modelo dietético en pacientes con déficit de atención e hiperactividad",
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                    "firstName": "T.",
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            "abstractNote": "ResumenObjetivo\nEstudiar los hábitos alimentarios en un grupo de pacientes con trastorno de déficit de atención e hiperactividad (TDAH) en tratamiento con metilfenidato de liberación prolongada (MTF-LP).\nMaterial y métodos\nEncuesta nutricional (consumo de alimentos de 3 días consecutivos) a 150 pacientes con TDAH (100 varones y 50 mujeres) en tratamiento con MTF-LP, y a 150 sujetos sanos de la misma edad (grupo control). Se han comparado la ingesta de alimentos y nutrientes y el estado nutricional entre ambos grupos.\nResultados\nLa dosis media de MTF-LP era de 1,02 mg/kg/día. En el grupo con TDAH el estado nutricional era significativamente inferior (p &lt; 0,05). La ingesta de cereales, carnes, legumbres y frutas era significativamente inferior (p &lt; 0,05) en el grupo con TDAH. El aporte calórico del almuerzo, comida del mediodía y merienda era significativamente superior (p &lt; 0,05) en el grupo control; mientras que el aporte calórico de la cena era significativamente superior (p &lt; 0,05) en el grupo con TDAH. En el grupo control el aporte calórico y de proteínas, hidratos de carbono, grasas y fibra, calcio, hierro, magnesio, cinc, selenio y fósforo, tiamina, niacina, vitamina B6 y folatos era significativamente superior (p &lt; 0,05) respecto al grupo TDAH.\nConclusiones\nEl tratamiento con MTF-LP modifica sustancialmente la distribución porcentual del aporte calórico de las distintas ingestas diarias. El aporte calórico y de nutrientes en los pacientes en tratamiento con MTF-LP es, en general, inferior al de la población sana de la misma edad. Habría que considerar la necesidad de impartir, simultáneamente con el tratamiento multimodal, programas de educación nutricional a estos pacientes y/o sus familias.\nAbstractObjective\nTo evaluate the dietary patterns in a group of patients diagnosed with attention deficit hyperactivity disorder (ADHD) and under treatment with extended-release methylphenidate (MPH-ER).\nMaterial and methods\nA nutrition survey (food intake recall for three consecutive days) was carried out on 100 patients diagnosed with ADHD and under treatment with MPH-ER, and in 150 healthy children (control group). Calorie and nutrient intake, as well as nutrition status, were evaluated and compared in both groups.\nResults\nThe mean MPH-ER dose was 1.02 mg/kg/day. Nutritional status in the ADHD group was significantly lower (P &lt; .05) than in control group. The consumption of cereals, meat, pulses and fruits in the control group was significantly higher (P &lt; .05) than in ADHD group. Calorie intake in the mid-morning snack, lunch and afternoon snack was significantly higher (P &lt; .05) in the control group. Calorie intake at supper was significantly higher (P &lt; .05) in the ADHD group. Total calorie intake, as well as protein, carbohydrates, fat, fibre, calcium, iron, magnesium, zinc, selenium and phosphorous, thiamine, niacin, vitamin B6 and folate intake in the control group was significantly higher than in ADHD group.\nConclusions\nTreatment with MPH-ER substantially modifies the percentage distribution of calorie intake of the different meals. The daily calorie and nutrients intake in patients under treatment with MPH-ER is, generally, lower than in the healthy population of a similar age. Nutrition education should be provided, along with multimodal treatment, to the patients and/or their families.",
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            "abstractNote": "OBJECTIVE: This study was conducted to assess the relation of major dietary patterns identified by factor analysis to attention-deficit/hyperactivity disorder (ADHD) in a group of Iranian school-age children.\nMETHODS: This cross-sectional study was conducted in 375 school-age children in Tehran, Iran. We assessed usual dietary intakes by a semiquantitative food-frequency questionnaire. The presence of ADHD was diagnosed using the questionnaire of the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition. Major dietary patterns were identified by factor analysis.\nRESULTS: The prevalence of ADHD was 9.7% in this population. We identified four major dietary patterns: \"healthy,\" \"Western,\" \"sweet,\" and \"fast food.\" After controlling for potential confounders, children in the top quintile of the sweet dietary pattern score had greater odds for having ADHD compared with those in the lowest quintile (odds ratio 3.95, 95% confidence interval 1.16-15.31, P for trend = 0.03). Greater adherence to the fast-food dietary pattern was significantly associated with a higher risk of having ADHD (odds ratio 3.21, 95% confidence interval 1.05-10.90, P for trend = 0.03). No overall significant associations were seen between the healthy or Western dietary pattern and ADHD.\nCONCLUSION: We found significant independent associations between the sweet and fast-food dietary patterns and the prevalence of ADHD. Prospective studies are required to confirm these findings.",
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