中华行为医学与脑科学杂志
中華行為醫學與腦科學雜誌
중화행위의학여뇌과학잡지
CHINESE JOURNAL OF BEHAVIORAL MEDICINE AND BRAIN SCIENCE
2013年
9期
814-816
,共3页
衣明纪%丁磊%傅芃%马遥%张颖
衣明紀%丁磊%傅芃%馬遙%張穎
의명기%정뢰%부봉%마요%장영
Tourette综合征%饮食行为%单因素分析%多因素分析
Tourette綜閤徵%飲食行為%單因素分析%多因素分析
Tourette종합정%음식행위%단인소분석%다인소분석
Tourette syndrome%Dietary behavior%Univariate analysis%Multivariate analysis
目的 探讨Tourette综合征(TS)患儿的饮食行为与抽动症状之间的关系.方法 对2008年11月至2010年10月就诊于本院儿童保健科的207例TS患儿及264例同期对照儿童,采用儿童饮食行为调查问卷进行饮食行为调查,应用耶鲁综合抽动严重程度量表(YGTSS)评估患儿的抽动症状严重程度；采用Kruskal-Wallis H秩和检验进行单因素分析,进一步多因素分析采用逐步多项logistic回归分析.结果 因(为)分析结果显示:西式快餐、烧烤食品、奶油食品、冷性食品、辛辣食品与TS症状严重程度有关(P＜0、15)；多因素分析结果显示:以对照组为参照,轻度TS的危险因素为西式快餐、水果蔬菜、奶油食品、辛辣食(用),其比值比(OR)及95％C1分别为3.282(1.922,5.064)、2.239(1.298,3.861)、2.341(1.355,4.046)、2.18(1.327,3.380),人群归因危险度(PAR)分别为0.306、0.464、0.169、0.250；中重度TS的危险因素为西式快餐、水果蔬菜、辛辣食品,其OR及95％ CI分别为2.581(1.322,5.038)、2.364(1.166,4.795)、1.822(1.014,2.272),PAR分别为0.234,0.487,0.197.结论 饮食行为影响TS患儿抽动症状,尤其是西式快餐、水果蔬菜、奶油食品、辛辣食品等,因此规范饮食行为对于儿童TS的防治是必要的.
目的 探討Tourette綜閤徵(TS)患兒的飲食行為與抽動癥狀之間的關繫.方法 對2008年11月至2010年10月就診于本院兒童保健科的207例TS患兒及264例同期對照兒童,採用兒童飲食行為調查問捲進行飲食行為調查,應用耶魯綜閤抽動嚴重程度量錶(YGTSS)評估患兒的抽動癥狀嚴重程度；採用Kruskal-Wallis H秩和檢驗進行單因素分析,進一步多因素分析採用逐步多項logistic迴歸分析.結果 因(為)分析結果顯示:西式快餐、燒烤食品、奶油食品、冷性食品、辛辣食品與TS癥狀嚴重程度有關(P＜0、15)；多因素分析結果顯示:以對照組為參照,輕度TS的危險因素為西式快餐、水果蔬菜、奶油食品、辛辣食(用),其比值比(OR)及95％C1分彆為3.282(1.922,5.064)、2.239(1.298,3.861)、2.341(1.355,4.046)、2.18(1.327,3.380),人群歸因危險度(PAR)分彆為0.306、0.464、0.169、0.250；中重度TS的危險因素為西式快餐、水果蔬菜、辛辣食品,其OR及95％ CI分彆為2.581(1.322,5.038)、2.364(1.166,4.795)、1.822(1.014,2.272),PAR分彆為0.234,0.487,0.197.結論 飲食行為影響TS患兒抽動癥狀,尤其是西式快餐、水果蔬菜、奶油食品、辛辣食品等,因此規範飲食行為對于兒童TS的防治是必要的.
목적 탐토Tourette종합정(TS)환인적음식행위여추동증상지간적관계.방법 대2008년11월지2010년10월취진우본원인동보건과적207례TS환인급264례동기대조인동,채용인동음식행위조사문권진행음식행위조사,응용야로종합추동엄중정도량표(YGTSS)평고환인적추동증상엄중정도；채용Kruskal-Wallis H질화검험진행단인소분석,진일보다인소분석채용축보다항logistic회귀분석.결과 인(위)분석결과현시:서식쾌찬、소고식품、내유식품、랭성식품、신랄식품여TS증상엄중정도유관(P＜0、15)；다인소분석결과현시:이대조조위삼조,경도TS적위험인소위서식쾌찬、수과소채、내유식품、신랄식(용),기비치비(OR)급95％C1분별위3.282(1.922,5.064)、2.239(1.298,3.861)、2.341(1.355,4.046)、2.18(1.327,3.380),인군귀인위험도(PAR)분별위0.306、0.464、0.169、0.250；중중도TS적위험인소위서식쾌찬、수과소채、신랄식품,기OR급95％ CI분별위2.581(1.322,5.038)、2.364(1.166,4.795)、1.822(1.014,2.272),PAR분별위0.234,0.487,0.197.결론 음식행위영향TS환인추동증상,우기시서식쾌찬、수과소채、내유식품、신랄식품등,인차규범음식행위대우인동TS적방치시필요적.
Objective To explore the association of dietary behavior of children with Tourette syndrome (TS) and tic symptoms.Methods 207 TS children and their 264 corresponding controls,who visited our hospital during the period of November 2008 to October 2010,were investigated with children' s dietary behavior questionnaire,under the guidance of professional staff,and the TS tic symptom severity was also evaluated according to The Yale Global Tic Severity Scale (YGTSS).Kruskal-Wallis H rank-sum test was applied for univariate analysis and multinominal logistic regression for further multivariate analysis,with values of odds ratio (OR) and population attributable risk (PAR) obtained to demonstrate the relation strength between dietary behavior and tic symptom severity.Results Results of univariate analysis showed that western fast meal,barbecues,cream food,cold food,and spicy food were related to TS tic symptom severity (P＜0.05).Results of multivariate analysis demonstrated that western fast meal,fruits and vegetables,cream food and spicy food were risk factors for mild TS compared with control group,with OR and 95％ CI of 3.282 (1.922,5.064),2.239 (1.298,3.861),2.341 (1.355,4.046),2.118 (1.327,3.380) and their corresponding PAR of 0.306,0.464,0.169,0.250 respectively.As to moderate and severe TS,the risk factors included western fast meal,fruits and vegetables,and spicy food,with their respective OR and 95％ CI of 2.581 (1.322,5.038),2.364 (1.166,4.795),1.822 (1.014,2.272) and PAR of 0.234,0.487,0.197.Conclusion Dietary behavior,especially western fast meal,fruits and vegetables,cream food and spicy food,are considered to be associated with TS tic symptom severity.Therefore it' s obligatory to rectify undesirable dietary behaviors for TS children.
