A Review on the Influence of Nutritional Status on Cognition Performance of School Going Children

Khushnuma; Jauhar Azeem; Huma Naqeeb; Zarafshan Zeb; Najma Mehboob; Bilal; Ayesha Bibi

doi:10.70749/ijbr.v3i1.445

Authors

Khushnuma Department of Human Nutrition and Dietetics, Women University Mardan, KP, Pakistan.
Jauhar Azeem Department of Biochemistry, Hazara University, Mansehra, KP, Pakistan.
Huma Naqeeb Department of Human Nutrition and Dietetics, Women University Mardan, KP, Pakistan.
Zarafshan Zeb Department of Human Nutrition, The University of Agriculture, Peshawar, KP, Pakistan.
Najma Mehboob Department of Human Nutrition, The University of Agriculture, Peshawar, KP, Pakistan.
Bilal Department of Human Nutrition, The University of Agriculture, Peshawar, KP, Pakistan.
Ayesha Bibi Department of Human Nutrition and Dietetics, Women University Mardan, KP, Pakistan.

DOI:

https://doi.org/10.70749/ijbr.v3i1.445

Keywords:

Nutritional Status, Cognitive Performance, School Going Children, Macronutrients, Micronutrients, Breakfast

Abstract

Most of the children have poor nutritional status all over the world, which affect the children life in different ways. One of the impacts is nutritional status which influences the cognitive performance of school going children. The aim of this review was to determine the influence of nutritional status on the cognitive performance of school going children. Study was searched from the databases (google scholar, PubMed, sciHub). Studies with cognitive performance of school going children at the age between 5 and 14 were cited for the review. The aim of the review is to find how diet affects the cognitive performance of children and to identify how diet is associated with school performance. The review evaluated that diet high in nutrition, micro nutrients, intake of fructose, soluble fiber, total fiber, leafy vegetables, breakfast, breakfast high in macro nutrients composition, school feeding programs can positively associated with cognitive function. Poor nutrition status, nutrition deficiencies, malnutrition, stunting wasting are negatively associated with cognitive function. There is no significant association between dietary fats with cognitive function. Adequate intake of macronutrients (Carbohydrates, proteins, fats) and micronutrients (vitamins and minerals) can help in cognitive function. Majority of other factors are also included to esenhance the cognitive performance.

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References

Mantey, A., Lutterodt, H., Twumasi, P., & Annan, R. (2022). Effect of 12 weeks consumption of palm weevil larvae and orange-fleshed sweet potato fortified biscuit on nutritional status and cognitive performance of school children in Kumasi, Ghana. African Journal of Food, Agriculture, Nutrition and Development, 22(113), 21397-21417. https://doi.org/10.18697/ajfand.113.21620

Adonu, R. E., Amoah, M., & Saah, F. I. (2023). Breakfast intake and associated factors and barriers among tertiary institution students in the western region, Ghana. BMC Nutrition, 9(1), 1-7. https://doi.org/10.1186/s40795-023-00672-6

Almalki, J. A., Knight, S. N., Poulos, S. P., Stanfield, D. L., Killen, L. G., Waldman, H. S., & O’Neal, E. K. (2022). Hydration and cognitive task performance in children: A systematic review. Journal of Cognitive Enhancement, 6(4), 519-530. https://doi.org/10.1007/s41465-022-00249-4

Annan, R. A., Apprey, C., Asamoah‐Boakye, O., Okonogi, S., Yamauchi, T., & Sakurai, T. (2019). The relationship between dietary micronutrients intake and cognition test performance among school‐aged children in government‐owned primary schools in Kumasi metropolis, Ghana. Food Science & Nutrition, 7(9), 3042-3051. https://doi.org/10.1002/fsn3.1162

Apprey, C., Asamoah-Boakye, O., Annaful, V. T., & Annan, R. A. (2022). Comparative analysis of methyl–donor nutrient intakes and RCPM cognitive performance among school-aged children. Clinical Nutrition ESPEN, 52, 105-112. https://doi.org/10.1016/j.clnesp.2022.10.005

Barg, G., Frndak, S., Queirolo, E. I., Peregalli, F., & Kordas, K. (2023). Dietary patterns and cognitive achievement among school children in socio-cultural context, a case of Montevideo, Uruguay. European Journal of Nutrition, 62(6), 2475-2488. https://doi.org/10.1007/s00394-023-03167-z

Bassouni, R., Soliman, M., Hussein, L. A., Monir, Z., & Abd El-Meged, A. A. (2022). Development and evaluating the biopotency of ready to eat liver meat balls in fighting anaemia and vitamin A deficiency, improving selected nutritional biochemical indicators and promoting the cognitive function among mildly anaemic Egyptian children aged 3–9 years. Public Health Nutrition, 25(11), 3182-3194. https://doi.org/10.1017/s1368980022000970

Beal, T., Gardner, C. D., Herrero, M., Iannotti, L. L., Merbold, L., Nordhagen, S., & Mottet, A. (2023). Friend or foe? The role of animal-source foods in healthy and environmentally sustainable diets. The Journal of Nutrition, 153(2), 409-425. https://doi.org/10.1016/j.tjnut.2022.10.016

Benton, D. (2010). The influence of dietary status on the cognitive performance of children. Molecular Nutrition & Food Research, 54(4), 457-470. https://doi.org/10.1002/mnfr.200900158

Borasio, F., De Cosmi, V., D’Oria, V., Scaglioni, S., Syren, M. E., Turolo, S., Agostoni, C., Coniglio, M., Molteni, M., Antonietti, A., & Lorusso, M. L. (2023). Associations between dietary intake, blood levels of omega-3 and omega-6 fatty acids and reading abilities in children. Biomolecules, 13(2), 368. https://doi.org/10.3390/biom13020368

Breslin, G., Hillyard, M., Brick, N., Shannon, S., McKay-Redmond, B., & McConnell, B. (2023). A systematic review of the effect of the Daily Mile™ on children’s physical activity, physical health, mental health, wellbeing, academic performance and cognitive function. PLOS ONE, 18(1), e0277375. https://doi.org/10.1371/journal.pone.0277375

Chouraqui, J. (2022). Children’s water intake and hydration: A public health issue. Nutrition Reviews, 81(5), 610-624. https://doi.org/10.1093/nutrit/nuac073

Cohen Kadosh, K., Muhardi, L., Parikh, P., Basso, M., Jan Mohamed, H. J., Prawitasari, T., Samuel, F., Ma, G., & Geurts, J. M. (2021). Nutritional support of Neurodevelopment and cognitive function in infants and young children—An update and novel insights. Nutrients, 13(1), 199. https://doi.org/10.3390/nu13010199

Compañ-Gabucio, L. M., Torres-Collado, L., Garcia-de la Hera, M., Fernández-Somoano, A., Tardón, A., Julvez, J., Sunyer, J., Rebagliato, M., Murcia, M., Ibarluzea, J., Santa-Marina, L., & Vioque, J. (2022). Association between the use of folic acid supplements during pregnancy and children’s cognitive function at 7–9 years of age in the INMA cohort study. International Journal of Environmental Research and Public Health, 19(19), 12123. https://doi.org/10.3390/ijerph191912123

Dalile, B., Kim, C., Challinor, A., Geurts, L., Gibney, E. R., Galdos, M. V., La Fata, G., Layé, S., Mathers, J. C., Vauzour, D., Verkuyl, J. M., & Thuret, S. (2022). The EAT–Lancet reference diet and cognitive function across the life course. The Lancet Planetary Health, 6(9), e749-e759. https://doi.org/10.1016/s2542-5196(22)00123-1

Derese, M., & Senapathy, M. (2022). Physical resource management in government secondary schools, Wolaita zone, Southern Ethiopia. Shanlax International Journal of Education, 11(1), 84-93. https://doi.org/10.34293/education.v11i1.5176

Dogui, D., Doggui, R., El Ati, J., & El Ati-Hellal, M. (2023). Prevalence of breakfast skippers among tunisian preschool and school children and association with weight status: A cross-sectional study. Children, 10(2), 392. https://doi.org/10.3390/children10020392

Dohmen, M., Braat-Eggen, E., Kemperman, A., & Hornikx, M. (2022). The effects of noise on cognitive performance and helplessness in childhood: A review. International Journal of Environmental Research and Public Health, 20(1), 288. https://doi.org/10.3390/ijerph20010288

Esteban-Cornejo, I., Stillman, C. M., Rodriguez-Ayllon, M., Kramer, A. F., Hillman, C. H., Catena, A., Erickson, K. I., & Ortega, F. B. (2021). Physical fitness, hippocampal functional connectivity and academic performance in children with overweight/obesity: The ActiveBrains project. Brain, Behavior, and Immunity, 91, 284–295. https://doi.org/10.1016/j.bbi.2020.10.006

Gomes Gonçalves, N., Suemoto, C., & Ferreira, N. V. (2023). Different sources of sugar consumption and cognitive performance in older adults: Data from the national health and nutrition examination survey 2011–2014. The Journals of Gerontology: Series B, 78(4), 620-628. https://doi.org/10.1093/geronb/gbac186

Gong, Z., Song, W., & Gu, M. (2021). Serum copper and zinc concentrations and cognitive impairment in older adults aged 60 years and older. Biological Trace Element Research, 200(4), 1495-1501. https://doi.org/10.1007/s12011-021-02765-4

Han, J., Cui, N., Lyu, P., & Li, Y. (2023). Early-life home environment and child cognitive function: A meta-analysis. Personality and Individual Differences, 200, 111905. https://doi.org/10.1016/j.paid.2022.111905

Hassevoort, K. M., Lin, A. S., Khan, N. A., Hillman, C. H., & Cohen, N. J. (2018). Added sugar and dietary fiber consumption are associated with creativity in preadolescent children. Nutritional Neuroscience, 23(10), 791-802. https://doi.org/10.1080/1028415x.2018.1558003

Honja Kabero, T., Bosha, T., Feleke, F. W., Haile Weldegebreal, D., & Stoecker, B. (2021). Nutritional status and its association with cognitive function among school aged children at Soddo town and Soddo Zuriya district, Southern Ethiopia: Institution based comparative study. Global Pediatric Health, 8. https://doi.org/10.1177/2333794x211028198

Hoyland, A., Dye, L., & Lawton, C. L. (2009). A systematic review of the effect of breakfast on the cognitive performance of children and adolescents. Nutrition Research Reviews, 22(2), 220-243. https://doi.org/10.1017/s0954422409990175

Huskisson, E., Maggini, S., & Ruf, M. (2007). The influence of micronutrients on cognitive function and performance. Journal of International Medical Research, 35(1), 1-19. https://doi.org/10.1177/147323000703500101

IFEBAJO, A. Y., & Deborah IGE, T. (2023). Prevalence of malnutrition and its effects on learning process in Tetiary institution. International Journal of Life Science and Agriculture Research, 02(05). https://doi.org/10.55677/ijlsar/v02i05y2023-02

Kasambala, M., Mduluza, T., Vengesai, A., Mduluza-Jokonya, T., Jokonya, L., Midzi, H., Makota, R. B., Mutemeri, A., Maziti, E., Dube-Marimbe, B., Chibanda, D., Mutapi, F., & Mukaratirwa, S. (2022). Effect of schistosoma haematobium infection on the cognitive functions of preschool age children and benefits of treatment from an endemic area in Zimbabwe. BMC Infectious Diseases, 22(1). https://doi.org/10.1186/s12879-022-07784-7

Kheirouri, S., & Alizadeh, M. (2021). MIND diet and cognitive performance in older adults: A systematic review. Critical Reviews in Food Science and Nutrition, 62(29), 8059-8077. https://doi.org/10.1080/10408398.2021.1925220

Lam, L. F., & Lawlis, T. R. (2017). Feeding the brain – The effects of micronutrient interventions on cognitive performance among school-aged children: A systematic review of randomized controlled trials. Clinical Nutrition, 36(4), 1007-1014. https://doi.org/10.1016/j.clnu.2016.06.013

Lee, H., Lee, M. W., Warren, J. R., & Ferrie, J. (2022). Childhood lead exposure is associated with lower cognitive functioning at older ages. Science Advances, 8(45). https://doi.org/10.1126/sciadv.abn5164

Lewis, J. E., Poles, J., Shaw, D. P., Karhu, E., Khan, S. A., Lyons, A. E., ... & McDaniel, H. R. (2021). The effects of twenty-one nutrients and phytonutrients on cognitive function: A narrative review. Journal of Clinical and Translational Research, 7(4), 575. https://doi.org/10.18053/jctres.07.202104.014

Marinoni, M., Giordani, E., Mosconi, C., Rosolen, V., Concina, F., Fiori, F., Carletti, C., Knowles, A., Pani, P., Bin, M., Ronfani, L., Ferraroni, M., Barbone, F., Parpinel, M., & Edefonti, V. (2022). Are dietary patterns related to cognitive performance in 7-Year-Old children? Evidence from a birth cohort in Friuli venezia Giulia, Italy. Nutrients, 14(19), 4168. https://doi.org/10.3390/nu14194168

Marsigliante, S., Gómez-López, M., & Muscella, A. (2023). Effects on children’s physical and mental well-being of a physical-activity-Based school intervention program: A randomized study. International Journal of Environmental Research and Public Health, 20(3), 1927. https://doi.org/10.3390/ijerph20031927

Martinez-Lapiscina, E. H., Clavero, P., Toledo, E., San Julian, B., Sanchez-Tainta, A., Corella, D., Lamuela-Raventos, R., Martinez, J., & Martinez-Gonzalez, M. (2013). Virgin olive oil supplementation and long-term cognition: The PREDIMED-navarra randomized, trial. The Journal of nutrition, health and aging, 17(6), 544-552. https://doi.org/10.1007/s12603-013-0027-6

McKune, S. L., Mechlowitz, K., & Miller, L. C. (2022). Dietary animal source food across the lifespan in LMIC. Global Food Security, 35, 100656. https://doi.org/10.1016/j.gfs.2022.100656

Micha, R., Rogers, P. J., & Nelson, M. (2010). The glycaemic potency of breakfast and cognitive function in school children. European Journal of Clinical Nutrition, 64(9), 948-957. https://doi.org/10.1038/ejcn.2010.96

Mou, Y., Blok, E., Barroso, M., Jansen, P. W., White, T., & Voortman, T. (2023). Dietary patterns, brain morphology and cognitive performance in children: Results from a prospective population-based study. European Journal of Epidemiology, 38(6), 669-687. https://doi.org/10.1007/s10654-023-01012-5

Muth, A., & Park, S. Q. (2021). The impact of dietary macronutrient intake on cognitive function and the brain. Clinical Nutrition, 40(6), 3999-4010. https://doi.org/10.1016/j.clnu.2021.04.043

Naveed, S., Lakka, T., & Haapala, E. A. (2020). An overview on the associations between health behaviors and brain health in children and adolescents with special reference to diet quality. International Journal of Environmental Research and Public Health, 17(3), 953. https://doi.org/10.3390/ijerph17030953

Naveed, S., Venäläinen, T., Eloranta, A., Erkkilä, A. T., Jalkanen, H., Lindi, V., Lakka, T. A., & Haapala, E. A. (2020). Associations of dietary carbohydrate and fatty acid intakes with cognition among children. Public Health Nutrition, 23(9), 1657-1663. https://doi.org/10.1017/s1368980019003860

Neelam, S. C. (2023). Mechanisms Of Cognitive development Among School Going Malnourished Children. Aazadi ka Amrit Mahotsav: Community Science Achievements, Opportunities and Challenges, 18.

Nishi, S. K., Sala-Vila, A., Julvez, J., Sabaté, J., & Ros, E. (2023). Impact of Nut Consumption on Cognition across the Lifespan. Nutrients, 15(4), 1000. https://doi.org/10.3390/nu15041000

Nyaradi, A., Foster, J. K., Hickling, S., Li, J., Ambrosini, G. L., Jacques, A., & Oddy, W. H. (2014). Prospective associations between dietary patterns and cognitive performance during adolescence. Journal of Child Psychology and Psychiatry, 55(9), 1017-1024. https://doi.org/10.1111/jcpp.12209

Pattebahadur, D. V., & Patil, D. (2023). Effects of anemia on cognitive ability in school-going adolescents in an urban area in India. International Journal of Medical Students, S193. https://doi.org/10.5195/ijms.2022.1754

Peni, T., Laili, S. I., Jayanti, E. D., & Sari, D. A. (2020). Analysis of cognitive abilities of school-age children based on eating habits and nutritional status. INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS), 4(1), 41-51. https://doi.org/10.29082/ijnms/2020/vol4/iss1/257

Philippou, E., & Constantinou, M. (2014). The influence of glycemic index on cognitive functioning: A systematic review of the evidence. Advances in Nutrition, 5(2), 119-130. https://doi.org/10.3945/an.113.004960

Pilato, I. B., Beezhold, B., & Radnitz, C. (2020). Diet and lifestyle factors associated with cognitive performance in college students. Journal of American College Health, 70(7), 2230-2236. https://doi.org/10.1080/07448481.2020.1847118

Rabiu, K. M., Ali Idoko, S., & Ibrahim Ganiyu, A. (2023). Effect of school feeding programme on nutritional balance in primary school pupils in Kano metropolis. FUDMA JOURNAL OF SCIENCES, 7(2), 256-264. https://doi.org/10.33003/fjs-2023-0702-1689

Rampersaud, G. C., Pereira, M. A., Girard, B. L., Adams, J., & Metzl, J. D. (2005). Breakfast habits, nutritional status, body weight, and academic performance in children and adolescents. Journal of the American Dietetic Association, 105(5), 743-760. https://doi.org/10.1016/j.jada.2005.02.007

Roberts, M., Tolar-Peterson, T., Reynolds, A., Wall, C., Reeder, N., & Rico Mendez, G. (2022). The effects of nutritional interventions on the cognitive development of preschool-age children: A systematic review. Nutrients, 14(3), 532. https://doi.org/10.3390/nu14030532

Abdul hameed, A., & Salibi, G. (2023). Children’s nutrition impact on cognitive development. Special journal of the Medical Academy and other Life Sciences, 1(1), 37-50. https://doi.org/10.58676/sjmas.v1i1.6

Sasaki, N., & Carpenter, D. O. (2022). Associations between metal exposures and cognitive function in American older adults. International Journal of Environmental Research and Public Health, 19(4), 2327. https://doi.org/10.3390/ijerph19042327

Sherzai, D., Moness, R., Sherzai, S., & Sherzai, A. (2022). A systematic review of omega-3 fatty acid consumption and cognitive outcomes in Neurodevelopment. American Journal of Lifestyle Medicine, 17(5), 649-685. https://doi.org/10.1177/15598276221116052

Singh, S., Awasthi, S., Kumar, D., Sarraf, S. R., Pandey, A. K., Agarwal, G. G., Awasthi, A., T. S., A., Mathew, J. L., Kar, S., Nair, S., Rao, C. R., Pande, H., Mahanta, B. N., Bharti, B., Singh, C. M., Singh, K., Bhat, M. A., A. R., S., … Mahdi, A. A. (2023). Micronutrients and cognitive functions among urban school-going children and adolescents: A cross-sectional multicentric study from India. PLOS ONE, 18(2), e0281247. https://doi.org/10.1371/journal.pone.0281247

Sittiprapaporn, P., Bumrungpert, A., Suyajai, P., & Stough, C. (2022). Effectiveness of fish Oil-DHA supplementation for cognitive function in Thai children: A randomized, doubled-blind, two-dose, placebo-controlled clinical trial. Foods, 11(17), 2595. https://doi.org/10.3390/foods11172595

Stein, A. D., Adair, L. S., Donati, G., Wray, C., Richter, L. M., Norris, S. A., Stein, A., Martorell, R., Ramirez-Zea, M., Menezes, A. M., Murray, J., Victora, C., Lee, N., Bas, I., Kowalski, A., DiGirolamo, A., Scerif, G., Mpondo, F., Belleza, D., … Wehrmeister, F. C. (2023). Early-life stature, preschool cognitive development, schooling attainment, and cognitive functioning in adulthood: A prospective study in four birth cohorts. The Lancet Global Health, 11(1), e95-e104. https://doi.org/10.1016/s2214-109x(22)00448-x

Szot, M., Karpęcka-Gałka, E., Dróżdż, R., & Frączek, B. (2022). Can nutrients and dietary supplements potentially improve cognitive performance also in Esports? Healthcare, 10(2), 186. https://doi.org/10.3390/healthcare10020186.

Taylor, R. L., Cooper, S. R., Jackson, J. J., & Barch, D. M. (2020). Assessment of neighborhood poverty, cognitive function, and prefrontal and hippocampal volumes in children. JAMA Network Open, 3(11), e2023774. https://doi.org/10.1001/jamanetworkopen.2020.23774

Ullah, W., & Khan, S. J. (2022). Nutrtional status and its correlation with academic performance of school going children. Pakistan Journal of Medical and Health Sciences, 16(7), 784-787. https://doi.org/10.53350/pjmhs22167784

Utami, N. H., Sekartini, R., Kolopaking, R., Besral, B., & Khusun, H. (2023). Cognitive performance of 4-6-year-old children: A longitudinal study. Paediatrica Indonesiana, 63(2), 65-72. https://doi.org/10.14238/pi63.2.2023.65-72

Van Beekum, M., Berger, J., Van Geystelen, J., Hondru, G., Som, S. V., Theary, C., Laillou, A., Poirot, E., Bork, K. A., Wieringa, F. T., & Fortin, S. (2022). The associations between stunting and wasting at 12 months of age and developmental milestones delays in a cohort of Cambodian children. Scientific Reports, 12(1). https://doi.org/10.1038/s41598-022-22861-2

Vella-Brodrick, D. A., & Gilowska, K. (2022). Effects of nature (Greenspace) on cognitive functioning in school children and adolescents: A systematic review. Educational Psychology Review, 34(3), 1217-1254. https://doi.org/10.1007/s10648-022-09658-5

Wang, H., & Cheng, Z. (2022). Kids eat free: School feeding and family spending on education. Journal of Economic Behavior & Organization, 193, 196-212. https://doi.org/10.1016/j.jebo.2021.11.023

Wang, X., Wang, H., Zhang, F., Cui, Y., Zhang, D., & Shen, X. (2022). Threshold effects and interactive effects of total zinc and selenium intake on cognitive function in older adults. Clinical Nutrition ESPEN, 47, 383-390. https://doi.org/10.1016/j.clnesp.2021.11.001

Wang, Y., Wang, Y., & Yan, C. (2022). Gender differences in trace element exposures with cognitive abilities of school-aged children: A cohort study in Wujiang city, China. Environmental Science and Pollution Research, 29(43), 64807-64821. https://doi.org/10.1007/s11356-022-20353-4

Yan, X., Xu, Y., Huang, J., Li, Y., Li, Q., Zheng, J., Chen, Q., & Yang, W. (2022). Association of consumption of sugar-sweetened beverages with cognitive function among the adolescents aged 12–16 years in us, nhanes III, 1988–1994. Frontiers in Nutrition, 9. https://doi.org/10.3389/fnut.2022.939820

Zhang, J., Hebert, J. R., & Muldoon, M. F. (2005). Dietary fat intake is associated with psychosocial and cognitive functioning of school-aged children in the United States. The Journal of Nutrition, 135(8), 1967-1973. https://doi.org/10.1093/jn/135.8.1967

Zhang, N., Du, S. M., Zhang, J. F., & Ma, G. S. (2019). Effects of dehydration and rehydration on cognitive performance and mood among male college students in Cangzhou, China: A self-controlled trial. International Journal of Environmental Research and Public Health, 16(11), 1891. https://doi.org/10.3390/ijerph16111891

Zhang, T., Kan, L., Jin, C., & Shi, W. (2023). Adverse childhood experiences and their impacts on subsequent depression and cognitive impairment in Chinese adults: A nationwide multi-center study. Journal of Affective Disorders, 323, 884-892. https://doi.org/10.1016/j.jad.2022.12.058

Zhang, Y., Li, R., Zhao, Q., & Fan, S. (2023). The impact of peer effect on students' consumption of sugar-sweetened beverages- instrumental variable evidence from north China. Food Policy, 115, 102413. https://doi.org/10.1016/j.foodpol.2023.102413

Zhong, Q., Sun, W., Qin, Y., & Xu, H. (2023). Association of dietary α-carotene and β-carotene intake with low cognitive performance in older adults: A cross-sectional study from the national health and nutrition examination survey. Nutrients, 15(1), 239. https://doi.org/10.3390/nu15010239

Zhou, Y., Zou, X., Feng, R., Zhan, X., Hong, H., Luo, Y., & Tan, Y. (2023). Improvement of spatial memory and cognitive function in mice via the intervention of milk fat globule membrane. Nutrients, 15(3), 534. https://doi.org/10.3390/nu15030534

Zupo, R., Castellana, F., Boero, G., Matera, E., Colacicco, G., Piscitelli, P., Clodoveo, M. L., Rondanelli, M., Panza, F., Lozupone, M., & Sardone, R. (2023). Processed foods and diet quality in pregnancy may affect child neurodevelopment disorders: A narrative review. Nutritional Neuroscience, 27(4), 361-381. https://doi.org/10.1080/1028415x.2023.2197709