Examining the relationship between Attention-Deficit/Hyperactivity Disorder and overweight in children and adolescents
Examining the relationship between Attention-Deficit/Hyperactivity Disorder and overweight in children and adolescents
复制标题
DOI：
10.1007/s00787-011-0230-0
复制
发表时间：
2012-01-01
影响因子：
6.4
通讯作者：
Ravens-Sieberer, Ulrike
中科院分区：
文献类型：
--
作者：
Erhart, Michael;Herpertz-Dahlmann, Beate;Ravens-Sieberer, Ulrike
尽管在注意力缺陷/多动障碍（ADHD）患者的临床样本中报告了较高的超重/肥胖患病率，但在儿童期的一般人群中尚未确定超重和ADHD之间的关联。由于这两种疾病都很常见，并显著影响心理社会功能，我们调查了超重/肥胖青少年ADHD的患病率，反之亦然。在一项具有全国代表性和基于社区的横断面调查中，2，863名父母及其11-17岁的子女根据基于德国精神障碍诊断和统计手册的ADHD评定量表对症状进行了评定。体重和身高由专业人员评估。根据国家年龄和性别特定参考值对体重指数进行分类。总体而言，4.2%的受访者符合ADHD的标准。超重/肥胖儿童的ADHD患病率（7%）显著高于正常体重儿童（3.5%）和体重不足儿童（4.9%）。在控制年龄，性别和社会经济地位的logistic回归分析中，超重/肥胖儿童诊断为ADHD的可能性是正常儿童的两倍（OR = 2.0）。反之亦然，调整所有协变量后，ADHD儿童超重/肥胖状态的OR为1.9。对于所有的体重状况组，ADHD儿童更频繁地报告饮食问题相比，他们的非临床同行。患有ADHD的超重/肥胖受访者显示出最高水平的卫生服务利用率。临床医生应该意识到ADHD儿童超重和超重儿童患有ADHD的重大风险。需要进行纵向研究，以更好地了解ADHD和超重/肥胖之间相关性的机制。
Although a higher prevalence of overweight/obesity was reported in clinical samples of patients with Attention-Deficit/Hyperactivity Disorder (ADHD), an association between overweight and ADHD has yet not been established in the general population in childhood. As both disorders are common and significantly affect psychosocial functioning, we investigated the prevalence of ADHD in overweight/obese youth and vice versa. In a cross-sectional nationally representative and community based survey 2,863 parents and their children aged 11-17 years rated symptoms on the Diagnostic and Statistical Manual of Mental Disorders-based German ADHD Rating scale. Weight and height were assessed by professionals. Body mass index was categorized according to national age and sex specific reference values. Overall, 4.2% of the respondents met criteria for ADHD. The prevalence of ADHD was significantly higher for overweight/obese (7%) than for normal weight (3.5%) and underweight (4.9%) children. In a logistic regression analysis controlling for age, gender, and socio-economic status, overweight/obese children were twice as likely to have an ADHD diagnosis (OR = 2.0). Vice versa, adjusting for all covariates, children with ADHD had an OR of 1.9 for overweight/obesity status. For all weight-status groups, children with ADHD more frequently reported eating problems as compared to their non-clinical counterparts. Overweight/obese respondents with ADHD displayed the highest level of health services utilization. A clinician should be aware of the significant risk for a child with ADHD to become overweight and for an overweight child to have ADHD. Longitudinal studies are needed to better understand the mechanisms underlying the association between ADHD and overweight/obesity.