Overweight in children and adolescents in relation to attention-deficit/hyperactivity disorder: Results from a national sample
Overweight in children and adolescents in relation to attention-deficit/hyperactivity disorder: Results from a national sample
复制标题
DOI：
10.1542/peds.2007-1955
复制
发表时间：
2008-07-01
期刊：
影响因子：
8
通讯作者：
Lapane, Kate L.
中科院分区：
文献类型：
--
作者：
Waring, Molly E.;Lapane, Kate L.
OBJECTIVE.随着儿童肥胖症患病率的增加，确定超重风险增加的儿童群体非常重要。目前的研究估计了儿童和青少年超重的患病率与注意力缺陷/多动障碍和药物使用的关系。这项研究是一项横断面分析的62 887名儿童和青少年年龄在5至17岁，从2003-2004年全国儿童健康调查，在美国的儿童和青少年的全国代表性样本。注意力缺陷障碍/注意力缺陷/多动障碍是通过回答以下问题来确定的：“医生或健康专业人员是否曾告诉您，您的孩子患有注意力缺陷障碍或注意力缺陷/多动障碍，即ADD或ADHD？根据年龄和性别的BMI，儿童和青少年被分为体重不足、体重正常、有超重风险或超重。在对年龄、性别、种族/民族、社会经济地位和抑郁/焦虑进行调整后，目前未使用药物的注意力缺陷障碍/注意力缺陷/多动障碍儿童和青少年超重的几率是正常儿童和青少年的1.5倍，目前正在接受注意力缺陷障碍/注意力缺陷/多动障碍的儿童和青少年体重过轻的几率是未确诊的儿童和青少年的1.6倍。这项研究提高了儿科医生对注意力缺陷障碍/注意力缺陷/多动障碍、药物使用和体重状况之间关系的认识。未来的工作需要更好地了解纵向和药理学因素，影响注意力缺陷障碍/注意力缺陷/多动障碍和儿童和青少年的体重状况之间的关系。
OBJECTIVE. As the prevalence of childhood obesity increases, identifying groups of children who are at increased risk of overweight is important. The current study estimated the prevalence of overweight in children and adolescents in relation to attention-deficit/hyperactivity disorder and medication use.PATIENTS AND METHODS. This study was a cross-sectional analysis of 62 887 children and adolescents aged 5 to 17 years from the 2003-2004 National Survey of Children's Health, a nationally representative sample of children and adolescents in the United States. Attention-deficit disorder/attention-deficit/hyperactivity disorder was determined by response to the question "Has a doctor or health professional ever told you that your child has attention-deficit disorder or attention-deficit/hyperactive disorder, that is, ADD or ADHD?" Children and adolescents were classified as underweight, normal weight, at risk of overweight, or overweight according to BMI for age and gender.RESULTS. After adjustment for age, gender, race/ethnicity, socioeconomic status, and depression/anxiety, children and adolescents with attention-deficit disorder/attention-deficit/hyperactivity disorder not currently using medication had similar to 1.5 times the odds of being overweight, and children and adolescents currently medicated for attention- deficit disorder/attention-deficit/hyperactivity disorder had similar to 1.6 times the odds of being underweight compared with children and adolescents without either diagnosis.CONCLUSIONS. This study provides heightened awareness for pediatric providers about the relationship between attention-deficit disorder/attention-deficit/hyperactivity disorder, medication use, and weight status. Future work is needed to better understand the longitudinal and pharmacologic factors that influence the relationship between attention-deficit disorder/attention-deficit/hyperactivity disorder and weight status in children and adolescents.