Health status of school-age children with attention-deficit/hyperactivity disorder
WANG Junli1,2, SHENG Xiaoyang1,2, XUE Minbo1,2, LI Fei1,2, JIANG Fan2, SHEN Lixiao1,2
1. Department of Developmental and Behavioral Pediatrics, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China; 2. MOE-Shanghai Key Laboratory for Children's Environmental Health, Shanghai 200092, China
Objective To analyze the health condition of children with attention-deficit/hyperactivity disorder (ADHD). Methods The study was based on the National Multicenter Sleep Research Database, which was collected from 9 cities with 23 791 school-age children in grades 1-6. Height and weight were measured by school doctors according to the standard method. Children with ADHD diagnosed by specialists were ADHD group and the others were non-ADHD group. According to the standards of children aged 2-18 years in 9 cities of China in 2005, they were diagnosed as underweight, growth retardation, marasmus, and overweight/obesity. Using preterm infants, sleep quality and previous diseases as independent variables, and diagnosed ADHD as dependent variables, a binary Logistic regression model was established. Results The records of 18 731 school-age children were analyzed, within 808 ADHD children. Compared with the 5.9% growth retardation rate of non-ADHD children, the growth retardation rate of ADHD children was as high as 9.8% (χ2=20.353, P<0.001), which was mainly concentrated in the age group of 6-9 years. The rate of overweight/obesity in ADHD children was 32.6%, which was higher than 29.6% in non-ADHD children (χ2=9.904, P=0.002). The rate of marasmus in ADHD boys was 7.5%, which was higher than 5.3% in non-ADHD boys (χ2=4.877, P=0.027). Premature infants (OR=1.838, 95% CI: 1.393-2.423), allergic diseases (OR=1.915, 95% CI: 1.526-2.399), otitis media (OR=1.549, 95% CI: 1.118-2.146), tonsil or adenoid hypertrophy (OR=1.662, 95% CI: 1.348-2.050, gastroesophageal reflux (OR=3.008, 95% CI: 1.792-5.049), and sleep dysfunction (OR=2.201, 95% CI: 1.847-2.623) were risk factors for ADHD in school-age children. Conclusion The nutrition of school-age ADHD children is in a two-level state, especially for boys. It is suggested that clinical nutrition management should be carried out simultaneously with drug and behavioral therapy.
王俊丽,盛晓阳,薛敏波,李 斐,江 帆,沈理笑. 学龄期注意缺陷多动障碍儿童的健康状况[J]. 教育生物学杂志, 2020, 8(4): 250-.
WANG Junli, SHENG Xiaoyang, XUE Minbo, LI Fei, JIANG Fan, SHEN Lixiao. Health status of school-age children with attention-deficit/hyperactivity disorder. JOURNAL OF BIO-EDUCATION, 2020, 8(4): 250-.