Nutritional complexity in children with ADHD related morbidities in China: A cross-sectional study

被引:3
作者
Shen, Li-xiao [1 ,2 ,3 ]
Li, Feng [1 ,2 ,3 ]
Xue, Min-bo [1 ,2 ]
Li, Fei [1 ,2 ,3 ]
Li, Sheng-hui [3 ]
Jiang, Fan [3 ]
Sheng, Xiao-yang [1 ,2 ,3 ]
Wang, Jun-li [1 ,2 ,3 ]
机构
[1] Shanghai Jiao Tong Univ, Dev & Behav Pediat Dept, Xinhua Hosp, Sch Med, Shanghai, Peoples R China
[2] Shanghai Jiao Tong Univ, Child Primary Care Dept, Xinhua Hosp, Sch Med, Shanghai, Peoples R China
[3] Shanghai Jiao Tong Univ, MOE Shanghai Key Lab Childrens Environm Hlth, Sch Med, Shanghai, Peoples R China
关键词
attention deficit disorder with hyperactivity; stunted; underweight; overweight; obesity; school-age children; first; 1000; days; ATTENTION-DEFICIT/HYPERACTIVITY-DISORDER; DEFICIT HYPERACTIVITY DISORDER; RISK-FACTORS; OBESITY; GROWTH; OVERWEIGHT; PERSPECTIVES; SYMPTOMS; DIETARY; WEIGHT;
D O I
10.6133/apjcn.202203_31(1).0012
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
Background and Objectives: To assess the general and nutritional health of children with attention deficit/hyperactivity disorder (ADHD). Methods and Study Design: The National Multicenter Sleep Research Database for 23791 school-age children in grades 1-6 from 9 cities in China was accessed. Children with a specialist diagnosis of ADHD or not (non-ADHD) in 2005 were studied. National anthropometric growth standards for children aged 2-18 years classified children as underweight, wasted, stunted (short stature presumed nutritional), or overweight/obesity. Independent variables were preterm birth, sleep quality and prior disease and ADHD was the dependent variable. Binary logistic regression models were developed along with interaction analyses for associated disorder or disease on overweight/obesity, and stunted. Results: Some 18731 records were analyzed for 808 children with ADHD. The comparative prevalences for ADHD with non-ADHD children were stunted 9.8% vs 5.9% (p<0.001) and overweight/ obesity (32.6% vs 29.6%, p=0.002) respectively. ADHD boys were more often underweight (7.5% vs 5.3%, p=0.027), but not in girls. ADHD likelihood Odds Ratios, ORs (with 95%CI) were for premature birth 1.838, (1.393-2.423), allergic diseases 1.915 (1.526-2.399), otitis media 1.54 (1.1182.146), tonsillar or adenoid hypertrophy1.662 (1.348-2.050), gastroesophageal reflux 3.008(1.792-1.792-5.049), and sleep disorder 2.201(1.847-2.623) were ADHD risk factors. Only poor sleep quality and ADHD exhibited an interaction for stunted with OR=0.409 (0.233-0.719). Conclusions: Compromised and complex nutritional health in ADHD children challenges clinical nutrition with a range of health problems, albeit coherent with the needed nutritional emphasis in the 'first 1000 days'.
引用
收藏
页码:108 / 117
页数:10
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