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[Perinatal factors associated with attention deficit/hyperactivity diagnosis in Colombian Paisa children]
D A Pineda1, I C Puerta, V Merchán
1Universidad de San Buenaventura. Facultad de Psicologia, Medellin, Antioquia, Colombia. dpineda@epm.net.co
Insights
Perinatal factors like premature delivery symptoms, severe flu, and neonatal seizures are linked to attention deficit/hyperactivity disorder (ADHD) in children. These findings highlight potential risks during pregnancy and birth for ADHD development.
Area of Science:
- Perinatal health
- Child neurology
- Developmental pediatrics
Context:
- Attention deficit/hyperactivity disorder (ADHD) is a common neurodevelopmental disorder.
- Perinatal factors are suspected contributors to ADHD etiology.
- Understanding these links is crucial for early identification and intervention.
Purpose:
- To investigate the association between perinatal factors and ADHD diagnosis in school-aged children.
- To identify specific perinatal risks for ADHD in a Colombian urban population.
- To provide data for targeted preventive strategies.
Summary:
- A study analyzed 200 children diagnosed with ADHD and 200 controls (ages 6-11) in Medellin, Colombia.
- Mothers completed questionnaires on pregnancy, delivery, and neonatal periods.
- Premature delivery symptoms, severe flu, and neonatal seizures emerged as significant perinatal risk factors for ADHD.
Impact:
- Identifies key perinatal indicators associated with ADHD risk.
- Informs clinical practice regarding prenatal and neonatal care for ADHD prevention.
- Contributes to public health strategies for reducing ADHD prevalence.
Introduction:
Some perinatal factors have been associated with attention d ficit/hyperactivity disorder (ADHD).
Objective:
To estimate the association between perinatal factor and ADHD diagnosis in school, aged 6 to 11 years, children from Medell n city (Colombia).
Patients And Methods:
A randomized sample of 200 cases, 6 to 11 year old, with standardized ADHD diagnosis was selected. A randomized sample of 200 control children, 6 to 11 year old, was selected from a data base of 70 schools of Medell n city. The same diagnostic protocol was administered to controls. A questionnaire with questions about pregnancy, delivery an neonatal period was given to the mothers. Data were analyzed using cross tabulation and stepwise logistic multiple regression analyses.
Results:
Miscarriage symptoms, premature delivery symptoms, severe flu attacks (cold with fever, without virus confirmation), tobacco abuse, alcohol abuse (to become drunk), minor congenital malformations, neonatal seizures and hospitalizations during newborn period were factors associated with ADHD diagnosis (p< 0.05). However, stepwise logistic multiple regression analysis selected a block of variables formed by premature delivery symptoms, severe flu attacks and neonatal seizures as significant perinatal risk factors (p< 0.01) for ADHD diagnosis.