Dose-Response Relationship Between Body Composition and Attention Deficit Hyperactivity Disorder in Children: A
Jia Wang1, Jing Zhang2, Rui-Li Liu1
1Department of Pediatrics, General Hospital of Ningxia Medical University, Yinchuan, Ningxia Hui Autonomous Region, China.
Insights
Childhood attention deficit hyperactivity disorder (ADHD) is linked to body composition. Increased body mass index (BMI), body fat (BF), percentage of body fat (PBF), and fat mass index (FMI) are associated with higher ADHD risk.
Area of Science:
- Pediatric Health
- Neurodevelopmental Disorders
- Biostatistics
Background:
- Attention deficit hyperactivity disorder (ADHD) is a common neurodevelopmental disorder in children.
- The relationship between body composition and ADHD risk requires further investigation.
- Understanding these associations can inform early identification and intervention strategies.
Purpose of the Study:
- To investigate the association between various body composition parameters and the risk of ADHD in children.
- To explore potential dose-response relationships between body composition indices and ADHD using restricted cubic spline (RCS) modeling.
Main Methods:
- A case-control study included 100 children diagnosed with ADHD and 100 age- and sex-matched controls.
- Body composition indices such as body mass index (BMI), body fat (BF), percentage of body fat (PBF), and fat mass index (FMI) were measured.
- Logistic regression and RCS modeling were employed to analyze the associations and dose-response relationships.
Main Results:
- Elevated BMI, BF, PBF, and FMI were identified as independent risk factors for ADHD in children.
- Linear dose-response relationships were observed between BMI, PBF, FMI, and ADHD risk.
- A nonlinear dose-response relationship was found between BF and ADHD risk.
Conclusions:
- Specific body composition indicators are significantly associated with ADHD in pediatric populations.
- The findings suggest complex linear and nonlinear dose-response patterns between body composition and ADHD risk.
- These results highlight the potential role of body composition in the pathophysiology or manifestation of ADHD.
Objective:
To examine the association between body composition parameters and attention deficit hyperactivity disorder (ADHD) in children, and to evaluate potential dose-response relationships using restricted cubic spline (RCS) modeling.
Methods:
A case-control study was conducted involving 100 children diagnosed with ADHD who were admitted to the Pediatrics Department and Mental Health Center of the General Hospital of Ningxia Medical University between July 2022 and July 2024. An equal number of age- and sex-matched children without ADHD, undergoing routine physical examinations during the same period, were included as controls. Body composition indices were assessed, and associations with ADHD risk were assessed using logistic regression and RCS models.
Results:
Multivariate logistic regression analysis, adjusted for potential confounders, identified body mass index (BMI; OR=1.547), body fat (BF; OR=2.782), percentage of body fat (PBF; OR=2.389), and fat mass index (FMI; OR=1.752) as independent risk factors associated with ADHD in children (all P<0.05). Restricted cubic spline analysis demonstrated linear dose-response relationships between BMI, PBF, and FMI and the risk of ADHD (POverall trend=0.004, 0.013, and 0.003, respectively; PNonlinearity >0.05). In contrast, BF exhibited a nonlinear dose-response relationship with the risk of ADHD (POverall trend<0.001; PNonlinearity<0.001).
Conclusion:
Body composition indicators, including BMI, BF, PBF, and FMI were associated with ADHD in children. The dose-response relationships observed indicate both linear and nonlinear patterns, indicating a complex interplay between body composition and ADHD risk.
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