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腹腔外科手术在ADHD患者中非常有效且未得到充分利用:一项为期5年的回顾性队列研究
Kaitlyn Dickinson1, Pritika Parmar2, Amy Beth Reyes2
1School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, USA. Kaitlyn.dickinson@cuanschutz.edu.
Obesity surgery
|April 15, 2024
概括
在ADHD患者中,对肥胖的药物治疗效果是对照组的一半. 腹腔外科手术显著降低了ADHD患者的BMI,但与药物相比,BMI仍未得到充分利用.
科学领域:
- 医学研究 医学研究
- 临床信息学是一种临床信息学.
背景情况:
- 肥胖和ADHD是越来越常见的诊断.
- 在ADHD患者中观察到肥胖的高患病率.
- 对ADHD和肥胖同时发生的最佳管理的理解有限.
研究的目的:
- 为了比较不同肥胖治疗方法在患有和没有ADHD的患者中的有效性.
- 根据治疗和ADHD状态,分析BMI随时间的变化.
主要方法:
- 使用TrinetX数据库至少五年来识别肥胖患者 (BMI>30).
- 根据ADHD的存在或不存在将患者分成组.
- 评估了治疗方法和5年BMI平均变化.
主要成果:
- 在五年内,所有组的平均BMI都下降了.
- 在ADHD药理学队列中,BMI下降幅度最小 (-0.366 kg/m2).
- 在ADHD手术组显示最大的BMI下降 (-8.532kg/m2),与显著不同的5年BMI.
结论:
- 与对照人群相比,ADHD患者肥胖的药物管理效果是控制者的一半.
- 手术管理显著更有效 (约. 20倍) 治疗ADHD患者的肥胖症,但使用频率低于药物.
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