从出生到青春期,ADHD和体重之间的长度关联
Claire Reed1, Samuele Cortese2, Dennis Golm1
1University of Southampton, Southampton, UK.
Journal of the American Academy of Child and Adolescent Psychiatry
|November 7, 2024
概括
患有注意力缺陷/多动障碍 (ADHD) 的儿童出生时体重较轻,但后来更有可能肥胖. ADHD症状预测女性和男性的体重指数 (BMI) 较高,这表明早期干预至关重要.
科学领域:
- 发展心理学 发展心理学
- 儿科健康 儿科健康
- 神经发育障碍 神经发育障碍
背景情况:
- 注意缺陷/多动障碍 (ADHD) 与低出生体重和儿童肥胖症有关.
- 之前关于ADHD和体重状况之间的关系的研究已经产生了不同的结果.
- 了解这种关联的发展轨迹对于有效的干预至关重要.
研究的目的:
- 研究从出生到青春期的身体质量指数 (BMI) 和多动症症状之间的双向关系.
- 检查ADHD和BMI之间的关系中的发育性差异.
- 为患有ADHD的儿童及其家属提供早期干预策略的信息.
主要方法:
- 利用了来自千年队列研究 (MCS) 的数据,其中包括7个时间点,从9个月到17年.
- 采用随机截取交叉滞后面板模型来分析BMIz分数和ADHD症状 (SDQ分数) 之间的关联.
- 对女性和男性参与者进行了单独的分析,并对相关共变量进行了调整.
主要成果:
- 患有多动症的儿童出生时体重较轻,但从5岁起患肥胖的几率较高.
- 在女性中,较高的ADHD症状预测了多个发育阶段更高的BMIz分数 (7,11,14岁预测11,14,17岁).
- 在男性中,这种关联仅在11至14岁之间具有意义.
结论:
- 建议对患有多动症的儿童及其家人进行早期干预,可能从产前开始.
- 这些发现强调了在ADHD和肥胖研究中考虑发育性差异的重要性.
- 同时解决ADHD和体重问题可能会改善长期的健康结果.
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