饮食行为和睡眠习惯问题及其与伴有超重或肥胖的多动症儿童症状的相关性

IF 4.6 3区 医学 Q1 PEDIATRICS
Xifei Wang, Xiaojing Yue, Lili Wang, Feiyong Jia, Honghua Li
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引用次数: 0

摘要

背景:以前的研究已经报道了注意缺陷多动障碍(ADHD)儿童的饮食和睡眠问题,但很少关注那些与超重/肥胖共病的儿童。本研究旨在探讨ADHD伴发超重/肥胖儿童的饮食行为和睡眠习惯问题及其与ADHD核心症状的关系。方法:研究对象为124例ADHD合并超重/肥胖儿童和145例ADHD合并体重正常儿童。使用儿童饮食行为问卷、儿童睡眠习惯问卷和Vanderbilt ADHD诊断父母评定量表分别评估饮食行为问题、睡眠习惯问题和ADHD核心症状。结果:与正常体重的ADHD儿童相比,超重/肥胖儿童在食物反应、食物享受、夜间清醒、睡眠呼吸障碍和白天嗜睡方面得分较高,而在饱腹反应、进食缓慢和情绪不足方面得分较低。在患有多动症的儿童中,较低的饱足反应和进食缓慢的得分与超重或肥胖的存在有关。在ADHD超重/肥胖组中,较短的睡眠时间与较高的身体质量指数(BMI)相关,较高的食物反应性与更严重的注意力缺陷症状相关。结论:患有多动症和超重/肥胖的儿童比体重正常的儿童报告了更多的饮食和睡眠问题。较低的饱足反应和较快的进食速度可能是ADHD儿童超重/肥胖的潜在危险因素。在合并超重/肥胖的患者中,较短的睡眠时间与较高的BMI相关,而较强的食物反应性与更严重的注意力缺陷症状相关。这些发现表明,饮食和睡眠行为应该在多动症的管理中考虑,需要进一步研究有针对性的干预措施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Eating behavior and sleep habit problems and their correlation with symptoms in children with ADHD comorbid with overweight or obesity.

Background: Previous studies have reported eating and sleep issues in children with attention deficit hyperactivity disorder (ADHD), but few have focused on those comorbid with overweight/obesity. This study aimed to investigate eating behavior and sleep habit problems in children with ADHD and comorbid overweight/obesity, and their relationship with ADHD core symptoms in such children.

Methods: The study included 124 children with ADHD and overweight/obesity and 145 children with ADHD and normal weight. The Children's Eating Behavior Questionnaire, Children's Sleep Habit Questionnaire, and Vanderbilt ADHD Diagnostic Parent Rating Scale were used to assess eating behavior problems, sleep habit problems, and core ADHD symptoms, respectively.

Results: Compared to the normal-weight children with ADHD, those with overweight/obesity scored higher in food responsiveness, enjoyment of food, night waking, sleep-disordered breathing, and daytime sleepiness, while lower in satiety responsiveness, slowness in eating, and emotional undereating. Lower scores of satiety responsiveness and slowness in eating were associated with the presence of overweight or obesity among children with ADHD. In the ADHD overweight/obesity group, shorter sleep duration was correlated with higher body mass index (BMI), and higher food responsiveness was associated with more severe attention deficit symptoms.

Conclusions: Children with ADHD and overweight/obesity reported more eating and sleep problems than those with normal weight. Lower satiety response and faster eating rate may be potential risk factors for overweight/obesity in children with ADHD. Among those with comorbid overweight/obesity, shorter sleep duration associates with higher BMI, and greater food responsiveness relates to more severe attention deficit symptoms. These findings suggest eating and sleep behaviors should be considered in ADHD management, with further research needed on targeted interventions.

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来源期刊
Child and Adolescent Psychiatry and Mental Health
Child and Adolescent Psychiatry and Mental Health PEDIATRICSPSYCHIATRY-PSYCHIATRY
CiteScore
7.00
自引率
3.60%
发文量
84
审稿时长
16 weeks
期刊介绍: Child and Adolescent Psychiatry and Mental Health, the official journal of the International Association for Child and Adolescent Psychiatry and Allied Professions, is an open access, online journal that provides an international platform for rapid and comprehensive scientific communication on child and adolescent mental health across different cultural backgrounds. CAPMH serves as a scientifically rigorous and broadly open forum for both interdisciplinary and cross-cultural exchange of research information, involving psychiatrists, paediatricians, psychologists, neuroscientists, and allied disciplines. The journal focusses on improving the knowledge base for the diagnosis, prognosis and treatment of mental health conditions in children and adolescents, and aims to integrate basic science, clinical research and the practical implementation of research findings. In addition, aspects which are still underrepresented in the traditional journals such as neurobiology and neuropsychology of psychiatric disorders in childhood and adolescence are considered.
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