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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Health behaviors and obesity among US children with attention deficit hyperactivity disorder by gender and medication use.
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Health behaviors and obesity among US children with attention deficit hyperactivity disorder by gender and medication use.

机译：通过性别和药物使用，在美国注意力不足过动症儿童中的健康行为和肥胖。

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OBJECTIVE: We examined the levels of physical activity, sedentary behaviors, and obesity among children with attention deficit hyperactivity disorder (ADHD) by gender and medication use and estimated the associations between health behaviors and obesity. METHODS: Cross-sectional analysis of children 6-17 years-old enrolled in the National Survey of Children's Health 2003 (n=66,707). Odds ratios were adjusted for multistage-sampling and survey-design effects. RESULTS: ADHD prevalence was 8.6%. In general, children with ADHD engaged in less physical activity, organized sports, and reading than their counterparts. Children with ADHD had increased risk of obesity for boys [24.9% vs. 21.6%, OR(95% CI): 1.42(1.13-1.77)] and girls [21.9% vs. 16%, 1.85(1.26-2.73)], if not medicated. Only girls with ADHD and not on medication were more likely to have higher media time (52.7% vs. 42%) and this was associated with higher odds for obesity [27.7% vs. 19.5%, 2.51 (1.24-5.08)]. Children with ADHD on medication had higher prevalence of depression than those not taking medication [boys: 29.5% vs. 26.3%; girls: 30.9% vs. 23.6%] and the odds of being depressed remained significant after controlling for obesity [boys: 1.45 (1.09-1.94); girls: 2.27 (1.48-3.49)]. CONCLUSIONS: Health promotion and obesity prevention programs targeting children with ADHD should take gender and medication use into consideration.
机译：目的：我们通过性别和药物使用检查了注意力缺陷多动障碍（ADHD）儿童的体育活动，久坐行为和肥胖症的水平，并估计了健康行为与肥胖症之间的关联。方法：2003年《全国儿童健康调查》（n = 66,707）对6-17岁儿童的横断面分析。针对多阶段采样和调查设计效果调整了赔率。结果：ADHD患病率为8.6％。一般而言，患有多动症的孩子比同龄人少参加体育锻炼，有组织的运动和阅读。患有ADHD的儿童患肥胖症的风险增加了，男孩[24.9％vs. 21.6％，OR（95％CI）：1.42（1.13-1.77）]和女孩[21.9％vs. 16％，1.85（1.26-2.73）]，如果没有药。只有患有ADHD且未接受药物治疗的女孩更可能有更长的媒体时间（52.7％vs. 42％），这与肥胖几率更高相关[27.7％vs. 19.5％，2.51（1.24-5.08）]。接受过ADHD药物治疗的儿童比未接受药物治疗的儿童患抑郁症的患病率更高[男孩：29.5％比26.3％;女孩：30.9％对23.6％]，控制肥胖后抑郁的几率仍然很高[男孩：1.45（1.09-1.94）;女孩：2.27（1.48-3.49）]。结论：针对多动症儿童的健康促进和肥胖预防计划应考虑性别和药物使用。

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