儿童注意缺陷多动障碍与肥胖的分布特点  

Obesity distribution characteristics of children with attention-deficit hyperactivity disorder

作　　者：李婷婷[1] 陈津津[1] 

机构地区：[1]上海市儿童医院上海交通大学附属儿章医院儿童保健所,200040

出　　处：《中华实用儿科临床杂志》2013年第5期370-372,共3页Chinese Journal of Applied Clinical Pediatrics

基　　金：国家自然科学基金（30801205）;上海市科委青年科技启明星资助项目（09QA1404800）;上海市科委自然科学基金（12ZR1425600）

摘　　要：目的探讨注意缺陷多动障碍（ADHD）与肥胖的分布特点。方法采用《精神障碍诊断和统计手册》第4版（DSM-Ⅳ）诊断标准确诊的ADHD患儿239例为ADHD组，常规体检儿童137例为健康对照组，2组均进行体格测量，根据WHO的儿童肥胖标准，评价正常、超重及肥胖，比较ADHD组与健康对照组及ADHD组各亚型间超重及肥胖率有无差异。结果ADHD组超重＋肥胖率[98例（41．0％）]与健康对照组[39例（28．5％）]比较差异有统计学意义（P〈0．01）；ADHD组超重率[41例（17．2％）]与健康对照组[22例（16．1％）]比较差异无统计学意义；ADHD组肥胖率[57例（23．8％）]与健康对照组比较[17例（12．4％）]差异有统计学意义（P〈0．01）；ADHD各亚型中，Ⅰ型（注意力缺陷型）超重＋肥胖率与健康对照组比较差异有统计学意义（超重16例，肥胖19例，占40．3％）；Ⅱ型（多动冲动型）超重＋肥胖率与健康对照组比较差异无统计学意义（超重5例，肥胖8例，占36．1％）；Ⅲ型（混合型）超重＋肥胖率与健康对照组比较差异有统计学意义（超重20例，肥胖30例，占40．3％）；3个亚型组间超重、肥胖率比较差异均无统计学意义（P均〉0．05）；以超重、肥胖与否分组，超重＋肥胖组ADHD发病率显著高于体质量正常组（P〈0．05）。结论肥胖症为ADHD的高危因素，二者内在发病机制可能有交叉。Objective To investigate the distribution characteristics between attention-deficit hyperactivity disorder（ADHD） and obesity. Methods Two hundred and thirty-nine children diagnosed as ADHD meeting the ADHD criteria of DSM-1V and 137 healthy children were enrolled in ADHD group and healthy control group, respectively. An- thropometric measurement and nutritional assessment were performed for the 2 groups. The incidences of overweight and obesity among each group were compared. Results There was significant difference in the incidence of overweight ＋ obesity between ADHD group and healthy control group 198 cases （41.0%） vs 39 cases （ 28.5% ） ] ; No significant difference in the incidence of overweight was observed between ADHD group and healthy control group E 41 cases （ 17.2% ） vs 22 cases（ 16.1% ）, P 〉 0.05 J. The incidence of ADHD in overweight ＋ obesity group was significantly higher than that in healthy control group. The incidence of obesity in ADHD group was significantly higher than that in healthy control group E 57 cases （23.8%） vs 17 cases （ 12.4% ） , P 〈 0.01 ]. The incidence of overweight ＋ obesity in the subtype I and subtype III was significantly higher than healthy control group ;There was no significant difference in the incidence of overweight ＋ obesity between the subtype II group and healthy control group. There was no significant difference in the incidence of overweight ＋ obesity among each subtype group of the ADHD （ P 〉 0.05 ）. The incidence of ADHD in the overweight ＋ obesity group was significanthy than that in normal weight group（ P 〈0.05 ）. Conclusion Obesity is a risk factor of ADHD, and their pathogenesis may be over/apping.

关 键 词：注意缺陷多动障碍 肥胖 分布特点 

分 类 号：R749.94[医药卫生—神经病学与精神病学]