儿童肥胖与注意力缺陷/多动障碍：肥胖住院儿童中一种新发现的共病情况。
Childhood obesity and attention deficit/hyperactivity disorder: a newly described comorbidity in obese hospitalized children.
作者信息
Agranat-Meged Anat N, Deitcher Chane, Goldzweig Gil, Leibenson Lilach, Stein Magda, Galili-Weisstub Esti
机构信息
Department of Child and Adolescent Psychiatry, Hadassah Mount Scopus Hospital, Hebrew University Hadassah Medical Center, Jerusalem, Israel.
出版信息
Int J Eat Disord. 2005 May;37(4):357-9. doi: 10.1002/eat.20096.
OBJECTIVE
The current study described a subgroup of children presenting with obesity and comorbid attention deficit/hyperactivity disorder (AD/HD) and assessed a possible casual relationship.
METHOD
School-aged children hospitalized for obesity (body mass index [BMI] >85%) in a tertiary referral center underwent extensive evaluations and were prospectively assessed for comorbid AD/HD.
RESULTS
During a 4-year period, 32 obese school-aged children were hospitalized and 26 were included in the current study. We found that over one half (57.7%) suffered from comorbid AD/HD.
DISCUSSION
AD/HD shows a high comorbidity among obese hospitalized children. The characteristic difficulty in regulation found in AD/HD may be a risk factor for the development of abnormal eating behaviors leading to obesity. We suggest that obese children should be screened routinely for AD/HD.
目的
本研究描述了一组患有肥胖症并伴有注意力缺陷/多动障碍（AD/HD）的儿童亚组，并评估了一种可能的因果关系。
方法
在一家三级转诊中心因肥胖症（体重指数[BMI]>85%）住院的学龄儿童接受了全面评估，并对其共病AD/HD进行了前瞻性评估。
结果
在4年期间，32名肥胖学龄儿童住院，26名纳入本研究。我们发现超过一半（57.7%）的儿童患有共病AD/HD。
讨论
AD/HD在肥胖住院儿童中具有较高的共病率。AD/HD中发现的典型调节困难可能是导致肥胖的异常饮食行为发展的一个危险因素。我们建议对肥胖儿童进行AD/HD的常规筛查。
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