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注意缺陷多动障碍患儿的维生素D状况

Vitamin D status in children with attention-deficit-hyperactivity disorder.

作者信息

Goksugur Sevil Bilir, Tufan Ali Evren, Semiz Murat, Gunes Cemalettin, Bekdas Mervan, Tosun Mehmet, Demircioglu Fatih

机构信息

Department of Pediatrics, Medical Faculty, Abant Izzet Baysal University, Bolu, Turkey.

出版信息

Pediatr Int. 2014 Aug;56(4):515-9. doi: 10.1111/ped.12286. Epub 2014 Jun 17.

Abstract

BACKGROUND

Attention-deficit-hyperactivity disorder (ADHD), one of the most common psychiatric disorders of childhood, has an early onset, affecting 2-18% of children worldwide. The etiopathogenesis of ADHD is obscure. In recent studies, a low level of vitamin D has been found in association with many disorders as well as in neuropsychiatric diseases. The aim of this study was therefore to investigate serum vitamin D level in pediatric ADHD patients.

METHODS

A total of 60 ADHD patients and 30 healthy controls were included in the study. The age of both groups was in the 7-18-year-old range. Serum 25-OH-vitamin D, calcium, phosphorus and alkaline phosphatase were investigated.

RESULTS

Serum 25-OH-vitamin D was found to be significantly lower in children and adolescents with ADHD compared to healthy controls, and no significant differences were found between the groups in terms of other variables. 25-OH-vitamin D level in the ADHD group and control group was, respectively, 20.9 ± 19.4 ng/mL and 34.9 ± 15.4 ng/mL (P = 0.001).

CONCLUSION

There is an association between lower 25-OH-vitamin D concentration and ADHD in childhood and adolescence. To the authors' knowledge this is the first study to investigate the relationship between vitamin D and ADHD in children.

摘要

背景

注意缺陷多动障碍(ADHD)是儿童期最常见的精神障碍之一,起病较早,全球2%-18%的儿童受其影响。ADHD的病因尚不明确。最近的研究发现,低水平的维生素D与多种疾病以及神经精神疾病有关。因此,本研究旨在调查小儿ADHD患者的血清维生素D水平。

方法

本研究共纳入60例ADHD患者和30例健康对照。两组年龄均在7-18岁之间。检测血清25-羟基维生素D、钙、磷和碱性磷酸酶水平。

结果

与健康对照相比,ADHD儿童和青少年的血清25-羟基维生素D水平显著降低,两组在其他变量方面无显著差异。ADHD组和对照组的25-羟基维生素D水平分别为20.9±19.4 ng/mL和34.9±15.4 ng/mL(P = 0.001)。

结论

儿童和青少年中,25-羟基维生素D浓度降低与ADHD之间存在关联。据作者所知,这是第一项研究维生素D与儿童ADHD之间关系的研究。

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