Cook Bryan G, Li Dongmei, Heinrich Katie M
University of Hawaii, Honolulu, USA
University of Hawaii, Honolulu, USA.
J Learn Disabil. 2015 Nov-Dec;48(6):563-76. doi: 10.1177/0022219413518582. Epub 2014 Jan 21.
Obesity, physical activity, and sedentary behavior in childhood are important indicators of present and future health and are associated with school-related outcomes such as academic achievement, behavior, peer relationships, and self-esteem. Using logistic regression models that controlled for gender, age, ethnicity/race, and socioeconomic status, we investigated the likelihood that youth with learning disabilities (LD) and attention-deficit/hyperactivity disorder (ADHD) are obese, physically active, and sedentary using a nationally representative sample of 45,897 youth in the United States from 10 to 17 years of age. Results indicated that youth with comorbid LD/ADHD were significantly more likely than peers without LD or ADHD to be obese; that youth with LD only, ADHD only, and comorbid LD/ADHD were significantly less likely to meet recommended levels of physical activity; and that youth with LD only were significantly more likely to exceed recommended levels of sedentary behavior. Medication status mediated outcomes for youth with ADHD. We offer school-based recommendations for improving health-related outcomes for students with LD and ADHD.
儿童期的肥胖、身体活动和久坐行为是当前及未来健康的重要指标，且与学业成绩、行为、同伴关系和自尊等与学校相关的结果有关。我们使用控制了性别、年龄、种族/民族和社会经济地位的逻辑回归模型，利用来自美国全国的45897名10至17岁青少年的代表性样本，调查了患有学习障碍（LD）和注意力缺陷多动障碍（ADHD）的青少年肥胖、身体活跃和久坐的可能性。结果表明，患有LD/ADHD共病的青少年比没有LD或ADHD的同龄人肥胖的可能性显著更高；仅患有LD、仅患有ADHD以及患有LD/ADHD共病的青少年达到推荐身体活动水平的可能性显著更低；仅患有LD的青少年超过推荐久坐行为水平的可能性显著更高。用药状况介导了ADHD青少年的结果。我们为改善患有LD和ADHD的学生的健康相关结果提供基于学校的建议。
