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注意缺陷多动障碍和自闭症谱系障碍与平均血小板体积及维生素D的关联

Association of Attention Deficit Hyperactivity Disorder and Autism Spectrum Disorders with Mean Platelet Volume and Vitamin D.

作者信息

Garipardic Mesut, Doğan Murat, Bala Keziban Asli, Mutluer Tuba, Kaba Sultan, Aslan Oktay, Üstyol Lokman

机构信息

Department of Pediatrics, Medical School, Yüzüncü Yil University, Van, Turkey.

Division of Pediatric Hematology, Yüzüncü Yil University, Van, Turkey.

出版信息

Med Sci Monit. 2017 Mar 20;23:1378-1384. doi: 10.12659/msm.899976.

Abstract

BACKGROUND The purpose of this study was to assess the values of the mean platelet volume (MPV) in children with attention deficit hyperactivity disorder (ADHD) and with autism spectrum disorders (ASDs) to determine the risk of cardiovascular disease in these 2 disorder groups. MATERIAL AND METHODS The study included a total of 79 patients with ADHD or ASDs and controls in the Van region of Turkey. The control group included subjects of matching age and sex with no ADHD, ASDs, or chronic disease and taking no vitamins. The hematological parameters of the patients, including MPV, vitamin B12, and vitamin D, were assessed. RESULTS The study included a total of 79 children and adolescents aged 2-18 years (32 females and 47 males). Of the patients, 36 were in the ADHD group, 18 in the ASDs group, and 25 in the control group. There was no statistically significant difference in hematological parameters between the groups, but there were significant differences in terms of vitamin D and vitamin B12. The patient groups showed lower levels of vitamin B12 and vitamin D. In the ADHD group, there was a negative correlation between both vitamins and MPV (p<0.05). Partial correlation analysis of the ADHD group showed that MPV in particular was negatively correlated to vitamin D, and not to vitamin B12 (p: 0.03). CONCLUSIONS Both ADHD and ASDs may accompany increased risk for cardiovascular disease due to the presence of vitamin B12 and D deficiency and their own characteristics. Therefore, these disorders should be closely followed up.

摘要

背景 本研究的目的是评估注意缺陷多动障碍(ADHD)和自闭症谱系障碍(ASD)患儿的平均血小板体积(MPV)值,以确定这两组疾病患者患心血管疾病的风险。

材料与方法 该研究共纳入了土耳其凡城地区79例ADHD或ASD患者及对照组。对照组包括年龄和性别匹配、无ADHD、ASD或慢性病且未服用维生素的受试者。评估了患者的血液学参数,包括MPV、维生素B12和维生素D。

结果 该研究共纳入了79例2至18岁的儿童和青少年(32名女性和47名男性)。其中,ADHD组36例,ASD组18例,对照组25例。各组间血液学参数无统计学显著差异,但维生素D和维生素B12存在显著差异。患者组的维生素B12和维生素D水平较低。在ADHD组中,两种维生素与MPV均呈负相关(p<0.05)。ADHD组的偏相关分析表明,MPV尤其与维生素D呈负相关,而与维生素B12无关(p:0.03)。

结论 由于维生素B12和D缺乏及其自身特点,ADHD和ASD可能都伴有心血管疾病风险增加。因此,应对这些疾病进行密切随访。

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