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儿童晚期注意力缺陷多动障碍与体重关联中无节制饮食和屏幕使用时间的作用

The Role of Uncontrolled Eating and Screen Time in the Link of Attention Deficit Hyperactivity Disorder with Weight in Late Childhood.

作者信息

Ahn Joung-Sook, Min Seongho, Kim Min-Hyuk

机构信息

Department of Psychiatry, Yonsei University, Wonju College of Medicine, Wonju, Republic of Korea.

出版信息

Psychiatry Investig. 2017 Nov;14(6):808-816. doi: 10.4306/pi.2017.14.6.808. Epub 2017 Nov 7.

Abstract

OBJECTIVE

The aim of this study was to examine the mediating roles of uncontrolled eating and sedentary behaviours in the link of attention deficit hyperactivity disorder (ADHD) and weight.

METHODS

A total of 352 children in fifth and sixth grade participated in the present study by completing the self-rated Three-Factor Eating Questionnaire and Children of Alcoholics Screening Test during regular classes. An additional questionnaire completed by their parents provided information about the children's ADHD and emotional symptoms, sedentary behaviour based on screen time, and parental variables. The questionnaires were surveyed within one week after their schools' annual physical check-up.

RESULTS

Hierarchical regression analyses revealed that uncontrolled eating was complete mediator in association between ADHD symptoms and body mass index (BMI) for boys, incomplete mediator for girls. However, screen time had no significant effect on the ADHD symptoms-BMI link for both gender.

CONCLUSION

The findings of this study suggest that gender specific intervention programs may be need to help eating behaviour in children with ADHD and overweight.

摘要

目的

本研究旨在探讨无节制饮食和久坐行为在注意力缺陷多动障碍(ADHD)与体重之间的联系中所起的中介作用。

方法

共有352名五、六年级的儿童参与了本研究,他们在常规课堂上完成了自评的三因素饮食问卷和酒精成瘾者子女筛查测试。由他们的父母填写的另一份问卷提供了有关儿童ADHD和情绪症状、基于屏幕时间的久坐行为以及父母变量的信息。这些问卷是在他们学校年度体检后的一周内进行调查的。

结果

分层回归分析显示,无节制饮食在男孩的ADHD症状与体重指数(BMI)之间的关联中起到了完全中介作用,在女孩中起到了不完全中介作用。然而,屏幕时间对两性的ADHD症状与BMI之间的联系均无显著影响。

结论

本研究结果表明,可能需要针对性别的干预计划来帮助患有ADHD和超重的儿童改善饮食行为。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22ac/5714723/a07fc01919d8/pi-14-808-g001.jpg

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