Quesada Danielle, Ahmed Nasar U, Fennie Kristopher P, Gollub Erica L, Ibrahimou Boubakari
Department of Epidemiology, Robert Stempel College of Public Health & Social Work, Florida International University, 11200 SW 8th St, AHC5 (room 486), Miami, FL 33199, USA.
Department of Epidemiology, Robert Stempel College of Public Health & Social Work, Florida International University, 11200 SW 8th St, AHC5 (room 480), Miami, FL 33199, USA.
Arch Psychiatr Nurs. 2018 Jun;32(3):495-504. doi: 10.1016/j.apnu.2018.01.006. Epub 2018 Feb 2.
In the past few years we have become increasingly aware of strong associations between obesity and ADHD. Both conditions are major public health issues, affecting children, adolescents and adults alike.
This review seeks to (1) examine prior research on the association between ADHD and obesity in children and adolescents; (2) discuss mechanisms and consequent behavioral attributes to gain understanding of the path association between ADHD and obesity, (3) review studies examining the role of physical activity, medication, eating behavior and gender on the relationship between ADHD and obesity in children and adolescents.
PubMed, CINAHL and PsycINFO databases were used to search for studies whose subjects were children and adolescents, ages 0-17 years and whose publication years were from 2000 to 2016. After screening 31 studies were included in the review.
The literature suggests that there is a significant association between ADHD and obesity. Further, the inattentive and impulsive behaviors that characterize ADHD could contribute to dis-regulated eating behaviors and a lack of motivation to engage in physical activity. In addition, it is proposed that medication, gender and physical activity play a role in mediating and moderating the relationship between ADHD and obesity.
在过去几年里，我们越来越意识到肥胖与注意力缺陷多动障碍（ADHD）之间存在紧密关联。这两种情况都是重大的公共卫生问题，对儿童、青少年和成年人都会产生影响。
本综述旨在（1）审视先前关于儿童和青少年ADHD与肥胖之间关联的研究；（2）讨论相关机制及由此产生的行为特征，以了解ADHD与肥胖之间的关联路径；（3）回顾研究体育活动、药物治疗、饮食行为及性别在儿童和青少年ADHD与肥胖关系中所起作用的研究。
利用PubMed、CINAHL和PsycINFO数据库搜索研究对象为0至17岁儿童和青少年且发表年份在2000年至2016年之间的研究。经过筛选，31项研究被纳入本综述。
文献表明ADHD与肥胖之间存在显著关联。此外，ADHD所特有的注意力不集中和冲动行为可能导致饮食行为失调以及缺乏进行体育活动的动力。此外，有人提出药物治疗、性别和体育活动在调节ADHD与肥胖之间的关系中发挥作用。
