摘要
目的 分析学龄期注意缺陷多动障碍(ADHD)儿童的人体成分情况,为ADHD儿童的临床干预提供指导.方法 招募2022年1-12月于苏州大学附属儿童医院儿童保健科就诊,初诊确诊为ADHD的376名儿童作为ADHD组,并选取94名同期常规健康体检儿童作为对照组.对所有儿童采用生物电阻抗法测量人体成分指标.结果 ADHD组儿童体重、体脂肪量(BF)、体质量指数(BMI)、脂肪质量指数(FMI)、体脂百分比(PBF)、腰臀比(WHR)高于对照组,差异有统计学意义(t=2.400、3.618、3.358、3.901、3.458、2.935,P＜0.05).注意缺陷为主型组、多动/冲动型组与混合型组ADHD患儿BF、FMI、PBF比较,差异有统计学意义(F=3.295、3.362,4.337,P＜0.05).结论 ADHD患儿的人体成分与正常儿童存在差异,ADHD患儿有更高的肥胖风险,尤其是注意缺陷为主型ADHD患儿共患肥胖的风险更高.
Abstract
Objective To analyze the body composition of school-age children with attention-deficit/hyperactivity disorder(ADHD),in order to provide guidance for clinical intervention in children with ADHD.Methods A total of 376 children were recruited as ADHD group from January to December 2022 in the Department of Child Health Care in Children's Hospital of Soochow University.Meanwhile,94 children who took physical examination in this hospital were selected as the control group.The body composition of all children was assessed by bioelectrical impedance analysis.Results The weight,body fat(BF),body mass index(BMI),fat mass index(FMI),percentage of body fat(PBF)and waist hip ratio(WHR)of children in ADHD group were higher than those of children in control group(t=2.400,3.618,3.358,3.901,3.458,2.935,P＜0.05).Furthermore,significant differences were observed in BF,FMI,PBF among children with predominantly inattentive ADHD,predominantly hyperactive/impulsive ADHD and combined ADHD(F=3.295,3.362,4.337,P＜0.05).Conclusions The body composition of ADHD children is different from that of typicallt developed children.Children with ADHD are at a higher risk of obesity,especially in those with predominantly inattentive ADHD.
基金项目
国家自然科学基金青年项目(82001382)
江苏省自然科学基金青年项目(SBK2020040785)
江苏省妇幼健康科研项目(F202147)
苏州市科教兴卫项目(KJXW2019018)
维普
万方数据