Associations Between Childhood ADHD and Lifestyle Risk Factors for Chronic Diseases From Adolescence to Early Adulthood.

IF 2.7 3区医学 Q2 PSYCHIATRY Journal of Attention Disorders Pub Date : 2025-02-01 Epub Date: 2024-12-25 DOI:10.1177/10870547241306570

Yueqi Li, Hong Xian, Lauren D Arnold, Jen Jen Chang

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Abstract

Objective: To examine the association between childhood ADHD and lifestyle risk factors (physical inactivity and high fast-food consumption) from adolescence to early adulthood.

Methods: This retrospective cohort study used secondary data from Wave I to III of the National Longitudinal Study of Adolescent Health (Add Health) in a national representative sample of adolescents (n = 6,814). Multivariable Poisson regression and Generalized Estimating Equation were used to estimate adjusted relative risks (aRRs) and corresponding 95% confidence intervals (95% CIs), controlling for confounders.

Results: Childhood ADHD was associated with an increased risk of high fast-food consumption (aRR = 1.49, 95% CI [1.23, 1.80]) in early adulthood, but not in adolescence (aRR = 1.11, 95% CI [0.90, 1.37]), after adjusting for confounders. The associations between childhood ADHD and physical inactivity were not statistically significant from adolescence to early adulthood.

Conclusion: Findings of this study extend the current understanding of the impact of childhood ADHD on greater risk of fast-food consumption, which underscores the importance to develop interventions for promoting healthy diet in children with ADHD.

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儿童多动症与青少年至成年早期慢性疾病的生活方式风险因素之间的关系。

目的：探讨儿童多动症与青少年至成年早期生活方式危险因素（缺乏运动和高快餐消费）之间的关系。方法：本回顾性队列研究采用了全国青少年健康纵向研究（Add Health）第一期至第三期的二手数据，在全国有代表性的青少年样本中（n = 6,814）。在控制混杂因素的情况下，采用多变量泊松回归和广义估计方程估计校正相对危险度（arr）和相应的95%置信区间（95% ci）。结果：调整混杂因素后，儿童ADHD与成年早期高快餐消费风险增加相关（aRR = 1.49, 95% CI[1.23, 1.80]），但与青春期无关（aRR = 1.11, 95% CI[0.90, 1.37]）。从青春期到成年早期，儿童多动症和缺乏运动之间的关联没有统计学意义。结论：本研究的发现扩展了目前对儿童ADHD对快餐消费风险的影响的理解，这强调了开发干预措施以促进ADHD儿童健康饮食的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Attention Disorders PSYCHIATRY-

CiteScore

7.60

自引率

6.70%

发文量

审稿时长

6-12 weeks

期刊介绍： Journal of Attention Disorders (JAD) focuses on basic and applied science concerning attention and related functions in children, adolescents, and adults. JAD publishes articles on diagnosis, comorbidity, neuropsychological functioning, psychopharmacology, and psychosocial issues. The journal also addresses practice, policy, and theory, as well as review articles, commentaries, in-depth analyses, empirical research articles, and case presentations or program evaluations.