Editorial: Grappling With the Relationships of Attention-Deficit/Hyperactivity Disorder and Obesity

L. Eugene Arnold MD, MEd
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社论:努力解决注意力缺陷/多动障碍与肥胖的关系。
在本期杂志中,Reed和他的同事们探讨了两个重要的公共健康问题的交叉点:超重/肥胖和注意力缺陷/多动障碍(ADHD),这两个问题都有很高的人群患病率,而且往往始于儿童时期。他们横向和纵向分析了来自英国7908名青年出生队列的数据,其中包括442名实际诊断或父母评定的阈值得分患有多动症的人。尽管实际诊断率较低,但这种ADHD流行病学患病率与其他国家相当。他们在之前的报告中增加了一个交叉滞后的纵向视角,表明肥胖与多动症有很小的联系,尤其是在成年人中。他们的临床重要发现包括以下几点。(1)这两种疾病都与出生体重轻微偏低有关,这可能反映了妊娠期普遍不太有利。(2) ADHD患者从体重过轻到超重的转变发生在学龄前,即3 ~ 5岁。(3) ADHD症状严重程度预测超重:对于女孩来说,“7岁、11岁和14岁时ADHD症状越严重,分别预示着11岁、14岁和17岁时体重指数(BMI)越高。”对于男孩来说,11岁时ADHD症状越严重,14岁时BMI越高。(4)女孩的肥胖/超重发病较早(不一定比男孩的ADHD发病率高)。
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来源期刊
CiteScore
21.00
自引率
1.50%
发文量
1383
审稿时长
53 days
期刊介绍: The Journal of the American Academy of Child & Adolescent Psychiatry (JAACAP) is dedicated to advancing the field of child and adolescent psychiatry through the publication of original research and papers of theoretical, scientific, and clinical significance. Our primary focus is on the mental health of children, adolescents, and families. We welcome unpublished manuscripts that explore various perspectives, ranging from genetic, epidemiological, neurobiological, and psychopathological research, to cognitive, behavioral, psychodynamic, and other psychotherapeutic investigations. We also encourage submissions that delve into parent-child, interpersonal, and family research, as well as clinical and empirical studies conducted in inpatient, outpatient, consultation-liaison, and school-based settings. In addition to publishing research, we aim to promote the well-being of children and families by featuring scholarly papers on topics such as health policy, legislation, advocacy, culture, society, and service provision in relation to mental health. At JAACAP, we strive to foster collaboration and dialogue among researchers, clinicians, and policy-makers in order to enhance our understanding and approach to child and adolescent mental health.
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