Volume 42 Issue 3
Apr.  2021
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CHEN Shujin, WU Dandan, HUANG Rong, LI Rong, CHEN Mengying, HUANG Yiyang, LIN Shuang, LI Xiaonan. Eating behaviors and growth status in children with attention deficit and hyperactivity disorder[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(3): 454-458. doi: 10.16835/j.cnki.1000-9817.2021.03.032
Citation: CHEN Shujin, WU Dandan, HUANG Rong, LI Rong, CHEN Mengying, HUANG Yiyang, LIN Shuang, LI Xiaonan. Eating behaviors and growth status in children with attention deficit and hyperactivity disorder[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(3): 454-458. doi: 10.16835/j.cnki.1000-9817.2021.03.032

Eating behaviors and growth status in children with attention deficit and hyperactivity disorder

doi: 10.16835/j.cnki.1000-9817.2021.03.032
  • Received Date: 2020-10-12
  • Rev Recd Date: 2021-02-03
  • Available Online: 2021-04-20
  • Publish Date: 2021-03-25
  •   Objective  To discuss the correlation between growth status and eating behaviors in children with attention deficit and hyperactivity disorder (ADHD), providing reference data for management and dietary behavior guidance among ADHD children.  Methods  A total of 703 children aged 4-13 years old were collected from the ADHD patients from Children's Health Department of Children's Hospital of Nanjing Medical University from June to September, 2019. The demographic characteristics and information regarding children's eating behaviors were collected by self-designed questionnaire and Chinese version of the parent-completed Children's Eating Behavior Questionnaire(CEBQ). The correlation physical growth with dietary behaviors among the ADHD children were analyzed.  Results  Food avoidant behaviors, including satiety responsiveness, slowness in eating and emotional undereating in ADHD children with thinness scored significantly higher than that of children with short stature, overweight and obesity(F=17.57, 29.32, 4.07, P < 0.01), while food approach behaviors, including food responsiveness, enjoyment of food, desire to drink and emotional overeating scored higher in obese children, compared to other three groups(F=24.54, 47.44, 2.96, 5.85, P < 0.05). Multiple linear regression analysis showed that, after adjusting for the confounders, satiety responsiveness, slowness in eating were still negatively associated with BMI-Z score of the ADHD children(B=-0.05, -0.07, P < 0.01). Food responsiveness, enjoyment of food and emotional overeating had a positive association with the BMI-Z score(B=0.04, 0.09, 0.05, P < 0.05).  Conclusion  Emotional eating and high food responsiveness in ADHD children are associated with the overweight and obesity, while long eating time and high satiety responsiveness is associated with underweight among ADHD children. For clinical doctors and parents, problematic eating behaviors among ADHD children should be concerned regarding its negative effects on growth and development, besides core symptoms of ADHD.
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  • [1]
    CLYDE D. Risk loci for ADHD[J]. Nat Rev Genet, 2019, 20(2): 69.
    [2]
    SAYAL K, PRASAD V, DALEY D, et al. ADHD in children and young people: prevalence, care pathways, and service provision[J]. Lancet Psychiatry, 2018, 5(2): 175-186. doi: 10.1016/S2215-0366(17)30167-0
    [3]
    童连, 史慧静, 臧嘉捷. 中国儿童ADHD流行状况Meta分析[J]. 中国公共卫生, 2013, 29(9): 1279-1283. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGW201309010.htm

    TONG L, SHI H J, ZANG J J. Prevalence of ADHD in children of China: a systematic review and meta analysis[J]. Chin J Public Health, 2013, 29(9): 1279-1283. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGW201309010.htm
    [4]
    BLECK J, DEBATE R D. Exploring the co-morbidity of attention-deficit/hyperactivity disorder with eating disorders and disordered eating behaviors in a nationally representative community-based sample[J]. Eat Behav, 2013, 14(3): 390-393. doi: 10.1016/j.eatbeh.2013.05.009
    [5]
    LEVENTAKOU V, MICALI N, GEORGIOU V, et al. Is there an association between eating behaviour and attention-deficit/hyperactivity disorder symptoms in preschool children?[J]. J Child Psychol Psychiatry, 2016, 57(6): 676-684. doi: 10.1111/jcpp.12504
    [6]
    CORTESE S, MOREIRA-MAIA C R, ST FLEUR D, et al. Association between ADHD and obesity: a systematic review and meta-analysis[J]. Am J Psychiatry, 2016, 173(1): 34-43. doi: 10.1176/appi.ajp.2015.15020266
    [7]
    PELSSER L M, FRANKENA K, TOORMAN J, et al. Diet and ADHD, reviewing the evidence: a systematic review of meta-analyses of double-blind placebo-controlled trials evaluating the efficacy of diet interventions on the behavior of children with ADHD[J]. PLoS One, 2017, 12(1): e0169277. doi: 10.1371/journal.pone.0169277
    [8]
    CATALA-LOPEZ F, HUTTON B, NUNEZ-BELTRAN A, et al. The pharmacological and non-pharmacological treatment of attention deficit hyperactivity disorder in children and adolescents: a systematic review with network meta-analyses of randomised trials[J]. PLoS One, 2017, 12(7): e0180355. doi: 10.1371/journal.pone.0180355
    [9]
    JACKA F N. Nutritional psychiatry: where to next?[J]. E Bio Med, 2017, 17(1): 24-29. http://www.sciencedirect.com/science/article/pii/S2352396417300798
    [10]
    林崇德. 《心理学大辞典》[M]. 上海: 上海教育出版社, 2003.

    LIN C D. 《Psychology dictionary》[M]. Shanghai: Shanghai Educational Publishing House, 2003.
    [11]
    PERERA B, COURTENAY K, SOLOMOU S, et al. Diagnosis of attention deficit hyperactivity disorder in intellectual disability: diagnostic and statistical manual of mental disorder V versus clinical impression[J]. J Intellect Disabil Res, 2020, 64(3): 251-257. doi: 10.1111/jir.12705
    [12]
    WARDLE J, GUTHRIE C A, SANDERSON S, et al. Development of the Children's Eating Behaviour Questionnaire[J]. J Child Psychol Psychiatry, 2001, 42(7): 963-970. doi: 10.1111/1469-7610.00792
    [13]
    薛琨. 儿童肥胖与食欲及其影响因素研究[D]. 上海: 复旦大学, 2012.

    XUE K. Obesity and appetite in children and its influencing factors[D]. Shanghai: Fudan University, 2012
    [14]
    SANDVIK P, EK A, ELI K, et al. Picky eating in an obesity intervention for preschool-aged children-what role does it play, and does the measurement instrument matter?[J]. Int J Behav Nutr Phys Act, 2019, 16(1): 76. doi: 10.1186/s12966-019-0845-y
    [15]
    BLISSETT J, FARROW C, HAYCRAFT E. Relationships between observations and parental reports of 3-5 year old children's emotional eating using the Children's Eating Behaviour Questionnaire[J]. Appetite, 2019, 141(1): 104323. http://www.sciencedirect.com/science/article/pii/S0195666319301503
    [16]
    BARKLEY R A. Attention-deficit hyperactivity disorder[J]. Sci Am, 1998, 279(3): 66-71. doi: 10.1038/scientificamerican0998-66
    [17]
    杨莉, 王玉凤, 钱秋谨, 等. 注意缺陷多动障碍患儿的临床分型初探[J]. 中华精神科杂志, 2001, 34(4): 204-207. doi: 10.3760/j:issn:1006-7884.2001.04.004

    YANG L, WANG Y F, QIAN Q J, et al. Primary exploration of the clinical subtypes. of attention deficit hyperactivity disorder in Chinese children[J]. Chin J Psych, 2001, 34(4): 204-207. doi: 10.3760/j:issn:1006-7884.2001.04.004
    [18]
    李辉, 季成叶, 宗心南, 等. 中国0~18岁儿童、青少年体块指数的生长曲线[J]. 中华儿科杂志, 2009, 47(7): 493-498. doi: 10.3760/cma.j.issn.0578-1310.2009.07.004

    LI H, JI C Y, ZONG X N, et al. Body mass index growth carves for Chinese children and adolescents aged 0 to 18 years[J]. Chin J Ped, 2009, 47(7): 493-498. doi: 10.3760/cma.j.issn.0578-1310.2009.07.004
    [19]
    META-ANALYSIS C. Predictive values of body mass index and waist circumference to risk factors of related diseases in Chinese adult population[J]. Chin J Epidemiol, 2002, 23(1): 5-10.
    [20]
    秦原. 武汉市儿童矮小症患病率调查及病因分析[J]. 中国妇幼保健, 2017, 32(14): 3306-3310. https://www.cnki.com.cn/Article/CJFDTOTAL-ZFYB201714076.htm

    QIN Y. Prevalence study and etiological analysis of childhood dwarfism in Wuhan[J]. Matern Child Health Care China, 2017, 32(14): 3306-3310. https://www.cnki.com.cn/Article/CJFDTOTAL-ZFYB201714076.htm
    [21]
    王付曼, 姚屹, 杨琦. 中国七个城市学龄前儿童消瘦、超重和肥胖状况的队列研究[J]. 中华疾病控制杂志, 2019, 23(5): 522-526. https://www.cnki.com.cn/Article/CJFDTOTAL-JBKZ201905006.htm

    WANG F M, YAO Q, YANG Q. Cohort study on thin, overweight and obesity of preschool children among 7 cities in China[J]. Clin J Dis Control Prevent, 2019, 23(5): 522-526. https://www.cnki.com.cn/Article/CJFDTOTAL-JBKZ201905006.htm
    [22]
    陈贻珊, 张一民, 孔振兴. 我国儿童青少年超重、肥胖流行现状调查[J]. 中华疾病控制杂志, 2017, 21(9): 866-869, 878. https://www.cnki.com.cn/Article/CJFDTOTAL-JBKZ201709002.htm

    CHEN Y S, ZHANG Y M, KONG Z X. The prevalence of overweight and obesity in children and adolescents in China[J]. Clin J Dis Control Prevent, 2017, 21(9): 866-869, 878. https://www.cnki.com.cn/Article/CJFDTOTAL-JBKZ201709002.htm
    [23]
    TONG L, SHI H, LI X. Associations among ADHD, abnormal eating and overweight in a non-clinical sample of asian children[J]. Sci Rep, 2017, 7(1): 2844. doi: 10.1038/s41598-017-03074-4
    [24]
    高梅影, 杨敏佳, 郭红卫, 等. 学龄儿童超重肥胖与饮食行为的相关性研究[J]. 营养学报, 2018, 4(6): 554-558. doi: 10.3969/j.issn.0512-7955.2018.06.006

    GAO M Y, YANG M J, GUO H W, et al. The correlation between obesity and dietary behavior in school-age children[J]. Acta Nutr Sin, 2018, 40(6): 554-558. doi: 10.3969/j.issn.0512-7955.2018.06.006
    [25]
    LEIGH S J, MORRIS M J. The role of reward circuitry and food addiction in the obesity epidemic: an update[J]. Biolog Psychol, 2018, 131(1): 31-42. http://www.ncbi.nlm.nih.gov/pubmed/28011401
    [26]
    JANSEN P W, ROZA S J, JADDOE V W, et al. Children's eating behavior, feeding practices of parents and weight problems in early childhood: results from the population-based Generation R Study[J]. Int J Behav Nutr Phys Act, 2012, 30(9): 130. http://europepmc.org/articles/PMC3543222/
    [27]
    STEADMAN K M, KNOUSE L E. Is the relationship between ADHD symptoms and binge eating mediated by impulsivity?[J]. J Atten Disord, 2016, 20(11): 907-912. doi: 10.1177/1087054714530779
    [28]
    HANC T, SOPIEñÑ A, WOLAÑCZYK T, et al. ADHD and overweight in boys: cross-sectional study with birth weight as a controlled factor[J]. Euro Child Adolesc Psych, 2014, 24(1): 41-53. http://europepmc.org/abstract/med/24633695
    [29]
    GOODARZI M O. Genetics of obesity: what genetic association studies have taught us about the biology of obesity and its complications[J]. Lancet Diabet Endocrinol, 2018, 6(3): 223-236. doi: 10.1016/S2213-8587(17)30200-0
    [30]
    EPSTEIN L H, PALUCH R A, CARR K A, et al. Reinforcing value and hypothetical behavioral economic demand for food and their relation to BMI[J]. Eating Behav, 2018, 29(1): 120-127. http://www.sciencedirect.com/science/article/pii/S1471015317303008
    [31]
    RIOS-HERNANDEZ A, ALDA J A, FARRAN-CODINA A, et al. The mediterranean diet and ADHD in children and adolescents[J]. Pediatrics, 2017, 139(2): e20162027. doi: 10.1542/peds.2016-2027
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