Childhood Physical Health and Attention Deficit/Hyperactivity Disorder: A Systematic Review and Meta-Analysis of Modifiable Factors.
Autor: | So M; Division of Human Development and Disability, National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, 4770 Buford Hwy, MS-E88, Atlanta, GA, 30341, USA. mrmarvinso@gmail.com.; Oak Ridge Institute for Science and Education, Oak Ridge, TN, USA. mrmarvinso@gmail.com., Dziuban EJ; Center for Global Health, Centers for Disease Control and Prevention, Atlanta, GA, USA., Pedati CS; Virginia Beach Department of Public Health, Virginia Beach, VA, USA., Holbrook JR; Division of Human Development and Disability, National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, 4770 Buford Hwy, MS-E88, Atlanta, GA, 30341, USA., Claussen AH; Division of Human Development and Disability, National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, 4770 Buford Hwy, MS-E88, Atlanta, GA, 30341, USA., O'Masta B; Gryphon Scientific, Takoma Park, MD, USA., Maher B; Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA., Cerles AA; Gryphon Scientific, Takoma Park, MD, USA., Mahmooth Z; Gryphon Scientific, Takoma Park, MD, USA., MacMillan L; Gryphon Scientific, Takoma Park, MD, USA., Kaminski JW; Division of Human Development and Disability, National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, 4770 Buford Hwy, MS-E88, Atlanta, GA, 30341, USA., Rush M; Gryphon Scientific, Takoma Park, MD, USA. |
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Jazyk: | angličtina |
Zdroj: | Prevention science : the official journal of the Society for Prevention Research [Prev Sci] 2024 May; Vol. 25 (Suppl 2), pp. 316-336. Date of Electronic Publication: 2022 Aug 10. |
DOI: | 10.1007/s11121-022-01398-w |
Abstrakt: | Although neurobiologic and genetic factors figure prominently in the development of attention deficit/hyperactivity disorder (ADHD), adverse physical health experiences and conditions encountered during childhood may also play a role. Poor health is known to impact the developing brain with potential lifelong implications for behavioral issues. In attempt to better understand the relationship between childhood physical health and the onset and presence of ADHD symptoms, we summarized international peer-reviewed articles documenting relationships between a select group of childhood diseases or health events (e.g., illnesses, injuries, syndromes) and subsequent ADHD outcomes among children ages 0-17 years. Drawing on a larger two-phase systematic review, 57 longitudinal or retrospective observational studies (1978-2021) of childhood allergies, asthma, eczema, head injury, infection, or sleep problems and later ADHD diagnosis or symptomatology were identified and subjected to meta-analysis. Significant associations were documented between childhood head injuries, infections, and sleep problems with both dichotomous and continuous measures of ADHD, and between allergies with dichotomous measures of ADHD. We did not observe significant associations between asthma or eczema with ADHD outcomes. Heterogeneity detected for multiple associations, primarily among continuously measured outcomes, underscores the potential value of future subgroup analyses and individual studies. Collectively, these findings shed light on the importance of physical health in understanding childhood ADHD. Possible etiologic links between physical health factors and ADHD are discussed, as are implications for prevention efforts by providers, systems, and communities. (© 2022. Society for Prevention Research.) |
Databáze: | MEDLINE |
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