소아비만과 주의력결핍/과잉행동장애의 연관성
The Association of Childhood Obesity with Attention Deficit/ Hyperactivity Disorder
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초록
연구배경: ADHD는 여러 위험요인 등에 의해 발생하며, 많은문제점을 동반한다. 본 연구는 소아비만과 ADHD의 관계 및관련된 ADHD의 요인에 대해 알아보고자 하였다. 방법: 2006년 광명시 소재 2개 초등학교 4학년 학생 427명을연구대상자로 하여 신장과 체중을 측정 후 2007년 대한소아과학회에서 발표한 한국소아의 신체발육표준치 중 성별, 연령별 체질량지수 그래프를 이용하여 정상군, 과체중군, 비만군으로 분류하였다. ADHD 평가는 한국어판 단축형 Conners 부모 평가 척도를 사용하였다. 결과: 정상군보다 ADHD군에서 비만학생의 비율이 높았으며(P=0.01), ADHD의 소아우울지수는 정상군보다 높은 점수를 나타냈다(P=0.003). ADHD군은 방과 후 부모 이외 다른 가족이 돌보는 경우가 많았다(P=0.01). ADHD군은 아침식사를배불리 먹는 경우가 많았고(P=0.01), 부모의 월평균수입이 정상군보다 상대적으로 많았으며(P=0.03), 아버지가 야식증후군을 나타내는 경우가 많았다(P=0.003). 결론: ADHD와 소아비만은 서로 연관성이 있으며, ADHD군은 정상군에 비해 더 높은 우울성향과 다른 생활습관을 갖고있다.
Abstract
Background: Attention deficit hyperactivity disorder (ADHD) is caused by multiple risk factors and accompany many problems. This study aimed to analyze the association of childhood obesity with ADHD and to know the related factors of ADHD. Methods: In 2006, 427 students in fourth grade were recruited from two elementary schools in Gwangmyeong city. Height and weight were measured and children’s weight status was classified as normal weight, overweight and obese using the age and gender-specific BMI established by Korean Academy of Pediatrics. The Korean abbreviated Conners’ parent rating scale (ACRS) was used to measure the ADHD state. Results: The obesity rate was higher in ADHD group than in non-ADHD group (P = 0.005). The Kovacs’ children’s depression inventory score (CDI score) of ADHD group was higher than that of non-ADHD group (P = 0.003). In ADHD group, there were many cases where students were looked after by members of the family other than the parents after school (P = 0.01). ADHD group had a tendency to have breakfast heavily (P = 0.01). The average monthly income of the parents of ADHD group was relatively higher than that of the non-ADHD group (P = 0.03), and the fathers of ADHD group tend to have night eating syndrome (P = 0.003). Conclusion: The ADHD was significantly associated with childhood obesity, and was likely to be more depressive and had different life styles than non-ADHD group.
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