Childhood Physical Health and Attention Deficit/Hyperactivity Disorder: A Systematic Review and Meta-Analysis of Modifiable Factors

So, Marvin; Dziuban, Eric J.; Pedati, Caitlin S.; Holbrook, Joseph R.; Claussen, Angelika H.; O’Masta, Brenna; Maher, Brion; Cerles, Audrey A.; Mahmooth, Zayan; MacMillan, Laurel; Kaminski, Jennifer W.; Rush, Margaret

doi:10.1007/s11121-022-01398-w

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Childhood Physical Health and Attention Deficit/Hyperactivity Disorder: A Systematic Review and Meta-Analysis of Modifiable Factors

5 2024
By So, Marvin ; Dziuban, Eric J. ; Pedati, Caitlin S. ; ...
http://dx.doi.org/10.1007/s11121-022-01398-w
Source: Prev Sci. 25(Suppl 2):316-336

[PDF-758.53 KB]

English

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Prev Sci
Personal Author:

So, Marvin ; Dziuban, Eric J. ; Pedati, Caitlin S. ; Holbrook, Joseph R. ; Claussen, Angelika H. ; ... More +

So, Marvin ; Dziuban, Eric J. ; Pedati, Caitlin S. ; Holbrook, Joseph R. ; Claussen, Angelika H. ; O’Masta, Brenna ; Maher, Brion ; Cerles, Audrey A. ; Mahmooth, Zayan ; MacMillan, Laurel ; Kaminski, Jennifer W. ; Rush, Margaret Less -
Description:

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.
Subjects:

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Adolescent Attention Deficit Disorder With Hyperactivity Child Child, Preschool Child Health Humans Infant
Keywords:

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Allergies Attention Deficit/Hyperactivity Disorder Childhood Physical Health Head Injuries Infections Meta-analysis Pediatrics Sleep Problems
Source:

Prev Sci. 25(Suppl 2):316-336
Pubmed ID:

35947281
Pubmed Central ID:

PMC10032176
Document Type:

Journal Article
Funding:

CC999999/ImCDC/Intramural CDC HHSUnited States/ ; 13-FED-1303304/U.S. General Services Administration/

CC999999/ImCDC/Intramural CDC HHSUnited States/ ; 13-FED-1303304/U.S. General Services Administration/ Less -
Volume:

25
Collection(s):

CDC Public Access
Main Document Checksum:

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urn:sha256:d9b2474c63624c9937a2ee6bf9fc3b5295c647d8e5f266a4f44ad063b802c2f3
Download URL:

https://stacks.cdc.gov/view/cdc/126175/cdc_126175_DS1.pdf
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	nihms-1856833-f0001.jpg	jpeg
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	NIHMS1856833-supplement-Appendix_2.pdf	pdf

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