The maternal prepregnancy body mass index and the risk of attention deficit hyperactivity disorder among children and adolescents: a systematic review and meta-analysis.

Attention deficit disorder with hyperactivity Body mass index Pregnancy

Journal

Korean journal of pediatrics
ISSN: 1738-1061
Titre abrégé: Korean J Pediatr
Pays: Korea (South)
ID NLM: 101215374

Informations de publication

Date de publication:
Oct 2019
Historique:
received: 20 02 2019
accepted: 17 05 2019
pubmed: 19 6 2019
medline: 19 6 2019
entrez: 19 6 2019
Statut: ppublish

Résumé

Attention deficit hyperactivity disorder (ADHD) symptoms have a major impact on individuals, families, and society. Therefore identification risk factors of ADHD are a public health priority. This is meta-analysis evaluated the association between maternal prepregnancy body mass index and the risk of ADHD among the resulting offspring. The search identified studies published through December 2018 in the PubMed, Web of Science, and Scopus databases. The odds ratios (ORs) or hazard ratios (HRs) with 95% confidence intervals (CI) extracted from eligible studies were used as the common measure of association among studies. A significant association was found between overweight women and the risk of ADHD among children with the pooled HR and OR estimates (HR, 1.27 and 95% CI, 1.17-1.37; OR, 1.28 and 95% CI, 1.15-1.40, respectively). This association was significant between obese women and the risk of ADHD among children and adolescents with the pooled estimates of HR and OR (HR, 1.65 and 95% CI, 1.55-1.76; OR, 1.42 and 95% CI, 1.23-1.61). The current epidemiological studies present sufficient evidence that prepregnancy overweight and obesity are significantly associated with an increased risk of ADHD among children and adolescents. These findings provide a new approach to preventing ADHD by controlling weight gain in the prenatal period, which should be considered by policymakers.

Sections du résumé

BACKGROUND BACKGROUND
Attention deficit hyperactivity disorder (ADHD) symptoms have a major impact on individuals, families, and society. Therefore identification risk factors of ADHD are a public health priority.
PURPOSE OBJECTIVE
This is meta-analysis evaluated the association between maternal prepregnancy body mass index and the risk of ADHD among the resulting offspring.
METHODS METHODS
The search identified studies published through December 2018 in the PubMed, Web of Science, and Scopus databases. The odds ratios (ORs) or hazard ratios (HRs) with 95% confidence intervals (CI) extracted from eligible studies were used as the common measure of association among studies.
RESULTS RESULTS
A significant association was found between overweight women and the risk of ADHD among children with the pooled HR and OR estimates (HR, 1.27 and 95% CI, 1.17-1.37; OR, 1.28 and 95% CI, 1.15-1.40, respectively). This association was significant between obese women and the risk of ADHD among children and adolescents with the pooled estimates of HR and OR (HR, 1.65 and 95% CI, 1.55-1.76; OR, 1.42 and 95% CI, 1.23-1.61).
CONCLUSION CONCLUSIONS
The current epidemiological studies present sufficient evidence that prepregnancy overweight and obesity are significantly associated with an increased risk of ADHD among children and adolescents. These findings provide a new approach to preventing ADHD by controlling weight gain in the prenatal period, which should be considered by policymakers.

Identifiants

pubmed: 31208166
pii: kjp.2019.00185
doi: 10.3345/kjp.2019.00185
pmc: PMC6801198
doi:

Types de publication

Journal Article

Langues

eng

Pagination

374-379

Subventions

Organisme : Hamadan University of Medical Sciences

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Auteurs

Ensiyeh Jenabi (E)

Autism Spectrum Disorders Research Center, Hamadan University of Medical Sciences, Hamadan, Iran.

Saied Bashirian (S)

Social Determinants of Health Research Center, Hamadan University of Medical Sciences, Hamadan, Iran.

Salman Khazaei (S)

Research Center for Health Sciences, Hamadan University of Medical Sciences, Hamadan, Iran.

Zohreh Basiri (Z)

Master of Science Epidemiology, Faculty of Science, University of Melbourne, Melbourne, Australia.

Classifications MeSH