association of symptoms of attention-deficithyperactivity disorder with physical activity, media time, and food intake in children and adolescents协会attention-deficithyperactivity障碍的症状与体育活动,媒体的时间和食物摄入量在儿童和青少年.pdfVIP

Association of Symptoms of Attention-Deficit/ Hyperactivity Disorder with Physical Activity, Media Time, and Food Intake in Children and Adolescents ¨ 1 2 3 Andreas W. A. van Egmond-Frohlich , Daniel Weghuber , Martina de Zwaan * 1 Department of Pediatrics, SMZ-Ost Donauspital, Vienna, Austria, 2 Department of Pediatrics, Paracelsus Private Medical School, Salzburg, Austria, 3 Department of Psychosomatic Medicine and Psychotherapy, Hannover Medical School, Germany Abstract Introduction: The aim of the study was to assess the association between attention deficit/hyperactivity disorder (ADHD) symptoms and potentially obesogenic behaviors. Methods: Data of 11,676 German children and adolescents (6–17 years) were analyzed. Television/video exposure, physical activity, food frequency and portion size were assessed using questionnaires. A dietary quality index, energy density and volumes of consumed food, and total energy intake were calculated. The parent-rated hyperactivity/inattention subscale of the Strengths and Difficulties Questionnaire (SDQ-HI) was used as a continuous measure of ADHD symptoms. Associations were analyzed with general linear models adjusting for sex, age, socioeconomic status, migrant status, parental BMI, and parental smoking. Results: SDQ-HI scores correlated positively with physical activity, average energy density of food, volume of beverages, total energy intake, and television exposure and negatively with the nutritional quality score (HuSKY) even after adjustment for parental variables (BMI, smoking, socioeconomic status, migrant status), age, sex, as well as the other SDQ subscales. The adjusted association of the SDQ-HI scores with the nutritional quality score was stronger in girls and the associations with food volu