The associations between ADHD and asthma in Korean children

BMC Psychiatry

Myung Ho Lim⁷  Hwan Il Cho⁷  Soo Jong Hong⁴  Dong-Muk Kang⁶  Chul-Gab Lee⁸  June Sakong³  Jong-Han Lim⁵  Ki Chung Paik⁷  Seung Jin Yoo²  Mina Ha⁹  Mi Young Lee¹  Ho Jang Kwon⁹ 

[1] Department of Preventive Medicine, College of Medicine, Keimyung University, Daegu, Korea;Environmental Health Center, Dankook University Hospital, Cheonan, Korea;Department of Preventive Medicine, College of Medicine, Yeongnam University, Daegu, Korea;Department of Pediatrics, College of Medicine, Ulsan University, Ulsan, Korea;Department of Preventive Medicine, College of Medicine, Inha University, Incheon, Korea;Department of Preventive Medicine, College of Medicine, Pusan University, Pusan, Korea;Department of Psychology and Psychiatry, College of Medicine, Dankook University, 359 Manghyang Rho, Cheonan 300-714, South Korea;Department of Preventive Medicine, College of Medicine, Chosun University, Kwangju, Korea;Department of Preventive Medicine, College of Medicine, Dankook University, Cheonan, Korea

关键词: Children;    Allergic rhinitis;    Asthma;    ADHD;   

Others  :  1123718
DOI  :  10.1186/1471-244X-14-70

 received in 2013-05-18, accepted in 2014-03-06,  发布年份 2014

【 摘 要 】

Background

The aim of this study was to investigate the associations between attention deficit hyperactivity disorder (ADHD), the most common neuropsychiatric disorder in school children, and childhood allergic disease by evaluating their respective prevalence.

Methods

Subjects were comprised of first and second grade students in twenty two elementary schools in a city in the Republic of Korea. The mode of measurement for ADHD was based on DSM-IV from clinical interviews conducted by child psychiatrists. Along with the diagnostic interviews, we also used the epidemiological questionnaires, Computerized Attention Deficit-Hyperactivity Disorder Diagnostic System, the abbreviated Conner’s Parent Rating Scale (CPRS), and DuPaul’s ADHD Rating Scales. Allergic conditions, such as asthma, have been separately evaluated based on the questionnaire items whose validity and reliability were proved by the International Study of Asthma and Allergies in Children (ISAAC). All questionnaires were completed by the subjects’ parents.

Results

The lifetime prevalence rate of asthma in ADHD patients was 36.6%, compared to a prevalence of 24.3% in control subjects. The lifetime prevalence rate of allergic rhinitis in ADHD patients was 59.0%, compared to a prevalence of 47.0% in control subjects. Statistically significant difference has been found between the two groups. In the logistic regression model of the ADHD and the control group, the relative risk of asthma was 1.60 times higher (confidence interval 1.301-1.964), the relative risk of allergic rhinitis was 1.38 times higher (confidence interval 1.124-1.681), which showed statistical significance.

Conclusions

The findings of this study suggest significant association between ADHD and childhood asthma and allergic rhinitis. Therefore, appropriate evaluation and treatment are needed for asthmatic children with attention-deficit symptoms, or allergic rhinitis with ADHD. Besides, further research is needed to determine the etiological approach towards ADHD, asthma, and allergic rhinitis.

【 授权许可】

   
2014 Kwon et al.; licensee BioMed Central Ltd.

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