The associations between ADHD and asthma in Korean children

BMC Psychiatry

Research Article

Soo Jong Hong¹  Chul-Gab Lee²  Jong-Han Lim³  Mi Young Lee⁴  Dong-Muk Kang⁵  June Sakong⁶  Seung Jin Yoo⁷  Ho Jang Kwon⁸  Mina Ha⁸  Ki Chung Paik⁹  Myung Ho Lim⁹  Hwan Il Cho⁹ 

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

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

DOI  :  10.1186/1471-244X-14-70

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

来源: Springer

【 摘 要 】

BackgroundThe 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.MethodsSubjects 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.ResultsThe 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.ConclusionsThe 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】

Unknown   
© Kwon et al.; licensee BioMed Central Ltd. 2014. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited.