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العنوان
Evaluation of anthropometric measures and dietary pattern in attention deficit hyperactive disorder children /
المؤلف
El Sharkawy, Mahinaz M. Raafat.
هيئة الاعداد
باحث / ماهيناز محمد رأفت الشرقاوى
مشرف / رحاب عبد القادر محمود
مشرف / عبلة جلال خليفة
تاريخ النشر
2017.
عدد الصفحات
175 p. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
طب الأطفال ، الفترة المحيطة بالولادة وصحة الطفل
تاريخ الإجازة
1/1/2017
مكان الإجازة
جامعة عين شمس - كلية الطب - الدراسات الطبية
الفهرس
Only 14 pages are availabe for public view

Abstract

Balanced nutrition is very important during childhood, for development of body functions and social cognitive ability.
ADHD is defined as a neurobehavioral developmental disorder characterized by continuous inattention, hyperactivity, and impulsiveness and is especially prevalent in childhood. The etiology of ADHD involves genetic, dietary, and environmental factors. Especially, dietary factors have been determined to increase the risk of ADHD.
To evaluate diet status and anthropometric measures of ADHD children and compare them with normal children of same school age, also to assess the relation of nutrition to growth and symptoms of ADHD children whereas the nutrition intervention may improve the symptoms.
The present study involved 60 child diagnosed as having ADHD (40 (66.67%) were male and 20 (33.33%) were females), attending El Agouza Military Rehabilitation Center during the period between June 2012 and June 2013. A well matched (regarding age and sex) 60 normal children were included as a control group.
All patients were subjected to:
• Full history taking:
• Diagnoses of the ADHD based on DSM 4TR
• IQ Stanford bennet to exclude MR, genetic disorders.
• (Conner) ADHD scale .
• Dietary Intake: will be conducted in order to obtain qualitative and quantitative information about the different items of food and beverage consumed by every child.
• Social Status
• Auxocological assessment :
• Assessment of nutritional growth status, Weight/age (Wt/age) , height/age (Ht/age) , and BMI/age
• Results of the current study show that 35.0% of ADHD cases were of inattentive type (3 males, 18 females), 16.67% of hyperactive type (10 males) and 48.33% of combined type (27 males and 2 females.
• Results of the current study show that according to co-morbidity; 34 child (56.67%) had oppositional deviant disorder, 16 (26.67%) had learning disorder, 15 (25%) had conduct disorder and 5 (8.33%) had emotional disorders.
Results of the current study show statistically significant higher weight and BMI in ADHD patients (group A) compared to controls (p=0.046, 0.001 respectively), also significantly higher weight for age and BMI for age in ADHD patients (group A) compared to controls (p=0.04, 0.03 respectively). Non significant difference was detected between both groups as regard height and height for age.
Results of the current study show that the Conners rating scale subscales shows statistically significant higher oppositional (p=0.02), cognitive problems/inattention (p=0.002), hyperactivity (p=0.001), Conners ADHD index (p=o.004), CGI restless-impulsive (p=0.001), CGI emotional lability (p=0.01), CGI total (0.002), DS-IV inattentive (p=0.003), DSM-IV hyperactive-impulsive (p=0.001) and DSM-IV total (p=0.001) in ADHD patients (group A) compared to control group (group B).
The behavior assessment performed here identified that the ADHD group had higher mean T-scores than controls on over seventy-five percent of the Conners’ scales. The Conners’ Parent Rating Scale appears to be an extremely reliable tool when comparing ADHD behaviors among individuals of different gender and age.
In the current study we used a complete one day diet record; we examined the intake patterns of our ADHD subjects. Results of the current study demonstrate that ADHD subjects consumed higher levels of at least 10 different nutrients, than their control counterparts. This included 25% more energy, and more grams of carbohydrate, total fat and omega-6 fatty acids.