The associations between ADHD and asthma in Korean children

Title
The associations between ADHD and asthma in Korean children
Author(s)
사공준권호장[권호장]이미영[이미영]하미나[하미나]임종한[임종한]이철갑[이철갑]강동묵[강동묵]홍수종[홍수종]유승진[유승진]백기청[백기청]임종한[임종한]조환일[조환일]
Keywords
HYPERKINETIC SYNDROME; CONTROLLED-TRIAL; THEOPHYLLINE; PREVALENCE; DISORDER; PSYCHOPATHOLOGY; PERFORMANCE; GENETICS; ALLERGY
Issue Date
201403
Publisher
BIOMED CENTRAL LTD
Citation
BMC PSYCHIATRY, v.14
Abstract
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.
URI
http://hdl.handle.net/YU.REPOSITORY/32949http://dx.doi.org/10.1186/1471-244X-14-70
ISSN
1471-244X
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의과대학 > 예방의학교실 > Articles
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