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Cited by 39Attention Deficit Hyperactivity DisorderObesity, Physical Activity, DietPhysical Activity and Health

Attention-Deficit/Hyperactivity Disorder and Lifestyle-Related Behaviors in Children

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Tong, Lian, Xiong, Xu, Tan, Hui·2016·PLOS ONE
DOI 10.1371/journal.pone.0163434PMC PMC5033471
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Abstract

Attention-deficit/hyperactivity disorder (ADHD) has been associated with obesity in children. Lifestyle-related behaviors (external eating, screen time and physical inactivity) are well known to be associated with increased risk of obesity, but their associations with ADHD are unclear. The objectives of this study were to clarify the associations between ADHD symptoms in children and their associated lifestyle. A cross sectional study was carried out with a total of 785 primary students aged 9 to 13 years old and their parents were recruited by stratified random sampling from primary schools of China. The Cochran-Mantel-Haenszel (CMH) test was used to examine the relationships between ADHD symptoms and health related behaviors. We found that children with ADHD symptoms were likely to spend more time using a computer during school days; they were also more likely to eat while using a computer. These children were also more likely to eat while seated in a car, using a smart phone, using a computer at bedtime, and snacking before going to sleep than children without ADHD symptoms. An increased risk of obesity in children with ADHD symptoms was associated with the overuse of electronic devices, eating while using electronic devices, and delaying bedtimes to snack and use electronic devices.

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  • Obesity and nutritional deficiencies, lower serum levels of ferritin, and iron deficiency as postnatal factors have been suggested to promote abnormalities in the brain and thereby influence the onset of ADHD.

    “Obesity and nutritional deficiencies (deficiency in the intake of essential fatty acids), lower serum levels of ferritin, and iron deficiency, as postnatal factors, have been suggested to promote abnormalities in the brain and thereby influence the onset of ADHD [66–69].”

    From Molecular Characterisation of the Mechanism of Action of Stimulant Drugs Lisdexamfetamine and Methylphenidate on ADHD Neurobiology: A Review (2022) · cites this paper as [68]

    The Introduction reports an association between obesity and ADHD, which supports only the broad link between them. It does not describe obesity as causing brain abnormalities or influencing ADHD onset, and the searched passages do not address ferritin, iron deficiency, or essential fatty acid deficiency as postnatal factors. (LLM, conf=0.78)

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Cited by

Sorted by citations

Authors
Tong, L., Xiong, X., & Tan, H.
Affiliations
  • Fudan University (CN)
  • Tulane University (US)
Corresponding author
Tong, Lian
ORCID
Venue
PLOS ONE
Publisher
Public Library of Science (PLoS)
Published
2016-09-22
Volume
11
Issue
9
Pages
e0163434
ISSN
1932-6203 (ISSN-L)
DOI
10.1371/journal.pone.0163434
PMC
PMC5033471
OpenAlex
W2523464205
Cited by
39
References
6
Citations by year
2026: 5 · 2025: 4 · 2024: 1 · 2023: 3 · 2022: 7 · 2021: 6 · 2020: 4 · 2019: 3 · 2018: 4 · 2017: 2
FWCI
2.67
Type
journal article
Language
en
Open access
Licence
Locations
  • PLoS ONE (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
  • National Natural Science Foundation of China (81402693)
  • Shanghai Pujiang Program (14PJC012)
  • Shanghai Municipal Health Bureau (15GWZK0402)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
  • Health Sciences › Medicine › Physiology › Physical Activity and Health
Keywords
attention deficit hyperactivity disorder, children, childhood obesity, screen time, digital technology use, bedtime, snacking, physical inactivity, elementary school students

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