兒童肥胖之注意力及神經行為缺損之研究

Investigation of Attention and Neurobehavioral Deficits in Children with Obesity

魏書豪(Shu-Hao Wei)

指導教授 ： 賴秋蓮

高雄醫學大學/醫學院/神經學科研究所/碩士(2014年)

摘要

文獻回顧顯示兒童肥胖可能與注意力及神經行為缺陷相關，我們利用前瞻性對照配對研究方式，收集小學年齡（6-12歲）的肥胖兒童與正常體重兒童(對照組)各50位，所有參與兒童均接受專注力的測試評估（Conners’continuous performance test第二版，CPT II），家長則填寫關於兒童的注意力缺陷過動症量表（SNAP-IV）、行為及情緒問題量表（CBCL）、和睡眠問卷。結果呈現肥胖兒童相較於正常體重兒童，有表現較差的perseverations之CPT II指數（48.6±7.1 vs.45.6±4.4，p = 0.013），比例較高的退縮(withdraw)症狀（38％ vs. 14％，p = 0.012）和情感(affective)問題（40％ vs.16％，p = 0.014），睡眠磨牙症的比率較低（曾經有或目前有：40％ vs.84％，p = 0.028; 目前有：16% vs.38％，P = 0.024）。這項研究提供了肥胖兒童之某些注意力和神經行為缺陷的初步結果。我們的研究建議，兒童心理衛生專業人員應為肥胖兒童篩檢注意力缺陷和神經行為之可能合併症。

關鍵字

肥胖 ； 兒童 ； 注意力 ； 神經行為 ； 睡眠

並列摘要

Recent evidence suggests obesity is a potential risk factor for attention and neurobehavioral deficits in children. A prospectively age and gender matched control study was conducted between children with obesity and controls with normal weight in elementary school age (6-12 years old). All participants completed the attention assessments (Conners’ Continuous Performance Test II, CPT). The parents reported on the ADHD symptoms (SNAP-IV), behavioral and emotional problems (CBCL) and sleep questionnaires of their children. A total of 50 obese children and 50 normal weight controls were finally collected. Obesity children, compared to normal weight children, had poorer performance in CPT II index of perseverations (48.6±7.1 vs. 45.6±4.4, p=0.013), higher percentages of withdrawal symptoms (38% vs. 14%, p=0.012) and affective problems (40% vs. 16%, p=0.014), and lower rates of sleep bruxism (ever and current: 40% vs.84%, p=0.028; current: 16% vs. 38%, p=0.024).This study provides preliminary results of several attention and neurobehavioral deficits in obese children. Our study sug¬gests that mental health professionals should screen for attentional and neuropsychiatric comorbidities among obese children.

並列關鍵字

Obesity ； Children ； Attention ； Neurobehavioral deficits ； CPT ； SNAP ； CBCL ； Sleep

參考文獻

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