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Title: [Epidemiological characteristics and relevant factors on the comorbidity of hyperactivity behavior and allergic diseases in preschool children].
Author: Weng TT, Yan SQ, Cao H, Gu CL, Xu YQ, Ni LL, Tao HH, Shao T, Tao FB.
Journal: Zhonghua Yu Fang Yi Xue Za Zhi; 2017 Dec 06; 51(12):1061-1064. PubMed ID: 29262484.
Abstract:
Objective: To understand the epidemiological characteristics and relevant factors on the comorbidity of hyperactivity behavior and allergic disease among preschool children in urban areas of Ma'anshan city. Methods: During April 2014 to April 2015, 91 kindergartens over 3 years old were investigated. In the investigation, 16 439 questionnaires were distributed to parents, and 15 291 valid questionnaires were collected. Conners abbreviated symptom questionnaire (brief symptom questionnaire) was filled out by parents to assess the children's hyperactive behaviors. Information of allergic disease history was reported by parents, including allergic dermatitis/eczema, food/drug allergy, allergic rhinitis and asthma. Multivariate unconditional logistic regression was used to analyze the relevant factors of comorbidity of hyperactivity behavior and allergy diseases. Results: The average age of the 15 291 children were (4.5±1.0) years old, among which 53.7% (8 218/15 291) were boys. The prevalence of hyperactive behaviors was 8.6%(1 317/15 291), and the comorbidity rate of hyperactivity and allergic deseases was 1.7% (258/15 291). After confounding factors including gender, age, delivery mode, father's age and pregnancy complications adjusted, poor sleep quality (OR=4.45, 95%CI: 2.85-6.94), long duration of watching TV at weekend (OR=1.39, 95%CI: 1.00-1.94) and poor eating behavior (OR=1.78, 95%CI: 1.07-2.98) were relevant factors of the comorbidity of hyperactivity and allergic diseases. Conclusion: The prevalence of comorbidity of hyperactivity behavior and allergic disease among preschool children in urban areas of Ma'anshan city was not high. Poor night sleep quality, long duration of watching TV and frequently picky eating were relevant factors of the comorbidity of hyperactive behaviors and allergic diseases. 目的： 了解马鞍山城区学龄前儿童多动行为与过敏性疾病共病的流行特征及相关因素。 方法： 2014年4月至2015年4月对马鞍山市花山区和雨山区教育委员会注册的91所幼儿园3岁以上儿童进行普查，发放16 439份问卷，最终收到有效问卷15 291份。采用《Conners父母症状问卷》（简明症状问卷）调查儿童的多动行为，通过父母回忆调查儿童既往过敏性疾病史，包括过敏性皮炎（湿疹）、食物或药物过敏、过敏性鼻炎及哮喘。采用多因素非条件logistic回归模型分析多动与过敏性疾病共病的影响因素。 结果： 15 291名调查对象的年龄为（4.5±1.0）岁，其中男童占53.7%（8 218/15 291)。学前儿童多动行为的检出率为8.6%（1 317/15 291），多动行为与过敏性疾病共病检出率为1.7%（258/15 291）。调整儿童性别、年龄、分娩方式、父亲年龄、妊娠合并症等因素后，多动行为与过敏性疾病共病的相关因素包括睡眠质量差（OR=4.45，95%CI：2.85~6.94)、周末视屏时间长（OR=1.39，95%CI：1.00~1.94）以及经常性挑食行为（OR=1.78，95%CI：1.07~2.98）。 结论： 马鞍山城区学龄前儿童多动行为与过敏性疾病共病不高，夜间睡眠质量差、长时间的视屏以及经常性挑食行为均为学龄前儿童多动行为与过敏共病相关因素。.

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