Physical Activity, Screen Time, and Sleep in Children With ADHD

Tandon, Pooja; Sasser, Tyler; Gonzalez, Erin Schoenfelder; Whitlock, Kathryn B.; Christakis, Dimitri A.; Stein, Mark A.

doi:10.1123/jpah.2018-0215

Cited by 68 publications

(84 citation statements)

References 38 publications

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“…An additional study published after this review has confirmed these data. Drawing on data from the 2011 National Survey of Child Health, Tandon and colleagues [29] showed that children with ADHD failed to engage in the amounts of physical activity, sleep, and screen time recommended for their age. There was even a significant difference between ADHD and other chronic somatic conditions, such as asthma, with children with ADHD showing 50% lower odds of sports participation than children with asthma.…”

Section: What Are the Factors Underpinning The Association Betweenmentioning

confidence: 99%

The Association between ADHD and Obesity: Intriguing, Progressively More Investigated, but Still Puzzling

Cortese

2019

Brain Sciences

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This narrative review is aimed at presenting the most recent evidence on the association between attention-deficit/hyperactivity disorder (ADHD) and obesity. The review is informed by previous relevant systematic reviews and a search in Pubmed and PsycINFO up to 1 August 2019. Although the association between ADHD and obesity would seem, at first, paradoxical, in the past two decades there has been an increasing number of studies on this topic. The present review shows that there is meta-analytic evidence supporting a significant association between these two conditions, at least in adults. Growing evidence is also being published on the genetic and environmental factors underlying the association. However, the cause–effects paths, as well as the exact mechanisms explaining the association, remain unclear. Additionally, empirical evidence guiding the management/treatment of patients with the two conditions is still limited. Therefore, after almost 20 years from the first report of a link between ADHD and obesity, this association continues to be puzzling.

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Section: What Are the Factors Underpinning The Association Betweenmentioning

confidence: 99%

The Association between ADHD and Obesity: Intriguing, Progressively More Investigated, but Still Puzzling

Cortese

2019

Brain Sciences

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“…5 Further, due to more free time, fewer outdoor activities, these children are more prone to indulge in the use of screen media. 6 However, in this unprecedented situation of lockdown, it is not known how the children with ADHD and their parents are dealing with the child's hyperactivity. Usually, parents do not have time to carry out behavioral interventions for these children, due to their busy schedule, and work pressure.…”

Section: Introductionmentioning

confidence: 99%

Impact of COVID-19 and Lockdown on Children with ADHD and Their Families—An Online Survey and a Continuity Care Model

Shah

Raju

Sharma

et al. 2020

JNRP

132

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Background Little is known about the impact of the coronavirus disease 2019 pandemic on children with attention-deficit hyperkinetic disorder (ADHD). This study aimed to assess the impact of lockdown on children with the ADHD, and their families. Additionally, feasibility of carrying out “text message-based” intervention was evaluated. Methods An online survey was performed to evaluate the impact of lockdown on children with ADHD and their family members. Additionally, a “text message”-based intervention was performed over 2 weeks. Along with the text-based intervention, we also provided reading materials and an option of telephonic consultation. Results Of the 80 parents who initially consented to participate, 48 filled the baseline survey, and 41 agreed to receive intervention. Out of 41, 29 filled satisfaction survey. During the lockdown period, there was worsening of symptoms of ADHD in the form of increase (slight or marked) in the activity level (50.1%), irritability (45.8%), and disturbing or disruptive behavior (47.7%) in children. In terms of behavior of family members, there was marked/slight increase in irritability (37.5%), and shouting at the child (43.8%), verbal abuse (25%), and punishing the child (27.1%). Additionally, there was an increase in the praising (67.6%) and spending time with the child (72.9%). Text-based messages on a scale of 0 to 10 were rated as 5.79 for the content, 5.76 for the usefulness, and 6 for satisfaction. Conclusion Lockdown resulted in worsening of symptoms among children of ADHD and it had impact on the interaction pattern of the children and parents. A “text message”-based intervention is a feasible and possibly acceptable option to deal with the behavioral problem of the children and adolescents with ADHD.

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“…Sleep has been linked to energy metabolism and body mass index (BMI), with recent studies suggesting that too much or too little sleep is detrimental and may be associated with obesity [14][15][16]. Furthermore, sleep, physical activity, and screen time have been found to be concurrent in some cases, but in others their correlation was moderate to small and their associations were not statistically significant [17][18][19].…”

Section: Introductionmentioning

confidence: 99%

Association of sleep, screen time and physical activity with overweight and obesity in Mexico

et al. 2019

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Purpose Approximately 70% of adults in Mexico are overweight or obese. Unhealthy lifestyle behaviors are also prevalent. We examined the association of three lifestyle behaviors with body mass index (BMI) categories in adults from Mexico. Methods We used publicly available data from the ENSANUT 2016 survey (n = 6419). BMI was used to categorize participants. Differences in sleep duration, suffering from symptoms of insomnia, TV watching time, time in front of any screen, vigorous physical activity (yes vs no), moderate physical activity (> 30 min/day-yes vs. no) and walking (> 60 min/day-yes vs. no) were compared across BMI groups using adjusted linear and logistic regression analyses. Results Thirty-nine percent of participants were overweight and 37% obese. Time in front of TV, in front of any screen, sleep duration and physical activity were significantly associated with overweight and obesity. Compared to normal weight participants, participants in the obese II category spend on average 0.60 h/day (95% CI 0.36-0.84, p = 0.001) and participants in the obese III category 0.54 h/day (95% CI 0.19-0.89, p < 0.001) more in front of any screen; participants in the obese II category reported 0.55 h/day less sleep (95% CI − 0.67 to − 0.43, p < 0.001); participants in the obese III category were less likely to engage in vigorous activity (OR = 0.60, 95% CI 0.43-0.84, p ≤ 0.003), or walking (OR = 0.65, 95% CI 0.49-0.88, p = 0.005). Conclusion Screen time, sleeping hours, and physical activity were associated with overweight and obesity. However, these associations were not consistent across all BMI categories. Assuming established causal connections, overweight individuals and individuals with obesity would benefit from reduced screen time and engaging in moderate/vigorous physical activity. Level of evidence Level III: observational case-control analytic study.

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Physical Activity, Screen Time, and Sleep in Children With ADHD

Cited by 68 publications

References 38 publications

The Association between ADHD and Obesity: Intriguing, Progressively More Investigated, but Still Puzzling

The Association between ADHD and Obesity: Intriguing, Progressively More Investigated, but Still Puzzling

Impact of COVID-19 and Lockdown on Children with ADHD and Their Families—An Online Survey and a Continuity Care Model

Association of sleep, screen time and physical activity with overweight and obesity in Mexico

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