Wang GX, Xu XY, Wu XQ. Clarifying the relationship and analyzing the influential factors of bronchial asthma in children with attention-deficit hyperactivity disorder. World J Psychiatry 2024; 14(4): 513-522 [PMID: 38659605 DOI: 10.5498/wjp.v14.i4.513]
Corresponding Author of This Article
Gui-Xia Wang, Associate Chief Physician, Department of Infectious Diseases, Dongying People’s Hospital, No. 317 Dongcheng South 1st Road, Dongying 257000, Shandong Province, China. wangguixia710525@163.com
Research Domain of This Article
Pediatrics
Article-Type of This Article
Retrospective Cohort Study
Open-Access Policy of This Article
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World J Psychiatry. Apr 19, 2024; 14(4): 513-522 Published online Apr 19, 2024. doi: 10.5498/wjp.v14.i4.513
Table 1 Comparison of clinical data between the attention-deficit hyperactivity disorder and control groups
Parameter
ADHD group (n = 183)
Control group (n = 549)
χ2/t
P value
Sex (cases)
Male
96
283
0.046
0.831
Female
87
266
Age (yr, mean ± SD)
9.41 ± 1.68
9.62 ± 1.77
1.407
0.160
Ethnicity (cases)
Han
171
517
0.129
0.720
Non-Han
12
32
Feeding method (cases)
Breastfed
121
383
0.985
0.611
Formula-fed
26
74
Mixed feeding
36
92
Gestational Age at Birth (wk)
Full-term
155
469
0.315
0.855
Preterm
16
50
Postterm
12
30
Brain Injury (cases)
Yes
3
6
0.338
0.561
No
180
543
Family history of asthma/allergic diseases (cases)
Yes
41
65
12.371
< 0.001
No
142
484
Table 2 Comparison of parental data between the attention-deficit hyperactivity disorder and control groups
Parameter
ADHD group (n = 183)
Control group (n = 549)
χ2/t
P value
Parental highest educational level (cases)
Junior high school or below
41
125
0.160
0.923
High school or vocational school
54
169
College degree or above
88
255
Average monthly household income (cases)
< 5000 RMB
95
290
0.046
0.831
≥ 5000 RMB
88
259
Maternal pregnancy complications (cases)
Present
31
42
13.191
< 0.001
Absent
152
507
Use of asthma/allergy medications during pregnancy (cases)
Yes
38
59
11.981
0.001
No
145
490
Maternal smoking during pregnancy (cases)
Yes
26
75
0.034
0.853
No
157
474
Maternal anxiety and depression during pregnancy (cases)
Yes
28
39
11.091
0.001
No
155
510
Parental relationship status (cases)
Good
141
424
20.052
< 0.001
Average
23
109
Poor
19
16
Table 3 Univariate analysis of factors influencing the asthma comorbidity rate in children with attention-deficit hyperactivity disorder
Parameter
Comorbid group (n = 25)
Non-comorbid group (n = 158)
χ2/t
P value
Sex (cases)
Male
13
83
0.002
0.961
Female
12
75
Age (yr, mean ± SD)
9.35 ± 1.72
9.49 ± 1.63
0.396
0.693
Ethnicity (cases)
Han
23
148
0.098
0.754
Non-Han
2
10
Feeding method (cases)
Breastfed
16
105
0.395
0.821
Formula-fed
3
23
Mixed feeding
6
30
Gestational age at birth (wk, cases)
Full-term
21
134
0.642
0.726
Preterm
3
13
Postterm
1
11
Brain injury (cases)
Yes
1
2
1.007
0.317
No
24
156
Family history of asthma/allergic diseases (cases)
Yes
9
32
32.821
< 0.001
No
16
517
Maternal pregnancy complications (cases)
Present
16
15
45.581
< 0.001
Absent
9
143
Maternal use of asthma/allergy medications during pregnancy (cases)
Yes
18
20
46.201
< 0.001
No
7
138
Maternal smoking history during pregnancy (cases)
Yes
4
22
0.076
0.782
No
21
136
Maternal anxiety and depression during pregnancy (cases)
Yes
15
13
44.641
< 0.001
No
10
145
Parental relationship status (cases)
Good
10
131
36.952
< 0.001
Average
4
19
Poor
11
8
Table 4 Variable assignment details
Variable
Assignment method
Family history of asthma/allergic diseases
No = 0, Yes = 1
Maternal pregnancy complications
No = 0, Yes = 1
Maternal use of asthma/allergy medications during pregnancy
No = 0, Yes = 1
Maternal anxiety and depression during pregnancy
No = 0, Yes = 1
Parental relationship
Poor = 1, Average = 2, Good = 3
Table 5 Multivariate logistic regression analysis of factors influencing the asthma comorbidity rate in children with attention-deficit hyperactivity disorder
Factors
β
SE
Ward χ2
P value
OR
95%CI
Family history of asthma/allergic diseases
0.992
0.339
7.944
< 0.001
2.697
1.353-5.377
Maternal pregnancy complications
0.813
0.367
5.747
< 0.001
2.254
1.160-4.380
Maternal use of asthma/allergy medications during pregnancy
1.098
0.341
8.950
< 0.001
2.998
1.460-6.155
Maternal anxiety and depression during pregnancy
0.933
0.388
7.485
< 0.001
2.542
1.303-4.960
Parental relationship status
0.686
0.339
3.122
0.029
1.985
0.928-4.247
Citation: Wang GX, Xu XY, Wu XQ. Clarifying the relationship and analyzing the influential factors of bronchial asthma in children with attention-deficit hyperactivity disorder. World J Psychiatry 2024; 14(4): 513-522