Sleeping, TV, Cognitively Stimulating Activities, Physical Activity, and Attention-Deficit Hyperactivity Disorder Symptom Incidence in Children: A Prospective Study
Abstract:A shorter sleep duration and less time spent in cognitively stimulating activities were associated with an increased risk of developing ADHD symptoms and behavior problems.
“…So far there is no consensus about the direction of the sleep-ADHD association, despite evidence showing that sleep deprivation and sleep disturbances have known cognitive emotional and behavioral effects that mimic ADHD 3,26,31 , and that early sleep disturbances are associated with an increased risk of ADHD later in life 28,29,31,33,77 . The TSMR analyses we carried out showed a causal effect of insomnia, daytime napping, and short sleep duration on ADHD.…”
doi: medRxiv preprint NOTE: This preprint reports new research that has not been certified by peer review and should not be used to guide clinical practice.
“…So far there is no consensus about the direction of the sleep-ADHD association, despite evidence showing that sleep deprivation and sleep disturbances have known cognitive emotional and behavioral effects that mimic ADHD 3,26,31 , and that early sleep disturbances are associated with an increased risk of ADHD later in life 28,29,31,33,77 . The TSMR analyses we carried out showed a causal effect of insomnia, daytime napping, and short sleep duration on ADHD.…”
doi: medRxiv preprint NOTE: This preprint reports new research that has not been certified by peer review and should not be used to guide clinical practice.
“…Esto confirma que los chicos y chicas con diagnostico TDAH presentan pobre calidad de sueño (Tantillo, Kesick, CHynd y Dishman, 2002). Así mismo, una corta duración del sueño se asocia con un mayor riesgo de desarrollar síntomas TDAH y problemas de conducta en escolares (0-7 años) (Peralta et al, 2018). Tras la intervención de 10 semanas con C-HIIT monitorizado, el grupo C-HIIT presentó un valor por debajo de 3, mientras que el grupo no C-HIIT a pesar de mejorar sus valores, seguía presentando una pobre calidad de sueño (valor > 5).…”
El objetivo del presente estudio fue conocer los efectos de un programa de entrenamiento Cooperative-High Intensity Interval Training (C-HIIT) de 10 semanas, 2 sesiones/semana, y 16 minutos cada sesión, sobre la calidad del sueño y la atención selectiva en niños diagnosticados con Trastorno por Déficit de Atención e Hiperactividad (TDAH). Participaron 52 escolares diagnosticados TDAH (10.13 ± 2.68 años). Se asignaron 24 al grupo de control (11 niñas) y 28 al grupo experimental (17 niñas). La calidad del sueño se midió con la prueba de Pittsburg y la atención selectiva con el test d2. Tras el programa de intervención, el grupo C-HIIT mejoró significativamente la calidad del sueño frente al grupo de control (2.93 ± 1.762 vs. 6.88 ± 2.643, p< 0.001). El grupo C-HIIT mejoró significativamente su nivel de atención selectiva (pre: 42 ± 30.21 vs. post: 64.21 ± 30.57; p< 0.001), mejorando un 21.16% respecto al inicio del estudio. Se concluye, que un programa de C-HIIT aplicado durante al menos 10 semanas en jóvenes con TDAH mejora significativamente su calidad de sueño y la medida de atención, sin embargo, los efectos sobre la concentración y el índice de variación no son concluyentes. Se sugiere incorporar programas específicos de estímulo cooperativo y de alta intensidad en jóvenes TDAH ya que podría ser una herramienta eficaz para mejorar la calidad de sueño y sus niveles de atención selectiva.
Abstract. The objective of this study was to know the effects of a Cooperative-High Intensity Interval Training (C-HIIT) training program of 10 weeks, 2 sessions/week, and 16 minutes each session, on the quality of sleep and selective care in children diagnosed with Attention Deficit and Hyperactivity Disorder (ADHD). Fifty-two schoolchildren were diagnosed with ADHD (10.13 ± 2.68 years). Twenty-four were assigned to the control group (11 girls) and 28 to the experimental group (17 girls). The quality of sleep was measured with the Pittsburgh test and selective attention with the d2 test. After the intervention program, the C-HIIT group significantly improved sleep quality compared to the control group (2.93 ± 1.762 vs. 6.88 ± 2.643, p< 0.001). The C-HIIT group significantly improved its level of selective care (pre: 42 ± 30.21 vs. post: 64.21 ± 30.57; p< 0.001), improving 21.16% with respect to the beginning of the study. It is concluded that a C-HIIT program applied for at least 10 weeks in young people with ADHD significantly improves their quality of sleep and the measure of attention, however, the effects on concentration and the rate of variation are not conclusive. It is suggested to incorporate specific programs of cooperative and high intensity stimulation in young ADHD as it could be an effective tool to improve the quality of sleep and their levels of selective care.
“…In a longitudinal study of a community sample of 232 monozygotic twin pairs, greater weekly energy expenditure in terms of activities in adolescence was significantly associated with lower levels of ADHD symptoms in early adulthood (Rommel et al, 2015 ). Higher levels of PA or engaging in PA were not related to conduct and behavioral problems, anxiety, and ADHD symptoms in a 3-year follow-up study of adolescents (Isaksson et al, 2020 ) and a prospective study (Peralta et al, 2018 ). Similarly, other studies did not report a significant effect of PA on ADHD symptoms or executive functions in ADHD children (Smith et al, 2019 ; Zang, 2019 ).…”
Studies have shown that physical activity (PA) can provide a helpful, low-risk, and cost-effective intervention for children and adolescents suffering from mental health problems. This longitudinal study aimed to assess whether PA prevents the development of mental health problems, such as attention-deficit/hyperactivity disorder (ADHD) in children and adolescents. Data were analyzed from the German Health Interview and Examination Survey for Children and Adolescents (KiGGS) collected from more than 15.000 children and adolescents at three different time points over a period of more than 10 years. Parents scored the PA of the study participants on three frequency levels according to WHO recommendations, and mental health problems were assessed by means of the Strengths and Difficulties Questionnaire (SDQ). The total problem score (SDQ-Total) and the hyperactivity/inattention symptoms sub-scale (SDQ-H/I) were used in an autoregressive cross-lagged model to examine their relationship with PA. The results showed that PA of boys and girls at preschool age was inversely associated with the occurrence of mental health problems and, in particular, ADHD symptoms about 6 years later. Higher levels of PA were associated with better general mental health and fewer ADHD symptoms at the next time point (Wave 1). These effects were not observed from preadolescence (Wave 1) to adolescence (Wave 2), neither for girls nor for boys. These findings indicate that medium-to-high PA may be a supportive factor for good mental health in children in preschool and elementary school. Future studies will have to show whether PA may be a helpful add-on for interventional programs for improving general mental health and alleviating ADHD symptoms among children and adolescents.
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