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CONDUCT DISORDER AMONG THE OVERWEIGHT AND OBESE CHILDREN AND ADOLESCENTS: A SYSTEMATIC REVIEW AND META-ANALYSIS
Danijela Nujić
; Fakultet za dentalnu medicinu i zdravstvo, Sveučilište J.J. Strossmayera u Osijeku, Hrvatska; Medicinski fakultet, Sveučilište J.J. Strossmayera u Osijeku, Hrvatska
Josip Milas
; Medicinski fakultet, Sveučilište J.J. Strossmayera u Osijeku, Hrvatska
Dubravka Holik
; Fakultet za dentalnu medicinu i zdravstvo, Sveučilište J.J. Strossmayera u Osijeku, Hrvatska
Ivan Miškulin
; Medicinski fakultet, Sveučilište J.J. Strossmayera u Osijeku, Hrvatska
Stjepan Rudan
; Fakultet za dentalnu medicinu i zdravstvo, Sveučilište J.J. Strossmayera u Osijeku, Hrvatska
Andrea Milostić-Srb
; Fakultet za dentalnu medicinu i zdravstvo, Sveučilište J.J. Strossmayera u Osijeku, Hrvatska
Sažetak
In 2016 it is estimated that in just 40 years the number of school-age children and adolescents with obesity has risen more than 10-fold. Overweight (ow) and obese (ob) young individuals are more likely to experience psychiatric and psychological disorders. Some studies pointed out the association be-tween conduct disorder (CD) and obesity, but others did not. The aim of this systematic review and meta-analysis was to analyse the association between ow/ob and CD among the children and adoles-cents. A systematic literature research was conducted in MEDLINE via OVID, PsycINFO and PsycARTICLES via EBSCOhost, SCOPUS and OpenGrey on 31 October 2019. The inclusion criteria was cross-sectional or cohort studies from any country if they provided odds ratio for CD among ow/ob children and adolescents or from which they could be calculated, usage of validated psychiatric tools and the current CD diagnosis. The exclusion criteria was studies performed on the clinical sam-ples, participants older than 21 years or morbidly obese. Data extraction was performed by the two authors independently (DN and JM) according to predesigned data extraction form. Data were ana-lyzed using the program Comprehensive Meta-analysis. The amount of statistical heterogeneity among the studies was assessed by computing the I2 and Cochran’s Q-statistic. Data were analyzed using a random-effects model. A total of 10 studies were included in the meta-analysis comprising 73 903 of participants. There was a statistically significant relationship between childhood and adolescent ow/ob and CD (OR 1.34 [95% CI, 1.16- 1.54]). Meta-analytic results showed that there was a large degree of variance in the study effect sizes (Q=79.75; df=8; I2=89.97). There was a significant difference in ef-fect sizes between samples consisting entirely of boys or entirely of girls (Q=10.94; df=1; p<.01). Overweight and obesity are risk factors for conduct disorder among children and adolescents, boys are more often affected. This population should be screened for CD.
Ključne riječi
overweight; obesity; children; adolescents; conduct disorder; meta-analysis
Hrčak ID:
232982
URI
Datum izdavanja:
31.12.2019.
Posjeta: 1.036 *