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The Anatolian Journal of Family Medicine Attention Deficit Hyperactivity Disorder as a Risk Factor for Fractures [anatol j fm]
anatol j fm. 2020; 3(3): 234-241 | DOI: 10.5505/anatoljfm.2020.72473

Attention Deficit Hyperactivity Disorder as a Risk Factor for Fractures

Ayla Uzun Çiçek1, Seda Aykube Sarı1, Ilknur Ucuz2
1Department of Child And Adolescent Psychiatry, Cumhuriyet University, Faculty of Medicine, Sivas, Turkey
2Department of Child And Adolescent Psychiatry, İnönü University, Faculty of Medicine, Malatya, Turkey

INTRODUCTION: It has been reported that attention-deficit/hyperactivity disorder (ADHD) is related to an increased risk of fracture. However, relevant data have been provided from either population with fractures or population-based cohort studies. In this study, we aimed to determine the fracture risk in children with ADHD.
METHODS: The children with ADHD between the ages of 6 and 16 who were admitted between April 2019 and July 2020 and healthy children matching in age and gender were included in this study. A semi-constructed diagnosis interview, Conners' Parent Rating Scale-Revised Short Form, and Strengths and Difficulties Questionnaire were administered to both groups.
RESULTS: Two hundred and twelve children with ADHD and 215 healthy children were included in this study. One-time fracture was found in 76 (35.8%) children in the ADHD group and 39 (18.1%) children in the healthy group (p<0.001). While there were recurrent fractures in 27 (12.7%) patients in the ADHD group, this rate was 13 (6.0%) for healthy controls (p=0.018). Also, 45 (59.2%) of the children with fractures and 57 (41.9%) of the children without fractures had comorbid diseases (p=0.016).
DISCUSSION AND CONCLUSION: ADHD poses a significant risk for fractures and is related to an increased risk of fracture. It would be advisable to screen children with bone fractures concerning ADHD and referring them to a child and adolescent psychiatrist if there is a suspicion of ADHD.

Keywords: Attention deficit-hyperactivity disorder, bone fractures, children

Ayla Uzun Çiçek, Seda Aykube Sarı, Ilknur Ucuz. Attention Deficit Hyperactivity Disorder as a Risk Factor for Fractures. anatol j fm. 2020; 3(3): 234-241

Corresponding Author: Ilknur Ucuz, Türkiye
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