Gestational diabetes in the lower socioeconomic status is something to take note of & managed well to reduce ADHD incidence in the children.

Team@CMHF

A DOUBLE dose of disadvantage at the start of life can dramatically multiply a child’s chances of being afflicted by the developmental disorder ADHD, a study has found.

Having a mother who suffered diabetes while pregnant and a poor social background both doubled the risk of attention deficit hyperactivity disorder. But the two factors combined boosted the chances of a child having the disorder by the age of six a massive 14 times.

Lead researcher Dr Yoko Nomura, from Queens College and Mount Sinai School of Medicine in New York, said: “To our knowledge, this is the first study to evaluate how prenatal exposure to gestational diabetes and low socio-economic status together contribute to the development of ADHD.”

“The results show these children are at far greater risk for developing ADHD or showing signs of impaired neurocognitive and behavioural development.”

A total of 115 children with low SES, a mother with a history of gestational diabetes, or both, were compared with 97 who had neither.

The findings were published by the journal Archives of Paediatrics and Adolescent Medicine.

They showed that by the age of six, both gestational diabetes and low SES were separately associated with a doubling of ADHD risk. But the risk increased markedly – by 14 times – when the two factors were added together.

Children exposed to both gestational diabetes and low SES also had lower IQ, poorer language abilities and impaired behavioural and emotional functioning.

“Since ADHD is a disorder with high heritability, efforts to prevent exposure to environmental risks through patient education may help to reduce the non-genetic modifiable risk for ADHD and other developmental problems.”

Two years ago the NHS in Scotland issued guidelines for treating the condition which included a recommendation that parents receive “behavioural training” to cope with affected children.

Ref: http://www.scotsman.com/news/health/risk_of_having_a_hyperactive_child_rockets_with_poverty_and_diabetes_1_2034057