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<p>Attention-deficit/hyperactivity disorder (ADHD) is a common neurodevelopmental disorder primarily treated with psychostimulants and physical activity (PA) may augment medication effects. We estimated PA prevalence and its associations with current ADHD medication use, hospital admissions, and emergency room (ER) visits in U.S. children with ADHD. Using the 2020–2023 National Survey of Children’s Health, we analyzed 18,547 children aged 6–17 years with ADHD (weighted <i>n</i> = 6,119,320). PA was categorized by days/week of ≥ 60&#xa0;min of activity, with daily activity defined as meeting the Physical Activity Guidelines for Americans. Outcomes were current ADHD medication use, past 12-months hospitalization, and ER visits. Three sequential hierarchical survey-weighted logistic regression models adjusted covariates were used to generate adjusted odds ratios (aORs). Only 18.2% of children with ADHD met PA guidelines. In the fully adjusted models, greater PA frequency was associated with lower odds of medication use (1–3 days: aOR = 0.74, 95% CI 0.62–0.88; 4–6 days: 0.73, 0.60–0.88; daily: 0.70, 0.56–0.87) and lower odds of hospitalization (1–3 days: aOR = 0.68, 95% CI 0.47–0.98; 4–6 days: 0.60, 0.39–0.92; daily: 0.48, 0.29–0.79). Daily PA was associated with reduced odds of recurrent ER use (2–3 visits: aOR = 0.50, 95% CI 0.28–0.90; ≥4: 0.14, 0.04–0.45); 4–6 days/week of PA was also associated with lower odds of ≥ 4 ER visits (aOR = 0.21, 95% CI 0.07–0.64). Most children with ADHD did not meet PA guidelines and higher PA frequency was associated with lower odds of ADHD medication use, hospitalization, and recurrent ER visits.</p>

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Prevalence of Physical Activity and its Association with Medication Use Among Children With ADHD

  • 期刊论文

  • 发表日期：

    2026年6月30日

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  • Mansour M. Alotaibi,
  • Naif Z. Alrashdi,
  • Sultan A. Alanazi,
  • Maraheb M. Alkhalidi,
  • Marzouq K. Almutairi,
  • Bakriah Alzubaidi,
  • Mohammed M. Alqahtani

摘要

Attention-deficit/hyperactivity disorder (ADHD) is a common neurodevelopmental disorder primarily treated with psychostimulants and physical activity (PA) may augment medication effects. We estimated PA prevalence and its associations with current ADHD medication use, hospital admissions, and emergency room (ER) visits in U.S. children with ADHD. Using the 2020–2023 National Survey of Children’s Health, we analyzed 18,547 children aged 6–17 years with ADHD (weighted n = 6,119,320). PA was categorized by days/week of ≥ 60 min of activity, with daily activity defined as meeting the Physical Activity Guidelines for Americans. Outcomes were current ADHD medication use, past 12-months hospitalization, and ER visits. Three sequential hierarchical survey-weighted logistic regression models adjusted covariates were used to generate adjusted odds ratios (aORs). Only 18.2% of children with ADHD met PA guidelines. In the fully adjusted models, greater PA frequency was associated with lower odds of medication use (1–3 days: aOR = 0.74, 95% CI 0.62–0.88; 4–6 days: 0.73, 0.60–0.88; daily: 0.70, 0.56–0.87) and lower odds of hospitalization (1–3 days: aOR = 0.68, 95% CI 0.47–0.98; 4–6 days: 0.60, 0.39–0.92; daily: 0.48, 0.29–0.79). Daily PA was associated with reduced odds of recurrent ER use (2–3 visits: aOR = 0.50, 95% CI 0.28–0.90; ≥4: 0.14, 0.04–0.45); 4–6 days/week of PA was also associated with lower odds of ≥ 4 ER visits (aOR = 0.21, 95% CI 0.07–0.64). Most children with ADHD did not meet PA guidelines and higher PA frequency was associated with lower odds of ADHD medication use, hospitalization, and recurrent ER visits.