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Examining the relationship between Attention-Deficit/Hyperactivity Disorder and overweight in children and adolescents

Overview of attention for article published in European Child & Adolescent Psychiatry, November 2011
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Title
Examining the relationship between Attention-Deficit/Hyperactivity Disorder and overweight in children and adolescents
Published in
European Child & Adolescent Psychiatry, November 2011
DOI 10.1007/s00787-011-0230-0
Pubmed ID
Authors

Michael Erhart, Beate Herpertz-Dahlmann, Nora Wille, Barbara Sawitzky-Rose, Heike Hölling, Ulrike Ravens-Sieberer

Abstract

Although a higher prevalence of overweight/obesity was reported in clinical samples of patients with Attention-Deficit/Hyperactivity Disorder (ADHD), an association between overweight and ADHD has yet not been established in the general population in childhood. As both disorders are common and significantly affect psychosocial functioning, we investigated the prevalence of ADHD in overweight/obese youth and vice versa. In a cross-sectional nationally representative and community based survey 2,863 parents and their children aged 11-17 years rated symptoms on the Diagnostic and Statistical Manual of Mental Disorders-based German ADHD Rating scale. Weight and height were assessed by professionals. Body mass index was categorized according to national age and sex specific reference values. Overall, 4.2% of the respondents met criteria for ADHD. The prevalence of ADHD was significantly higher for overweight/obese (7%) than for normal weight (3.5%) and underweight (4.9%) children. In a logistic regression analysis controlling for age, gender, and socio-economic status, overweight/obese children were twice as likely to have an ADHD diagnosis (OR = 2.0). Vice versa, adjusting for all covariates, children with ADHD had an OR of 1.9 for overweight/obesity status. For all weight-status groups, children with ADHD more frequently reported eating problems as compared to their non-clinical counterparts. Overweight/obese respondents with ADHD displayed the highest level of health services utilization. A clinician should be aware of the significant risk for a child with ADHD to become overweight and for an overweight child to have ADHD. Longitudinal studies are needed to better understand the mechanisms underlying the association between ADHD and overweight/obesity.

Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 170 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United States 5 3%
Spain 1 <1%
Australia 1 <1%
Brazil 1 <1%
Unknown 162 95%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 28 16%
Student > Bachelor 23 14%
Student > Master 22 13%
Researcher 20 12%
Student > Doctoral Student 13 8%
Other 25 15%
Unknown 39 23%
Readers by discipline Count As %
Psychology 43 25%
Medicine and Dentistry 29 17%
Nursing and Health Professions 15 9%
Social Sciences 14 8%
Neuroscience 5 3%
Other 21 12%
Unknown 43 25%