Prevalence of Overweight and Obesity in Children and Adolescents With ADHD: The Significance of Comorbidities and Pharmacotherapy

被引:30
作者
Racicka, Ewa [1 ]
Hanc, Tomasz [2 ]
Giertuga, Katarzyna [3 ]
Brynska, Anita [1 ]
Wolanczyk, Tomasz [1 ]
机构
[1] Med Univ Warsaw, Dept Child Psychiat, Marszalkowska 24, PL-00576 Warsaw, Poland
[2] Adam Mickiewicz Univ, Inst Anthropol, Fac Biol, Dept Human Biol Dev, Poznan, Poland
[3] Nencki Inst Expt Biol, Lab Neuroplast, Warsaw, Poland
关键词
ADHD; BMI; overweight; obesity; body weight; body height; ATTENTION-DEFICIT/HYPERACTIVITY DISORDER; DEFICIT HYPERACTIVITY DISORDER; BODY-MASS INDEX; STIMULANT MEDICATION; PSYCHIATRIC-DISORDERS; GROWTH DEFICITS; US CHILDREN; RISK-FACTOR; CHILDHOOD; ASSOCIATION;
D O I
10.1177/1087054715578272
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 ;
摘要
Objective: Assessment of the prevalence of overweight and obesity in children and adolescents with ADHD with emphasis on pharmacological treatment and comorbid disorders. Method: We analyzed 408 medical records of patients with ADHD aged 7 to 18. Results: The prevalence of overweight (14.71% vs. 12.83%, (2) = 3,586.43, p < .001) and obesity (6.37% vs. 3.45%, (2) = 3,588.19, p < .001) was significantly higher in children with ADHD compared with the population. There was significantly higher incidence of obesity in patients with comorbid diagnosis of adjustment disorder (22.22% vs. 4.42%, (2) = 5.66, p = .02) and mental retardation (19.05% vs. 4.42%, (2) = 7.63, p = .005). Pharmacological treatment was associated with a higher incidence of obesity (8.37% vs. 2.76%, (2) = 4.92, p = .03). Conclusion: Standardized body mass index (BMI), prevalence of overweight, and obesity was higher in patients with ADHD compared with the population. Higher incidence of obesity was shown in patients with analyzed comorbidities.
引用
收藏
页码:1095 / 1108
页数:14
相关论文
共 76 条
[1]   Childhood obesity and attention deficit/hyperactivity disorder: A newly described comorbidity in obese hospitalized children [J].
Agranat-Meged, AN ;
Deitcher, C ;
Goldzweig, G ;
Leibenson, L ;
Stein, M ;
Galili-Weisstub, E .
INTERNATIONAL JOURNAL OF EATING DISORDERS, 2005, 37 (04) :357-359
[2]   Intellectual Disability in Children with Attention Deficit Hyperactivity Disorder [J].
Ahuja, Alka ;
Martin, Joanna ;
Langley, Kate ;
Thapar, Anita .
JOURNAL OF PEDIATRICS, 2013, 163 (03) :890-+
[3]   Common obesity risk alleles in childhood attention-deficit/hyperactivity disorder [J].
Albayrak, Oezguer ;
Puetter, Carolin ;
Volckmar, Anna-Lena ;
Cichon, Sven ;
Hoffmann, Per ;
Noethen, Markus M. ;
Joeckel, Karl-Heinz ;
Schreiber, Stefan ;
Wichmann, H-Erich ;
Faraone, Stephen V. ;
Neale, Benjamin M. ;
Herpertz-Dahlmann, Beate ;
Lehmkuhl, Gerd ;
Sinzig, Judith ;
Renner, Tobias J. ;
Romanos, Marcel ;
Warnke, Andreas ;
Lesch, Klaus-Peter ;
Reif, Andreas ;
Schimmelmann, Benno G. ;
Scherag, Andre ;
Hebebrand, Johannes ;
Hinney, Anke .
AMERICAN JOURNAL OF MEDICAL GENETICS PART B-NEUROPSYCHIATRIC GENETICS, 2013, 162B (04) :295-305
[4]   Prevalence of attention deficit/hyperactivity disorder among adults in obesity treatment [J].
Altfas, Jules R. .
BMC PSYCHIATRY, 2002, 2 (1)
[5]   Relationship of childhood behavior disorders to weight gain from childhood into adulthood [J].
Anderson, Sarah E. ;
Cohen, Patricia ;
Naumova, Elena N. ;
Must, Aviva .
AMBULATORY PEDIATRICS, 2006, 6 (05) :297-301
[6]  
[Anonymous], INT CLASS DIS ICD
[7]  
[Anonymous], 2005, EATING WEIGHT DISORD
[8]  
[Anonymous], 2000, DIAGN STAT MAN MENT, DOI DOI 10.1176/APPI.BOOKS.9780890425787
[9]  
BARKLEY RA, 1990, PEDIATRICS, V86, P184
[10]   Growth deficits and attention-deficit/hyperactivity disorder revisited: Impact of gender, development, and treatment [J].
Biederman, J ;
Faraone, SV ;
Monuteaux, MC ;
Plunkett, EA ;
Gifford, J ;
Spencer, T .
PEDIATRICS, 2003, 111 (05) :1010-1016