Examining the relationship between attention-deficit/hyperactivity disorder and overweight in children and adolescents.
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Examining the relationship between attention-deficit/hyperactivity disorder and overweight in children and adolescents. / Erhart, Michael; Herpertz-Dahlmann, Beate; Wille, Nora; Sawitzky-Rose, Barbara; Hölling, Heike; Ravens-Sieberer, Ulrike.
In: EUR CHILD ADOLES PSY, Vol. 21, No. 1, 1, 2012, p. 39-49.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Examining the relationship between attention-deficit/hyperactivity disorder and overweight in children and adolescents.
AU - Erhart, Michael
AU - Herpertz-Dahlmann, Beate
AU - Wille, Nora
AU - Sawitzky-Rose, Barbara
AU - Hölling, Heike
AU - Ravens-Sieberer, Ulrike
PY - 2012
Y1 - 2012
N2 - 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.
AB - 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.
KW - Comorbidity
KW - Humans
KW - Male
KW - Female
KW - Psychiatric Status Rating Scales
KW - Adolescent
KW - Body Mass Index
KW - Child
KW - Cross-Sectional Studies
KW - Prevalence
KW - Body Weight
KW - Risk
KW - Attention Deficit Disorder with Hyperactivity/complications/epidemiology/psychology
KW - Obesity/complications/epidemiology/psychology
KW - Overweight/complications/epidemiology/psychology
KW - Comorbidity
KW - Humans
KW - Male
KW - Female
KW - Psychiatric Status Rating Scales
KW - Adolescent
KW - Body Mass Index
KW - Child
KW - Cross-Sectional Studies
KW - Prevalence
KW - Body Weight
KW - Risk
KW - Attention Deficit Disorder with Hyperactivity/complications/epidemiology/psychology
KW - Obesity/complications/epidemiology/psychology
KW - Overweight/complications/epidemiology/psychology
M3 - SCORING: Journal article
VL - 21
SP - 39
EP - 49
JO - EUR CHILD ADOLES PSY
JF - EUR CHILD ADOLES PSY
SN - 1018-8827
IS - 1
M1 - 1
ER -
