Abstract
We investigated a possible association between attention-deficit/hyperactivity disorder (ADHD) and overweight by measuring weight status and energy expenditure (basal metabolic rate, BMR) in 39 ADHD-boys with hyperactivity (mixed hyperactive/impulsive and inattentive or predominantly hyperactive/impulsive) and 30 healthy boys. The age range for the total group was 8–14 years. Weight and height were measured by a calibrated scales and stadiometer. Body mass index standard deviation scores (BMI-SDS) were calculated. BMR was determined by indirect calorimetry. Significant differences were obtained between the ADHD- and the control-group, but not between ADHD-subgroups. Both BMI-SDS and BMR were higher in the group of ADHD-boys, whereby the differences were more marked when they were older. More overweight and obese subjects were found in the ADHD-sample. Impulsive behavior in ADHD-boys with hyperactivity may lead to an increased food intake, which is then likely to overcompensate the heightened energy expenditure.
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References
American Psychiatric Association. Diagnostic and statistical manual of mental disorders, 4th ed. Washington D.C., American Psychiatric Association, 1994.
Anderson J.C., Williams S., McGee R., Silva P.A.: DSM-III disorders in preadolescent children. Prevalence in a large sample from the general population. Arch. Gen. Psychiatry, 44, 69–76, 1987.
Döpfner M.: Hyperkinetische Störungen. In: Petermann F. (Ed.), Lehrbuch der Klinischen Kinderpsychologie und -psychotherapie. Göttingen, Hogrefe, 2000, pp. 151–187.
Barkley R.A.: Behavioral inhibition, sustained attention, and executive functions: constructing a unifying theory of ADHD. Psychol. Bull., 121, 65–94, 1997.
Wang G.J., Volkow N.D., Logan J., Pappas N.R., Wong C.T., Zhu W., Netusil N., Fowler J.S.: Brain dopamine and obesity. Lancet, 357, 354–357, 2001.
Levitan R.D., Masellis M., Lam R.W., Muglia P., Basile V.S., Jain U., Kaplan A.S., Tharmalingam S., Kennedy S.H., Kennedy J.L.: Childhood inattention and dysphoria and adult obesity associated with the dopamine D4 receptor gene in overeating women with seasonal affective disorder. Neuropsychopharmacology, 29, 179–186, 2004.
Wareham N.J., van Sluijs E.M., Ekelund U.: Physical activity and obesity prevention: a review of the current evidence. Proc. Nutr. Soc., 64, 229–247, 2005.
Holtkamp K., Konrad K., Müller B., Heussen N., Herpertz S., Herpertz-Dahlmann B., Hebebrand J.: Overweight and obesity in children with attentiondeficit/ hyperactivity disorder. Int. J. Obes. Relat. Metab. Disord., 28, 685–689, 2004.
Agranat-Meged A.N., Deitcher C., Goldzweig G., Leibenson L., Stein M., Galili-Weisstub E.: Childhood obesity and attention deficit/hyperactivity disorder: a newly described comorbidity in obese hospitalized children. Int. J. Eat. Disord., 37, 357–359, 2005.
Fleming J., Levy L., Levitan R.D.: Symptoms of attention deficit hyperactivity disorder in severely obese adults. Eat. Weight Disord., 10, e10–e13, 2005.
Altfas J.R.: Prevalence of attention deficit/hyperactivity disorder among adults in obesity treatment. BMC Psychiatry, 2, 9, 2002.
Speakman J.R., Selman C.: Physical activity and resting metabolic rate. Proc. Nutr. Soc., 62, 621–634, 2003.
Butte N.F., Treuth M.S., Voigt R.G., Llorente A.M., Heird W.C.: Stimulant medications decrease energy expenditure and physical activity in children with attention-deficit/hyperactivity disorder. J. Pediatr., 135, 203–207, 1999.
Döpfner M., Lehmkuhl, G.: DISYPS-KJ. Diagnostik- System für psychische Störungen im Kindes- und Jugendalter nach ICD-10 und DSM-IV. Bern, Huber, 1998.
Arbeitsgruppe Deutsche Child Behavior Checklist: CBCL/4-18. Elternfragebogen über das Verhalten von Kindern und Jugendlichen. Köln, Arbeitsgruppe Kinder-, Jugend- und Familiendiagnostik (KJFD), 1998.
Houtkooper L.B., Lohman T.G., Going S.B., Hall M.C.: Validity of bioelectric impedance for body composition assessment in children. J. Appl. Physiol., 66, 814–821, 1989.
Houtkooper L.B., Going S.B., Lohman T.G., Roche A.F., Van Loan M.: Bioelectrical impedance estimation of fat-free body mass in children and youth: a cross-validation study. J. Appl. Physiol., 72, 366–373, 1992.
Feurer I.D., Mullen J.L.: Measurement of energy expenditure. In: Rombeau J.L. (Ed.), Parenteral nutrition. Philadelphia, Saunders, 1986, pp. 224–236.
Kromeyer-Hauschild K., Wabitsch M., Geller F., Ziegler A., Geiß H. C., Hesse V., Hippel V., Jaeger U., Johnsen D., Kiess W., Korte W., Kunze D., Menner K., Müller M., Niemann-Pilatus A., Remer T., Schaefer F., Wittchen H.U., Zabransky S., Zellner K., Hebebrand J.: Perzentile für den Body Mass Index für das Kindes- und Jugendalter unter Heranziehung verschiedener deutscher Stichproben. Monatsschr. Kinderheilkd., 149, 807–818, 2001.
Cole T.J., Bellizzi, M.C., Flegal K.M., Dietz W.H.: Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ, 320, 1240–1243, 2000.
Pine D.S., Cohen P., Brook J., Coplan J.D.: Psychiatric symptoms in adolescence as predictors of obesity in early adulthood: a longitudinal study. Am. J. Public Health, 87, 1303–1310, 1997.
Cusinato M.: Parenting over the family life cycle. In: L’Abate L. (Ed.), Handbook of family psychology and psychopathology. New York, Wiley, 1994, pp. 83–115.
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Hubel, R., Jass, J., Marcus, A. et al. Overweight and basal metabolic rate in boys with attention-deficit/hyperactivity disorder. Eat Weight Disord 11, 139–146 (2006). https://doi.org/10.1007/BF03327559
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DOI: https://doi.org/10.1007/BF03327559