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Attention-Deficit/Hyperactivity Disorder (ADHD) and obesity: a systematic review of the literature

Attention-Deficit/Hyperactivity Disorder (ADHD) and obesity: a systematic review of the literature
Attention-Deficit/Hyperactivity Disorder (ADHD) and obesity: a systematic review of the literature
Recent studies suggest a possible comorbidity between Attention-Deficit/Hyperactivity Disorder (ADHD) and obesity. To gain insight into this potential association, we performed a systematic review of the literature excluding case reports, non-empirical studies, and studies not using ADHD diagnostic criteria. Empirically based evidence suggests that obese patients referred to obesity clinics may present with higher than expected prevalence of ADHD. Moreover, all reviewed studies indicate that subjects with ADHD are heavier than expected. However, data on the prevalence of obesity in subjects with ADHD are still limited. As for the mechanisms underlying the potential association between ADHD and obesity, ADHD might lead to obesity via abnormal eating behaviors, impulsivity associated with binge eating might contribute to ADHD in obese patients, or, alternatively, both obesity and ADHD might be the expression of common underlying neurobiological dysfunctions, at least in a subset of subjects. In patients with obesity and ADHD, both conditions might benefit from common therapeutic strategies. Further empirically based studies are needed to understand the potential comorbidity between obesity and ADHD, as well as the possible mechanisms underlying this association. This might allow a more appropriate clinical management and, ultimately, a better quality of life for patients with both obesity and ADHD.
obesity, overweight, adhd, inattention, hyperactivity, impulsivity, pharmacological treatment
1040-8398
524-537
Cortese, Samuele
53d4bf2c-4e0e-4c77-9385-218350560fdb
Angriman, Marco
3520e752-d35c-461f-80f4-b31203319cef
Maffeis, Claudio
58844f2c-150c-4cc3-83fb-97bf9b29cd09
Isnard, Pascale
0f73bf90-18a3-414e-b76f-0af67ee5ce7e
Konofal, Eric
6328bf1a-74f1-4438-8c14-333ccc8931eb
Lecendreux, Michel
51135545-1b33-4540-8ba9-1e8a1cc57173
Purper-Ouakil, Diane
54755856-1833-44db-9a28-94d78d444688
Vincenzi, Brenda
6cf59f67-ef21-439e-9d01-8a551b4721cb
Bernardina, Bernardo Dalla
5325874e-719c-4763-8a4a-f9ffe2288e12
Mouren, Marie-Christine
9c60d8ab-fe73-4121-91a8-4522492cd6d5
Cortese, Samuele
53d4bf2c-4e0e-4c77-9385-218350560fdb
Angriman, Marco
3520e752-d35c-461f-80f4-b31203319cef
Maffeis, Claudio
58844f2c-150c-4cc3-83fb-97bf9b29cd09
Isnard, Pascale
0f73bf90-18a3-414e-b76f-0af67ee5ce7e
Konofal, Eric
6328bf1a-74f1-4438-8c14-333ccc8931eb
Lecendreux, Michel
51135545-1b33-4540-8ba9-1e8a1cc57173
Purper-Ouakil, Diane
54755856-1833-44db-9a28-94d78d444688
Vincenzi, Brenda
6cf59f67-ef21-439e-9d01-8a551b4721cb
Bernardina, Bernardo Dalla
5325874e-719c-4763-8a4a-f9ffe2288e12
Mouren, Marie-Christine
9c60d8ab-fe73-4121-91a8-4522492cd6d5

Cortese, Samuele, Angriman, Marco, Maffeis, Claudio, Isnard, Pascale, Konofal, Eric, Lecendreux, Michel, Purper-Ouakil, Diane, Vincenzi, Brenda, Bernardina, Bernardo Dalla and Mouren, Marie-Christine (2008) Attention-Deficit/Hyperactivity Disorder (ADHD) and obesity: a systematic review of the literature. Critical Reviews in Food Science and Nutrition, 48 (6), 524-537. (doi:10.1080/10408390701540124). (PMID:18568858)

Record type: Article

Abstract

Recent studies suggest a possible comorbidity between Attention-Deficit/Hyperactivity Disorder (ADHD) and obesity. To gain insight into this potential association, we performed a systematic review of the literature excluding case reports, non-empirical studies, and studies not using ADHD diagnostic criteria. Empirically based evidence suggests that obese patients referred to obesity clinics may present with higher than expected prevalence of ADHD. Moreover, all reviewed studies indicate that subjects with ADHD are heavier than expected. However, data on the prevalence of obesity in subjects with ADHD are still limited. As for the mechanisms underlying the potential association between ADHD and obesity, ADHD might lead to obesity via abnormal eating behaviors, impulsivity associated with binge eating might contribute to ADHD in obese patients, or, alternatively, both obesity and ADHD might be the expression of common underlying neurobiological dysfunctions, at least in a subset of subjects. In patients with obesity and ADHD, both conditions might benefit from common therapeutic strategies. Further empirically based studies are needed to understand the potential comorbidity between obesity and ADHD, as well as the possible mechanisms underlying this association. This might allow a more appropriate clinical management and, ultimately, a better quality of life for patients with both obesity and ADHD.

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More information

e-pub ahead of print date: 5 May 2008
Published date: June 2008
Keywords: obesity, overweight, adhd, inattention, hyperactivity, impulsivity, pharmacological treatment
Organisations: Clinical Neuroscience

Identifiers

Local EPrints ID: 380449
URI: http://eprints.soton.ac.uk/id/eprint/380449
ISSN: 1040-8398
PURE UUID: 4be82ddb-4e91-480d-902e-465758557d97
ORCID for Samuele Cortese: ORCID iD orcid.org/0000-0001-5877-8075

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Date deposited: 15 Sep 2015 08:50
Last modified: 15 Mar 2024 03:52

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Contributors

Author: Samuele Cortese ORCID iD
Author: Marco Angriman
Author: Claudio Maffeis
Author: Pascale Isnard
Author: Eric Konofal
Author: Michel Lecendreux
Author: Diane Purper-Ouakil
Author: Brenda Vincenzi
Author: Bernardo Dalla Bernardina
Author: Marie-Christine Mouren

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