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Adulthood and childhood ADHD in patients consulting for obesity is associated with food addiction and binge eating, but not sleep apnea syndrome

Adulthood and childhood ADHD in patients consulting for obesity is associated with food addiction and binge eating, but not sleep apnea syndrome
Adulthood and childhood ADHD in patients consulting for obesity is associated with food addiction and binge eating, but not sleep apnea syndrome
Introduction: the exact mechanisms underlying the established association between ADHD and obesity remain unclear. Food addiction and binge eating may contribute to this link. We examined for the first time the association between childhood/adult ADHD and food addiction/binge eating in patients with obesity, as well as the association between ADHD and sleep apnea syndrome.

Methods: we included 105 obese patients from the Nutrition Department of the University Hospital of Tours (France) between January and December 2014. We assessed categorical diagnoses of childhood/adulthood ADHD (semi-structured interview DIVA 2.0), food addiction (Yale Food Addiction Scale 2.0), binge eating (Binge Eating Scale), obstructive sleep apnea (clinical assessment), and BMI (clinical assessment).

Results: patients with adult ADHD were at significantly higher risk of food addiction than patients without adult ADHD (28.6% vs. 9.1%; p = .016). Adult and childhood ADHD were significantly associated with self-reported food addiction, food addiction scores and binge eating scores, with a larger effect size for adult (ORs: 4.00 [1.29–12.40], 1.37 [1.14–1.65] and 1.08 [1.03–1.14], respectively) than childhood (ORs: 3.32 [1.08–10.23], 1.29 [1.08–1.55] and 1.06 [1.01–1.11], respectively) ADHD. ADHD diagnosis was not significantly correlated to obstructive sleep apnea. Mean age of onset of ADHD preceded mean age of onset of obesity.

Conclusion: ADHD diagnosis is associated with food addiction and binge eating, with a larger effect size for adult than childhood ADHD. Our results provide a strong rationale for further longitudinal research on the link between ADHD, food addiction, binge eating and obesity, paving the way for evidence-based therapeutic interventions for these patients.
0195-6663
25-32
Brunault, Paul
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Frammery, Julie
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Montaudon, Pauline
0b816535-8e3c-457e-804b-28b7d9c7ab36
De Luca, Arnaud
055bc5f1-e915-4bf2-9062-c1e731586da6
Hankard, Regis
d340e255-78c0-4a8b-922c-3c53c72f8290
Ducluzeau, Pierre Henri
540c78d9-90b7-40b7-954b-4d34d9eed7b0
Cortese, Samuele
53d4bf2c-4e0e-4c77-9385-218350560fdb
Ballon, Nicolas
60bba3eb-819f-430a-bcf1-03129b187238
Brunault, Paul
30c34eb2-a17f-43af-8ec1-2b538ebdb1e4
Frammery, Julie
6c0a5701-cc0e-4f6c-b46b-b1c87de31cf7
Montaudon, Pauline
0b816535-8e3c-457e-804b-28b7d9c7ab36
De Luca, Arnaud
055bc5f1-e915-4bf2-9062-c1e731586da6
Hankard, Regis
d340e255-78c0-4a8b-922c-3c53c72f8290
Ducluzeau, Pierre Henri
540c78d9-90b7-40b7-954b-4d34d9eed7b0
Cortese, Samuele
53d4bf2c-4e0e-4c77-9385-218350560fdb
Ballon, Nicolas
60bba3eb-819f-430a-bcf1-03129b187238

Brunault, Paul, Frammery, Julie, Montaudon, Pauline, De Luca, Arnaud, Hankard, Regis, Ducluzeau, Pierre Henri, Cortese, Samuele and Ballon, Nicolas (2019) Adulthood and childhood ADHD in patients consulting for obesity is associated with food addiction and binge eating, but not sleep apnea syndrome. Appetite, 136, 25-32. (doi:10.1016/j.appet.2019.01.013).

Record type: Article

Abstract

Introduction: the exact mechanisms underlying the established association between ADHD and obesity remain unclear. Food addiction and binge eating may contribute to this link. We examined for the first time the association between childhood/adult ADHD and food addiction/binge eating in patients with obesity, as well as the association between ADHD and sleep apnea syndrome.

Methods: we included 105 obese patients from the Nutrition Department of the University Hospital of Tours (France) between January and December 2014. We assessed categorical diagnoses of childhood/adulthood ADHD (semi-structured interview DIVA 2.0), food addiction (Yale Food Addiction Scale 2.0), binge eating (Binge Eating Scale), obstructive sleep apnea (clinical assessment), and BMI (clinical assessment).

Results: patients with adult ADHD were at significantly higher risk of food addiction than patients without adult ADHD (28.6% vs. 9.1%; p = .016). Adult and childhood ADHD were significantly associated with self-reported food addiction, food addiction scores and binge eating scores, with a larger effect size for adult (ORs: 4.00 [1.29–12.40], 1.37 [1.14–1.65] and 1.08 [1.03–1.14], respectively) than childhood (ORs: 3.32 [1.08–10.23], 1.29 [1.08–1.55] and 1.06 [1.01–1.11], respectively) ADHD. ADHD diagnosis was not significantly correlated to obstructive sleep apnea. Mean age of onset of ADHD preceded mean age of onset of obesity.

Conclusion: ADHD diagnosis is associated with food addiction and binge eating, with a larger effect size for adult than childhood ADHD. Our results provide a strong rationale for further longitudinal research on the link between ADHD, food addiction, binge eating and obesity, paving the way for evidence-based therapeutic interventions for these patients.

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Accepted/In Press date: 10 January 2019
e-pub ahead of print date: 11 January 2019
Published date: 1 May 2019

Identifiers

Local EPrints ID: 427435
URI: https://eprints.soton.ac.uk/id/eprint/427435
ISSN: 0195-6663
PURE UUID: ce299765-dc33-41a5-89d6-434a08be1179
ORCID for Samuele Cortese: ORCID iD orcid.org/0000-0001-5877-8075

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Date deposited: 16 Jan 2019 17:30
Last modified: 02 May 2019 00:30

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Contributors

Author: Paul Brunault
Author: Julie Frammery
Author: Pauline Montaudon
Author: Arnaud De Luca
Author: Regis Hankard
Author: Pierre Henri Ducluzeau
Author: Samuele Cortese ORCID iD
Author: Nicolas Ballon

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