High prevalence of ADHD in adolescents with severe obesity

High prevalence of ADHD in adolescents with severe obesity. The prevalence of ADHD in adolescents seeking bariatric surgery was very high, 28.6% in adolescents seeking bariatric surgery, much higher than that of the general population.

Abstract

Aim: To examine the prevalence of attention deficit/hyperactivity disorder (ADHD) and related post-surgical weight loss in adolescents with severe obesity seeking bariatric surgery.

Methods: The study population included 84 adolescents (age 13-19 years, 44 males, 40 females) with severe obesity who sought bariatric surgery at the Sheba Medical Centre in Israel during the years 2011-2017. Anthropometric and clinical data were collected from medical records. A subgroup of 20 participants filled questionnaires that evaluated ADHD-like symptoms, eating behaviours and quality of life. Data on adolescents that ultimately underwent surgery (n=45) were also obtained.

Results: The prevalence of ADHD was 28.6% in adolescents seeking bariatric surgery, much higher than that of the general adolescent population of Israel (17.1%, p<0.001). There were no significant differences in reductions of weight, body mass index, body mass index standard deviation scores and body fat percent between participants with or without ADHD. In the subgroup that filled questionnaires, higher scores on ADHD- Rating Scale at baseline were associated with greater excess weight loss.

Conclusion: The prevalence of ADHD in adolescents seeking bariatric surgery was very high. Diagnosed ADHD was not related to post-surgical weight loss, whereas baseline ADHD-related behaviour was associated with higher post-surgical weight loss.

Additional Reading

Capusan, A. J., Yao, S., Kuja-Halkola, R., Bulik, C. M., Thornton, L. M., Bendtsen, P., … Larsson, H. (2017). Genetic and environmental aspects in the association between attention-deficit hyperactivity disorder symptoms and binge-eating behavior in adults: a twin study. Psychological medicine, 47(16), 2866–2878. doi:10.1017/S0033291717001416

Fleck, D. E., Eliassen, J. C., Guerdjikova, A. I., Mori, N., Williams, S., Blom, T. J., … McElroy, S. L. (2019). Effect of lisdexamfetamine on emotional network brain dysfunction in binge eating disorder. Psychiatry research. Neuroimaging, 286, 53–59. doi:10.1016/j.pscychresns.2019.03.003

Munsch, S., Dremmel, D., Wilhelm, P., Baierlé, S., Fischer, S., & Hilbert, A. (2019). To eat or not to eat: Reward delay impulsivity in children with loss of control eating, attention deficit / hyperactivity disorder, a double diagnosis, and healthy children. PloS one, 14(9), e0221814. doi:10.1371/journal.pone.0221814

Steadman, K. M., & Knouse, L. E. (2016). Is the Relationship Between ADHD Symptoms and Binge Eating Mediated by Impulsivity?. Journal of attention disorders, 20(11), 907–912. doi:10.1177/1087054714530779

Ziobrowski, H., Brewerton, T. D., & Duncan, A. E. (2018). Associations between ADHD and eating disorders in relation to comorbid psychiatric disorders in a nationally representative sample. Psychiatry research, 260, 53–59. doi:10.1016/j.psychres.2017.11.026

References

Leib, S., Gilon Mann, T., Stein, D., Vusiker, I., Tokatly Latzer, I., Ben-Ami, M., … Dubnov-Raz, G. (2019). High prevalence of attention deficit/hyperactivity disorder in adolescents with severe obesity seeking bariatric surgery. Acta paediatrica (Oslo, Norway : 1992), 10.1111/apa.15039. Advance online publication. doi:10.1111/apa.15039

Leave a Reply

Your email address will not be published. Required fields are marked *

This site uses Akismet to reduce spam. Learn how your comment data is processed.