Association between attention-deficit/hyperactivity disorder symptoms and obesity and hypertension in early adulthood: a population-based study.
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OBJECTIVE: To examine the associations between attention-deficit/hyperactivity disorder (ADHD) symptoms, obesity and hypertension in young adults in a large population-based cohort. DESIGN, SETTING AND PARTICIPANTS: The study population consisted of 15,197 respondents from the National Longitudinal Study of Adolescent Health, a nationally representative sample of adolescents followed from 1995 to 2009 in the United States. Multinomial logistic and logistic models examined the odds of overweight, obesity and hypertension in adulthood in relation to retrospectively reported ADHD symptoms. Latent curve modeling was used to assess the association between symptoms and naturally occurring changes in body mass index (BMI) from adolescence to adulthood. RESULTS: Linear association was identified between the number of inattentive (IN) and hyperactive/impulsive (HI) symptoms and waist circumference, BMI, diastolic blood pressure and systolic blood pressure (all P-values for trend <0.05). Controlling for demographic variables, physical activity, alcohol use, smoking and depressive symptoms, those with three or more HI or IN symptoms had the highest odds of obesity (HI 3+, odds ratio (OR)=1.50, 95% confidence interval (CI) = 1.22-2.83; IN 3+, OR = 1.21, 95% CI = 1.02-1.44) compared with those with no HI or IN symptoms. HI symptoms at the 3+ level were significantly associated with a higher OR of hypertension (HI 3+, OR = 1.24, 95% CI = 1.01-1.51; HI continuous, OR = 1.04, 95% CI = 1.00-1.09), but associations were nonsignificant when models were adjusted for BMI. Latent growth modeling results indicated that compared with those reporting no HI or IN symptoms, those reporting 3 or more symptoms had higher initial levels of BMI during adolescence. Only HI symptoms were associated with change in BMI. CONCLUSION: Self-reported ADHD symptoms were associated with adult BMI and change in BMI from adolescence to adulthood, providing further evidence of a link between ADHD symptoms and obesity.
Attention Deficit Disorder with Hyperactivity
Body Mass Index
Published Version (Please cite this version)10.1038/ijo.2010.214
Publication InfoFuemmeler, Bernard F; Kollins, SH; McClernon, Francis Joseph; Østbye, Truls; & Yang, C (2011). Association between attention-deficit/hyperactivity disorder symptoms and obesity and hypertension in early adulthood: a population-based study. Int J Obes (Lond), 35(6). pp. 852-862. 10.1038/ijo.2010.214. Retrieved from http://hdl.handle.net/10161/5916.
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Adjunct Associate Professor in the Department of Community and Family Medicine
Unhealthy lifestyle factors, such as tobacco use, poor dietary intake, lack of physical activity, and high body mass index are the leading causes of cancer and chronic disease. The prevention of such diseases will be advanced through a more thorough understanding of the complex determinants of these lifestyle factors and the development of novel interventions that help change individual behavior for the better. Dr. Fuemmeler’s program of research takes a lifespan approach toward understand
This author no longer has a Scholars@Duke profile, so the information shown here reflects their Duke status at the time this item was deposited.
Professor in Psychiatry & Behavioral Sciences
Joe McClernon, Ph.D. is Professor and Director of the Addiction Division in the Department of Psychiatry and Behavioral Sciences and is Founder/Director of the Center for Addiction Science and Technology (CfAST) at the Duke University Medical Center. He earned a Ph.D. in clinical psychology in 2001 from Southern Illinois University-Carbondale and completed a postdoctoral fellowship at Duke in 2002. Joe’s research is focused on increasing our understanding of tobacco and other addictions
Professor of Family Medicine and Community Health
Chronic disease epidemiology; obesity; health services research; population health; public health; social medicine; health information systems; health surveys; programme evaluation; clinical trials; aging; nutrition; dementia; Global Health
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