Association between attention-deficit/hyperactivity disorder symptoms and obesity and hypertension in early adulthood: a population-based study.

dc.contributor.author

Fuemmeler, BF

dc.contributor.author

Østbye, T

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Yang, C

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McClernon, FJ

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Kollins, SH

dc.coverage.spatial

England

dc.date.accessioned

2012-10-23T20:22:57Z

dc.date.issued

2011-06

dc.description.abstract

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.

dc.identifier

http://www.ncbi.nlm.nih.gov/pubmed/20975727

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ijo2010214

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1476-5497

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https://hdl.handle.net/10161/5916

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eng

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en_US

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Springer Science and Business Media LLC

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Int J Obes (Lond)

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10.1038/ijo.2010.214

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International Journal of Obesity

dc.subject

Adolescent

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Adult

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Age Factors

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Attention Deficit Disorder with Hyperactivity

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Body Mass Index

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Female

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Humans

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Hypertension

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Longitudinal Studies

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Male

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Obesity

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Odds Ratio

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Prevalence

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Risk Factors

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United States

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Young Adult

dc.title

Association between attention-deficit/hyperactivity disorder symptoms and obesity and hypertension in early adulthood: a population-based study.

dc.type

Journal article

duke.contributor.orcid

McClernon, FJ|0000-0002-2846-980X

duke.contributor.orcid

Kollins, SH|0000-0001-6847-6935

duke.description.volume

35

pubs.author-url

http://www.ncbi.nlm.nih.gov/pubmed/20975727

pubs.begin-page

852

pubs.end-page

862

pubs.issue

6

pubs.organisational-group

Center for Child and Family Policy

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Clinical Science Departments

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Community and Family Medicine

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Duke

pubs.organisational-group

Duke Cancer Institute

pubs.organisational-group

Duke Clinical Research Institute

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Duke Institute for Brain Sciences

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Duke-UNC Center for Brain Imaging and Analysis

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Global Health Institute

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Institutes and Centers

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Institutes and Provost's Academic Units

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Psychiatry & Behavioral Sciences

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Psychiatry & Behavioral Sciences, Addictions

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Psychology and Neuroscience

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Sanford School of Public Policy

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School of Medicine

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School of Nursing

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School of Nursing - Secondary Group

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Trinity College of Arts & Sciences

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University Institutes and Centers

pubs.publication-status

Published

pubs.volume

35

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