University of Oulu

Anu-Helmi Halt, Taru-Tuulia Hirvonen, Jari Koskela, Martta Kerkelä & Tuula Hurtig (2023) Attention-deficit/hyperactivity disorder is not associated with overweight in adolescence but is related to unhealthy eating behavior and limited physical activity, Nordic Journal of Psychiatry, 77:6, 591-599, DOI: 10.1080/08039488.2023.2198504

Attention-deficit/hyperactivity disorder is not associated with overweight in adolescence but is related to unhealthy eating behavior and limited physical activity

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Author: Halt, Anu-Helmi1,2,3; Hirvonen, Taru-Tuulia4; Koskela, Jari4;
Organizations: 1Research Unit of Clinical Medicine, Psychiatry, University of Oulu, Oulu, Finland
2Department of Psychiatry, Medical Research Centre Oulu, Oulu University Hospital and University of Oulu, Oulu University Hospital, Oulu, Finland
3Medical Research Centre Oulu, Oulu University Hospital and University of Oulu, Clinic of Child Psychiatry, University Hospital of Oulu, FI-90014 University of Oulu, Oulu, Finland
4Department of Psychiatry, Research Unit of Clinical Medicine, University of Oulu, Oulu, Finland
Format: article
Version: accepted version
Access: embargoed
Persistent link: http://urn.fi/urn:nbn:fi-fe20231004138758
Language: English
Published: Informa, 2023
Publish Date: 2024-04-27
Description:

Abstract

Purpose: The aim of the study was to examine the possible relation between adolescent ADHD and high BMI, studying also eating behavior and physical activity.

Methods: The data were collected from the Northern Finland Birth Cohort 1986. The follow-up at the age of 16 consisted of a self-assessment form and clinical examination where height and weight were measured and questionnaires on physical activity and eating habits was completed. ADHD diagnosis was based on a diagnostic interview with adolescents and parents according to DSM-IV-TR criteria. The participants were divided into the following study groups: individuals with adolescent ADHD (n = 90), those with only childhood ADHD (n = 40), and community controls (n = 269).

Results: Results showed no significant differences in BMI, but adolescents with ADHD seemed to have unhealthier eating habits than controls; they ate less often vegetables and breakfast, devoured more often, and consumed more fast food, soft drinks, sweets, and potato crisps daily. Individuals with adolescent ADHD reported light exercise more often but strenuous exercise more seldom than controls. Those with only childhood ADHD did not significantly differ from community controls regarding health behaviors.

Conclusions: There was no relation between ADHD and high BMI but adolescents with ADHD had unhealthier eating habits than those without ADHD. It is conceivable that unhealthy eating behaviors in adolescence might be a risk factor for the development of later overweight; however, the longitudinal associations between ADHD, unhealthy eating behaviors and overweight have not been considered in the present study and remain to be examined further.

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Series: Nordic journal of psychiatry
ISSN: 0803-9488
ISSN-E: 1502-4725
ISSN-L: 0803-9488
Volume: 77
Issue: 6
Pages: 591 - 599
DOI: 10.1080/08039488.2023.2198504
OADOI: https://oadoi.org/10.1080/08039488.2023.2198504
Type of Publication: A1 Journal article – refereed
Field of Science: 3124 Neurology and psychiatry
Subjects:
BMI
Funding: The biostatistician efforts were covered by the University Hospital/Terttu Foundation grant funding. Jari Koskela was a biostatistician in the Research Unit of Clinical Neuroscience, Psychiatry, University of Oulu. His time/efforts were paid for and covered by a grant from Terttu Foundation at the Department of Psychiatry, Oulu University Hospital.
Dataset Reference: NFBC data is available from the University of Oulu, Infrastructure for Population Studies. Please, contact NFBC project center (NFBCprojectcenter@oulu.fi) and visit the cohort website (www.oulu.fi/nfbc) for more information. Permission to use the data can be applied for research via the electronic material request portal. In using data, we follow the Finnish Data Protection Act and the EU general data protection regulation (679/2016).
Copyright information: This is an Accepted Manuscript version of the following article, accepted for publication in Nordic Journal of Psychiatry. Anu-Helmi Halt, Taru-Tuulia Hirvonen, Jari Koskela, Martta Kerkelä & Tuula Hurtig (2023) Attention-deficit/hyperactivity disorder is not associated with overweight in adolescence but is related to unhealthy eating behavior and limited physical activity, Nordic Journal of Psychiatry, 77:6, 591-599, DOI: 10.1080/08039488.2023.2198504. It is deposited under the terms of the Creative Commons Attribution-NonCommercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
  https://creativecommons.org/licenses/by-nc/4.0/