Prevalence and Correlates of Attention-Deficit Hyperactivity Disorder in a Diverse, Treatment-Seeking Pediatric Overweight/Obesity Sample
| Autor: | Dustin E. Sarver, Anne S. Morrow, Crystal S. Lim, Shanda Sandridge, Brittany M. Merrill |
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| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Pediatric Obesity Adolescent Population Overweight behavioral disciplines and activities Childhood obesity Article Body Mass Index Rurality mental disorders Weight management Developmental and Educational Psychology medicine Prevalence Attention deficit hyperactivity disorder Humans education Psychiatry Child education.field_of_study business.industry medicine.disease Obesity United States Psychiatry and Mental health Attention Deficit Disorder with Hyperactivity Pediatrics Perinatology and Child Health Female medicine.symptom business Body mass index |
| Zdroj: | J Dev Behav Pediatr |
| ISSN: | 1536-7312 |
| Popis: | OBJECTIVE Attention-deficit hyperactivity disorder (ADHD) and obesity are highly prevalent, impairing, and costly conditions, affecting about 10% of children each. Research indicates heightened prevalence of childhood obesity among youth with ADHD. However, more research is needed, examining comorbid ADHD among youth with overweight/obesity (OV/OB) from diverse demographic backgrounds and effects on medically relevant behaviors. The aim of the current study was to examine the prevalence of ADHD in a racially diverse sample of youth in a weight management clinic. Furthermore, we examined the effects of race, rurality, and ADHD on weight status and health behaviors in this under-researched population. METHOD Participants included 1003 patients (Mage = 12.55; 58% female; 67% Black/African American; MBMI Z-Score = 2.54; 98.6% with obesity) in a pediatric weight management clinic serving a rural and urban/suburban area in the southern United States. Parent-reported demographics, ADHD diagnosis, and child health behaviors were recorded. RESULT In total, 17.6% (n = 177) of the sample had an ADHD diagnosis. ADHD status interacted with race to predict standardized body mass index (BMIz), and rurality predicted higher BMIz. Children with comorbid ADHD had significantly more meals per day and fewer active days compared with children with OV/OB without ADHD. CONCLUSION ADHD prevalence was higher in this diverse sample of children seeking obesity treatment (17.6%) compared with the prevalence nationally (9%-10%) and in other obesity samples. Comorbid ADHD was related to higher weight status among racial minority youth and increased engagement in unhealthy lifestyle behaviors often targeted in weight management treatment. It is critical to screen for ADHD in pediatric specialty clinics and assess healthy lifestyle behaviors. |
| Databáze: | OpenAIRE |
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