Childhood Attention-Deficit/Hyperactivity Disorder Symptoms Are Risk Factors for Obesity and Physical Inactivity in Adolescence

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Khalife, NatashaImperial College London, St Mary's Campus, London W2 1PG, United Kingdom (author)

Childhood Attention-Deficit/Hyperactivity Disorder Symptoms Are Risk Factors for Obesity and Physical Inactivity in Adolescence

Article/chapterEnglish2014

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Elsevier BV,2014
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LIBRIS-ID:oai:DiVA.org:miun-22005
https://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-22005URI
https://doi.org/10.1016/j.jaac.2014.04.009DOI

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Language:English
Summary in:English

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Objective: To prospectively investigate the association and directionality between attention-deficit/hyperactivity disorder (ADHD) symptoms and obesity from childhood to adolescence in the general population. We examined whether obesogenic behaviors, namely, physical inactivity and binge eating, underlie the potential ADHD symptom obesity association. We explored whether childhood conduct disorder (CD) symptoms are related to adolescent obesity/physical inactivity. Method: At 7 to 8 years (n = 8,106), teachers reported ADHD and CD symptoms, and parents reported body mass index (BMI) and physically active play. At 16 years (n = 6,934), parents reported ADHD symptoms; adolescents reported physical activity (transformed to metabolic equivalent of task [MET] hours per week) and binge eating; BMI and waist hip ratio (WHR) were measured via clinical examination. Obesity was defined using the International Obesity Task Force (IOTF) cut-offs for BMI and the 95th percentile cut-off for WHR. Results: Childhood ADHD symptoms significantly predicted adolescent obesity, rather than the opposite. Inattention-hyperactivity symptoms at 8 years were associated with indices of obesity at 16 years (obese BMI: odds ratio [OR] = 1.91, 95% confidence interval [CI] = 1.10-3.33; 95th percentile WHR: OR = 1.71, 95% CI = 1.05-2.78), adjusted for gender, baseline BMI, physical activity, family structure change, and maternal education. Child CD symptoms associated with indices of adolescent obesity. Reduced physically active play in childhood predicted adolescent inattention (OR = 1.61,95% CI = 1.16-2.24). Childhood ADHD and CD symptoms were linked with physical inactivity in adolescence (inattention-hyperactivity; OR = 1.60, 95% CI = 1.20-2.13), but not binge eating. Physical inactivity mediated the associations. Conclusions: Children with ADHD or CD symptoms are at increased risk for becoming obese and physically inactive adolescents. Physical activity may be beneficial for both behavior problems and obesity.

Subject headings and genre

SAMHÄLLSVETENSKAP Psykologi hsv//swe
SOCIAL SCIENCES Psychology hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Public Health, Global Health, Social Medicine and Epidemiology hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Pediatrik hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Pediatrics hsv//eng
attention-deficit/hyperactivity disorder symptoms
conduct disorder symptoms
disruptive behavior
obesity
physical inactivity

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Kantomaa, MarkoImperial College London, St Mary's Campus, London W2 1PG, United Kingdom (author)
Glover, VivetteImperial College London, St Mary's Campus, London W2 1PG, United Kingdom (author)
Tammelin, TuijaLIKES - Research Center for Sports and Health Sciences, Finland (author)
Laitinen, JaanaFinnish Institute for Occupational Health, Finland (author)
Ebeling, HannaClinic of Child Psychiatry, University and University Hospital of Oulu, Finland (author)
Hurtig, TuulaInstitute of Health Sciences, University of Oulu, Finland (author)
Jarvelin, Marjo-RiittaImperial College London, St Mary's Campus, London W2 1PG, United Kingdom (author)
Rodriguez, AlinaMittuniversitetet,Avdelningen för psykologi,Imperial College London, St Mary's Campus, London W2 1PG, United Kingdom(Swepub:miun)alirod (author)
Imperial College London, St Mary's Campus, London W2 1PG, United KingdomLIKES - Research Center for Sports and Health Sciences, Finland (creator_code:org_t)

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In:Journal of the American Academy of Child and Adolescent Psychiatry: Elsevier BV53:4, s. 425-4360890-85671527-5418

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By the author/editor: Khalife, Natasha; Kantomaa, Marko; Glover, Vivette; Tammelin, Tuija; Laitinen, Jaana; Ebeling, Hanna; show more...; Hurtig, Tuula; Jarvelin, Marjo- ...; Rodriguez, Alina; show less...

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SOCIAL SCIENCES: SOCIAL SCIENCES; and Psychology

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Public Health Gl ...

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Pediatrics

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By the university: Mid Sweden University

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