Grazing Is Associated with ADHD Symptoms, Substance Use, and Impulsivity in a Representative Sample of a Large Metropolitan Area in Brazil
Grazing is a clinically relevant eating behaviour, especially when it presents with a sense of loss of control (compulsive grazing). There is evidence that other disordered eating patterns are associated with problematic substance use and impulsivity-related conditions, such as attention-deficit/hyp...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-06-01
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| Series: | Nutrients |
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| Online Access: | https://www.mdpi.com/2072-6643/15/13/2987 |
| _version_ | 1797591073751564288 |
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| author | Andreea I. Heriseanu Dean Spirou Carlos E. F. Moraes Phillipa Hay Rosely Sichieri Jose C. Appolinario |
| author_facet | Andreea I. Heriseanu Dean Spirou Carlos E. F. Moraes Phillipa Hay Rosely Sichieri Jose C. Appolinario |
| author_sort | Andreea I. Heriseanu |
| collection | DOAJ |
| description | Grazing is a clinically relevant eating behaviour, especially when it presents with a sense of loss of control (compulsive grazing). There is evidence that other disordered eating patterns are associated with problematic substance use and impulsivity-related conditions, such as attention-deficit/hyperactivity disorder (ADHD). This overlap contributes to higher psychopathology and treatment complications. Less is known about grazing, and most information originates in high-income countries. Hence, we sought to investigate relationships between grazing, tobacco and alcohol use, ADHD, and impulsivity in a large representative sample from Brazil. Data were collected by trained interviewers from adults (N = 2297) through an in-person household survey based on a stratified and clustered probability sample. We found significant associations between compulsive grazing and problematic alcohol use (OR = 3.02, 95% CI: 1.65, 5.53), ADHD (OR = 8.94, 95% CI: 5.11, 15.63), and smoking (OR = 1.67, 95% CI: 1.12, 2.47), with impulsivity contributing to the first two relationships. The substantial association with ADHD suggests that other executive functions may promote disordered eating, possibly expressed through difficulties in adhering to regular meals. Clinically, these findings highlight the importance of assessing problematic eating patterns, such as compulsive grazing, in those presenting with difficulties with substance use or impulsivity, and vice versa. |
| first_indexed | 2024-03-11T01:32:27Z |
| format | Article |
| id | doaj.art-92b631ddef07465a9b084a649339c1f1 |
| institution | Directory Open Access Journal |
| issn | 2072-6643 |
| language | English |
| last_indexed | 2024-03-11T01:32:27Z |
| publishDate | 2023-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Nutrients |
| spelling | doaj.art-92b631ddef07465a9b084a649339c1f12023-11-18T17:15:22ZengMDPI AGNutrients2072-66432023-06-011513298710.3390/nu15132987Grazing Is Associated with ADHD Symptoms, Substance Use, and Impulsivity in a Representative Sample of a Large Metropolitan Area in BrazilAndreea I. Heriseanu0Dean Spirou1Carlos E. F. Moraes2Phillipa Hay3Rosely Sichieri4Jose C. Appolinario5eCentreClinic, School of Psychological Sciences, Macquarie University, Wallumattagal Campus, Macquarie Park, NSW 2109, AustraliaSchool of Medicine, Western Sydney University, Sydney, NSW 2214, AustraliaTranslational Health Research Institute, Western Sydney University, Penrith, NSW 2751, AustraliaSchool of Medicine, Western Sydney University, Sydney, NSW 2214, AustraliaSocial Medicine Institute, State University of Rio de Janeiro, Rio de Janeiro 22290-140, BrazilObesity and Eating Disorders Group, Institute of Psychiatry, Federal University of Rio de Janeiro, Rio de Janeiro 22290-140, BrazilGrazing is a clinically relevant eating behaviour, especially when it presents with a sense of loss of control (compulsive grazing). There is evidence that other disordered eating patterns are associated with problematic substance use and impulsivity-related conditions, such as attention-deficit/hyperactivity disorder (ADHD). This overlap contributes to higher psychopathology and treatment complications. Less is known about grazing, and most information originates in high-income countries. Hence, we sought to investigate relationships between grazing, tobacco and alcohol use, ADHD, and impulsivity in a large representative sample from Brazil. Data were collected by trained interviewers from adults (N = 2297) through an in-person household survey based on a stratified and clustered probability sample. We found significant associations between compulsive grazing and problematic alcohol use (OR = 3.02, 95% CI: 1.65, 5.53), ADHD (OR = 8.94, 95% CI: 5.11, 15.63), and smoking (OR = 1.67, 95% CI: 1.12, 2.47), with impulsivity contributing to the first two relationships. The substantial association with ADHD suggests that other executive functions may promote disordered eating, possibly expressed through difficulties in adhering to regular meals. Clinically, these findings highlight the importance of assessing problematic eating patterns, such as compulsive grazing, in those presenting with difficulties with substance use or impulsivity, and vice versa.https://www.mdpi.com/2072-6643/15/13/2987grazingmiddle-income countryepidemiologyeating behaviourssubstance usetobacco |
| spellingShingle | Andreea I. Heriseanu Dean Spirou Carlos E. F. Moraes Phillipa Hay Rosely Sichieri Jose C. Appolinario Grazing Is Associated with ADHD Symptoms, Substance Use, and Impulsivity in a Representative Sample of a Large Metropolitan Area in Brazil Nutrients grazing middle-income country epidemiology eating behaviours substance use tobacco |
| title | Grazing Is Associated with ADHD Symptoms, Substance Use, and Impulsivity in a Representative Sample of a Large Metropolitan Area in Brazil |
| title_full | Grazing Is Associated with ADHD Symptoms, Substance Use, and Impulsivity in a Representative Sample of a Large Metropolitan Area in Brazil |
| title_fullStr | Grazing Is Associated with ADHD Symptoms, Substance Use, and Impulsivity in a Representative Sample of a Large Metropolitan Area in Brazil |
| title_full_unstemmed | Grazing Is Associated with ADHD Symptoms, Substance Use, and Impulsivity in a Representative Sample of a Large Metropolitan Area in Brazil |
| title_short | Grazing Is Associated with ADHD Symptoms, Substance Use, and Impulsivity in a Representative Sample of a Large Metropolitan Area in Brazil |
| title_sort | grazing is associated with adhd symptoms substance use and impulsivity in a representative sample of a large metropolitan area in brazil |
| topic | grazing middle-income country epidemiology eating behaviours substance use tobacco |
| url | https://www.mdpi.com/2072-6643/15/13/2987 |
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