Associations among ADHD, Abnormal Eating and Overweight in a non-clinical sample of Asian children

Abstract Attention-deficit/hyperactivity disorder (ADHD) has been found to be comorbid with obesity in adults, but the association in children is uncertain. Because the underlying mechanism of comorbidity in children has not been researched sufficiently, this study aims to explore the associations a...

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Main Authors: Lian Tong, Huijing Shi, Xiaoru Li
Format: Article
Language:English
Published: Nature Portfolio 2017-06-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-017-03074-4
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author Lian Tong
Huijing Shi
Xiaoru Li
author_facet Lian Tong
Huijing Shi
Xiaoru Li
author_sort Lian Tong
collection DOAJ
description Abstract Attention-deficit/hyperactivity disorder (ADHD) has been found to be comorbid with obesity in adults, but the association in children is uncertain. Because the underlying mechanism of comorbidity in children has not been researched sufficiently, this study aims to explore the associations among ADHD, abnormal eating, and body mass index (BMI), as well as the mediating effect of depression in children. We conducted a cross-sectional study of 785 primary students in China. The parent-report version of ADHD Rating Scale-IV (ADHDRS-IV), the Child Eating Behaviour Questionnaire (CEBQ) and the Children’s Eating Attitude Test (ChEAT) were used to identify ADHD symptoms and abnormal eating. The Child Behavior Checklist (CBCL) was applied to assess depression. Structural Equation Modeling was carried out to clarify the associations between ADHD symptoms, depression, abnormal eating, and overweight of students. We found that ADHD positively contributed to emotional eating and Bulimia Nervosa symptoms. However, neither emotional eating nor Bulimia Nervosa symptoms was related to BMI in children. We also found that ADHD significantly contributed to depression, and depression directly predicted emotional eating. In conclusion, ADHD increased the risk of abnormal eating in children, while no significant relationship existed between ADHD and BMI. Comorbid depression raised the risk of emotional eating, rather than Bulimia Nervosa symptoms.
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spelling doaj.art-e1f688ffca024da2a98803208599ebe62022-12-21T23:38:11ZengNature PortfolioScientific Reports2045-23222017-06-01711810.1038/s41598-017-03074-4Associations among ADHD, Abnormal Eating and Overweight in a non-clinical sample of Asian childrenLian Tong0Huijing Shi1Xiaoru Li2Department of Maternal, Child and Adolescent health, School of Public Health, Fudan University/Key Laboratory of Public Health Safety, Chinese Ministry of EducationDepartment of Maternal, Child and Adolescent health, School of Public Health, Fudan University/Key Laboratory of Public Health Safety, Chinese Ministry of EducationDepartment of Psychology, School of Social Development and Public Policy, Fudan UniversityAbstract Attention-deficit/hyperactivity disorder (ADHD) has been found to be comorbid with obesity in adults, but the association in children is uncertain. Because the underlying mechanism of comorbidity in children has not been researched sufficiently, this study aims to explore the associations among ADHD, abnormal eating, and body mass index (BMI), as well as the mediating effect of depression in children. We conducted a cross-sectional study of 785 primary students in China. The parent-report version of ADHD Rating Scale-IV (ADHDRS-IV), the Child Eating Behaviour Questionnaire (CEBQ) and the Children’s Eating Attitude Test (ChEAT) were used to identify ADHD symptoms and abnormal eating. The Child Behavior Checklist (CBCL) was applied to assess depression. Structural Equation Modeling was carried out to clarify the associations between ADHD symptoms, depression, abnormal eating, and overweight of students. We found that ADHD positively contributed to emotional eating and Bulimia Nervosa symptoms. However, neither emotional eating nor Bulimia Nervosa symptoms was related to BMI in children. We also found that ADHD significantly contributed to depression, and depression directly predicted emotional eating. In conclusion, ADHD increased the risk of abnormal eating in children, while no significant relationship existed between ADHD and BMI. Comorbid depression raised the risk of emotional eating, rather than Bulimia Nervosa symptoms.https://doi.org/10.1038/s41598-017-03074-4
spellingShingle Lian Tong
Huijing Shi
Xiaoru Li
Associations among ADHD, Abnormal Eating and Overweight in a non-clinical sample of Asian children
Scientific Reports
title Associations among ADHD, Abnormal Eating and Overweight in a non-clinical sample of Asian children
title_full Associations among ADHD, Abnormal Eating and Overweight in a non-clinical sample of Asian children
title_fullStr Associations among ADHD, Abnormal Eating and Overweight in a non-clinical sample of Asian children
title_full_unstemmed Associations among ADHD, Abnormal Eating and Overweight in a non-clinical sample of Asian children
title_short Associations among ADHD, Abnormal Eating and Overweight in a non-clinical sample of Asian children
title_sort associations among adhd abnormal eating and overweight in a non clinical sample of asian children
url https://doi.org/10.1038/s41598-017-03074-4
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