Skip to main content

Advertisement

Log in

ADHD and Risk of Childhood Adiposity: a Review of Recent Research

  • Maternal and Childhood Nutrition (AC Wood, Section Editor)
  • Published:
Current Nutrition Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

Attention deficit/hyperactivity disorder (ADHD) is considered as a risk factor for childhood adiposity and obesity. Studies on ADHD have provided limited data concerning the connections between eating habits, body mass index, and obesity. The purpose of this review was to examine the current literature regarding recent cohort and cross-sectional studies to determine the links between ADHD and childhood adiposity.

Recent Findings

Studies in this review were classified into dietary features, nutritional status, neuroimaging findings, genetic overlapping, behavioral, cognitive, and neurocognitive aspects that play a role in mediating and moderating the relationship between ADHD and obesity.

Summary

While ADHD, childhood adiposity, and overweight/obesity co-occur in children and adolescents, this relationship is largely explained by a variety of multidirectional factors.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

Papers of particular interest, published recently, have been highlighted as: •• Of major importance

  1. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5™). Washington: American Psychiatric Association; 2013. p. 103–6.

    Book  Google Scholar 

  2. Polanczyk GV, Salum GA, Sugaya LS, Caye A, Rohde LA. Annual research review: a meta-analysis of the worldwide prevalence of mental disorders in children and adolescents. J Child Psychol Psychiatry. 2015;56(3):345–65. https://doi.org/10.1111/jcpp.12381.

    Article  PubMed  Google Scholar 

  3. Cabral MDI, Liu S, Soares N. Attention-deficit/hyperactivity disorder: diagnostic criteria, epidemiology, risk factors and evaluation in youth. Transl Pediatr. 2020;9(Suppl 1):S104–13. https://doi.org/10.21037/tp.2019.09.08.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Wilens T, Spencer T. Attention-deficit/hyperactivity disorders, lifetime course and strategies for intervention. In: Howlin P, Charman T, Ghaziuddin M, editors. The SAGE Handbook of Developmental Disorders: SAGE Publications; 2010.

  5. Khalife N, Kantomaa M, Glover V, Tammelin T, Laitinen J, Ebeling H, et al. Childhood attention-deficit/hyperactivity disorder symptoms are risk factors for obesity and physical inactivity in adolescence. J Am Acad Child Adolesc Psychiatry. 2014;53(4):425–36. https://doi.org/10.1016/j.jaac.2014.01.009.

    Article  PubMed  Google Scholar 

  6. Yang R, Mao S, Zhang S, Li R, Zhao Z. Prevalence of obesity and overweight among Chinese children with attention deficit hyperactivity disorder: a survey in Zhejiang Province, China. BMC Psychiatry. 2013;13:133. https://doi.org/10.1186/1471-244X-13-133.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  7. Cortese S, Moreira-Maia CR, St Fleur D, Morcillo-Peñalver C, Rohde LA, Faraone SV. Association between ADHD and obesity: a systematic review and meta-analysis. Am J Psychiatry. 2016;173(1):34–43. https://doi.org/10.1176/appi.ajp.2015.15020266.

    Article  PubMed  Google Scholar 

  8. Nigg JT, Johnstone JM, Musser ED, Long HG, Willoughby MT, Shannon J. Attention-deficit/hyperactivity disorder (ADHD) and being overweight/obesity: new data and meta-analysis. Clin Psychol Rev. 2016;43:67–79. https://doi.org/10.1016/j.cpr.2015.11.005.

    Article  PubMed  Google Scholar 

  9. Cortese S, Tessari L. Attention-deficit/hyperactivity disorder (ADHD) and obesity: update 2016. Curr Psychiatry Rep. 2017;19(1):4. https://doi.org/10.1007/s11920-017-0754-1.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Weissenberger S, Ptacek R, Klicperova-Baker M, Erman A, Schonova K, Raboch J, et al. ADHD, lifestyles and comorbidities: a call for an holistic perspective - from medical to societal intervening factors. Front Psychol. 2017;8:454. https://doi.org/10.3389/fpsyg.2017.00454.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Cortese S, Faraone SV, Bernardi S, Wang S, Blanco C. Adult attention-deficit hyperactivity disorder and obesity: epidemiological study. Br J Psychiatry. 2013;203(1):24–34. https://doi.org/10.1192/bjp.bp.112.123299.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Kim J, Mutyala B, Agiovlasitis S, Fernhall B. Health behaviors and obesity among US children with attention deficit hyperactivity disorder by gender and medication use. Prev Med. 2011;52(3–4):218–22. https://doi.org/10.1016/j.ypmed.2011.01.003.

    Article  PubMed  Google Scholar 

  13. Cook BG, Li D, Heinrich KM. Obesity, physical activity, and sedentary behavior of youth with learning disabilities and ADHD. J Learn Disabil. 2015;48(6):563–76. https://doi.org/10.1177/0022219413518582.

    Article  PubMed  Google Scholar 

  14. Ahn JS, Min S, Kim MH. The role of uncontrolled eating and screen time in the link of attention deficit hyperactivity disorder with weight in late childhood. Psychiatry Investig. 2017;14(6):808–16. https://doi.org/10.4306/pi.2017.14.6.808.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Tong L, Shi H, Li X. Associations among ADHD, abnormal eating and overweight in a non-clinical sample of Asian children. Sci Rep. 2017;7(1):2844. https://doi.org/10.1038/s41598-017-03074-4.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  16. Fuemmeler BF, Sheng Y, Schechter JC, Do E, Zucker N, Majors A, et al. Associations between attention deficit hyperactivity disorder symptoms and eating behaviors in early childhood. Pediatr Obes. 2020;15(7):e12631. https://doi.org/10.1111/ijpo.12631.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Egbert AH, Wilfley DE, Eddy KT, Boutelle KN, Zucker N, Peterson CB, et al. Attention-deficit/hyperactivity disorder symptoms are associated with overeating with and without loss of control in youth with overweight/obesity. Child Obes. 2018;14(1):50–7. https://doi.org/10.1089/chi.2017.0114.

    Article  PubMed  PubMed Central  Google Scholar 

  18. Aykutlu H, Gorker I. Disturbed eating behavior and obesity in drug naïve children diagnosed with attention deficit hyperactivity disorder. Anatolian J Psychiatry. 2019;20(6):659–66. https://doi.org/10.5455/apd.28613.

    Article  Google Scholar 

  19. Essawy HE, Abdelgawad AA, Khamis ME, Zakaria A. Study of disturbed eating behaviors in children with attention deficit hyperactivity disorder. Middle East Curr Psychiatry. 2020;27(1):1–12. https://doi.org/10.1186/s43045-020-0016-5.

    Article  Google Scholar 

  20. Gowey MA, Stromberg SE, Lim CS, Janicke DM. The moderating role of body dissatisfaction in the relationship between ADHD symptoms and disordered eating in pediatric overweight and obesity. Child Health Care. 2017;46(1):15–33. https://doi.org/10.1080/02739615.2015.1065745.

    Article  PubMed  Google Scholar 

  21. Amel A, Amel S, Erfan A. Effectiveness of parents-focused cognitive-behavioral therapy on attention deficit hyperactivity disorder symptoms, obesity and self-esteem of overweight children with attention deficient hyperactivity disorder. Adv Biomed Res. 2018;7(1):73. https://doi.org/10.4103/abr.abr_170_17.

    Article  Google Scholar 

  22. Choudhry Z, Sengupta SM, Grizenko N, Harvey WJ, Fortier M, Schmitz N, et al. Body weight and ADHD: examining the role of self-regulation. PLoS One. 2013;8(1):e55351. https://doi.org/10.1371/journal.pone.0055351.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  23. Graziano PA, Bagner DM, Waxmonsky JG, Reid A, McNamara JP, Geffken GR. Co-occurring weight problems among children with attention deficit/hyperactivity disorder: the role of executive functioning. Int J Obes. 2012;36(4):567–72. https://doi.org/10.1038/ijo.2011.245.

    Article  CAS  Google Scholar 

  24. Fliers EA, Buitelaar JK, Maras A, Bul K, Höhle E, Faraone SV, et al. ADHD is a risk factor for overweight and obesity in children. J Dev Behav Pediatr. 2013;34(8):566–74. https://doi.org/10.1097/DBP.0b013e3182a50a67.

    Article  PubMed  Google Scholar 

  25. Goulardins JB, Rigoli D, Piek JP, Kane R, Palácio SG, Casella EB, et al. The relationship between motor skills, ADHD symptoms, and childhood body weight. Res Dev Disabil. 2016;55:279–86. https://doi.org/10.1016/j.ridd.2016.05.005.

    Article  PubMed  Google Scholar 

  26. Kiddie JY, Weiss MD, Kitts DD, Levy-Milne R, Wasdell MB. Nutritional status of children with attention deficit hyperactivity disorder: a pilot study. Int J Pediatr. 2010;2010:767318–7. https://doi.org/10.1155/2010/767318.

    Article  PubMed  PubMed Central  Google Scholar 

  27. Sha’ari N, Manaf ZA, Ahmad M, Rahman FN. Nutritional status and feeding problems in pediatric attention deficit-hyperactivity disorder. Pediatr Int. 2017;59(4):408–15. https://doi.org/10.1111/ped.13196.

    Article  CAS  PubMed  Google Scholar 

  28. Güngör S, Celiloğlu ÖS, Raif SG, Özcan ÖÖ, Selimoğlu MA. Malnutrition and obesity in children with ADHD. J Atten Disord. 2016;20(8):647–52. https://doi.org/10.1177/1087054713478465.

    Article  PubMed  Google Scholar 

  29. Mousavi P, Darabi M, Malek A, Amiri S, Jabbari moghaddam Y, Shahbazi N, et al. Comparison of the nutritional status of boys with and without attention deficit hyperactivity disorder. J Babol Univ Med Sci. 2015;17(1):28–36. https://doi.org/10.22088/jbums.17.1.28.

    Article  Google Scholar 

  30. Bowling A, Davison K, Haneuse S, Beardslee W, Miller DP. ADHD medication, dietary patterns, physical activity, and BMI in children: a longitudinal analysis of the ECLS-K study. Obesity (Silver Spring). 2017;25(10):1802–8. https://doi.org/10.1002/oby.21949.

    Article  Google Scholar 

  31. Bowling AB, Tiemeier HW, Jaddoe VWV, Barker ED, Jansen PW. ADHD symptoms and body composition changes in childhood: a longitudinal study evaluating directionality of associations. Pediatr Obes. 2018;13(9):567–75. https://doi.org/10.1111/ijpo.12288This analysis from the Generation R Cohort investigated bidirectional associations between body composition and ADHD symptoms throughout childhood and adolescence. The higher level of ADHD symptom severity at the age of 6 also predicted the increase in fat mass between the ages of 6 and 9.

    Article  CAS  PubMed  Google Scholar 

  32. San Mauro Martín I, Blumenfeld Olivares JA, Garicano Vilar E, Echeverry López M, García Bernat M, Quevedo Santos Y, et al. Nutritional and environmental factors in attention-deficit hyperactivity disorder (ADHD): a cross-sectional study. Nutr Neurosci. 2018;21(9):641–7. https://doi.org/10.1080/1028415X.2017.1331952.

    Article  PubMed  Google Scholar 

  33. Jang BY, Bu SY. Nutritional status of Korean children and adolescents with attention deficit hyperactivity disorder (ADHD). Clin Nutr Res. 2017;6(2):112–21. https://doi.org/10.7762/cnr.2017.6.2.112.

    Article  PubMed  PubMed Central  Google Scholar 

  34. Do EK, Haberstick BC, Williams RB, Lessem JM, Smolen A, Siegler IC, et al. The role of genetic and environmental influences on the association between childhood ADHD symptoms and BMI. Int J Obes. 2019;43(1):33–42. https://doi.org/10.1038/s41366-018-0236-5.

    Article  CAS  Google Scholar 

  35. Hanć T, Dmitrzak-Węglarz M, Borkowska A, Wolańczyk T, Pytlińska N, Rybakowski F, et al. Overweight in boys with ADHD is related to candidate genes and not to deficits in cognitive functions. J Atten Disord. 2018;22(12):1158–72. https://doi.org/10.1177/1087054716676364This study examined the relationship of overweight among children with ADHD with selected polymorphisms in candidate genes for ADHD. Researchers found three possible polymorphisms in three candidate genes: DRD4, SNAP25, and 5HTR2A.

    Article  PubMed  Google Scholar 

  36. Friedel S, Horro FF, Wermter AK, Geller F, Dempfle A, Reichwald K, et al. Mutation screen of the brain derived neurotrophic factor gene (BDNF): identification of several genetic variants and association studies in patients with obesity, eating disorders, and attention-deficit/hyperactivity disorder. Am J Med Genet B Neuropsychiatr Genet. 2005;132B(1):96–9. https://doi.org/10.1002/ajmg.b.30090.

    Article  CAS  PubMed  Google Scholar 

  37. Frayling TM, Timpson NJ, Weedon MN, Zeggini E, Freathy RM, Lindgren CM, et al. A common variant in the FTO gene is associated with body mass index and predisposes to childhood and adult obesity. Science. 2007;316(5826):889–94. https://doi.org/10.1126/science.1141634.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  38. Velders FP, De Wit JE, Jansen PW, Jaddoe VW, Hofman A, Verhulst FC, et al. FTO at rs9939609, food responsiveness, emotional control and symptoms of ADHD in preschool children. PLoS One. 2012;7(11):e49131. https://doi.org/10.1371/journal.pone.0049131.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  39. Barker ED, Ing A, Biondo F, Jia T, Pingault JB, Du Rietz E, et al. Do ADHD-impulsivity and BMI have shared polygenic and neural correlates? [published online ahead of print, 2019 Jun 21]. Mol Psychiatry. 2019. https://doi.org/10.1038/s41380-019-0444-y.

  40. Albayrak Ö, Pütter C, Volckmar AL, Cichon S, Hoffmann P, Nöthen MM, et al. Common obesity risk alleles in childhood attention-deficit/hyperactivity disorder. Am J Med Genet B Neuropsychiatr Genet. 2013;162B(4):295–305. https://doi.org/10.1002/ajmg.b.32144.

    Article  CAS  PubMed  Google Scholar 

  41. Martins-Silva T, Vaz JDS, Hutz MH, Salatino-Oliveira A, Genro JP, Hartwig FP, et al. Assessing causality in the association between attention-deficit/hyperactivity disorder and obesity: a Mendelian randomization study. Int J Obes. 2019;43(12):2500–8. https://doi.org/10.1038/s41366-019-0346-8.

    Article  Google Scholar 

  42. Kim EJ, Kwon HJ, Ha M, Lim MH, Oh SY, Kim JH, et al. Relationship among attention-deficit hyperactivity disorder, dietary behaviours and obesity. Child Care Health Dev. 2014;40(5):698–705. https://doi.org/10.1111/cch.12129.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Serkan Turan.

Ethics declarations

Conflict of Interest

The authors declare that there is no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

This article is part of the Topical Collection on Maternal and Childhood Nutrition

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Turan, S., Tunctürk, M., Çıray, R.O. et al. ADHD and Risk of Childhood Adiposity: a Review of Recent Research. Curr Nutr Rep 10, 30–46 (2021). https://doi.org/10.1007/s13668-020-00346-w

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s13668-020-00346-w

Keywords

Navigation