Understanding health behaviors that modify the risk for obesity in ADHD

Research indicates that insufficient sleep, low physical activity, and high media use are linked to attention-deficit/hyperactivity disorder (ADHD) and obesity. This study by Roberts et al. (2024) aimed to (1) explore the connection between ADHD and overweight or obesity (OW/OB); (2) analyze how sleep duration, physical activity, and media use might moderate the risk of OW/OB; and (3) assess how these health behaviors impact OW/OB differently among medicated youth with ADHD, unmedicated youth with ADHD, and those without ADHD. The National Survey of Children’s Health, a national survey of American caregivers, provided the data for this study in 2018 and 2019. The study focused on youth aged 11–17, with a final sample of 26,644 participants. Daily hours of sleep, physical activity, and media use were categorized based on whether they met national guideline recommendations. The prevalence of OW/OB was 7% higher among unmedicated youth with ADHD compared to their medicated counterparts. The OW/OB rates were similar between medicated youth with ADHD and those without ADHD. For medicated youth with ADHD, sleep duration, physical activity, and media use did not significantly affect OW/OB risk once the family poverty level was accounted for. However, for unmedicated youth with ADHD, adhering to recommended sleep duration was associated with a reduced risk of OW/OB. The findings suggest that focusing on improving sleep duration may be beneficial in managing OW/OB risk among youth with ADHD. The authors recommend that clinical providers and parents might consider prioritizing better sleep as part of their approach to addressing OW/OB in these individuals. [NPID: ADHD, obesity, sleep duration, physical activity, media use, overweight, youth, health behaviors]

Year: 2024

Reference: Roberts, D. K., Sarver, D. E., Cash, A. R., Walker, B. H., & Lim, C. S. (2024). Understanding health behaviors that modify the risk for obesity in ADHD. Journal of Pediatric Psychology, 49(5), 372–381. https://doi.org/10.1093/jpepsy/jsae018