Attention Deficit Hyperactivity Disorder and Dysregulated Eating
AUTHORS
Janice Arsenault,ADHD and Beyond, New Brunswick, Canada
Kathryn Weaver,University of New Brunswick, Canada
ABSTRACT
This study was conducted to identify features of dysregulated eating in the context of children living with Attention Deficit Hyperactivity Disorder (ADHD). A deeper understanding of the association between various eating behaviors and specific moderators unique to ADHD was sought to help healthcare providers identify measurable and predictive features that direct nutritional assessment, support, and interventions. Using the Fineout-Overholt, Melnyk, Stillwell, and Williamson (2010) method, seven studies that included children between the ages of 4 to 15 from the Czech Republic, Greece, Germany, Iran, and Korea were reviewed. Results revealed patterns of dysregulated eating which involved non-traditional eating schedules, increased eating frequency, episodes of overeating, preference for calorically dense food, high intake of sugary foods and beverages, and diets consisting of higher amounts of processed and fast foods. In conclusion, underlying symptomology characteristics such as impulsivity, inattention, and emotional dysregulation may serve to mediate dysregulated eating behaviors in children living with ADHD. Early recognition and intervention could help alter the progression of dysregulated eating behavior and its negative sequelae.
KEYWORDS
ADHD, Attention deficit disorder with hyperactivity, Child, Eating behavior
REFERENCES
[1] K. R. Krull, “Attention deficit hyperactivity disorder in children and adolescents: Clinical features and diagnosis,” UpToDate, (2022) https://www.uptodate.com/contents/attention-deficit-hyperactivity-disorder-in-children-and-adolescents-clinical-features-and-diagnosis
[2] R. Barkley, “Attention-deficit hyperactivity disorder,” 4th ed. Guilford Publications, New York, (2018)
[3] S. Sulkes, “Attention-deficit/hyperactivity disorder (ADD, ADHD),” Merck Manuals Professional Edition, (2018), https://www.merckmanuals.com/professional/pediatrics/learning-and-developmental-disorders/attention-deficit-hyperactivity-disorder-add,-adhd
[4] W. B. Daviss, “A review of co-morbid depression in pediatric ADHD: etiology, phenomenology, and treatment.” Journal of Child Adolescent Psychopharmacology, vol.18, no.6, pp.565-571, (2008) DOI:10.1089/cap.2008.032(CrossRef)(Google Scholar)
[5] J. Mitchell, C. Robertson, A. Anastopoulos, R. Nelson-Gray, and S. Kollins, “Emotion dysregulation and emotional impulsivity among adults with attention-deficit/ hyperactivity disorder: Results of a preliminary study,” Journal of Psychopathology and Behavioral Assessment, vol.34, no.4, pp.510-519, (2012) DOI:10.1007/s10862-012-9297-2(CrossRef)(Google Scholar)
[6] S. Reinblatt, L. Jeannie-Marie, M. Mahone, S. Forrester, H. Wilcox, and M. Riddle, "Association between binge eating and attention-deficit/hyperactivity disorder in two pediatric community mental health clinics," International Journal of Eating Disorders, vol.48, no.5, pp.505-511, (2015) DOI:10.1002/eat.22342(CrossRef)(Google Scholar)
[7] T. Hanć, and S. Cortese, “Attention-deficit/hyperactivity-disorder and obesity: A review and model of current hypotheses explaining their comorbidity,” Neuroscience Biobehavioural Review, vol.92, pp.16–28. 2018 DOI:10.1016/j.neubiorev.2018.05.017(CrossRef)(Google Scholar)
[8] M. Waring and K. Lapane, “Overweight in children and adolescents in relation to attention-deficit/hyperactivity disorder: Results from a national sample,” Pediatrics, vol.122, no.1, pp.1-6, (2008) DOI:10.1542/peds.2007-1955(CrossRef)(Google Scholar)
[9] S. Donnchadha, J. Bramham, and C. Greene, “Rethinking the association between overweight/obesity and ADHD in children: a longitudinal and psychosocial perspective,” Irish Journal of Psychological Medicine, Jan 24, pp.1-14, (2020) DOI:10.1017/ipm.2019.61(CrossRef)(Google Scholar)
[10] J. Bleck, R. DeBate and R. Olivardia, “The comorbidity of ADHD and eating disorders in a nationally representative sample,” The Journal of Behavioral Health Services & Research: Official Publication of the National Council for Behavioral Health, vol.42, no.4, pp.437-451, (2015) DOI: 10.1007/s11414-014-9422-y(CrossRef)(Google Scholar)
[11] A. Agranat-Meged, C. Deitcher, G. Goldzweig, L. Leibenson, M. Stein and E. Galili-Weisstub, “Childhood obesity and attention-deficit/hyperactivity disorder: A newly described comorbidity in obese hospitalized children,” International Journal of Eating Disorders, vol.37, no.4, pp.357-359, (2005) DOI:10.1002/eat.20096(CrossRef)(Google Scholar)
[12] R. Strauss, “Childhood obesity and self-esteem,” Pediatrics, vol.105, no.1, p.513, (2000) DOI:10.1097/00005176-199910000-00124(CrossRef)(Google Scholar)
[13] B. P. Nazar, C. Bernardes, G. Peachey, J. Sergeant, P. Mattos, and J. Treasure, “The risk of eating disorders comorbid with attention-deficit/hyperactivity disorder: A systematic review and meta-analysis,” International Journal of Eating Disorders, vol.49, no.12, pp.1045-1057, (2016) DOI:10.1002/eat.22643(CrossRef)(Google Scholar)
[14] B. Fuemmeler, T. Ostbye, C. Yang, J. McClernon, and S. Kollins, “Association between attention-deficit/hyperactivity disorder symptoms and obesity and hypertension in early adulthood: A population-based study,” International Journal of Obesity, vol.35, no.6, pp.852–862, (2011) DOI:10.1038/ijo.2010.214(CrossRef)(Google Scholar)
[15] J. T. Nigg, J. M. Johnstone, E. D. Musser, H .G. Long, M. T. Willoughby and J. Shannon, “Attention-deficit/hyperactivity disorder (ADHD) and being overweight/obesity: New data and meta-analysis,” Clinical Psychology Review, vol.43, pp.67-79, (2016) DOI:10.1016/j.cpr.2015.11.005(CrossRef)(Google Scholar)
[16] American Psychiatric Association, “Binge eating disorder,” Diagnostic and statistical manual of mental disorders (5th ed.). Author, Arlington, VA, (2013)
[17] C. Curtin, L. Bandini, E. Perrin, D. Tybor, and A. Must, “Prevalence of overweight in children and adolescents with attention deficit hyperactivity disorder and autism spectrum disorders: A chart review,” BioMed Central Pediatrics, vol.5, no.1, p. 48, (2005) DOI:10.1186/1471-2431-5-48(CrossRef)(Google Scholar)
[18] V. Douglas, “Cognitive deficits in children with attentional deficit hyperactivity disorder. A long-term follow-up,” Canadian Psychology, vol.46, no.1, pp.23-31, (2005) DOI:10.1037/h0085821(CrossRef)(Google Scholar)
[19] E. K. Presseller, M. L. Wilkinson, C. Trainor, E. W. Lampe, and A. S. Juarascio, “Self-regulation deficits moderate treatment outcomes in a clinical trial evaluating just-in-time adaptive interventions as an augmentation to cognitive-behavioral therapy for bulimia-spectrum eating disorders,” International Journal of Eating Disorders, vol.55, no.5, pp.709-716, (2022) DOI:10.1002/eat.23695. Epub 2022 Feb 24
[20] N. E. Svedlund, C. Norring, Y. Ginsberg, and Y. von Hausswolff-Juhlin, “Symptoms of attention deficit hyperactivity disorder (ADHD) among adult eating disorder patients,” BMC Psychiatry, vol.17, no.19, (2017) DOI:10.1186/s12888-016-1093-1(CrossRef)(Google Scholar)
[21] K. E. Smith, T. B. Mason, L. M. Schaefer, A. Juarascio, R. Dvorak, N. Weinbach, R. D. Crosby, and S.A. Wonderlich, “Examining intra-individual variability in food-related inhibitory control and negative affect as predictors of binge eating using ecological momentary assessment,” Journal of Psychiatric Research, vol.120, Jan, pp.137-143, (2020) DOI:10.1016/j.jpsychires.2019.10.017(CrossRef)(Google Scholar)
[22] J. Fleming and L. Levy, “ADHD and disordered eating,” In P. Quinn and K. Nadeau (Eds.), Gender issues and AD/HD: Research, diagnosis, and treatment, Silver Spring, MD: Advantage Books, pp. 370-382 (2002)
[23] C. Davis, R. Levitan, M. Smith, S. Tweed, and C. Curtis, “Associations among overeating, overweight, and attention-deficit/hyperactivity disorder: A structural equation modeling approach,” Eating Behaviors, vol.7, no.3, pp.266-274, (2006) DOI: 10.1016/j.eatbeh.2005.09.006(CrossRef)(Google Scholar)
[24] U. Pauli-Pott, B. Becker, O. Albayrak, J. Hebebrand, and W. Pott, “Links between psychopathological symptoms and disordered eating behaviors in overweight/obese youths,” International Journal of Eating Disorders, vol. 46, no.2, pp.156-163, (2013) DOI:10.1002/eat.22055(CrossRef)(Google Scholar)
[25] Y. Lee, and P. Lin “Association between serotonin transporter gene polymorphism and eating disorders: A meta-analytic study,” International Journal of Eating Disorders, vol.43, no.6, pp.498-504, (2010) DOI:10.1002/eat.20732(CrossRef)(Google Scholar)
[26] N. Stulz, U. Hepp, C. Gächter, C. Martin-Soelch, A. Spindler, and G. Milos, “The severity of ADHD and eating disorder symptoms: A correlational study,” BioMed Central Psychiatry, vol.13, no.1, pp.44-50, (2013) DOI:10.1186/1471-244X-13-44(CrossRef)(Google Scholar)
[27] M. Semrud-Clikeman, J. Walkowiak, A. Wilkinson, and B. Butcher, “Executive functioning in children with Asperger syndrome, ADHD-combined type, ADHD-predominantly inattentive type, and controls.” Journal of Autism and Developmental Disorders, vol.40, no.8, pp.1017-1027, (2010) DOI: 10.1007/S10803-010-0951-9(CrossRef)(Google Scholar)
[28] A. Hilbert, S. Kurz, D. Dremmel, S. Blüher, S. Munsch and R. Schmidt, “Cue reactivity, habituation, and eating in the absence of hunger in children with loss of control eating and attention-deficit/hyperactivity disorder,” International Journal of Eating Disorders, vol.51, no.3, pp.223-232, (2018) DOI:10.1002/eat.22821(CrossRef)(Google Scholar)
[29] S. Kurz, D. Schoebi, D. Dremmel, W. Kiess, S. Munsch, and A. Hilbert, “Satiety regulation in children with loss of control eating and attention-deficit/hyperactivity disorder: A test meal study,” Appetite, vol.116, pp. 90-98 (2018). DOI: 10.1016/j.appet.2017.04.013(CrossRef)(Google Scholar)
[30] Z. Yilmaz, N. Kristin, K. Javaras, J. Baker, L. Thornton, P. Lichtenstein, C. M. Bulik, and H. Larsson, "Association between childhood to adolescent attention-deficit/hyperactivity disorder symptom trajectories and late adolescent disordered eating," Journal of Adolescent Health, vol.61, no.2, pp.140-146, (2017) DOI:10.1016/j.jadohealth.2017.04.001(CrossRef)(Google Scholar)
[31] J. Holmes, K. Hilton, M. Place, T. Alloway, J. Elliott, and S. Gathercole, “Children with low working memory and children with ADHD: Same or different?” Frontiers in Human Neuroscience, vol.8, no.976, pp.1-13, (2014) DOI:10.3389/fnhum.2014.00976(CrossRef)(Google Scholar)
[32] A. Fogel, K. McCrickerd, A. Goh, L. Fries, Y. Chong, K. Tan, F. Yap, L. P. Shek, M. J. Meaney, S. Cai, P. Pelufo Silveira, B. F. P. Broekman, Y. S. Lee, K. M. Godfrey, M. F. F. Chong, and C. Forde, "Association between inhibitory control, eating behaviors and adiposity in 6-year-old children," International Journal of Obesity, vol.43, no.7, pp.1344-1353 (2019) DOI:10.1038/s41366-019-0343-y(CrossRef)(Google Scholar)
[33] M. Erhart, B. Herpertz-Dahlmann, N. Wille, B. Sawitzky-Rose, H. Hölling, and U. Ravens-Sieberer, “Examining the relationship between attention deficit/-hyperactivity disorder and overweight in children and adolescents,” European Child & Adolescent Psychiatry, vol.21, no.1, pp.39-49. (2012) DOI:0.100/s00787-011-0230-0(CrossRef)(Google Scholar)
[34] R.Ptacek, H. Kuzelova, G. Stefano, J. Raboch,T. Sadkova, M. Goetz, and R.Kream, "Disruptive patterns of eating behaviors and associated lifestyles in males with ADHD,” Medical Science Monitor: International Medical Journal of Experimental and Clinical Research, vol.20, pp. 608-613, (2014) DOI:10.12659/MSM.890495(CrossRef)(Google Scholar)
[35] S. Cortese, Commentary: Switching the zoom on the ADHD research lens – A reflection on Leventakou et al.," Journal of Child Psychology and Psychiatry, vol.57, no.6, pp. 685–686 (2016) DOI:10.1111/jcpp.12555(CrossRef)(Google Scholar)
[36] E. Fineout-Overholt, B. Melnyk, S. Stillwell, and K. Williamson, “Critical appraisal of the evidence: Part III. The process of synthesis: Seeing similarities and differences across the body of evidence,” American Journal of Nursing, vol.110, no.11, pp. 43-51, (2010) DOI:10.1097/01NAJ.0000390523. 99066.b5(CrossRef)(Google Scholar)
[37] D. Moher, A. Liberati, J. Tetzlaff, and D. Altman, “Preferred reporting items for systematic reviews and meta-analysis: The PRISMA statement,” International Journal of Surgery, vol.8, no.5, pp. 336-41, (2010) DOI:10.1016/j.ijsu.2010.02.007. Epub 2010 Feb 18. Erratum in: Int J Surg. 2010, vol.8, no.8, pp.658. PMID: 20171303, (2010)
[38] K. Scott and R. McSherry, “Evidence-based nursing: Clarifying the concepts for nurses in practice,” Journal of Clinical Nursing, vol. 18, no.11, pp. 1085-1095, (2009) DOI:10.1111/j.1365-2702.2008.02588.x(CrossRef)(Google Scholar)
[39] L. Azadbakht and A. Esmaillzadeh, “Dietary patterns and attention deficit hyperactivity disorder among Iranian children,” Nutrition, vol.28, no.3, pp.242-249, (2012). DOI: 10.1016/j.nut.2011.05.018(CrossRef)(Google Scholar)
[40] K. M. pt, M. H. Lim, H.-J. Kwon, H., S.-J. Yoo, E.-J. Kim, J. W. Kim, M. Ha, and K. C. Paik, “Associations between attention-deficit/hyperactivity disorder symptoms and dietary habits in elementary school children,” Appetite, vol.127, pp. 274-279, (2018) DOI:10.1016/j.appet.2018.05.004(CrossRef)(Google Scholar)
[41] V. Leventakou, I. N. Micali, V. Georgiou, K. Sarri, I. K. Koutra, S. Koinaki, I. M. Vassilaki, I. M. Kogevinas, and L. Chatzi, "Is there an association between eating behavior and attention-deficit hyperactivity disorder symptoms in preschool children?" Journal of Child Psychology and Psychiatry, vol.57, no.6, pp.676-684, (2016) DOI:10.1111/jcpp.12504(CrossRef)(Google Scholar)
[42] K. Abbasi, S. Beigrezai, R. Ghiasvand, M. Pourmasoumi, and B. Mahaki, “Dietary patterns and attention deficit hyperactivity disorder among Iranian children: a case-control study, “Journal of the American College of Nutrition, vol.38, no.1, pp. 76-83. (2019). https://doi.org/10.1080/07315724.2018.1473819(CrossRef)(Google Scholar)
[43] H. D. Woo, D. W. Kim, Y.-S. Hong, Y.-M. Kim, J-H. Seo, B. M. Choe, J. H. Park, J-W Kang, J-H. Yoo, H. W. Chueh, J. H. Lee, M. J. Kwak, and J. Kim. "Dietary patterns in children with attention-deficit/hyperactivity disorder (ADHD)," Nutrients, vol.6, pp.1539-1553, (2014) DOI: 10.3390/nu6041539(CrossRef)(Google Scholar)
[44] C. Wilhelm, I. Marx, K. Konrad, K. Willmes, K. Holtkamp, T. Vloet, and B. Herpertz-Dahlmann, “Differential patterns of disordered eating in subjects with ADHD and overweight,” The World Journal of Biological Psychiatry, vol.12, sup1, pp.118-123, (2011) DOI:10.3109/15622975.2011.602225(CrossRef)(Google Scholar)
[45] A. D. Baddeley and G. Hitch, "Working memory," In G. H. Bower (Ed.), The Psychology of learning and motivation: Advances in research and theory, Academic Press New York, pp.47-89 (1974) DOI:10.1016/S0079-7421(08)60452-1(CrossRef)(Google Scholar)
[46] M. Rapport, K. Chung, G. Shore, and P. Isaacs, "A conceptual model of child psychopathology: Implications for understanding attention deficit hyperactivity disorder and treatment efficacy," Journal of Clinical Child Psychology, vol.30, no.1, pp. 48-58, (2001) DOI:10.1207/S15374424JCCP3001_6(CrossRef)(Google Scholar)
[47] E. Sonuga-Barke, P. Bitsako, and M. Thompson, "Beyond the dual pathway model: Evidence for the dissociation of timing, inhibitory, and delay-related impairments in attention-deficit/hyperactivity disorder," Journal of the American Academy of Child & Adolescent Psychiatry, vol.49, no.4, pp. 345-355, (2010) DOI:10.1176/appi.ajp.2012.12070991(CrossRef)(Google Scholar)
[48] J. Biederman, E. Mick, S. Faraone, E. Braaten, A. Doyle, T. Spencer, T. Wilens, E. Frazier, and M. Johnson, “Influence of gender on attention deficit hyperactivity disorder in children referred to a psychiatric clinic,” American Journal of Psychiatry, vol.159, no.1, pp.36-42, (2002) DOI: 10.1176/appi.ajp.159.1.36(CrossRef)(Google Scholar)
[49] A. Russell, T. Ford, R. Williams, and G. Russell, “The Association Between Socioeconomic Disadvantage and Attention Deficit/Hyperactivity Disorder (ADHD): A Systematic Review,” Child Psychiatry Human Development, vol.47, no.3, pp.440-458, (2016) DOI:10.1007/s10578-015-0578-3(CrossRef)(Google Scholar)
[50] S. Yao, R. Kuja-Halkola, J. Martin, Y. Lu, P. Lichtenstein, C. Norring, A. Birgegård, Z. Yilmaz, C. Hübel, H. Watson, J. Baker, and C. Almqvist, Eating Disorders Working Group of the Psychiatric Genomics Consortium, L. M. Thornton, P. K. Magnusson, C. M. Bulik, and H. Larsson, "Associations between attention-deficit/hyperactivity disorder and various eating disorders: A Swedish nationwide population study using multiple genetically informative approaches,” Biol Psychiatry, vol.86, no.8, pp.577-586 (2019) DOI 10.1016/j.biopsych.2019.04.036(CrossRef)(Google Scholar)
[51] M. Michaelides, J. Pascau, J-D. Gispert, F. Delis, D. Grandy,G-J. Wang, M. Desco, M. Rubinstein, N.D. Volkow, and P. Thanos, “Dopamine D4 receptors modulate brain metabolic activity in the prefrontal cortex and cerebellum at rest and in response to methylphenidate” (2010) DOI:10.1111/j.1460-9568.2010.07319(CrossRef)(Google Scholar)
[52] R. Johnson, M. Gold, D. Johnson, T. Ishimoto, M. Lanaspa, N. Zahniser, and N. Avena, “Attention-Deficit/Hyperactivity Disorder: Is it time to Reappraise the Role of Sugar Consumption?” Postgraduate Medicine, vol.123, no.5, pp.39-49, (2011), DOI:10.3810/pgm.2011.09.2458(CrossRef)(Google Scholar)
[53] A. Mueller, D. Hong, S. Shepard, and T. Moore, “Linking ADHD to the Neural Circuitry of Attention. Trends Cognitive Science, vol.21, no.6, pp.474-488, (2017) DOI: 10.1016/j.tics.2017.03.009(CrossRef)(Google Scholar)
[54] N. D. Volkow, G. J. Wang, F. Telang, J. S. Fowler, P. K. Thanos, J. Logan, D. Alexoff, Y. S. Ding, C. Wong, Y. Ma, and K. Pradhan, “Low dopamine striatal D2 receptors are associated with prefrontal metabolism in obese subjects: possible contributing factors,” Neuroimage vol.42, no.4, pp. 1537-1543, (2008) DOI:10.1016/j.neuroimage.2008.06.002(CrossRef)(Google Scholar)
[55] N. D. Volkow, G. F. Wang, S. H. Kollins, T. L. Wigal, J. H. Newcorn, F. Telang, J.S. Fowler, W. Zhu, J. Logan, Y. Ma, K. Pradhan, C. Wong, and J.M. Swanson, “Evaluating dopamine reward pathway in ADHD: clinical implications,” JAMA, vol.302, no.10, pp.1084-1091, (2009) DOI:10.1001/jama.2009.1308. Erratum in: JAMA. 2009 Oct 7, vol.302, no.13, pp.1420
[56] C. Davis, K. Patte, R.D. Levitan, J. Carter, A.S. Kaplan, C. Zai, C. Reid, C. Curtis, and J. L. Kennedy, “A psycho-genetic study of associations between the symptoms of binge eating disorder and those of attention deficit (hyperactivity) disorder,” Journal of Psychiatric Research, vol.43, no.7, pp. 687-696, (2009) DOI:10.1016/j.jpsychires.2008.10.010(CrossRef)(Google Scholar)
[57] A. Goldschmidt, S. O’Brien, J. Lavender, C. Pearson, D. LeGrange, D., and S. Hunter, "Executive functioning in a racially diverse sample of children who are overweight and at risk for eating disorders," Appetite, vol. 124, pp..43-49. (2018) DOI: 10.1016/j.appet.2017.03.010(CrossRef)(Google Scholar)
[58] E. J Kim, H. J. Kwon, M. Ha, M. H. Lim, S.Y. Oh, J. H. Kim, S. J. Yoo, and K. C. Paik "ADHD, dietary behaviours and obesity," Child Care Health Development, vol.40, pp. 698-705, (2014) DOI:10.1111/cch.12129(CrossRef)(Google Scholar)
[59] T. Hanć, A. Słopień, T. Wolańczyk, A. Szwed, Z. Czapla, M. Durda, M. Dmitrzak-Węglarz, and J. Ratajczak. "Attention-Deficit/Hyperactivity Disorder is Related to Decreased Weight in the Preschool Period and Increased Rate of Overweight in School-Age Boys," Journal of Child and Adolescent Psychopharmacology, vol.25, no.9, pp.691-700, (2015) DOI:10.1089/cap.2014.0157 (CrossRef)(Google Scholar)
[60] A. Russell, T. Ford, and G. Russell, "Socioeconomic associations with ADHD: Findings from a mediation analysis," PloS one, vol. 10, no. 6, e0128248, (2015) DOI:10.1371/journal.pe.0128248(CrossRef)(Google Scholar)
[61] Canadian Nurses Association, "Position statement on mental health services," (2012) https://www.cna-aiic.ca/-/media/can/page-content/pdf- en/ps85_mental_health_ e.pdf?la=en.2012
[62] L. Rourke, D. Leduc, and J. Rourke, "Rourke baby record: Evidence-based infant/child health maintenance." (2017) www.rourkebabyrecord.ca
[63] Canadian Attention Deficit Hyperactivity Disorder Resource Alliance, "Canadian ADHD Practice Guidelines," (3rd ed.) CADDRA, Toronto ON (2018) https://www.caddra.ca
[64] A. Mueller, A. Fermaier, J. Koerts, and L. Tucha, "Stigma in attention deficit hyperactivity disorder," Attention Deficit Hyperactivity Disorder, vol.4, no.3, pp.101-114 (2012) DOI:10.1007/s12402-012-0085-3(CrossRef)(Google Scholar)