Department of Psychosomatic Medicine and Psychotherapy, University of Erlangen-Nuremberg, Germany.
Obes Facts. 2011;4(3):204-11. doi: 10.1159/000329565. Epub 2011 Jun 6.
The goal of the present study was to examine the association between attention-deficit/hyperactivity disorder (ADHD) and obesity in a representative community based sample of the German population.
Participants were 1,633 German residents (53.6% female) aged 18-64 years. A retrospective assessment of childhood ADHD and a self-report assessment of adult ADHD were administered for diagnosis of adult ADHD. In addition, binge eating and purging behaviors as well as depression and anxiety were assessed using self-rating instruments.
The estimated prevalence of ADHD in obese participants was 9.7% compared to 3.8% in overweight and 4.3% in under-/normal-weight participants. The prevalence of obesity was 22.1% among adults with ADHD and 10.2% among persons without ADHD. Adult ADHD was significantly associated with a greater likelihood of being obese but not overweight even after adjusting for sociodemographic characteristics. Results were similar when adjusting for depression and anxiety symptoms and for purging behaviors. Odds ratios decreased after adjusting for binge eating; however, the results were still significant which shows that the relationship between obesity and ADHD in adulthood is not fully explained by binge eating.
Overall, the results indicate that adult ADHD is associated with obesity in a community-based sample of the adult German population.
本研究旨在考察德国代表性人群样本中注意缺陷多动障碍（ADHD）与肥胖之间的关联。
参与者为 1633 名年龄在 18-64 岁之间的德国居民（53.6%为女性）。采用回顾性评估儿童期 ADHD 和自我报告评估成人 ADHD 来诊断成人 ADHD。此外，还使用自评量表评估暴食和催吐行为以及抑郁和焦虑。
肥胖参与者中 ADHD 的估计患病率为 9.7%，而超重者为 3.8%，体重不足/正常者为 4.3%。ADHD 成人的肥胖患病率为 22.1%，而无 ADHD 者为 10.2%。成人 ADHD 与肥胖的可能性显著相关，但与超重无关，即使在调整了社会人口特征后也是如此。在调整抑郁和焦虑症状以及催吐行为后，结果相似。在调整暴食行为后，比值比降低，但结果仍然显著，这表明肥胖和 ADHD 之间的关系在成年后不能完全用暴食来解释。
总的来说，这些结果表明，成人 ADHD 与德国成人人群的肥胖有关。
