Hanć Tomasz
Zakład Biologii Rozwoju Człowieka, Instytut Antropologii, Wydział Biologii, Uniwersytet im. Adama Mickiewicza w Poznaniu.
Psychiatr Pol. 2018 Apr 30;52(2):309-322. doi: 10.12740/PP/70388.
Obesity is now a major health concern in both children and adults. According to research from the past 15 years, one of the factors that increase the risk of obesity may be attentiondeficit hyperactivity disorder (ADHD). Not all the studies, however, provide unambiguous results. This literature review aims to systematize the results of previous studies on the risk of obesity in people with ADHD. It included articles addressing the issue of relationship between ADHD and obesity published in the years 2004-2016. Finally, 31 surveys fulfilling the selection criteria were qualified for the review. Analysis of the available sources leads to the conclusion that ADHD is a significant risk factor for obesity, which is especially visible in the adult population. Of the disorders associated with ADHD, the greatest modulating impact on the relationship between obesity and ADHD had oppositional defiant disorder, conduct disorder and emotional overeating. Pharmacological treatment, comorbid conditions, but also age and sex must remain important factors controlled in subsequent studies. Future research should focus on more systematic testing of hypotheses explaining the comorbidity of ADHD and obesity.
肥胖如今已成为儿童和成人共同面临的重大健康问题。根据过去15年的研究,注意力缺陷多动障碍(ADHD)可能是增加肥胖风险的因素之一。然而,并非所有研究都给出了明确的结果。这篇文献综述旨在梳理以往关于ADHD患者肥胖风险研究的结果。它纳入了2004年至2016年间发表的探讨ADHD与肥胖关系问题的文章。最终,有31项满足筛选标准的调查被纳入此次综述。对现有资料的分析得出结论:ADHD是肥胖的一个重要风险因素,这在成年人群中尤为明显。在与ADHD相关的病症中,对立违抗障碍、品行障碍和情绪化暴饮暴食对肥胖与ADHD之间的关系具有最大的调节作用。药物治疗、共病情况,以及年龄和性别在后续研究中仍必须作为重要的可控因素。未来的研究应更侧重于对解释ADHD与肥胖共病现象的假设进行更系统的检验。