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Attention-deficit/hyperactivity disorder, physical health, and lifestyle in older adults
Evert J Semeijn1,2, J J Sandra Kooij2, Hannie C Comijs1
1Department of Psychiatry, VU University Medical Center and GGZ inGeest, Amsterdam, The Netherlands.
Objectives:
To increase insight into the effect of attention-deficit/hyperactivity disorder (ADHD) on health in general in older adults.
Design:
Two-phase sampling side-study.
Setting:
Longitudinal Aging Study Amsterdam (LASA).
Participants:
Two hundred twenty-three randomly selected LASA respondents.
Measurements:
Information was collected during home visits on physical health, medication use, and lifestyle characteristics in Phase 1 and on ADHD diagnosis in Phase 2. The associations between independent variables and ADHD were examined with linear and logistic regression analyses.
Results:
The adjusted regression estimates of the linear regression analysis showed that the number of ADHD symptoms was positively associated with the presence of chronic nonspecific lung diseases (CNSLD) (B = 2.58, P = .02), cardiovascular diseases (B = 2.18, P = .02), and number of chronic diseases (B = 0.69, P = .04) and negatively associated with self-perceived health (B = -2.83, P = .002). Lifestyle is not a mediator of the association between ADHD and physical health.
Conclusion:
Attention-deficit/hyperactivity disorder in older adults was associated with chronic physical illness and poorer self-perceived health. Contrary to expectations, there were no associations between symptoms of ADHD and lifestyle variables.
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