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Methylphenidate and Reduced Overweight in Children With ADHD
Elisabeth Mellström1,2, Cecilia Forsman3, Lisbet Engh4
1Karlstad Central Hospital, Sweden.
Journal of Attention Disorders
|October 30, 2018
Summary
Children with Attention-Deficit/Hyperactivity Disorder (ADHD) have higher odds of overweight or obesity. Methylphenidate treatment may improve body mass index (BMI) in these children, particularly those who are overweight.
Area of Science:
- Pediatrics
- Neurodevelopmental Disorders
- Metabolic Health
Background:
- Attention-Deficit/Hyperactivity Disorder (ADHD) is frequently associated with weight concerns in children.
- Understanding the relationship between ADHD, overweight/obesity, and treatment is crucial for comprehensive care.
Purpose of the Study:
- To determine the odds of overweight and obesity in children diagnosed with ADHD.
- To compare changes in Body Mass Index (BMI) following methylphenidate treatment in normal weight versus overweight/obese children with ADHD.
Main Methods:
- A population-based study involving 724 children under 18 years old.
- Calculation of odds ratios for overweight/obesity by comparing the ADHD group with a reference population.
- Assessment of BMI changes for up to three years post-methylphenidate initiation.
Main Results:
- Children with ADHD exhibited an 1.87 times higher odds of being overweight or obese (95% CI: [1.60, 2.19]).
- Methylphenidate treatment led to a decrease in BMI standard deviation score between 1 to 3 years.
- This BMI decrease was significantly greater in overweight/obese children compared to normal weight children (-0.64 vs -0.39, p = .001) and more pronounced in girls.
Conclusions:
- Methylphenidate treatment appears to support healthier weight development in children with ADHD, especially those who are overweight or obese.
- The findings suggest a potential therapeutic benefit of methylphenidate in managing weight-related issues in pediatric ADHD.
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