The Prevalence and Effect of Comorbid Cystic Fibrosis and Attention Deficit Hyperactivity Disorders on

Nicole Spitzer1, Timothy B Legare2, Priyanshi Patel3

  • 1Ophthalmology, University of Central Florida College of Medicine, Orlando, USA.

Cureus
|November 7, 2018
PubMed

Insights

Pediatric cystic fibrosis (CF) patients with attention-deficit/hyperactivity disorder (ADHD) showed improved lung function (FEV1%pred) compared to those without ADHD. Further research is needed to understand ADHD

Area of Science:

  • Pediatric Pulmonology
  • Neurodevelopmental Disorders
  • Chronic Disease Management

Background:

  • Attention-deficit/hyperactivity disorder (ADHD) prevalence in pediatric cystic fibrosis (CF) patients mirrors the general population.
  • The impact of ADHD on CF treatment adherence and patient outcomes remains under-explored.

Purpose of the Study:

  • To investigate the association between comorbid ADHD and clinical outcomes in pediatric CF patients.
  • To compare pulmonary function, BMI, and hospitalization rates between CF patients with and without ADHD.

Main Methods:

  • Retrospective review of two matched cohorts: pediatric patients with CF/ADHD and CF-only.
  • Analysis included forced expiratory volume in one-second percent predicted (FEV1%pred), BMI percentile, and hospitalizations.
  • Age and sex matching was performed based on the most recent pulmonary office visit.

Main Results:

  • A total of 46 pediatric CF patients with ADHD were analyzed against a matched CF-only cohort.
  • No significant differences were found in total hospital admissions or BMI percentiles between groups.
  • A statistically significant improvement in FEV1%pred was observed in the CF/ADHD cohort (84%) compared to the CF-only cohort (74%).

Conclusions:

  • Comorbid ADHD in pediatric CF patients is associated with significantly better lung function (FEV1%pred).
  • While not statistically significant, hospitalization rates and BMI did not differ between groups.
  • Further research is warranted to elucidate the mechanisms and implications of ADHD on CF outcomes.
Abstract

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