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Body dissatisfaction and weight control behaviour in children with ADHD: a population-based study
Matthew Bisset1,2, Nicole Rinehart3, Emma Sciberras3,4,5
1School of Psychology, Faculty of Health, Deakin Child Study Centre, Deakin University, 221 Burwood Hwy, Burwood, VIC, 3125, Australia. m.bisset@deakin.edu.au.
European Child & Adolescent Psychiatry
|March 20, 2019
Summary
Children with attention-deficit/hyperactivity disorder (ADHD) show increased body dissatisfaction risk starting at age 8-9. This risk, along with weight control behaviors, persists into adolescence, especially with comorbid conditions or ADHD medication use.
Area of Science:
- Child Psychology
- Developmental Psychology
- Psychiatry
Background:
- Attention-deficit/hyperactivity disorder (ADHD) is linked to eating disorders (EDs), but the onset of ED risk in children with ADHD is not well understood.
- Early identification of risk factors is crucial for timely intervention.
Purpose of the Study:
- To determine when body dissatisfaction and weight control behaviors emerge in children with ADHD.
- To examine the influence of ADHD medication status on these behaviors.
- To investigate the role of comorbidities in the relationship between ADHD and ED risk factors.
Main Methods:
- Longitudinal analysis of the Longitudinal Study of Australian Children (n=2323-2972).
- Assessment of ADHD based on parent/teacher reports and medication use at ages 12-13.
- Self-reported body dissatisfaction and weight control behaviors at ages 8-9, 10-11, and 12-13.
Main Results:
- Children with ADHD exhibited higher odds of body dissatisfaction at ages 8-9 and 12-13.
- At 12-13 years, children with ADHD were more likely to attempt weight gain or loss, irrespective of BMI.
- Comorbidities influenced body dissatisfaction at 8-9 and weight loss attempts at 12-13, while ADHD medication was linked to weight gain attempts.
Conclusions:
- ADHD is associated with a moderately increased risk of body dissatisfaction in children aged 8-9 and 12-13.
- Weight control behaviors emerge in children with ADHD by age 12-13.
- Clinical monitoring for body dissatisfaction and weight control behaviors is recommended for children with ADHD, especially those with comorbidities or on medication, to mitigate future ED risk.
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