Cited by 46Eating Disorders and BehaviorsAttention Deficit Hyperactivity DisorderObesity, Physical Activity, Diet

Adulthood and childhood ADHD in patients consulting for obesity is associated with food addiction and binge eating, but not sleep apnea syndrome

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Brunault, Paul, Frammery, Julie, Montaudon, Pauline, De Luca, Arnaud, Hankard, Régis, Ducluzeau, Pierre Henri, Cortese, Samuele, Ballon, Nicolas·2019·Appetite

Abstract

Introduction The exact mechanisms underlying the established association between ADHD and obesity remain unclear. Food addiction and binge eating may contribute to this link. We examined for the first time the association between childhood/adult ADHD and food addiction/binge eating in patients with obesity, as well as the association between ADHD and sleep apnea syndrome.Methods We included 105 obese patients from the Nutrition Department of the University Hospital of Tours (France) between January and December 2014. We assessed categorical diagnoses of childhood/adulthood ADHD (semi-structured interview DIVA 2.0), food addiction (Yale Food Addiction Scale 2.0), binge eating (Binge Eating Scale), obstructive sleep apnea (clinical assessment), and BMI (clinical assessment).Results Patients with adult ADHD were at significantly higher risk of food addiction than patients without adult ADHD (28.6% vs. 9.1%; p = .016). Adult and childhood ADHD were significantly associated with self-reported food addiction, food addiction scores and binge eating scores, with a larger effect size for adult (ORs: 4.00 [1.29-12.40], 1.37 [1.14-1.65] and 1.08 [1.03-1.14], respectively) than childhood (ORs: 3.32 [1.08-10.23], 1.29 [1.08-1.55] and 1.06 [1.01-1.11], respectively) ADHD. ADHD diagnosis was not significantly correlated to obstructive sleep apnea. Mean age of onset of ADHD preceded mean age of onset of obesity.Conclusion ADHD diagnosis is associated with food addiction and binge eating, with a larger effect size for adult than childhood ADHD. Our results provide a strong rationale for further longitudinal research on the link between ADHD, food addiction, binge eating and obesity, paving the way for evidence-based therapeutic interventions for these patients.

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  1. Gearhardt, Ashley N., Corbin, W. R., & Brownell, K. D. (2016). Development of the Yale Food Addiction Scale Version 2.0. Psychology of Addictive Behaviors, 30(1), 113- 121. https://doi.org/10.1037/adb0000136 · DOI · Paper page

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Authors
Brunault, P., Frammery, J., Montaudon, P., De Luca, A., Hankard, R., Ducluzeau, P. H., Cortese, S., & Ballon, N.
Affiliations
  • Université de Tours (FR)
  • Centre Hospitalier Universitaire de Tours (FR)
  • University of Nottingham (GB)
Corresponding author
Brunault, Paul
Venue
Appetite
Publisher
Elsevier BV
Published
2019-05
Volume
136
Pages
25-32
ISSN
0195-6663 (ISSN-L)
OpenAlex
W2909499572
Cited by
46
References
46
Citations by year
2026: 2 · 2025: 5 · 2024: 3 · 2023: 10 · 2022: 6 · 2021: 11 · 2020: 6 · 2019: 3
FWCI
7.60
Type
journal article
Language
en
Open access
Locations
  • Appetite (acceptedVersion)
  • PubMed (publishedVersion)
  • ePrints Soton (University of Southampton) (acceptedVersion)
  • HAL (submittedVersion, other-oa)
Funders
  • Astra Zeneca
  • DNA Pharma
  • Lundbeck, France
  • Roche
  • AstraZeneca
  • D&A Pharma
  • Lundbeck
Topics
  • Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
  • Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
Keywords
attention deficit hyperactivity disorder, childhood ADHD, adult ADHD, obesity, food addiction, binge eating, obstructive sleep apnea, eating disorders, age of onset, Yale Food Addiction Scale, Binge Eating Scale
MeSH terms
Food Addiction, Adult, Aged, Attention Deficit Disorder with Hyperactivity, Bulimia, Cross-Sectional Studies, Female, France, Humans, Male, Middle Aged, Obesity, Sleep Apnea Syndromes, Comorbidity, Age of Onset

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