Predictors of adult height and weight in boys treated with methylphenidate for childhood behavior problems
Abstract
Objective To examine associations between childhood treatment with methylphenidate (MPH) and adult height and weight.Method Subjects were 97 boys, aged 4 to 12 years, with behavior problems who were (1) referred to a child psychiatry outpatient clinic, (2) treated clinically with MPH for an average of 36 months, and (3) reevaluated between ages 21 and 23 years. Hierarchical analyses predicted adult height and weight from sets of non-medication and medication-related variables.Results Medicated subjects' age, height, and parental socioeconomic status (SES) at referral predicted 44.8% of variation in adult height. Medicated subjects' birth weight, age, height and weight at referral, and parental SES predicted 61.8% of variation in adult weight. With these non-medication variables held constant, initial nausea and vomiting side effects predicted 4.4% incremental variation in adult height, and MPH maintenance dose predicted 3.2% incremental variation in adult weight.Conclusions Medicated individuals who had attained their final stature did not differ in average height or weight from family, community, or unmedicated controls. Most aspects of medication were not associated with adult height or weight. In some individuals, nausea and vomiting side effects and treatment with higher doses of MPH were associated with adult growth decrements.
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Kramer et al. (2000) found no differences in self-reported height or weight between the Loney et al. sample followed into adulthood and control groups.
“Kramer et al. (2000) followed the Loney et al. (1981) sample into adulthood and compared height and weight to control groups drawn from family members (unmedicated brothers and fathers), the community (randomly selected classmates), and clinical groups (individuals with clinical problems but never medicated).No differences in self-reported height or weight were documented.”
From Effects of Stimulant Medication on Growth Rates Across 3 Years in the MTA Follow-up (2007) · cites this paper as Kramer et al. (2000)
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- Authors
- KRAMER, J. R., LONEY, J., PONTO, L. B., ANN ROBERTS, M., & GROSSMAN, S.
- Affiliations
- University of Iowa (US)
- Corresponding author
- KRAMER, JOHN R.
- ORCID
- KRAMER, JOHN R.
- Venue
- Journal of the American Academy of Child & Adolescent Psychiatry
- Publisher
- Elsevier BV
- Published
- 2000-04
- Volume
- 39
- Issue
- 4
- Pages
- 517-524
- ISSN
- 0890-8567 (ISSN-L)
- OpenAlex
- W2036610559
- Cited by
- 99
- References
- 27
- Citations by year
- 2025: 1 · 2024: 2 · 2023: 2 · 2022: 1 · 2021: 4 · 2020: 3 · 2019: 4 · 2018: 1 · 2017: 3 · 2015: 5 · 2014: 2 · 2012: 7
- FWCI
- 3.23
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- NIMH (MH-22659 and MH-30735)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pharmaceutical studies and practices
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Keywords
- methylphenidate, adult height, mature weight, child behavior problems, attention deficit hyperactivity disorder, growth outcomes, adverse drug reactions, nausea and vomiting, maintenance dose, parental socioeconomic status, birth weight, boys
- MeSH terms
- Adult, Central Nervous System Stimulants, Body Height, Body Weight, Child, Child Behavior Disorders, Child Development, Child, Preschool, Dose-Response Relationship, Drug, Follow-Up Studies, Humans, Male, Methylphenidate, Nausea, Prospective Studies, Regression Analysis, Vomiting, Confounding Factors, Epidemiologic
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