Catecholamine response to exercise in children with attention deficit hyperactivity disorder.
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The objective of this study was to examine differences in catecholamine (CA) response to exercise between children who had received a diagnosis of attention-deficit/hyperactivity disorder (ADHD) and age- and gender-matched controls. On the basis of the notion of a CA dysfunction in ADHD, we reasoned that the normal robust increase in circulating CA seen in response to exercise would be blunted in children with ADHD. To test this, we recruited 10 treatment-naïve children with newly diagnosed ADHD and 8 age-matched controls (all male) and measured CA response to an exercise test in which the work was scaled to each subject's physical capability. After exercise, epinephrine and norepinephrine increased in both control and ADHD subjects (p = 0.006 and p = 0.002, respectively), but the responses were substantially blunted in the ADHD group (p = 0.018) even though the work performed did not differ from controls. Circulating dopamine increased significantly in the control subjects (p < 0.016), but no increase was noted in the subjects with ADHD. Finally, a significant attenuation in the lactate response to exercise was found in ADHD (between groups, p < 0.005). Our data suggest that CA excretion after exercise challenges in children with ADHD is deficient. This deficiency can be detected using a minimally invasive, nonpharmacologic challenge.
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Exercise is natural, quantifiable in terms of workload and duration, and a known stimulus of the adrenal medulla and systemic sympathetic nervous system.
“Although several physical stressors are capable of eliciting physiological responses in the body, exercise is natural, quantifiable in terms of workload and duration, and a known stimulus of the adrenal medulla and systemic sympathetic nervous system (6).”
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- Authors
- Wigal, S. B., Nemet, D., Swanson, J. M., Regino, R., Trampush, J., Ziegler, M. G., & Cooper, D. M.
- Affiliations
- University of California, Irvine (US)
- University of California San Diego (US)
- Corresponding author
- Cooper, Dan M
- Venue
- Pediatric Research
- Published
- 2003-05
- Volume
- 53
- Issue
- 5
- Pages
- 756-761
- ISSN
- 0031-3998 (ISSN-L)
- 1530-0447
- OpenAlex
- W2058913720
- Semantic Scholar
- 291c77959298e4b5ba1f3220f877b21c790a35ce
- Cited by
- 92
- References
- 36
- Citations by year
- 2026: 4 · 2025: 3 · 2024: 3 · 2023: 4 · 2022: 5 · 2021: 6 · 2020: 6 · 2019: 7 · 2018: 5 · 2017: 3 · 2016: 2 · 2015: 10 · 2014: 7 · 2013: 3 · 2012: 6
- FWCI
- 1.22
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Pediatric Research (publishedVersion)
- PubMed (publishedVersion)
- eScholarship (California Digital Library) (submittedVersion, cc-by)
- Funders
- National Institutes of Health (5k23mh002042-05, RR00827)
- National Institute of Mental Health (MH02042)
- National Center for Research Resources (M-01RR00827, M01RR000827)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (HD23969)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Keywords
- attention deficit hyperactivity disorder, catecholamines, exercise response, epinephrine, norepinephrine, dopamine, lactate response, children, exercise challenge
- MeSH terms
- Attention Deficit Disorder with Hyperactivity, Catecholamines, Child, Dopamine, Epinephrine, Exercise Test, Heart Rate, Humans, Male, Norepinephrine, Oxygen Consumption, Lactic Acid
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