Actualité

ADHD: Addiction alimentaire, binge eating et syndrome de l'apnée du sommeil

  • Recherche,
  • Santé-Sciences-Technologie,
Date(s)

le 15 février 2019

Publié dans Appetite

Projet de recherche collaborative dirigé par les Profs. Nicolas Ballon et Samuele Cortese (Faculty of Medicine, University of Southampton, UK) et le Dr. Paul Brunault

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

Abstract

Introduction - The exact mechanisms underlying the established association between ADHD and obesityremain 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 apneasyndrome.

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.

Keywords

#ADHD, #Behavior, #Addictive, #Impulsive behavior, #Addictive-like eating, #Eating addiction, #Substance-related and #addictive disorders

Contact :
Prof. Nicolas Ballon :