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Is there an association between eating behaviour and attention-deficit/hyperactivity disorder symptoms in preschool children?
J Child Psychol Psychiatry. 2016 06; 57(6):676-84.JC

Abstract

BACKGROUND

There is some evidence that aberrant eating behaviours and obesity co-occur with attention-deficit/hyperactivity disorder (ADHD) symptoms. The present study is the first that aims to investigate the association between eating behaviours and ADHD symptoms in early childhood in a population-based cohort.

METHODS

We included 471 preschool children from the Rhea mother-child cohort in Crete, Greece. Parents completed the Children's Eating Behaviour Questionnaire to assess children's eating behaviour and the 36-item ADHD test (ADHDT) to evaluate ADHD symptoms at 4 years of age. Multivariable linear regression models were used to examine the association of eating behaviours with ADHD symptoms.

RESULTS

Regarding children's food approach eating behaviours, we observed a positive association between food responsiveness and total ADHD index, as well as impulsivity, inattention and hyperactivity subscale, separately. Similarly, there was a significant positive association between emotional overeating and ADHD symptoms. With regard to children's food avoidant behaviours, food fussiness was found to be significantly associated with the impulsivity subscale. A dose-response association between the food approach behaviours and ADHD symptoms was also observed. Children on the medium and highest tertile of the food responsiveness subscale had increased scores on the ADHD total scale, as compared to those on the lowest tertile. As regards emotional overeating, children in the highest tertile of the scale had higher scores on ADHD total and hyperactivity.

CONCLUSIONS

Our findings provide evidence that food approach eating behaviours such as food responsiveness and emotional overeating are associated with the increased ADHD symptoms in preschool children. Future studies to better understand this overlap will enhance potential interventions.

Authors+Show Affiliations

Department of Social Medicine, Faculty of Medicine, University of Crete, Heraklion, Greece.Brain and Behavioural Sciences Unit, UCL, Institute of Child Health, London, UK. Department of Psychiatry, Icahn Medical School at Mount Sinai, New York, NY, USA. Mindich Child Health and Development Institute, Icahn Medical School at Mount Sinai, New York, NY, USA.Department of Social Medicine, Faculty of Medicine, University of Crete, Heraklion, Greece.Department of Social Medicine, Faculty of Medicine, University of Crete, Heraklion, Greece.Department of Social Medicine, Faculty of Medicine, University of Crete, Heraklion, Greece.Department of Social Medicine, Faculty of Medicine, University of Crete, Heraklion, Greece.Department of Social Medicine, Faculty of Medicine, University of Crete, Heraklion, Greece.Centre for Research in Environmental Epidemiology (CREAL), Barcelona, Spain. Municipal Institute of Medical Research (IMIM-Hospital del Mar), Barcelona, Spain.Department of Social Medicine, Faculty of Medicine, University of Crete, Heraklion, Greece.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

26706046

Citation

Leventakou, Vasiliki, et al. "Is There an Association Between Eating Behaviour and Attention-deficit/hyperactivity Disorder Symptoms in Preschool Children?" Journal of Child Psychology and Psychiatry, and Allied Disciplines, vol. 57, no. 6, 2016, pp. 676-84.
Leventakou V, Micali N, Georgiou V, et al. Is there an association between eating behaviour and attention-deficit/hyperactivity disorder symptoms in preschool children? J Child Psychol Psychiatry. 2016;57(6):676-84.
Leventakou, V., Micali, N., Georgiou, V., Sarri, K., Koutra, K., Koinaki, S., Vassilaki, M., Kogevinas, M., & Chatzi, L. (2016). Is there an association between eating behaviour and attention-deficit/hyperactivity disorder symptoms in preschool children? Journal of Child Psychology and Psychiatry, and Allied Disciplines, 57(6), 676-84. https://doi.org/10.1111/jcpp.12504
Leventakou V, et al. Is There an Association Between Eating Behaviour and Attention-deficit/hyperactivity Disorder Symptoms in Preschool Children. J Child Psychol Psychiatry. 2016;57(6):676-84. PubMed PMID: 26706046.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Is there an association between eating behaviour and attention-deficit/hyperactivity disorder symptoms in preschool children? AU - Leventakou,Vasiliki, AU - Micali,Nadia, AU - Georgiou,Vaggelis, AU - Sarri,Katerina, AU - Koutra,Katerina, AU - Koinaki,Stella, AU - Vassilaki,Maria, AU - Kogevinas,Manolis, AU - Chatzi,Leda, Y1 - 2015/12/26/ PY - 2015/11/16/accepted PY - 2015/12/27/entrez PY - 2015/12/27/pubmed PY - 2017/9/25/medline KW - Eating behaviour KW - attention-deficit hyperactivity disorder KW - child development SP - 676 EP - 84 JF - Journal of child psychology and psychiatry, and allied disciplines JO - J Child Psychol Psychiatry VL - 57 IS - 6 N2 - BACKGROUND: There is some evidence that aberrant eating behaviours and obesity co-occur with attention-deficit/hyperactivity disorder (ADHD) symptoms. The present study is the first that aims to investigate the association between eating behaviours and ADHD symptoms in early childhood in a population-based cohort. METHODS: We included 471 preschool children from the Rhea mother-child cohort in Crete, Greece. Parents completed the Children's Eating Behaviour Questionnaire to assess children's eating behaviour and the 36-item ADHD test (ADHDT) to evaluate ADHD symptoms at 4 years of age. Multivariable linear regression models were used to examine the association of eating behaviours with ADHD symptoms. RESULTS: Regarding children's food approach eating behaviours, we observed a positive association between food responsiveness and total ADHD index, as well as impulsivity, inattention and hyperactivity subscale, separately. Similarly, there was a significant positive association between emotional overeating and ADHD symptoms. With regard to children's food avoidant behaviours, food fussiness was found to be significantly associated with the impulsivity subscale. A dose-response association between the food approach behaviours and ADHD symptoms was also observed. Children on the medium and highest tertile of the food responsiveness subscale had increased scores on the ADHD total scale, as compared to those on the lowest tertile. As regards emotional overeating, children in the highest tertile of the scale had higher scores on ADHD total and hyperactivity. CONCLUSIONS: Our findings provide evidence that food approach eating behaviours such as food responsiveness and emotional overeating are associated with the increased ADHD symptoms in preschool children. Future studies to better understand this overlap will enhance potential interventions. SN - 1469-7610 UR - https://www.unboundmedicine.com/medline/citation/26706046/Is_there_an_association_between_eating_behaviour_and_attention_deficit/hyperactivity_disorder_symptoms_in_preschool_children L2 - https://doi.org/10.1111/jcpp.12504 DB - PRIME DP - Unbound Medicine ER -