Attention Deficit Hyperactivity Disorder in Obesity and Hypertension: A Study Among Young Adults in Delhi NCR, India

IF 1.6 4区 医学 Q1 ANTHROPOLOGY
Sumit Mishra, Oishi Choudhury, Vineet Chaudhary, Kallur Nava Saraswathy, Lokesh Singh Shekhawat, Naorem Kiranmala Devi
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Abstract

Objective

Attention deficit hyperactivity disorder (ADHD) is a neurodevelopmental disorder increasingly recognized as an adult health concern. It is linked to behavioral disinhibitions that are studied to be associated with mental and physical health adversities, including obesity and hypertension, due to potential common genetic and environmental underpinnings. These connections remain underexplored, particularly in the Indian context. Hence, this study aims to explore the association of ADHD with obesity and hypertension among young adults in Delhi NCR, India.

Methods

This cross-sectional study involved 1537 participants aged 18–25 years residing in Delhi NCR, India. Sociodemographic data was collected via pretested and modified interview schedules. ADHD was screened using the ASRS v1.1 tool. Obesity was assessed in terms of general and central obesity using standard anthropometric measurements. Blood pressure was recorded using a digital sphygmomanometer.

Results

Combined-type ADHD correlated with a higher risk of central obesity, with 2.4-fold and 1.9-fold increased odds of high waist circumference (WC) and waist–height ratio (WHtR), respectively. The effect of ADHD on obesity intensified with age. No significant association was found with blood pressure, but trends suggested hypertension may escalate with age among ADHD individuals.

Conclusions

The study emphasizes the importance of incorporating ADHD diagnosis into obesity management programs and highlights the critical role of early, targeted interventions in effectively managing ADHD symptoms. Such an approach may help achieve better health outcomes and reduce the risk of future cardiovascular complications.

肥胖和高血压的注意缺陷多动障碍:印度德里NCR年轻人的一项研究
目的注意缺陷多动障碍(ADHD)是一种神经发育障碍,越来越被认为是成人健康问题。它与行为去抑制有关,研究表明,由于潜在的共同遗传和环境基础,行为去抑制与心理和身体健康逆境(包括肥胖和高血压)有关。这些联系仍未得到充分探讨,特别是在印度的背景下。因此,本研究旨在探讨印度德里NCR年轻人中ADHD与肥胖和高血压的关系。方法本横断面研究纳入1537名年龄在18-25岁的居住在印度德里NCR的参与者。通过预先测试和修改的访谈时间表收集社会人口统计数据。使用ASRS v1.1工具筛查ADHD。采用标准人体测量法对肥胖进行一般和中心性肥胖评估。使用数字血压计记录血压。结果混合型ADHD与中心性肥胖的风险相关,高腰围(WC)和腰高比(WHtR)分别增加2.4倍和1.9倍。ADHD对肥胖的影响随着年龄的增长而增强。没有发现与血压有显著的关联,但趋势表明,在ADHD个体中,高血压可能随着年龄的增长而升级。该研究强调了将ADHD诊断纳入肥胖管理计划的重要性,并强调了早期、有针对性的干预在有效管理ADHD症状方面的关键作用。这种方法可能有助于获得更好的健康结果,并降低未来心血管并发症的风险。
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来源期刊
CiteScore
4.80
自引率
13.80%
发文量
124
审稿时长
4-8 weeks
期刊介绍: The American Journal of Human Biology is the Official Journal of the Human Biology Association. The American Journal of Human Biology is a bimonthly, peer-reviewed, internationally circulated journal that publishes reports of original research, theoretical articles and timely reviews, and brief communications in the interdisciplinary field of human biology. As the official journal of the Human Biology Association, the Journal also publishes abstracts of research presented at its annual scientific meeting and book reviews relevant to the field. The Journal seeks scholarly manuscripts that address all aspects of human biology, health, and disease, particularly those that stress comparative, developmental, ecological, or evolutionary perspectives. The transdisciplinary areas covered in the Journal include, but are not limited to, epidemiology, genetic variation, population biology and demography, physiology, anatomy, nutrition, growth and aging, physical performance, physical activity and fitness, ecology, and evolution, along with their interactions. The Journal publishes basic, applied, and methodologically oriented research from all areas, including measurement, analytical techniques and strategies, and computer applications in human biology. Like many other biologically oriented disciplines, the field of human biology has undergone considerable growth and diversification in recent years, and the expansion of the aims and scope of the Journal is a reflection of this growth and membership diversification. The Journal is committed to prompt review, and priority publication is given to manuscripts with novel or timely findings, and to manuscripts of unusual interest.
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