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"It makes sense, because they're self-medicating with carbohydrates. Carbs do the same thing that stimulant medications do — promote dopamine," says Hallowell, who wasn't involved in the latest study. "So you get the gallon of ice cream at midnight."
With impulse control often a problem for people suffering from the disorder, Hallowell also says that nutrition should be part of an ADHD treatment plan.
Here's more from the NPR piece:
That research doesn't prove that the ADHD is causing the weight gain. And this new study doesn't prove that, either. But it does provide better evidence for a potential link because it followed the same group of people over time. It looked at a group of 111 boys with ADHD at age 8. Then their weight was assessed at age 41. The men with ADHD were then compared to similar men who didn't have ADHD as children.
The men who had had ADHD weighed an average of 213 pounds, and 41 percent of them were obese. By contrast, the men who hadn't had ADHD weighed 194 pounds on average, and 22 percent were obese.
The study leaders realized that weight was becoming an an issue for their participants when some who came in for MRI scans were too fat to fit in the machine.
"In most studies you eliminate those people," says F. Xavier Castellanos, a psychiatrist at the Child Study Center at NYU Langone Medical Center in New York and a co-author of the study, which was published in the journal Pediatrics. Instead, the researchers started collecting information on the participants' weight and body mass, or BMI.
This study doesn't figure out why boyhood ADHD might be causing weight problems in adulthood. The weight gain could be caused by psychological factors or neurobiology, Castellanos speculates. Differences in the pathways for dopamine, a neurotransmitter in the brain, have been found in both people who are obese and people with ADHD, he says.
Or it could be that the impulsiveness typical of ADHD makes it harder for people to say no to food. Children who take stimulant medications like Ritalin typically don't have problems with weight gain because the medications suppress appetite. But eating issues may emerge later.
Beyond weight gain, ADHD looks quite different in adults compared to kids. Here, in an earlier post, are 10 things you may not know about adults who suffer from ADHD.
This program aired on May 20, 2013. The audio for this program is not available.
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