Aufmerksamkeitsdefizit-/Hyperaktivitätsstörung und Adipositas

B. Gruß; A. Müller; M. de Zwaan

doi:10.1055/s-0037-1618707

Adipositas - Ursachen, Folgeerkrankungen, Therapie, Table of Contents

Adipositas - Ursachen, Folgeerkrankungen, Therapie 2010; 04(03): 143-148
DOI: 10.1055/s-0037-1618707

Original- und Übersichtsarbeiten

Schattauer GmbH

Aufmerksamkeitsdefizit-/Hyperaktivitätsstörung und Adipositas

Attention-deficit/hyperactivity disorder and obesity

B. Gruß

¹Psychosomatische und Psychotherapeutische Abteilung, Universitätsklinikum Erlangen

,

A. Müller

¹Psychosomatische und Psychotherapeutische Abteilung, Universitätsklinikum Erlangen

,

M. de Zwaan

¹Psychosomatische und Psychotherapeutische Abteilung, Universitätsklinikum Erlangen

› Author Affiliations

Abstract

Zusammenfassung

Forschungsergebnisse legen nahe, dass adipöse Kinder, Jugendliche und Erwachsene häufig unter einer Aufmerksamkeitsdefizit-/ Hyperaktivitätsstörung (ADHS) leiden bzw. Betroffene mit ADHS ein höheres Risiko für Übergewicht aufweisen. Eine mögliche Erklärung hierfür ist, dass ADHS über impulsives und desorganisiertes Essverhalten zu Adipositas beitragen kann, wobei die Binge-Eating-Störung einen möglichen Mediator darstellt. Weiterhin wird davon ausgegangen, dass ADHS und Adipositas ähnliche biologische Mechanismen teilen. Die angenommene Komorbidität hat wichtige klinische Implikationen. Bei adipösen Patienten sollten die diagnostischen Kriterien einer ADHS überprüft und das Essverhalten bei Patienten mit ADHS genauer erfragt werden. Neben einer fundierten Grundlagenforschung, klinischen und epidemiologischen Studien, sind pharmakologische und psychotherapeutische Behandlungsstudien notwendig, um die Komorbidität von ADHS und Adipositas verstehen und erfolgreich behandeln zu können.

Summary

Research suggests that obese children, adolescents and adults frequently suffer from attention-deficit/hyperactivity disorder and that people affected by ADHD are at a higher risk of being overweight or obese. There is evidence that ADHD contributes to obesity via impulsive and disorganized eating behavior; binge-eating disorder could therefore be a possible mediator. Further it is assumed that ADHD and obesity share similar biologic mechanisms. The postulated comorbidity has important clinical implications. Obese patients should be tested regarding the diagnostic criteria of ADHD and eating behavior should be assessed in patients with ADHD. Besides basic research, clinical and epidemiological studies, pharmacological and psychotherapeutic treatment studies are necessary to further understand the comorbidity of ADHD and obesity and to treat it successfully.

Schlüsselwörter

Aufmerksamkeitsdefizit-/Hyperaktivitätsstörung - Komorbidität - Adipositas

Keywords

Attention-deficit/hyperactivity disorder - comorbidity - obesity

Full Text

References

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