The Role of Uncontrolled Eating and Screen Time in the Link of Attention Deficit Hyperactivity Disorder with Weight in Late Childhood

Psychiatry Investig. 2017 Nov;14(6):808-816. doi: 10.4306/pi.2017.14.6.808. Epub 2017 Nov 7.

Abstract

Objective: The aim of this study was to examine the mediating roles of uncontrolled eating and sedentary behaviours in the link of attention deficit hyperactivity disorder (ADHD) and weight.

Methods: A total of 352 children in fifth and sixth grade participated in the present study by completing the self-rated Three-Factor Eating Questionnaire and Children of Alcoholics Screening Test during regular classes. An additional questionnaire completed by their parents provided information about the children's ADHD and emotional symptoms, sedentary behaviour based on screen time, and parental variables. The questionnaires were surveyed within one week after their schools' annual physical check-up.

Results: Hierarchical regression analyses revealed that uncontrolled eating was complete mediator in association between ADHD symptoms and body mass index (BMI) for boys, incomplete mediator for girls. However, screen time had no significant effect on the ADHD symptoms-BMI link for both gender.

Conclusion: The findings of this study suggest that gender specific intervention programs may be need to help eating behaviour in children with ADHD and overweight.

Keywords: Attention deficit hyperactivity disorder; Mediator; Screen time; Uncontrolled eating; Weight.