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Comorbid health conditions in people with attention-deficit/hyperactivity disorders: An umbrella review of systematic reviews and meta-analyses
Harvard Med Sch, MA USA; Massachusetts Gen Hosp, MA USA.
Kyung Hee Univ, South Korea.
Kyung Hee Univ, South Korea.
Kyung Hee Univ, South Korea.
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2024 (English)In: Asian Journal of Psychiatry, ISSN 1876-2018, E-ISSN 1876-2026, Vol. 99, article id 104135Article in journal (Refereed) Published
Abstract [en]

Background: We aimed to systematically review meta-analyses on the link between attention-deficit/ hyperactivity disorder (ADHD) and a broad range of psychiatric, physical, and behavioral health conditions (PROSPERO; no.CRD42023448907). Results: We identified 22 meta-analyses that included 544 primary studies, covering 76 unique conditions in over 234 million participants across 36 countries and six continents. We found high-certainty evidence for the associations between ADHD and neuropsychiatric conditions (bipolar disorders, personality disorders, schizophrenia, and pragmatic language skills), night awakenings, obesity, decayed incipient surfaces, asthma, astigmatism, hyperopia and hypermetropia, strabismus, and suicide ideation. Moderate-certainty evidence suggested that ADHD was associated with headache, mood/affective disorders, depression, bruxism, bone fractures, atopic rhinitis, vision problems, suicide attempts, completed suicide, and all-cause mortality. Lowcertainty evidence indicated associations with eating disorders, sleep efficiency, type 2 diabetes, dental trauma prevalence, atopic diseases, and atopic dermatitis. Very low-certainty evidence showed associations between ADHD and several sleep parameters. Conclusion: We found varied levels of evidence for the associations of ADHD with multiple health conditions. Therefore, clinicians should consider a wide range of neurological, psychiatric, sleep and suicide-related, metabolic, musculoskeletal, oral, allergic, and visual conditions, as well as the increased risk of mortality when assessing individuals with ADHD.

Place, publisher, year, edition, pages
ELSEVIER , 2024. Vol. 99, article id 104135
Keywords [en]
ADHD; Health conditions; Umbrella review
National Category
Psychiatry
Identifiers
URN: urn:nbn:se:liu:diva-206360DOI: 10.1016/j.ajp.2024.104135ISI: 001270312200001PubMedID: 39003821OAI: oai:DiVA.org:liu-206360DiVA, id: diva2:1889682
Note

Funding Agencies|National Research Foundation of Korea (NRF) - Korea government (MSIT) [RS-2023-00248157]; Ministry of Health Welfare [HU22C0150]; NIHR [NIHR303122]; NHIR [NIHR203684, NIHR203035, NIHR30077, NIHR128472, RP-PG-0618-20003]; European Research Executive Agency [101095568-HORIZONHLTH-2022-DISEASE-07-03]

Available from: 2024-08-16 Created: 2024-08-16 Last updated: 2024-08-16

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Division of Prevention, Rehabilitation and Community MedicineFaculty of Medicine and Health SciencesPain and Rehabilitation Center
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