期刊论文详细信息
BMC Psychiatry
Association of symptoms of attention-deficit/hyperactivity disorder with symptoms of excessive exercising in an adult general population sample
Martina de Zwaan1  Alexandra Philipsen3  Elmar Brähler2  Astrid Müller1  Nikolas AA Berger1 
[1] Department of Psychosomatic Medicine and Psychotherapy, Hannover Medical School, Carl-Neuberg-Straße 1, Hannover, 30625, Germany;Department of Psychosomatic Medicine and Psychotherapy, University Medical Center Mainz, Mainz, Germany;Department of Psychiatry and Psychotherapy, University Medical Center Freiburg, Freiburg, Germany
关键词: General population;    Adult;    Exercise;    Physical activity;    Excessive exercising;    Attention-deficit/hyperactivity disorder;   
Others  :  1123348
DOI  :  10.1186/s12888-014-0250-7
 received in 2014-06-04, accepted in 2014-08-26,  发布年份 2014
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【 摘 要 】

Background

An increasing number of studies suggest that physical activity can alleviate symptoms of ADHD in children. In adults there are currently insufficient data available on this subject. Interestingly, ADHD and forms of excessive exercising have both been shown to occur more frequently in adult athletes. The aim of the present study was to empirically investigate the association of ADHD and excessive exercising in the adult general population.

Methods

For diagnosis of adult and childhood ADHD a large representative sample of the German general population (n = 1,615) completed a retrospective assessment of childhood ADHD and a self-report assessment of adult ADHD. Excessive exercising as well as putative mediating variables such as eating related psychopathology, depression, and anxiety were assessed using standardized self-rating instruments.

Results

Individuals with childhood only ADHD had a significantly higher frequency of excessive exercising (9.0%) than individuals without ADHD (2.7%). Excessive exercising was significantly associated with childhood only ADHD compared to no ADHD with an odds ratio of 3.239 even after controlling for socio-demographic variables, BMI, eating related and general psychopathology.

Conclusions

Our data show that excessive exercising is significantly overrepresented in individuals in which ADHD symptoms in childhood have not persisted into adulthood. We thus hypothesize that a subgroup of individuals might suppress ADHD symptoms by excessive sporting activities. Although in healthy adults physical activity has been associated with immediate and long term improvements in cognitive functioning, studies empirically investigating associations between the effects of physical activity and adult ADHD are rare. Further studies are warranted to explore the potential role of physical activity in the treatment of ADHD in adults.

【 授权许可】

   
2014 Berger et al.; licensee Springer Ltd.

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【 参考文献 】
  • [1]Diagnostic and Statistical Manual of Mental Disorders: 5th ed. American Psychiatric Publishing, Arlington, VA; 2013.
  • [2]Klein RG, Mannuzza S, Olazagasti MA, Roizen E, Hutchison JA, Lashua EC, Castellanos FX: Clinical and functional outcome of childhood attention-deficit/hyperactivity disorder 33 years later. Arch Gen Psychiatry 2012, 69(12):1295-1303.
  • [3]Willcutt EG, Doyle AE, Nigg JT, Faraone SV, Pennington BF: Validity of the executive function theory of attention-deficit/hyperactivity disorder: a meta-analytic review. Biol Psychiatry 2005, 57(11):1336-1346.
  • [4]Shallice T, Marzocchi GM, Coser S, Del Savio M, Meuter RF, Rumiati RI: Executive function profile of children with attention deficit hyperactivity disorder. Dev Neuropsychol 2002, 21(1):43-71.
  • [5]Yamada K, Nabeshima T: Brain-derived neurotrophic factor/TrkB signaling in memory processes. J Pharmacol Sci 2003, 91(4):267-270.
  • [6]Faraone SV, Biederman J, Mick E: The age-dependent decline of attention deficit hyperactivity disorder: a meta-analysis of follow-up studies. Psychol Med 2006, 36(2):159-165.
  • [7]Barkley RA, Fischer M, Smallish L, Fletcher K: The persistence of attention-deficit/hyperactivity disorder into young adulthood as a function of reporting source and definition of disorder. J Abnorm Psychol 2002, 111(2):279-289.
  • [8]de Zwaan M, Gruss B, Müller A, Graap H, Martin A, Glaesmer H, Hilbert A, Philipsen A: The estimated prevalence and correlates of adult ADHD in a German community sample. Eur Arch Psychiatry Clin Neurosci 2012, 262(1):79-86.
  • [9]Polanczyk G, Rohde LA: Epidemiology of attention-deficit/hyperactivity disorder across the lifespan. Curr Opin Psychiatry 2007, 20(4):386-392.
  • [10]Biederman J, Monuteaux MC, Mick E, Spencer T, Wilens TE, Silva JM, Snyder LE, Faraone SV: Young adult outcome of attention deficit hyperactivity disorder: a controlled 10-year follow-up study. Psychol Med 2006, 36(2):167-179.
  • [11]de Zwaan M, Gruss B, Müller A, Philipsen A, Graap H, Martin A, Glaesmer H, Hilbert A: Association between obesity and adult attention-deficit/hyperactivity disorder in a German community-based sample. Obes Facts 2011, 4(3):204-211.
  • [12]Grassmann V, Alves MV, Santos-Galduroz RF, Galduroz JC: Possible cognitive benefits of acute physical exercise in children with ADHD: a systematic review.J Atten Disord 2014, in press (doi:10.1177/1087054714526041).
  • [13]Gapin JI, Labban JD, Etnier JL: The effects of physical activity on attention deficit hyperactivity disorder symptoms: the evidence. Prev Med 2011, 52(Suppl 1):S70-S74.
  • [14]Pontifex MB, Saliba BJ, Raine LB, Picchietti DL, Hillman CH: Exercise improves behavioral, neurocognitive, and scholastic performance in children with attention-deficit/hyperactivity disorder. J Pediatr 2013, 162(3):543-551.
  • [15]Medina JA, Netto TL, Muszkat M, Medina AC, Botter D, Orbetelli R, Scaramuzza LF, Sinnes EG, Vilela M, Miranda MC: Exercise impact on sustained attention of ADHD children, methylphenidate effects. Atten Defic Hyperact Disord 2010, 2(1):49-58.
  • [16]Chang YK, Liu S, Yu HH, Lee YH: Effect of acute exercise on executive function in children with attention deficit hyperactivity disorder. Arch Clin Neuropsychol 2012, 27(2):225-237.
  • [17]Kamp CF, Sperlich B, Holmberg HC: Exercise reduces the symptoms of attention-deficit/hyperactivity disorder and improves social behaviour, motor skills, strength and neuropsychological parameters. Acta Paediatr 2014, 103(7):709-714.
  • [18]Winter B, Breitenstein C, Mooren FC, Voelker K, Fobker M, Lechtermann A, Krueger K, Fromme A, Korsukewitz C, Floel A, Knecht S: High impact running improves learning. Neurobiol Learn Mem 2007, 87(4):597-609.
  • [19]Colcombe S, Kramer AF: Fitness effects on the cognitive function of older adults: a meta-analytic study. Psychol Sci 2003, 14(2):125-130.
  • [20]Erickson KI, Voss MW, Prakash RS, Basak C, Szabo A, Chaddock L, Kim JS, Heo S, Alves H, White SM, Wojcicki TR, Mailey E, Vieira VJ, Martin SA, Pence BD, Woods JA, McAuley E, Kramer AF: Exercise training increases size of hippocampus and improves memory. Proc Natl Acad Sci U S A 2011, 108(7):3017-3022.
  • [21]Archer T, Kostrzewa RM: Physical exercise alleviates ADHD symptoms: regional deficits and development trajectory. Neurotox Res 2012, 21(2):195-209.
  • [22]Abramovitch A, Goldzweig G, Schweiger A: Correlates of physical activity with intrusive thoughts, worry and impulsivity in adults with attention deficit/hyperactivity disorder: a cross-sectional pilot study. Isr J Psychiatry Relat Sci 2013, 50(1):47-53.
  • [23]Müller A, Cook B, Zander H, Herberg A, Müller V, de Zwaan M: Does the German version of the exercise dependence scale measure exercise dependence? Psychol Sport Exerc 2014, 15:288-292.
  • [24]de Coverley Veale DM: Exercise dependence. Br J Addict 1987, 82(7):735-740.
  • [25]Hausenblas HA, Symons Downs D: Exercise dependence: a systematic review. Psychol Sport Exerc 2002, 3(2):89-123.
  • [26]Parr JW: Attention-deficit hyperactivity disorder and the athlete: new advances and understanding. Clin Sports Med 2011, 30(3):591-610.
  • [27]Putukian M, Kreher JB, Coppel DB, Glazer JL, McKeag DB, White RD: Attention deficit hyperactivity disorder and the athlete: an American medical society for sports medicine position statement. Clin J Sport Med 2011, 21(5):392-401.
  • [28]Allegre B, Therme P, Griffiths M: Individual factors and the context of physical activity in exercise dependence: a prospective study of “Ultra-Marathoners”. Int J Ment Health Addiction 2007, 5(3):233-243.
  • [29]Aidman EV, Woollard S: The influence of self-reported exercise addiction on acute emotional and physiological responses to brief exercise deprivation. Psychol Sport Exerc 2003, 4(3):225-236.
  • [30]Hausenblas HA, Downs DS: How much is too much? The development and validation of the exercise dependence scale. Psychol Health 2002, 17(4):387-404.
  • [31]Kang KD, Choi JW, Kang SG, Han DH: Sports therapy for attention, cognitions and sociality. Int J Sports Med 2011, 32(12):953-959.
  • [32]Chang YK, Hung CL, Huang CJ, Hatfield BD, Hung TM: Effects of an aquatic exercise program on inhibitory control in children with ADHD: a preliminary study. Arch Clin Neuropsychol 2014, 29(3):217-223.
  • [33]Verret C, Guay MC, Berthiaume C, Gardiner P, Beliveau L: A physical activity program improves behavior and cognitive functions in children with ADHD: an exploratory study. J Atten Disord 2012, 16(1):71-80.
  • [34]Smith AL, Hoza B, Linnea K, McQuade JD, Tomb M, Vaughn AJ, Shoulberg EK, Hook H: Pilot physical activity intervention reduces severity of ADHD symptoms in young children. J Atten Disord 2013, 17(1):70-82.
  • [35]Cook BJ, Hausenblas HA: The role of exercise dependence for the relationship between exercise behavior and eating pathology: mediator or moderator? J Health Psychol 2008, 13(4):495-502.
  • [36]Cook B, Engel S, Crosby R, Hausenblas H, Wonderlich S, Mitchell J: Pathological motivations for exercise and eating disorder specific health-related quality of life. Int J Eat Disord 2014, 47(3):268-272.
  • [37]Costa S, Hausenblas HA, Oliva P, Cuzzocrea F, Larcan R: The role of age, gender, mood states and exercise frequency on exercise dependence. J Behav Addictions 2013, 2(4):216-223.
  • [38]Retz-Junginger P, Retz W, Blocher D, Weijers HG, Trott GE, Wender PH, Rossler M: Wender Utah rating scale. The short-version for the assessment of the attention-deficit hyperactivity disorder in adults. Nervenarzt 2002, 73(9):830-838.
  • [39]Retz-Junginger P, Retz W, Blocher D, Stieglitz RD, Georg T, Supprian T, Wender PH, Rosler M: Reliability and validity of the Wender-Utah-rating-scale short form. Retrospective assessment of symptoms for attention deficit/hyperactivity disorder. Nervenarzt 2003, 74(11):987-993.
  • [40]Rosler M, Retz W, Retz-Junginger P, Thome J, Supprian T, Nissen T, Stieglitz RD, Blocher D, Hengesch G, Trott GE: Tools for the diagnosis of attention-deficit/hyperactivity disorder in adults. Self-rating behaviour questionnaire and diagnostic checklist. Nervenarzt 2004, 75(9):888-895.
  • [41]Downs DS, Hausenblas HA, Nigg CR: Factorial validity and psychometric examination of the exercise dependence scale-revised. Meas Phys Educ Exerc Sci 2004, 8(4):183-201.
  • [42]Müller A, Claes L, Smits D, Gefeller O, Hilbert A, Herberg A, Müller V, Hofmeister D, de Zwaan M: Validation of the German version of the exercise dependence scale. Eur J Psychol Assess 2013, 29(3):213-219.
  • [43]Phelan S, Bond DS, Lang W, Jordan D: Wing RR: “Exercise dependence”–a problem or natural result of high activity? Am J Health Behav 2011, 35(6):726-733.
  • [44]Fairburn CG, Beglin SJ: Assessment of eating disorders: interview or self-report questionnaire? Int J Eat Disord 1994, 16(4):363-370.
  • [45]Hilbert A, Tuschen-Caffier B, Karwautz A, Niederhofer H, Munsch S: Eating disorder examination-questionnaire: psychometric properties of the German version. Diagnostica 2007, 53(3):144-154.
  • [46]Mond JM, Hay PJ, Rodgers B, Owen C, Beumont PJ: Validity of the eating disorder examination questionnaire (EDE-Q) in screening for eating disorders in community samples. Behav Res Ther 2004, 42(5):551-567.
  • [47]Kroenke K, Spitzer RL, Williams JB, Lowe B: An ultra-brief screening scale for anxiety and depression: the PHQ-4. Psychosomatics 2009, 50(6):613-621.
  • [48]Lowe B, Wahl I, Rose M, Spitzer C, Glaesmer H, Wingenfeld K, Schneider A, Brahler E: A 4-item measure of depression and anxiety: validation and standardization of the patient health questionnaire-4 (PHQ-4) in the general population. J Affect Disord 2010, 122(1–2):86-95.
  • [49]Kroenke K, Spitzer RL, Williams JB: The patient health questionnaire-2: validity of a two-item depression screener. Med Care 2003, 41(11):1284-1292.
  • [50]Kroenke K, Spitzer RL, Williams JB, Monahan PO, Lowe B: Anxiety disorders in primary care: prevalence, impairment, comorbidity, and detection. Ann Intern Med 2007, 146(5):317-325.
  • [51]Rucklidge JJ, Downs-Woolley M, Taylor M, Brown JA, Harrow SE: Psychiatric comorbidities in a New Zealand sample of adults with ADHD.J Atten Disord 2014, in press (doi:10.1177/1087054714529457).
  • [52]Harpin VA: The effect of ADHD on the life of an individual, their family, and community from preschool to adult life. Arch Dis Child 2005, 90(Suppl 1):i2-i7.
  • [53]Kessler RC, Adler L, Barkley R, Biederman J, Conners CK, Demler O, Faraone SV, Greenhill LL, Howes MJ, Secnik K, Spencer T, Ustun TB, Walters EE, Zaslavsky AM: The prevalence and correlates of adult ADHD in the United States: results from the National Comorbidity Survey Replication. Am J Psychiatry 2006, 163(4):716-723.
  • [54]Sussman S, Lisha N, Griffiths M: Prevalence of the addictions: a problem of the majority or the minority? Eval Health Prof 2011, 34(1):3-56.
  • [55]Bauermeister JJ, Shrout PE, Ramirez R, Bravo M, Alegria M, Martinez-Taboas A, Chavez L, Rubio-Stipec M, Garcia P, Ribera JC, Canino G: ADHD correlates, comorbidity, and impairment in community and treated samples of children and adolescents. J Abnorm Child Psychol 2007, 35(6):883-898.
  • [56]Lee SS, Humphreys KL, Flory K, Liu R, Glass K: Prospective association of childhood attention-deficit/hyperactivity disorder (ADHD) and substance use and abuse/dependence: a meta-analytic review. Clin Psychol Rev 2011, 31(3):328-341.
  • [57]Biederman J, Newcorn J, Sprich S: Comorbidity of attention deficit hyperactivity disorder with conduct, depressive, anxiety, and other disorders. Am J Psychiatry 1991, 148(5):564-577.
  • [58]Lambourne K, Tomporowski P: The effect of exercise-induced arousal on cognitive task performance: a meta-regression analysis. Brain Res 2010, 1341:12-24.
  • [59]Bäckman L, Dixon RA: Psychological compensation: a theoretical framework. Psychol Bull 1992, 112(2):259-283.
  • [60]Merkt J, Singmann H, Bodenburg S, Goossens-Merkt H, Kappes A, Wendt M, Gawrilow C: Flanker performance in female college students with ADHD: a diffusion model analysis. Atten Defic Hyperact Disord 2013, 5(4):321-341.
  • [61]Baltes PB, Staudinger UM, Lindenberger U: Lifespan psychology: theory and application to intellectual functioning. Annu Rev Psychol 1999, 50:471-507.
  • [62]Endres M, Gertz K, Lindauer U, Katchanov J, Schultze J, Schrock H, Nickenig G, Kuschinsky W, Dirnagl U, Laufs U: Mechanisms of stroke protection by physical activity. Ann Neurol 2003, 54(5):582-590.
  • [63]Cotman CW, Berchtold NC: Exercise: a behavioral intervention to enhance brain health and plasticity. Trends Neurosci 2002, 25(6):295-301.
  • [64]Smith AE, Goldsworthy MR, Garside T, Wood FM, Ridding MC: The influence of a single bout of aerobic exercise on short-interval intracortical excitability. Exp Brain Res 2014, 232(6):1875-1882.
  • [65]Wigal SB, Emmerson N, Gehricke JG, Galassetti P: Exercise: applications to childhood ADHD. J Atten Disord 2013, 17(4):279-290.
  • [66]White RD, Harris GD, Gibson ME: Attention deficit hyperactivity disorder and athletes. Sports Health 2014, 6(2):149-156.
  • [67]Bauermeister JJ, Shrout PE, Chavez L, Rubio-Stipec M, Ramirez R, Padilla L, Anderson A, Garcia P, Canino G: ADHD and gender: are risks and sequela of ADHD the same for boys and girls? J Child Psychol Psychiatry 2007, 48(8):831-839.
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