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Non-mental diseases associated with ADHD across the lifespan: Fidgety Philipp and Pippi Longstocking at risk of multimorbidity?
Center of Mental Health, Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Würzburg, Würzburg, Germany.
Department of Psychiatry, Hospital Universitari Vall d'Hebron, Barcelona, Catalonia, Spain; Psychiatric Genetics Unit, Group of Psychiatry, Mental Health and Addictions, Vall d'Hebron Research Institute (VHIR), Universitat Autonoma de Barcelona, Barcelona, Catalonia, Spain; Biomedical Network Research Centre on Mental Health (CIBERSAM), Madrid, Spain; Department of Psychiatry and Forensic Medicine, Universitat Autonoma de Barcelona, Barcelona, Catalonia, Spain.
Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, Nijmegen, the Netherlands; Department of Human Genetics and Psychiatry, Radboud University Medical Center, Nijmegen, the Netherlands.
Social Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
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2022 (English)In: Neuroscience and Biobehavioral Reviews, ISSN 0149-7634, E-ISSN 1873-7528, Vol. 132, p. 1157-1180Article, review/survey (Refereed) Published
Abstract [en]

Several non-mental diseases seem to be associated with an increased risk of ADHD and ADHD seems to be associated with increased risk for non-mental diseases. The underlying trajectories leading to such brain-body co-occurrences are often unclear - are there direct causal relationships from one disorder to the other, or does the sharing of genetic and/or environmental risk factors lead to their occurring together more frequently or both? Our goal with this narrative review was to provide a conceptual synthesis of the associations between ADHD and non-mental disease across the lifespan. We discuss potential shared pathologic mechanisms and genetic background and treatments in co-occurring diseases. For those co-occurrences for which published studies with sufficient sample sizes exist, meta-analyses have been published by others and we discuss those in detail. We conclude that non-mental diseases are common in ADHD and vice versa and add to the disease burden of the patient across the lifespan. Insufficient attention to such co-occurring conditions may result in missed diagnoses and suboptimal treatment in the affected individuals.

Place, publisher, year, edition, pages
Pergamon Press, 2022. Vol. 132, p. 1157-1180
Keywords [en]
Asthma, attention-deficit/hyperactivity disorder, diabetes mellitus type II, elimination disorders, epilepsy, migraine, non-mental disease, obesity, somatic disorders
National Category
Psychiatry
Identifiers
URN: urn:nbn:se:oru:diva-95386DOI: 10.1016/j.neubiorev.2021.10.035ISI: 000762200000002PubMedID: 34757108Scopus ID: 2-s2.0-85119174678OAI: oai:DiVA.org:oru-95386DiVA, id: diva2:1610567
Funder
The Swedish Brain FoundationEuropean Commission, 667302 728018
Note

Funding agencies:

Deutscher Akademischer Austausch Dienst (DAAD) European Commission 91690211  

Lundbeck Foundation iPSYCH grant R102-A9118 R155-2014-1724 R248-2017-2003 

Federal Ministry of Education & Research (BMBF)

Spanish Government SAF2015-68341-R RTI2018-100968-B-I00  

Agencia de Gestio D'Ajuts Universitaris de Recerca Agaur (AGAUR) Generalitat de Catalunya 2017-SGR-738  

Innovative Medicine Initiative (IMI2)-Call 2 853966

Instituto de Salud Carlos III CP09/ 00119 CPII15/00023  

Instituto de Salud Carlos III PI17/00289

Agencia de Gestio D'Ajuts Universitaris de Recerca Agaur (AGAUR)

Generalitat de Catalunya General Electric 2017SGR1461

Stiftelsen Kristian Gerhard Jebsen SKGJ MED-02

Regional Health Authority of Western Norway F-10146 

Available from: 2021-11-11 Created: 2021-11-11 Last updated: 2022-03-29Bibliographically approved

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