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nobimbo
Wed, May-25-05, 20:58
Wed. May. 25 2005 2:28 PM ET
Deneen Fanelli

Dr. Lance Levy

Cdn. study links obesity and attention disorder


A new Canadian study may offer hope to some for whom dieting and exercise have proven ineffective in the battle against obesity.

In a study published in the journal Eating Weight Disorders, Vol. 10, N.1, researchers have outlined a possible link between severe obesity and attention deficit hyperactivity disorder (ADHD) -- a mental condition that effects hundreds of thousands of Canadians.

Researchers found that more than a quarter (26.7 per cent) of the severely obese women that took part in the study had ADHD. That number is more than four times the rate found in the general population.

"They all had problems with impulsivity and attention and distraction... looking like, for all intents and purposes, like patients with ADD," researcher Dr. Lance Levy tells CTV medical specialist Avis Favaro.

For the study, the final sample consisted of 75 women with an average age of 40 and a mean body mass index (BMI) of 43.1. A person with a BMI of 30.0 and above is considered obese.

ADHD (commonly referred to as ADD) is usually diagnosed in children in their pre-school or early school years. But the condition often follows them into adulthood.

Doctors estimate that 85 per cent of ADHD cases among adults are undiagnosed. Symptoms for adults may be different than for children, with usually less hyperactivity, but the disorder could make it more difficult for adult sufferers to plan and prepare proper meals and maintain an exercise regimen.

Toronto psychologist John Fleming adds: "There's a tendency to not pay attention to feelings of fullness and that ability to be able to say 'stop'."

Dineen Fanelli, a 41-year-old patient, tells CTV that she knew her eating habits were out of control when her weight ballooned to 230 pounds.

"Instead of having a regular lunch, I would prefer to have a slice of cake, and I would be thinking about sweets all the time," she says.

Her doctor discovered she had undiagnosed ADHD and pointed to it as a possible reason behind her poor eating habits and why she couldn't stick to diets.

Fanelli's sister and nephew had also been diagnosed with the disorder, which, in her, led to procrastination and memory problems.

"When you have ADHD, it's hard to stay focused. You'd have great ideas but can't execute them."

Researchers are conducting follow-up studies to determine if the link they've uncovered could offer the possibility that by treating ADHD, they could help obese patients in their battle to lose weight.

So far, reports Favaro, the researchers have found that when these patients are treated for attention disorders with drugs like Ritalin, coupled with counselling, about 40 per cent end up losing weight.

Fanelli is being treated with the drug Concerta, and says it has changed her life. She managed to drop 60 pounds so far and says she feels smarter and more confident, "like a light bulb went on."

But Fleming warns against regarding his team's finding as a "magic bullet" that will help the obese begin to lose weight immediately.

"What it does is give patients a level playing feel to work from," he says.

For Fanelli, treating the disorder she's suffered unknowingly from since childhood has proven to be just the answer to her weight problems.

"Now I know how to eat normally. I know how much to eat. I know how to say no."

http://www.ctv.ca/servlet/ArticleNews/story/CTVNews/1116873115042_121/?hub=Health

Kagior
Wed, May-25-05, 22:46
What really levels the playing field is eliminating the sugar addiction. But, of course, that does not help out the pharm companies.

littlejohn
Thu, May-26-05, 06:54
I think ADHD is an over used label. I don't think not being able to focus and stick with something is worth of a "disease label". We can't say they are just lazy can we now.

But I absolutely agree that being fat can dramatically affect you "ADHD" like activity. Being obiese slowed down my work performance, domestic duty performance, family involvement and just about everything else. But then how much of that is physical and how much is mental?

Nancy LC
Thu, May-26-05, 07:39
I get a little miffed when people who know absolutely nothing about the afflicted, apply some label of moral inferiority like laziness. You have absolutely no idea what is happening with someone else physiologically, unless you're their doctor... even then you might not have a clue.

This pushes my button at the moment because I labeled myself as "lazy" for a lot of years when my real problem was an issue with thyroid hormones. If I hadn't written off my lack of motivation as a character failing, I could have gotten it treated sooner and been a lot more productive over 10 years.

I have a sneaking suspicion that ADHD might be, at least in part, caused by a high refined carb diet.

Kristine
Thu, May-26-05, 08:37
Interesting concept, but I can't help wondering if this was one of those heavily-padded studies sponsored by big pharma in an attempt to get people who barely fit the description of ADHD to get on Ritalin and Concerta. If they could expand their market from disruptive kids to "adults who have a hard time sticking to a diet", just imagine for a minute what that would do for their sales.

MsCarrieM
Thu, May-26-05, 12:20
"Now I know how to eat normally. I know how much to eat. I know how to say no."

How much of the weight loss was due to the medicine and how much was due to the counselling???? What emotional problems did the women overcome in counselling? Was it nutritional counselling?

I personally see a label of ADHD being applied to people "who can't stick to diets" being just another way for the doctors and drug companies to make money.

ironaddict
Thu, May-26-05, 15:26
Hi,

Doesn't this finding directly contradict the other study that concluded that chronic fidgeters were leaner?

Cheers, IA

Lisa N
Thu, May-26-05, 15:58
I have a sneaking suspicion that ADHD might be, at least in part, caused by a high refined carb diet.

At the very least, a high carb diet wouldn't help (anyone familiar with that post-lunch brain fog and sleepiness?). Having your blood sugars on a constant spike/crash roller coaster isn't exactly ideal for clear thinking. I wonder what the effect would have been on that 26.7 percent if they had put them on a low carb regimen for a few months and then tested them for symptoms of ADD again?
Low fat isn't the answer, either, since it deprives you of essential fatty acids that your brain requires to function properly. Studies have shown that many children with ADD and ADHD are deficient in these EFAs, either because they don't get them in their diets or because their bodies can't utilize them properly. :idea:

ozarkren
Thu, May-26-05, 22:19
Most, if not all, ADD drugs are a form of speed. So, yea, you'd lose weight.

Ozarkren

liz175
Fri, May-27-05, 06:24
I think ADHD is an over used label. I don't think not being able to focus and stick with something is worth of a "disease label". We can't say they are just lazy can we now.


I have friends and family members with ADD who are among the most creative, hard-working, and successful people I know. Yes, there will always be the occasional person who self-diagnoses himself or herself as having ADD and uses it as an excuse not to do things, just as there will always be hypochodriacs who diagnose themselves with a multitude of other diseases, but to imply that most people who have ADD are really just lazy is outside of my experience.

The people I know with ADD have worked hard to understand both the strengths and weaknesses they have that are associated with the disorder and found ways to build careers and lives that take advantage of their strengths while minimizing their weaknesses. They work hard and they deserve the success they have had. They also deserve to be treated with respect.

littlejohn
Fri, May-27-05, 06:35
Ok, I guess an apology is in order here. Don't mean to offend. My experience has been parents with unruley, very active or non focusing kids wanting to blame it on a disease. I think we are sometimes guilty of wanting a disease excuse. I acknowledge that there are some ligit cases where meds can help. But even then I think we are over prescribing. But I did not mean to suggest that any one diagnosed or taking meds for ADHD is just lazy.

liz175
Fri, May-27-05, 08:38
Deleted post.