Open Access美国成人注意力缺陷/多动障碍与糖尿病的关系
Author(s) -
Xu Guifeng,
Liu Buyun,
Yang Wenhan,
Snetselaar Linda G.,
Jing Jin
Publication year - 2021
Publication title -
journal of diabetes
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.949
H-Index - 43
eISSN - 1753-0407
pISSN - 1753-0393
DOI - 10.1111/1753-0407.13107
Subject(s) - medicine , attention deficit hyperactivity disorder , national health interview survey , odds ratio , diabetes mellitus , national health and nutrition examination survey , logistic regression , body mass index , confidence interval , obesity , alcohol use disorder , comorbidity , psychiatry , demography , environmental health , population , alcohol , endocrinology , biochemistry , chemistry , sociology
Background Attention‐deficit/hyperactivity disorder (ADHD) is a childhood‐onset neurodevelopmental disorder that usually persists into adulthood. However, limited evidence is available regarding its influence on adult health outcomes beyond neuropsychiatric comorbidities. This study aimed to examine the association of ADHD with diabetes in US adults. Methods We analyzed data from the National Health Interview Survey (NHIS), a leading health survey of a nationally representative sample in the United States. We included adults aged 20‐79 years who participated in the NHIS 2007 and 2012. Physician‐diagnosed ADHD and diabetes were reported during an in‐person household interview. Logistic regression with survey sampling weights was used to estimate the odds ratio (OR) and 95% confidence interval (CI) of diabetes. Results This analysis included 52 821 adults (weighted mean age 45.5 years; 48.6% males). Among them, 1642 participants reported a diagnosis of ADHD and 4631 reported a diagnosis of diabetes. In the multivariable analysis adjusting for age, sex, race/ethnicity, education level, family income level, smoking, alcohol drinking, physical activity, and body mass index, the OR of diabetes among adults with ADHD vs those without ADHD was 1.54 (95% CI, 1.16‐2.04). In the stratified analyses, the significant association of ADHD with diabetes remained in most strata, and the associations were not significantly modified by age, sex, race/ethnicity, or obesity status. Conclusions In a nationally representative sample of US adults, we found a significant association between a history of ADHD diagnosis and diabetes.