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The role of circadian rhythms in individuals with attention deficit hyperactivity disorder and obesity: A narrative review.

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Title: The role of circadian rhythms in individuals with attention deficit hyperactivity disorder and obesity: A narrative review.
Authors: Galicia, Frinné1,2, Zavaleta Ramírez, Patricia2, Villavicencio, Lino2, de la Peña, Francisco R.1,2,3, Garza Gallegos, Karla1,2,4, Arias Caballero, Adriana1,2,5, Feria, Miriam1,6, Cabrera, Alfonso2, Escalona, Mariana P.1,6, Palacios-Cruz, Lino1,2,6 lino.palacios@salud-mental.org.mx
Source: Salud Mental. ene/feb2021, Vol. 44 Issue 1, p25-30. 6p.
Subjects: CHRONOBIOLOGY disorders, ATTENTION-deficit hyperactivity disorder, METABOLIC syndrome, SLEEP disorders, OBESITY, TEENAGERS, COMORBIDITY, MENTAL illness
Abstract (English): Background. A relationship between attention deficit hyperactivity disorder (ADHD) and obesity has been consistently documented. Obesity and metabolic syndrome have been associated with misalignment between daily activities and circadian rhythm. ADHD patients have a high prevalence of delayed sleep phase syndrome, which is a circadian rhythm disorder. Understanding this relationship is important for the evaluation of obese population at risk. Objective. The aim of this narrative review was to summarize the information updated until 2019 about the role of circadian rhythms in obese ADHD individuals. Method. A search was performed in MEDLINE, EMBASE, and Google Scholar database. The terms ADHD, obesity, circadian rhythm, sleep disorders, adolescent, adult, Adolesc, circadian, attention deficit hyperactivity disorder, and child were combined with logical functions. Results. A total of 132 articles were reviewed. Evidence showed that ADHD subjects have an increased risk to present obesity and circadian rhythms disorders. Some possible pathways for this relationship have been hypothesized including obesity as a risk factor, an underpinned common biological dysfunction, and behavioral and cognitive features of individuals with ADHD. As most of the articles are methodologically cross-sectional, it is not possible to establish causative associations. Discussion and conclusion. This review points out the importance of early recognizing and treating circadian rhythms disorders and obesity in ADHD patients. Future studies must be carried out with a longitudinal design to establish the effect of each comorbidity in the treatment of individuals with ADHD. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Antecedentes. La relación entre el trastorno por déficit de atención con hiperactividad (TDAH) y la obesidad se ha documentado consistentemente. Por otro lado, el síndrome metabólico y la obesidad se han asociado con un desfase del ritmo circadiano. En poblaciones clínicas con TDAH se han encontrado una alta prevalencia del trastorno de fase de sueño retrasada, el cual es un trastorno del ritmo circadiano. Entender la relación entre estos padecimientos es importante para evaluar la población en riesgo de obesidad. Objetivo. Resumir la información actualizada hasta 2019 sobre el rol del ritmo circadiano en individuos obesos con TDAH. Método. Se realizó una búsqueda de artículos en las bases de datos MEDLINE, EMBASE y Google Scholar. Los términos TDAH, obesidad, ritmos circadianos, trastornos del sueño, adolescentes, adultos y niños se combinaron con operadores lógicos. Resultados. Se revisaron un total de 132 artículos. La evidencia demostró que los sujetos con TDAH tienen un alto riesgo de sufrir obesidad y ritmos circadianos alterados. Existen algunas hipótesis para establecer esta relación, incluyendo la obesidad como factor de riesgo para TDAH, la disfunción biológica común entre estos trastornos y las características conductuales y cognitivas de los individuos con TDAH. Sin embargo, como la mayoría de los artículos son transversales, no es posible establecer una asociación causal. Discusión y conclusión. Esta revisión señala la importancia del reconocimiento temprano y tratamiento de los trastornos del ritmo circadiano y obesidad en pacientes con TDAH. Estudios futuros deben realizarse de manera longitudinal para establecer el efecto de estas comorbilidades en el tratamiento de los individuos con TDAH. [ABSTRACT FROM AUTHOR]
Copyright of Salud Mental is the property of Instituto Nacional de Psiquiatria Ramon de la Fuente and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: The role of circadian rhythms in individuals with attention deficit hyperactivity disorder and obesity: A narrative review.
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  Data: <searchLink fieldCode="AR" term="%22Galicia%2C+Frinné%22">Galicia, Frinné</searchLink><relatesTo>1,2</relatesTo><br /><searchLink fieldCode="AR" term="%22Zavaleta+Ramírez%2C+Patricia%22">Zavaleta Ramírez, Patricia</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Villavicencio%2C+Lino%22">Villavicencio, Lino</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22de+la+Peña%2C+Francisco+R%2E%22">de la Peña, Francisco R.</searchLink><relatesTo>1,2,3</relatesTo><br /><searchLink fieldCode="AR" term="%22Garza+Gallegos%2C+Karla%22">Garza Gallegos, Karla</searchLink><relatesTo>1,2,4</relatesTo><br /><searchLink fieldCode="AR" term="%22Arias+Caballero%2C+Adriana%22">Arias Caballero, Adriana</searchLink><relatesTo>1,2,5</relatesTo><br /><searchLink fieldCode="AR" term="%22Feria%2C+Miriam%22">Feria, Miriam</searchLink><relatesTo>1,6</relatesTo><br /><searchLink fieldCode="AR" term="%22Cabrera%2C+Alfonso%22">Cabrera, Alfonso</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Escalona%2C+Mariana+P%2E%22">Escalona, Mariana P.</searchLink><relatesTo>1,6</relatesTo><br /><searchLink fieldCode="AR" term="%22Palacios-Cruz%2C+Lino%22">Palacios-Cruz, Lino</searchLink><relatesTo>1,2,6</relatesTo><i> lino.palacios@salud-mental.org.mx</i>
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  Data: <searchLink fieldCode="JN" term="%22Salud+Mental%22">Salud Mental</searchLink>. ene/feb2021, Vol. 44 Issue 1, p25-30. 6p.
– Name: Subject
  Label: Subjects
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  Data: <searchLink fieldCode="DE" term="%22CHRONOBIOLOGY+disorders%22">CHRONOBIOLOGY disorders</searchLink><br /><searchLink fieldCode="DE" term="%22ATTENTION-deficit+hyperactivity+disorder%22">ATTENTION-deficit hyperactivity disorder</searchLink><br /><searchLink fieldCode="DE" term="%22METABOLIC+syndrome%22">METABOLIC syndrome</searchLink><br /><searchLink fieldCode="DE" term="%22SLEEP+disorders%22">SLEEP disorders</searchLink><br /><searchLink fieldCode="DE" term="%22OBESITY%22">OBESITY</searchLink><br /><searchLink fieldCode="DE" term="%22TEENAGERS%22">TEENAGERS</searchLink><br /><searchLink fieldCode="DE" term="%22COMORBIDITY%22">COMORBIDITY</searchLink><br /><searchLink fieldCode="DE" term="%22MENTAL+illness%22">MENTAL illness</searchLink>
– Name: Abstract
  Label: Abstract (English)
  Group: Ab
  Data: Background. A relationship between attention deficit hyperactivity disorder (ADHD) and obesity has been consistently documented. Obesity and metabolic syndrome have been associated with misalignment between daily activities and circadian rhythm. ADHD patients have a high prevalence of delayed sleep phase syndrome, which is a circadian rhythm disorder. Understanding this relationship is important for the evaluation of obese population at risk. Objective. The aim of this narrative review was to summarize the information updated until 2019 about the role of circadian rhythms in obese ADHD individuals. Method. A search was performed in MEDLINE, EMBASE, and Google Scholar database. The terms ADHD, obesity, circadian rhythm, sleep disorders, adolescent, adult, Adolesc, circadian, attention deficit hyperactivity disorder, and child were combined with logical functions. Results. A total of 132 articles were reviewed. Evidence showed that ADHD subjects have an increased risk to present obesity and circadian rhythms disorders. Some possible pathways for this relationship have been hypothesized including obesity as a risk factor, an underpinned common biological dysfunction, and behavioral and cognitive features of individuals with ADHD. As most of the articles are methodologically cross-sectional, it is not possible to establish causative associations. Discussion and conclusion. This review points out the importance of early recognizing and treating circadian rhythms disorders and obesity in ADHD patients. Future studies must be carried out with a longitudinal design to establish the effect of each comorbidity in the treatment of individuals with ADHD. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: Antecedentes. La relación entre el trastorno por déficit de atención con hiperactividad (TDAH) y la obesidad se ha documentado consistentemente. Por otro lado, el síndrome metabólico y la obesidad se han asociado con un desfase del ritmo circadiano. En poblaciones clínicas con TDAH se han encontrado una alta prevalencia del trastorno de fase de sueño retrasada, el cual es un trastorno del ritmo circadiano. Entender la relación entre estos padecimientos es importante para evaluar la población en riesgo de obesidad. Objetivo. Resumir la información actualizada hasta 2019 sobre el rol del ritmo circadiano en individuos obesos con TDAH. Método. Se realizó una búsqueda de artículos en las bases de datos MEDLINE, EMBASE y Google Scholar. Los términos TDAH, obesidad, ritmos circadianos, trastornos del sueño, adolescentes, adultos y niños se combinaron con operadores lógicos. Resultados. Se revisaron un total de 132 artículos. La evidencia demostró que los sujetos con TDAH tienen un alto riesgo de sufrir obesidad y ritmos circadianos alterados. Existen algunas hipótesis para establecer esta relación, incluyendo la obesidad como factor de riesgo para TDAH, la disfunción biológica común entre estos trastornos y las características conductuales y cognitivas de los individuos con TDAH. Sin embargo, como la mayoría de los artículos son transversales, no es posible establecer una asociación causal. Discusión y conclusión. Esta revisión señala la importancia del reconocimiento temprano y tratamiento de los trastornos del ritmo circadiano y obesidad en pacientes con TDAH. Estudios futuros deben realizarse de manera longitudinal para establecer el efecto de estas comorbilidades en el tratamiento de los individuos con TDAH. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Salud Mental is the property of Instituto Nacional de Psiquiatria Ramon de la Fuente and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=lth&AN=149482645
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        Value: 10.17711/SM.0185-3325.2021.005
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      – SubjectFull: ATTENTION-deficit hyperactivity disorder
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