Does the Attention Deficit Hyperactivity Disorder interfere with bariatric surgery results?

Abstract

: pacientes com TDAH apresentam maior IMC, entretanto, a presença do TDAH não apresenta influência no sucesso da cirurgia bariátrica e na redução do IMC.

High prevalence of attention‐deficit/hyperactivity disorder in adolescents with severe obesity seeking bariatric surgery

“…It remains unknown whether the presence of ADHD would affect weight loss and other clinical outcomes in adolescents following bariatric surgery. In the study by Mackey et al, ADHD diagnosis was not related to weight change after bariatric surgery, as previously found in adults . However, there is evidence that the presence of behavioural traits associated with ADHD at the time of treatment, such as impulsivity, inattention or hyperactivity, might still be a barrier to successful weight loss during conservative obesity treatment .…”

“…ADHD is known to be highly prevalent among children and adolescents with obesity, yet with very few studies focusing on participants with severe obesity. Studies in adults that were candidates for bariatric surgery described a wide range of ADHD rates, from 10.2%, 12.1%, 27.4% to even 38% . These large variations derive from methodological differences used to detect ADHD among the studies: applying specific diagnostic tests, conducting structured interviews based on the Diagnostic and Statistical Manual of Mental Disorders (DSM) IV criteria or administering different self‐rating scales .…”

“…Studies in adults that were candidates for bariatric surgery described a wide range of ADHD rates, from 10.2%, 12 12.1%, 13 27.4% 14 to even 38%. 15 These large variations derive from methodological differences used to detect ADHD among the studies: applying specific diagnostic tests, 13 conducting structured interviews based on the Diagnostic and Statistical Manual of Mental Disorders (DSM) IV criteria 14 or administering different self-rating scales. 12,15 Hence, when comparing the prevalence of ADHD between populations, the diagnostic methods should be carefully considered.…”

“…In the study by Mackey et al, 16 ADHD diagnosis was not related to weight change after bariatric surgery, as previously found in adults. 15,17 However, there is evidence that the presence of behavioural traits associated with ADHD at the time of treatment, such as impulsivity, inattention or hyperactivity, might still be a barrier to successful weight loss during conservative obesity treatment. 18 Furthermore, in a study of adults with severe obesity and newly diagnosed ADHD, initiating pharmacotherapy for ADHD was associated with increase in self-directedness and persistence, and decreases in novelty-seeking behaviours and weight loss.…”

Psychiatric Diagnoses and Weight Loss Among Adolescents Receiving Sleeve Gastrectomy

“…This adds to the literature that revealed no association of depression 5,11 with weight loss outcomes as well as findings in adult populations regarding the lack of association with ADHD and weight loss outcomes after surgery. 40 In our previous work, we have found that the subclinical experience of loss of control eating 41 and executive dysfunction 42 may contribute to variability in postoperative outcomes, so it may be more important to evaluate subclinical symptoms rather than disorders that meet full criteria for categorization. Even then, however, the contribution of loss of control eating, found in ours as well as other studies, 11 accounts for only a small percentage of long-term weight loss.…”