Attention-deficit/hyperactivity disorder, physical health, and lifestyle in older adults

J Am Geriatr Soc. 2013 Jun;61(6):882-887. doi: 10.1111/jgs.12261. Epub 2013 May 27.

Abstract

Objectives: To increase insight into the effect of attention-deficit/hyperactivity disorder (ADHD) on health in general in older adults.

Design: Two-phase sampling side-study.

Setting: Longitudinal Aging Study Amsterdam (LASA).

Participants: Two hundred twenty-three randomly selected LASA respondents.

Measurements: Information was collected during home visits on physical health, medication use, and lifestyle characteristics in Phase 1 and on ADHD diagnosis in Phase 2. The associations between independent variables and ADHD were examined with linear and logistic regression analyses.

Results: The adjusted regression estimates of the linear regression analysis showed that the number of ADHD symptoms was positively associated with the presence of chronic nonspecific lung diseases (CNSLD) (B = 2.58, P = .02), cardiovascular diseases (B = 2.18, P = .02), and number of chronic diseases (B = 0.69, P = .04) and negatively associated with self-perceived health (B = -2.83, P = .002). Lifestyle is not a mediator of the association between ADHD and physical health.

Conclusion: Attention-deficit/hyperactivity disorder in older adults was associated with chronic physical illness and poorer self-perceived health. Contrary to expectations, there were no associations between symptoms of ADHD and lifestyle variables.

Publication types

  • Comparative Study

MeSH terms

  • Aged
  • Attention / physiology*
  • Attention Deficit Disorder with Hyperactivity / drug therapy
  • Attention Deficit Disorder with Hyperactivity / epidemiology
  • Attention Deficit Disorder with Hyperactivity / physiopathology*
  • Central Nervous System Stimulants / therapeutic use
  • Disease Progression
  • Female
  • Follow-Up Studies
  • Geriatric Assessment*
  • Humans
  • Life Style*
  • Male
  • Methylphenidate / therapeutic use
  • Motor Activity*
  • Netherlands / epidemiology
  • Prognosis
  • Retrospective Studies
  • Surveys and Questionnaires

Substances

  • Central Nervous System Stimulants
  • Methylphenidate