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High prevalence of neurodevelopmental problems in adolescents eligible for bariatric surgery for severe obesity

Björk, Anna ; Dahlgren, Jovanna ; Gronowitz, Eva ; Henriksson Wessely, Fanny ; Janson, Annika ; Engström, My ; Sjögren, Lovisa ; Olbers, Torsten and Järvholm, Kajsa LU (2021) In Acta Paediatrica, International Journal of Paediatrics 110(5). p.1534-1540
Abstract

Aim: To assess the prevalence of neurodevelopmental problems in adolescents with severe obesity and their associations with binge eating and depression. Methods: Data were collected at inclusion in a randomised study of bariatric surgery in 48 adolescents (73% girls; mean age 15.7 ± 1.0 years; mean body mass index 42.6 ± 5.2 kg/m2). Parents completed questionnaires assessing their adolescents’ symptoms of attention-deficit/hyperactivity disorder and autism spectrum disorder and reported earlier diagnoses. Patients answered self-report questionnaires on binge eating and depressive symptoms. Results: The parents of 26/48 adolescents (54%) reported scores above cut-off for symptoms of the targeted disorders in their adolescents,... (More)

Aim: To assess the prevalence of neurodevelopmental problems in adolescents with severe obesity and their associations with binge eating and depression. Methods: Data were collected at inclusion in a randomised study of bariatric surgery in 48 adolescents (73% girls; mean age 15.7 ± 1.0 years; mean body mass index 42.6 ± 5.2 kg/m2). Parents completed questionnaires assessing their adolescents’ symptoms of attention-deficit/hyperactivity disorder and autism spectrum disorder and reported earlier diagnoses. Patients answered self-report questionnaires on binge eating and depressive symptoms. Results: The parents of 26/48 adolescents (54%) reported scores above cut-off for symptoms of the targeted disorders in their adolescents, but only 15% reported a diagnosis, 32% of adolescents reported binge eating, and 20% reported symptoms of clinical depression. No significant associations were found between neurodevelopmental problems and binge eating or depressive symptoms. Only a third of the adolescents reported no problems in either area. Conclusion: Two thirds of adolescents seeking surgical weight loss presented with substantial mental health problems (reported by themselves or their parents). This illustrates the importance of a multi-professional approach and the need to screen for and treat mental health disorders in adolescents with obesity.

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author
; ; ; ; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
adolescent, attention-deficit, bariatric surgery, hyperactivity disorder, neurodevelopmental problems, obesity
in
Acta Paediatrica, International Journal of Paediatrics
volume
110
issue
5
pages
1534 - 1540
publisher
Wiley-Blackwell
external identifiers
  • scopus:85097544409
  • pmid:33325092
ISSN
0803-5253
DOI
10.1111/apa.15702
project
Adolescent Morbid Obesity Surgery study 2
language
English
LU publication?
yes
id
6f74e1ca-f129-49db-8017-f310bacc482a
date added to LUP
2020-12-23 09:16:30
date last changed
2024-06-27 04:24:27
@article{6f74e1ca-f129-49db-8017-f310bacc482a,
  abstract     = {{<p>Aim: To assess the prevalence of neurodevelopmental problems in adolescents with severe obesity and their associations with binge eating and depression. Methods: Data were collected at inclusion in a randomised study of bariatric surgery in 48 adolescents (73% girls; mean age 15.7 ± 1.0 years; mean body mass index 42.6 ± 5.2 kg/m<sup>2</sup>). Parents completed questionnaires assessing their adolescents’ symptoms of attention-deficit/hyperactivity disorder and autism spectrum disorder and reported earlier diagnoses. Patients answered self-report questionnaires on binge eating and depressive symptoms. Results: The parents of 26/48 adolescents (54%) reported scores above cut-off for symptoms of the targeted disorders in their adolescents, but only 15% reported a diagnosis, 32% of adolescents reported binge eating, and 20% reported symptoms of clinical depression. No significant associations were found between neurodevelopmental problems and binge eating or depressive symptoms. Only a third of the adolescents reported no problems in either area. Conclusion: Two thirds of adolescents seeking surgical weight loss presented with substantial mental health problems (reported by themselves or their parents). This illustrates the importance of a multi-professional approach and the need to screen for and treat mental health disorders in adolescents with obesity.</p>}},
  author       = {{Björk, Anna and Dahlgren, Jovanna and Gronowitz, Eva and Henriksson Wessely, Fanny and Janson, Annika and Engström, My and Sjögren, Lovisa and Olbers, Torsten and Järvholm, Kajsa}},
  issn         = {{0803-5253}},
  keywords     = {{adolescent; attention-deficit; bariatric surgery; hyperactivity disorder; neurodevelopmental problems; obesity}},
  language     = {{eng}},
  number       = {{5}},
  pages        = {{1534--1540}},
  publisher    = {{Wiley-Blackwell}},
  series       = {{Acta Paediatrica, International Journal of Paediatrics}},
  title        = {{High prevalence of neurodevelopmental problems in adolescents eligible for bariatric surgery for severe obesity}},
  url          = {{http://dx.doi.org/10.1111/apa.15702}},
  doi          = {{10.1111/apa.15702}},
  volume       = {{110}},
  year         = {{2021}},
}