Grazing Is Associated with ADHD Symptoms, Substance Use, and Impulsivity in a Representative Sample of a Large Metropolitan Area in Brazil.

Heriseanu, AI; Spirou, D; Moraes, CEF; Hay, P; Sichieri, R; Appolinario, JC

Grazing Is Associated with ADHD Symptoms, Substance Use, and Impulsivity in a Representative Sample of a Large Metropolitan Area in Brazil.

Heriseanu, AI Spirou, D

Moraes, CEF Hay, P Sichieri, R Appolinario, JC

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Publisher:: MDPI
Publication Type:: Journal Article
Citation:: Nutrients, 2023, 15, (13), pp. 2987
Issue Date:: 2023-06-30

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Field	Value	Language
dc.contributor.author	Heriseanu, AI
dc.contributor.author	Spirou, D https://orcid.org/0000-0001-7073-7356
dc.contributor.author	Moraes, CEF
dc.contributor.author	Hay, P
dc.contributor.author	Sichieri, R
dc.contributor.author	Appolinario, JC
dc.date.accessioned	2023-10-02T23:19:45Z
dc.date.available	2023-06-28
dc.date.available	2023-10-02T23:19:45Z
dc.date.issued	2023-06-30
dc.identifier.citation	Nutrients, 2023, 15, (13), pp. 2987
dc.identifier.issn	2072-6643
dc.identifier.issn	2072-6643
dc.identifier.uri	http://hdl.handle.net/10453/172423
dc.description.abstract	Grazing is a clinically relevant eating behaviour, especially when it presents with a sense of loss of control (compulsive grazing). There is evidence that other disordered eating patterns are associated with problematic substance use and impulsivity-related conditions, such as attention-deficit/hyperactivity disorder (ADHD). This overlap contributes to higher psychopathology and treatment complications. Less is known about grazing, and most information originates in high-income countries. Hence, we sought to investigate relationships between grazing, tobacco and alcohol use, ADHD, and impulsivity in a large representative sample from Brazil. Data were collected by trained interviewers from adults (N = 2297) through an in-person household survey based on a stratified and clustered probability sample. We found significant associations between compulsive grazing and problematic alcohol use (OR = 3.02, 95% CI: 1.65, 5.53), ADHD (OR = 8.94, 95% CI: 5.11, 15.63), and smoking (OR = 1.67, 95% CI: 1.12, 2.47), with impulsivity contributing to the first two relationships. The substantial association with ADHD suggests that other executive functions may promote disordered eating, possibly expressed through difficulties in adhering to regular meals. Clinically, these findings highlight the importance of assessing problematic eating patterns, such as compulsive grazing, in those presenting with difficulties with substance use or impulsivity, and vice versa.
dc.format	Electronic
dc.language	eng
dc.publisher	MDPI
dc.relation.ispartof	Nutrients
dc.relation.isbasedon	10.3390/nu15132987
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	0908 Food Sciences, 1111 Nutrition and Dietetics
dc.subject.classification	3202 Clinical sciences
dc.subject.classification	3210 Nutrition and dietetics
dc.subject.classification	4206 Public health
dc.subject.mesh	Adult
dc.subject.mesh	Humans
dc.subject.mesh	Attention Deficit Disorder with Hyperactivity
dc.subject.mesh	Brazil
dc.subject.mesh	Substance-Related Disorders
dc.subject.mesh	Impulsive Behavior
dc.subject.mesh	Smoking
dc.subject.mesh	Humans
dc.subject.mesh	Substance-Related Disorders
dc.subject.mesh	Smoking
dc.subject.mesh	Impulsive Behavior
dc.subject.mesh	Attention Deficit Disorder with Hyperactivity
dc.subject.mesh	Adult
dc.subject.mesh	Brazil
dc.subject.mesh	Adult
dc.subject.mesh	Humans
dc.subject.mesh	Attention Deficit Disorder with Hyperactivity
dc.subject.mesh	Brazil
dc.subject.mesh	Substance-Related Disorders
dc.subject.mesh	Impulsive Behavior
dc.subject.mesh	Smoking
dc.title	Grazing Is Associated with ADHD Symptoms, Substance Use, and Impulsivity in a Representative Sample of a Large Metropolitan Area in Brazil.
dc.type	Journal Article
utslib.citation.volume	15
utslib.location.activity	Switzerland
utslib.for	0908 Food Sciences
utslib.for	1111 Nutrition and Dietetics
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Students
utslib.copyright.status	open_access	*
dc.date.updated	2023-10-02T23:19:44Z
pubs.issue	13
pubs.publication-status	Published online
pubs.volume	15
utslib.citation.issue	13

Abstract:

Grazing is a clinically relevant eating behaviour, especially when it presents with a sense of loss of control (compulsive grazing). There is evidence that other disordered eating patterns are associated with problematic substance use and impulsivity-related conditions, such as attention-deficit/hyperactivity disorder (ADHD). This overlap contributes to higher psychopathology and treatment complications. Less is known about grazing, and most information originates in high-income countries. Hence, we sought to investigate relationships between grazing, tobacco and alcohol use, ADHD, and impulsivity in a large representative sample from Brazil. Data were collected by trained interviewers from adults (N = 2297) through an in-person household survey based on a stratified and clustered probability sample. We found significant associations between compulsive grazing and problematic alcohol use (OR = 3.02, 95% CI: 1.65, 5.53), ADHD (OR = 8.94, 95% CI: 5.11, 15.63), and smoking (OR = 1.67, 95% CI: 1.12, 2.47), with impulsivity contributing to the first two relationships. The substantial association with ADHD suggests that other executive functions may promote disordered eating, possibly expressed through difficulties in adhering to regular meals. Clinically, these findings highlight the importance of assessing problematic eating patterns, such as compulsive grazing, in those presenting with difficulties with substance use or impulsivity, and vice versa.

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http://hdl.handle.net/10453/172423