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Attention-deficit/hyperactivity disorder is associated with reduced levels of serum low-density lipoprotein cholesterol in adolescents. Data from the population-based German KiGGS study.

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Published:15th Dec 2017
Author: Pinho R, Wang B, Becker A, Rothenberger A, Outeiro TF, Herrmann-Lingen C et al.
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Ref.:World J Biol Psychiatry. 2017:1-29.

Objectives: Attention-deficit/hyperactivity disorder (ADHD) is a multifactorial, complex and the most common neurodevelopmental disorder in childhood. In this analysis, we tested the hypothesis that altered serum lipid patterns are associated with ADHD.

Methods: Using data from the nationwide, population-based German Health Interview and Examination Survey for Children and Adolescents (KiGGS), we compared serum levels of total cholesterol, high-density (HDL) and low-density lipoprotein (LDL) cholesterol, and also triglycerides, in participants with physician-diagnosed and/or suspected ADHD, as defined by a value of ≥7 on the hyperactivity-inattention subscale of the Strengths and Difficulties Questionnaire (SDQ), with non-ADHD controls.

Results: Among 6,898 participants aged between 11 and 17 years, 666 (9.7%) had a physician-based diagnosis of ADHD and/or suspected ADHD. We found correlations between the parent-rated SDQ scores on the hyperactivity-inattention subscale and concentrations of triglycerides (r = 0.064, p < 0.001), total cholesterol (r=-0.026, p = 0.033), HDL cholesterol (r=-0.059, p < 0.001) and LDL cholesterol (r=-0.027, p = 0.031). In multivariate models, low serum levels of LDL cholesterol remained a significant predictor of ADHD (Exp(β)=0.382, 95%-confidence interval = 0.165-0.888, p = 0.025).

Conclusions: Our findings in a large, nationwide and representative sample of German adolescents demonstrated a small, but significant and inverse link between LDL cholesterol levels and symptoms of ADHD. Further studies are required to decipher the biochemical mechanisms behind this relationship.

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