The Effect of Drug Use, Body Mass Index and Blood Pressure on Oxidative Stress Levels in Children and Adolescents with Attention Deficit and Hyperactivity Disorder

Dilşad Yıldız Miniksar; Mehmet Akif Cansız; Ayşe Yeşim Göçmen; Mahmut Kılıç; Ökkeş Hakan Miniksar

doi:10.9758/cpn.2023.21.1.88

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자료유형: 학술저널

저자정보: Dilşad Yıldız Miniksar (Yozgat Bozok University) Mehmet Akif Cansız (Yozgat Bozok University) Ayşe Yeşim Göçmen (Yozgat Bozok University) Mahmut Kılıç (Yozgat Bozok University) Ökkeş Hakan Miniksar (Yozgat Bozok University)

저널정보: 대한정신약물학회 Clinical Psychopharmacology and Neuroscience Clinical Psychopharmacology and Neuroscience 제21권 제1호

발행연도: 2023.2

수록면: 88 - 98 (11page)

DOI: 10.9758/cpn.2023.21.1.88

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Objective: The aim of this study was to determine the correlation between clinical variables such as body mass index, blood pressure, drug use and oxidative stress level in children and adolescents with attention deficit and hyperactivity disorder (ADHD). Methods: Total oxidant status (TOS), total antioxidant status (TAS), oxidative stress index (OSI), malondialdehyde (MDA) and superoxide dismutase (SOD) activity were measured in the serum of 51 patients (38 male, 13 female) diagnosed with ADHD according to DSM-5 diagnostic criteria and 32 control subjects (12 male, 20 female). The Kiddie Schedule for Affective Disorders and Schizophrenia Present and Lifetime Version was applied to all participants. Results: The mean TOS, OSI, MDA values were determined to be significantly higher (p ＜ 0.001) and the mean SOD value was lower in the ADHD group (p ＜ 0.001). Multivariate regression analysis indicated significantly lower SOD and diastolic blood pressure values and significantly higher MDA in the ADHD group compared to the control group (p ＜ 0.01). Low SOD (sensitivity 90.2%, specificity 78.0%) and high MDA (sensitivity 86.3%, specificity 81.2%) were determined to be predictive parameters for diagnosing ADHD. In univariate analysis, the mean TOS, OSI and SOD values were higher in ADHD patients under medication, while the mean TAS was higher in patients not using medi cation (p ＜ 0.01). Only TOS was significant in multivariate logistic regression analysis (p ＜ 0.01). Conclusion: The results of this study demonstrate that impaired oxidative balance may play a role in the etiology of ADHD.

#Attention deficit hyperactivity disorder #Oxidative stress #Malondialdehyde #Superoxide dismutase.

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