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Published in: Current Psychiatry Reports 5/2010

01-10-2010

Attention-deficit/Hyperactivity Disorder: Associations with Overeating and Obesity

Author: Caroline Davis

Published in: Current Psychiatry Reports | Issue 5/2010

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Abstract

In the past decade, we have become increasingly aware of strong associations between overweight/obesity and symptoms of attention-deficit/hyperactivity disorder (ADHD) in children, adolescents, and adults. This review addresses the prevalence of the comorbidity and discusses some of the mechanisms that could account for their relationship. It is suggested that the inattentive and impulsive behaviors that characterize ADHD could contribute to overeating in our current food environment, with its emphasis on fast food consumption and its many food temptations. It is also proposed—based on the compelling evidence that foods high in fat, sugar, and salt are as addictive as some drugs of abuse—that excessive food consumption could be a form of self-medication. This view conforms with the well-established evidence that drug use and abuse are substantially higher among those with ADHD than among the general population.
Literature
1.
go back to reference Barkley RA, Fischer M, Smallish L, et al.: The persistence of attention-deficit/hyperactivity disorder into young adulthood as a function of reporting source and definition of disorder. J Abnorm Psychol 2002, 111:279–289.CrossRefPubMed Barkley RA, Fischer M, Smallish L, et al.: The persistence of attention-deficit/hyperactivity disorder into young adulthood as a function of reporting source and definition of disorder. J Abnorm Psychol 2002, 111:279–289.CrossRefPubMed
2.
go back to reference Walshaw PD, Alloy LB, Sabb FW: Executive function in pediatric bipolar disorder and attention-deficit hyperactivity disorder: in search of distinct phenotypic profiles. Neuropsychol Rev 2010, 20:103–120.CrossRefPubMed Walshaw PD, Alloy LB, Sabb FW: Executive function in pediatric bipolar disorder and attention-deficit hyperactivity disorder: in search of distinct phenotypic profiles. Neuropsychol Rev 2010, 20:103–120.CrossRefPubMed
3.
go back to reference Faraone SV: The scientific foundation for understanding attention-deficit/hyperactivity disorder as a valid psychiatric disorder. Eur Child Adolesc Psychiatry 2005, 14:1–10.CrossRefPubMed Faraone SV: The scientific foundation for understanding attention-deficit/hyperactivity disorder as a valid psychiatric disorder. Eur Child Adolesc Psychiatry 2005, 14:1–10.CrossRefPubMed
4.
go back to reference Thapar A, Langley K, O’Donovan M, et al.: Refining the attention deficit hyperactivity disorder phenotype for molecular genetic studies. Mol Psychiatry 2006, 11:714–720.CrossRefPubMed Thapar A, Langley K, O’Donovan M, et al.: Refining the attention deficit hyperactivity disorder phenotype for molecular genetic studies. Mol Psychiatry 2006, 11:714–720.CrossRefPubMed
5.
go back to reference Fuemmeler BF, Kollins SH, McClernon FJ: Attention deficit hyperactivity disorder symptoms predict nicotine dependence and progression to regular smoking from adolescence to young adulthood. J Pediatr Psychol 2007, 32:1203–1213.CrossRefPubMed Fuemmeler BF, Kollins SH, McClernon FJ: Attention deficit hyperactivity disorder symptoms predict nicotine dependence and progression to regular smoking from adolescence to young adulthood. J Pediatr Psychol 2007, 32:1203–1213.CrossRefPubMed
6.
go back to reference Golden SM: Does childhood use of stimulant medication as a treatment for ADHD affect the likelihood of future drug abuse and dependence? A literature review. J Child Adolesc Subst Abuse 2009, 18:243–258.CrossRef Golden SM: Does childhood use of stimulant medication as a treatment for ADHD affect the likelihood of future drug abuse and dependence? A literature review. J Child Adolesc Subst Abuse 2009, 18:243–258.CrossRef
7.
go back to reference Biederman J, Petty CR, Wilens TE, et al.:. Familial risk analyses of attention deficit hyperactivity disorder and substance use disorders. Am J Psychiatry 2008, 165:107–115.CrossRefPubMed Biederman J, Petty CR, Wilens TE, et al.:. Familial risk analyses of attention deficit hyperactivity disorder and substance use disorders. Am J Psychiatry 2008, 165:107–115.CrossRefPubMed
8.
go back to reference Agranat-Meged AN, Deitcher C, Goldzweig G, et al.: Childhood obesity and attention deficit/hyperactivity disorder: a newly described comorbidity in obese hospitalized children. Int J Eat Disord 2005, 37:357–359.CrossRefPubMed Agranat-Meged AN, Deitcher C, Goldzweig G, et al.: Childhood obesity and attention deficit/hyperactivity disorder: a newly described comorbidity in obese hospitalized children. Int J Eat Disord 2005, 37:357–359.CrossRefPubMed
9.
go back to reference Altfas JR: Prevalence of attention deficit/hyperactivity disorder among adults in obesity treatment. BMC Psychiatry 2002, 2:1–8.CrossRef Altfas JR: Prevalence of attention deficit/hyperactivity disorder among adults in obesity treatment. BMC Psychiatry 2002, 2:1–8.CrossRef
10.
go back to reference Fleming J, Levy L: Eating disorders in women with AD/HD. In Gender Issues and AD/HD: Research, Diagnosis, and Treatment. Edited by Quinn PO, Nadeau KG. Silver Springs, MD: Advantage Books; 2002:411–426. Fleming J, Levy L: Eating disorders in women with AD/HD. In Gender Issues and AD/HD: Research, Diagnosis, and Treatment. Edited by Quinn PO, Nadeau KG. Silver Springs, MD: Advantage Books; 2002:411–426.
11.
go back to reference •• Pagoto SL, Curtin C, Lemon SC, et al.: Association between adult attention deficit/hyperactivity disorder and obesity in the US population. Obesity 2009, 17:539–544. Data from a large sample of US residents indicated that adult ADHD was associated with about a 1.5 OR of being overweight and a 1.8 OR of being obese. This was the first population-based study to examine these relationships.CrossRefPubMed •• Pagoto SL, Curtin C, Lemon SC, et al.: Association between adult attention deficit/hyperactivity disorder and obesity in the US population. Obesity 2009, 17:539–544. Data from a large sample of US residents indicated that adult ADHD was associated with about a 1.5 OR of being overweight and a 1.8 OR of being obese. This was the first population-based study to examine these relationships.CrossRefPubMed
12.
go back to reference Holtkamp K, Konrad K, Muller B, et al.: Overweight and obesity in children with attention-deficit/hyperactivity disorder. Int J Obes 2004, 28:685–689.CrossRef Holtkamp K, Konrad K, Muller B, et al.: Overweight and obesity in children with attention-deficit/hyperactivity disorder. Int J Obes 2004, 28:685–689.CrossRef
13.
go back to reference •• Waring ME, Lapane KL: Overweight in children and adolescents in relations to attention-deficit/hyperactivity disorder: results from a national sample. Pediatrics 2008, 122:e1–e6. Data from a large, nationally representative sample in the United States found that among unmedicated children and adolescents with ADHD, there was a 1.5 times the odds risk of being overweight. Their medicated counterparts had 1.6 times the odds of being underweight compared with aged-matched healthy controls.CrossRefPubMed •• Waring ME, Lapane KL: Overweight in children and adolescents in relations to attention-deficit/hyperactivity disorder: results from a national sample. Pediatrics 2008, 122:e1–e6. Data from a large, nationally representative sample in the United States found that among unmedicated children and adolescents with ADHD, there was a 1.5 times the odds risk of being overweight. Their medicated counterparts had 1.6 times the odds of being underweight compared with aged-matched healthy controls.CrossRefPubMed
14.
go back to reference Ptacek R, Kuzelova H, Pacit I, et al.: ADHD and growth: anthropometric changes in medicated and non-medicated ADHD boys. Med Sci Monit 2009, 15:CR595–CR599.PubMed Ptacek R, Kuzelova H, Pacit I, et al.: ADHD and growth: anthropometric changes in medicated and non-medicated ADHD boys. Med Sci Monit 2009, 15:CR595–CR599.PubMed
15.
16.
go back to reference Chen AY, Kim SE, Houtrow AJ, et al.: Prevalence of obesity among children with chronic conditions. Obesity 2009, 18:210–213.CrossRefPubMed Chen AY, Kim SE, Houtrow AJ, et al.: Prevalence of obesity among children with chronic conditions. Obesity 2009, 18:210–213.CrossRefPubMed
17.
go back to reference Claridge G, Davis C: Personality and Psychological Disorders. London: Arnold; 2003. Claridge G, Davis C: Personality and Psychological Disorders. London: Arnold; 2003.
18.
go back to reference •• Cortese S, Angriman M, Maffeis C, et al.: Attention deficit/hyperactivity disorder (ADHD) and obesity: a systematic review of the literature. Crit Rev Food Sci Nutr 2008, 48:524–537. This paper provides an early review of the links between obesity and ADHD and speculates on possible mechanisms to account for this association. The review is limited to studies in which individuals received a formal diagnosis of ADHD.CrossRefPubMed •• Cortese S, Angriman M, Maffeis C, et al.: Attention deficit/hyperactivity disorder (ADHD) and obesity: a systematic review of the literature. Crit Rev Food Sci Nutr 2008, 48:524–537. This paper provides an early review of the links between obesity and ADHD and speculates on possible mechanisms to account for this association. The review is limited to studies in which individuals received a formal diagnosis of ADHD.CrossRefPubMed
19.
go back to reference Bray GA, Nielsen SJ, Popkin BM: Consumption of high-fructose corn syrup in beverages may play a role in the epidemic of obesity. Am J Clin Nutr 2004, 79:537–543.PubMed Bray GA, Nielsen SJ, Popkin BM: Consumption of high-fructose corn syrup in beverages may play a role in the epidemic of obesity. Am J Clin Nutr 2004, 79:537–543.PubMed
20.
21.
go back to reference Nederkoorn C, Guerrieri R, Havermans RC, et al.: The interactive effect of hunger and impulsivity on food intake and purchase in a virtual supermarket. Int J Obes 2009, 33:905–912.CrossRef Nederkoorn C, Guerrieri R, Havermans RC, et al.: The interactive effect of hunger and impulsivity on food intake and purchase in a virtual supermarket. Int J Obes 2009, 33:905–912.CrossRef
22.
go back to reference •• Avena NM, Rada P, Hoebel BG: Evidence for sugar addiction: behavioral and neurochemical effects of intermittent, excessive sugar intake. Neursci Biobehav Rev 2008, 32:20–39. This paper presents compelling evidence from controlled laboratory animal research for the argument that sugar is a potentially addictive substance.CrossRef •• Avena NM, Rada P, Hoebel BG: Evidence for sugar addiction: behavioral and neurochemical effects of intermittent, excessive sugar intake. Neursci Biobehav Rev 2008, 32:20–39. This paper presents compelling evidence from controlled laboratory animal research for the argument that sugar is a potentially addictive substance.CrossRef
23.
go back to reference Ifland JR, Preuss HG, Marcus MT, et al.: Refined food addiction: a classic substance use disorder. Med Hypotheses 2009, 72:518–526.CrossRefPubMed Ifland JR, Preuss HG, Marcus MT, et al.: Refined food addiction: a classic substance use disorder. Med Hypotheses 2009, 72:518–526.CrossRefPubMed
24.
go back to reference Avena NM, Rada P, Hoebel BG: Sugar and fat bingeing have notable differences in addictive-like behavior. J Nutr 2009, 139:623–628.CrossRefPubMed Avena NM, Rada P, Hoebel BG: Sugar and fat bingeing have notable differences in addictive-like behavior. J Nutr 2009, 139:623–628.CrossRefPubMed
25.
go back to reference Grigson PS: Like drugs for chocolate: separate rewards modulated by common mechanisms. Physiol Behav 2002, 76:389–395.CrossRefPubMed Grigson PS: Like drugs for chocolate: separate rewards modulated by common mechanisms. Physiol Behav 2002, 76:389–395.CrossRefPubMed
26.
go back to reference Spring B, Schneider K, Smith M, et al.: Abuse potential of carbohydrates for overweight carbohydrate cravers. Psychopharmacology 2008, 197:637–647.CrossRefPubMed Spring B, Schneider K, Smith M, et al.: Abuse potential of carbohydrates for overweight carbohydrate cravers. Psychopharmacology 2008, 197:637–647.CrossRefPubMed
27.
go back to reference •• Davis C, Carter JC: Compulsive overeating as an addiction disorder: a review of theory and evidence. Appetite 2009, 53:1–8. This paper presents compelling evidence that some forms of overeating (eg, binge eating) can be conceptualized as an addiction disorder. This argument has significance for the well-established links between obesity and ADHD.CrossRefPubMed •• Davis C, Carter JC: Compulsive overeating as an addiction disorder: a review of theory and evidence. Appetite 2009, 53:1–8. This paper presents compelling evidence that some forms of overeating (eg, binge eating) can be conceptualized as an addiction disorder. This argument has significance for the well-established links between obesity and ADHD.CrossRefPubMed
28.
go back to reference Gearhardt AN, Corbin WR, Brownell KD: Food addiction. An examination of the diagnostic criteria for dependence. J Addict Med 2009, 3:1–7.CrossRef Gearhardt AN, Corbin WR, Brownell KD: Food addiction. An examination of the diagnostic criteria for dependence. J Addict Med 2009, 3:1–7.CrossRef
29.
go back to reference Cassin SE, von Ranson KM: Is binge eating experienced as an addiction? Appetite 2007, 49:687–690.CrossRefPubMed Cassin SE, von Ranson KM: Is binge eating experienced as an addiction? Appetite 2007, 49:687–690.CrossRefPubMed
30.
go back to reference Davis C, Levitan RD, Smith M, et al.: Associations among overeating, overweight, and attention deficit/hyperactivity disorder: a structural equation modeling approach. Eat Behav 2006, 7:266–274.CrossRefPubMed Davis C, Levitan RD, Smith M, et al.: Associations among overeating, overweight, and attention deficit/hyperactivity disorder: a structural equation modeling approach. Eat Behav 2006, 7:266–274.CrossRefPubMed
31.
go back to reference Cortese S, Bernardina BD, Mouren M-C: Attention-deficit/hyperactivity disorder (ADHD) and binge eating. Nutr Rev 2007, 65:404–411.CrossRefPubMed Cortese S, Bernardina BD, Mouren M-C: Attention-deficit/hyperactivity disorder (ADHD) and binge eating. Nutr Rev 2007, 65:404–411.CrossRefPubMed
32.
go back to reference Limosin F, Romo L, Batel P, et al.: Association between dopamine receptor D3 gene BalI polymorphism and cognitive impulsiveness in alcohol-dependent men. Eur Psychiatry 2005, 20:304–306.CrossRefPubMed Limosin F, Romo L, Batel P, et al.: Association between dopamine receptor D3 gene BalI polymorphism and cognitive impulsiveness in alcohol-dependent men. Eur Psychiatry 2005, 20:304–306.CrossRefPubMed
33.
go back to reference Ondo WG, Lai DJ: Predictors of impulsivity and reward seeking behavior with dopamine agonists. Parkinsonism Relat Disord 2008, 14:28–32.CrossRefPubMed Ondo WG, Lai DJ: Predictors of impulsivity and reward seeking behavior with dopamine agonists. Parkinsonism Relat Disord 2008, 14:28–32.CrossRefPubMed
34.
go back to reference Verdejo-Garcia A, Bechara A, Recknor EC, et al.: Negative emotion-driven impulsivity predicts substance dependence problems. Drug Alcohol Depend 2007, 91:213–219.CrossRefPubMed Verdejo-Garcia A, Bechara A, Recknor EC, et al.: Negative emotion-driven impulsivity predicts substance dependence problems. Drug Alcohol Depend 2007, 91:213–219.CrossRefPubMed
35.
go back to reference •• Davis C, Patte K, Levitan RD, et al.: A psychogenetic study of associations between the symptoms of binge eating disorder and those of attention deficit (hyperactivity) disorder. J Psychiatr Res 2009, 43:687–696. This study demonstrated that symptoms of ADHD were strongly associated with obesity in a nonclinical community sample of adult men and women.CrossRefPubMed •• Davis C, Patte K, Levitan RD, et al.: A psychogenetic study of associations between the symptoms of binge eating disorder and those of attention deficit (hyperactivity) disorder. J Psychiatr Res 2009, 43:687–696. This study demonstrated that symptoms of ADHD were strongly associated with obesity in a nonclinical community sample of adult men and women.CrossRefPubMed
36.
go back to reference Duckworth AL, Tsukayama E, Geier AB: Self-controlled children stay leaner in the transition to adolescence. Appetite 2010, 54:304–308.CrossRefPubMed Duckworth AL, Tsukayama E, Geier AB: Self-controlled children stay leaner in the transition to adolescence. Appetite 2010, 54:304–308.CrossRefPubMed
37.
go back to reference • Davis C, Patte K, Curtis C, Reid C: Immediate pleasures and future consequences: a neuropsychological study of binge eating and obesity. Appetite 2010, 54:208–213. Decision-making deficits and a diminished ability to delay gratification were found in obese women—with and without BED—compared with an age-matched group of normal weight women.CrossRefPubMed • Davis C, Patte K, Curtis C, Reid C: Immediate pleasures and future consequences: a neuropsychological study of binge eating and obesity. Appetite 2010, 54:208–213. Decision-making deficits and a diminished ability to delay gratification were found in obese women—with and without BED—compared with an age-matched group of normal weight women.CrossRefPubMed
38.
go back to reference Dawe S, Loxton, N: The role of impulsivity in the development of substance use and eating disorders. Neurosci Biobehav Rev 2004, 28:343–351.CrossRefPubMed Dawe S, Loxton, N: The role of impulsivity in the development of substance use and eating disorders. Neurosci Biobehav Rev 2004, 28:343–351.CrossRefPubMed
39.
go back to reference Drechsler R, Rizzo P, Steinhausen HC: Decision-making on an explicit risk-taking task in preadolescents with attention-deficit/hyperactivity disorder. J Neural Transm 2008, 115:201–209.CrossRefPubMed Drechsler R, Rizzo P, Steinhausen HC: Decision-making on an explicit risk-taking task in preadolescents with attention-deficit/hyperactivity disorder. J Neural Transm 2008, 115:201–209.CrossRefPubMed
40.
go back to reference Verbeken S, Braet C, Claus L, et al.: Childhood obesity and impulsivity: an investigation with performance-based measures. Behav Change 2009, 26:153–167.CrossRef Verbeken S, Braet C, Claus L, et al.: Childhood obesity and impulsivity: an investigation with performance-based measures. Behav Change 2009, 26:153–167.CrossRef
41.
go back to reference Nederkoorn C, Jansen E, Mulkens S, et al.: Impulsivity predicts treatment outcome in obese children. Behav Res Ther 2006, 45:1071–1075.CrossRefPubMed Nederkoorn C, Jansen E, Mulkens S, et al.: Impulsivity predicts treatment outcome in obese children. Behav Res Ther 2006, 45:1071–1075.CrossRefPubMed
42.
go back to reference Pauli-Pott U, Albayrak O, Hebebrand J, et al.: Does inhibitory control capacity in overweight and obese children and adolescents predict success in a weight-reduction program? Eur Child Adolesc Psychiatry 2010, 19:135–141.CrossRefPubMed Pauli-Pott U, Albayrak O, Hebebrand J, et al.: Does inhibitory control capacity in overweight and obese children and adolescents predict success in a weight-reduction program? Eur Child Adolesc Psychiatry 2010, 19:135–141.CrossRefPubMed
43.
go back to reference Thapar A, O’Donovan M, Owen MJ: The genetics of attention deficit hyperactivity disorder. Hum Mol Genet 2005, 14:R275–R282.CrossRefPubMed Thapar A, O’Donovan M, Owen MJ: The genetics of attention deficit hyperactivity disorder. Hum Mol Genet 2005, 14:R275–R282.CrossRefPubMed
44.
go back to reference Wermter A-K, Laucht M, Schimmelmann BG, et al.: From nature versus nurture, via nature and nurture, to gene x environment interaction in mental disorders. Eur Child Adolesc Psychiatry 2010, 19:199–210.CrossRefPubMed Wermter A-K, Laucht M, Schimmelmann BG, et al.: From nature versus nurture, via nature and nurture, to gene x environment interaction in mental disorders. Eur Child Adolesc Psychiatry 2010, 19:199–210.CrossRefPubMed
45.
go back to reference Thapur A, Langley K, Asherson P, Gill M: Gene-environment interplay in attention-deficit hyperactivity disorder and the importance of a developmental perspective. Br J Psychiatry 2007, 190:1–3.CrossRef Thapur A, Langley K, Asherson P, Gill M: Gene-environment interplay in attention-deficit hyperactivity disorder and the importance of a developmental perspective. Br J Psychiatry 2007, 190:1–3.CrossRef
46.
go back to reference Grant TM, Huggins JE, Sampson PD, et al.: Alcohol use before and during pregnancy in western Washington, 1989–2004: implications for the prevention of fetal alcohol spectrum disorders. Am J Obstet Gynecol 2009, 278:e1–e8. Grant TM, Huggins JE, Sampson PD, et al.: Alcohol use before and during pregnancy in western Washington, 1989–2004: implications for the prevention of fetal alcohol spectrum disorders. Am J Obstet Gynecol 2009, 278:e1–e8.
47.
go back to reference Golden J: “An argument that goes back to the womb”: the demedicalization of fetal alcohol syndrome, 1973–1992. J Soc Hist 1999, 33:269–298.CrossRef Golden J: “An argument that goes back to the womb”: the demedicalization of fetal alcohol syndrome, 1973–1992. J Soc Hist 1999, 33:269–298.CrossRef
48.
go back to reference Greenbaum RL, Stevens SA, Nash K, et al.: Social cognitive and emotional processing abilities of children with fetal alcohol spectrum disorders: a comparison with attention deficit hyperactivity disorder. Alcohol Clin Exp Res 2009, 33:1656–1670.CrossRefPubMed Greenbaum RL, Stevens SA, Nash K, et al.: Social cognitive and emotional processing abilities of children with fetal alcohol spectrum disorders: a comparison with attention deficit hyperactivity disorder. Alcohol Clin Exp Res 2009, 33:1656–1670.CrossRefPubMed
49.
go back to reference Kooistra L, Crawford S, Gibbard B, et al.: Differentiating attention deficits in children with fetal alcohol spectrum disorder or attention-deficit-hyperactivity disorder. Dev Med Child Neurol 2010, 52:205–211.CrossRefPubMed Kooistra L, Crawford S, Gibbard B, et al.: Differentiating attention deficits in children with fetal alcohol spectrum disorder or attention-deficit-hyperactivity disorder. Dev Med Child Neurol 2010, 52:205–211.CrossRefPubMed
50.
go back to reference Rodriguez A, Miettunen J, Henrikson TB, et al.: Maternal adiposity prior to pregnancy is associated with ADHD symptoms offspring: evidence from three prospective pregnancy cohorts. Int J Obes 2008, 32:550–557.CrossRef Rodriguez A, Miettunen J, Henrikson TB, et al.: Maternal adiposity prior to pregnancy is associated with ADHD symptoms offspring: evidence from three prospective pregnancy cohorts. Int J Obes 2008, 32:550–557.CrossRef
51.
go back to reference • Rodriguez A: Maternal pre-pregnancy obesity and risk for inattention and negative emotionality in children. J Child Psychol Psychiatry 2010, 51:134–143. Prepregnancy overweight/obesity was associated with a twofold increase in inattention symptoms in kindergarten children even after controlling for parental ADHD symptoms.CrossRefPubMed • Rodriguez A: Maternal pre-pregnancy obesity and risk for inattention and negative emotionality in children. J Child Psychol Psychiatry 2010, 51:134–143. Prepregnancy overweight/obesity was associated with a twofold increase in inattention symptoms in kindergarten children even after controlling for parental ADHD symptoms.CrossRefPubMed
52.
go back to reference •• Levy LD, Fleming JP, Klar D: Treatment of refractory obesity in severely obese adults following management of newly diagnosed attention deficit hyperactivity disorder. Int J Obes 2009, 33:326–334. This paper concludes that treatment of ADHD with psychomotor stimulant medication is associated with significant long-term weight loss in severely obese adults with a lengthy history of weight loss failure.CrossRef •• Levy LD, Fleming JP, Klar D: Treatment of refractory obesity in severely obese adults following management of newly diagnosed attention deficit hyperactivity disorder. Int J Obes 2009, 33:326–334. This paper concludes that treatment of ADHD with psychomotor stimulant medication is associated with significant long-term weight loss in severely obese adults with a lengthy history of weight loss failure.CrossRef
Metadata
Title
Attention-deficit/Hyperactivity Disorder: Associations with Overeating and Obesity
Author
Caroline Davis
Publication date
01-10-2010
Publisher
Current Science Inc.
Published in
Current Psychiatry Reports / Issue 5/2010
Print ISSN: 1523-3812
Electronic ISSN: 1535-1645
DOI
https://doi.org/10.1007/s11920-010-0133-7

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