Attention-Deficit/Hyperactivity Disorder as a Potential Risk Factor for Dementia and Other Neurocognitive Disorders : A Systematic Review

Background: Attention-deficit/hyperactivity disorder (ADHD), a common neurodevelopmental condition now recognized to persist into older adulthood, has been postulated to be a risk factor for neurocognitive disorders given the overlap in clinical features and neurobiology, as well as the complex interplay between ADHD and known risk factors for dementia. Studies have emerged assessing this relationship, but there has not yet been a comprehensive systematic review addressing this topic.

Objective: To assess whether ADHD is a risk factor for neurocognitive disorders and to explore possible mechanisms for such an association.

Methods: A systematic review of the literature was conducted using Medline, Embase, and PsycINFO from inception until June 4, 2023. Studies were included if they assessed whether or how ADHD may be a risk factor for neurocognitive disorders. Studies were excluded if they were not primary literature, not published in a peer-reviewed journal, not in English, and/or used non-human subjects. Study quality was assessed using the QualSyst tool.

Results: Sixteen studies met inclusion criteria. Seven studies found a positive association between ADHD and neurocognitive disorders (all-cause dementia in four studies, Alzheimer's disease in three studies, Lewy body dementia in two studies, and mild cognitive impairment in one study). Four studies did not find an association. Five studies pertained to possible mechanisms for an association, including genetics, with minimal significant findings.

Conclusions: ADHD may be a risk factor for certain neurocognitive disorders, although the evidence base is limited, and the absolute risk is small. Possible explanations include genetic and lifestyle factors.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:98

Enthalten in:

Journal of Alzheimer's disease : JAD - 98(2024), 3 vom: 08., Seite 773-792

Sprache:

Englisch

Beteiligte Personen:

Carr, Rachel H [VerfasserIn]
Eom, Gina D [VerfasserIn]
Brown, Eric E [VerfasserIn]

Links:

Volltext

Themen:

Aged
Alzheimer’s disease
Attention deficit disorder with hyperactivity
Cognitive dysfunction
Dementia
Lewy body disease
Systematic Review
Systematic review

Anmerkungen:

Date Completed 08.04.2024

Date Revised 08.04.2024

published: Print

Citation Status MEDLINE

doi:

10.3233/JAD-230904

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM369512278