Clinical Psychopharmacology and Neuroscience Papers in Press available online.

 
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 1,*, Mehmet Akif Cansız 1, Ayşe Yeşim Göçmen 2, Mahmut Kılıç 3, Ökkeş Hakan Miniksar 4
1Yozgat Bozok University, Department of Child and Adolescent Psychiatry, Yozgat, Turkey, 2Yozgat Bozok University, Department of Biochemistry, Yozgat, Turkey, 3Yozgat Bozok University, Department of Public Health, Bozok University, Yozgat, Turkey, 4Yozgat Bozok University , Department of Anesthesiology and Reanimation, Yozgat, Turkey
Abstract
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 medication (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.
Accepted Manuscript [Submitted on 2021-07-27, Accepted on 2021-11-01]