Archives of Mental Health

ORIGINAL ARTICLE
Year
: 2021  |  Volume : 22  |  Issue : 2  |  Page : 92--97

Prevalence of eveningness and its association with cardiometabolic risk factors, risky sexual behavior, and alcohol use in adolescents and young adult males with ADHD


Shankar Kumar1, Sneha Venkatakrishna2, Karthik Ambalavana3, Shruthi Nayak3 
1 Assistant Professor, Department of Psychiatry, Bangalore Medical College and Research Institute, Bengaluru, Karnataka, India
2 Senior Resident, Department of Psychiatry, Bangalore Medical College and Research Institute, Bengaluru, Karnataka, India
3 House-Surgeon, Bangalore Medical College and Research Institute, Bengaluru, Karnataka, India

Correspondence Address:
Dr. Shankar Kumar
Department of Psychiatry, Bangalore Medical College and Research Institute, Bengaluru - 560 002, Karnataka
India

Background: Individuals with eveningness chronotype may be at a higher risk for developing unhealthy lifestyle and cardiovascular risk factors. Screening with traditional biomarkers may not help in detecting children and young adults with such a risk. There is paucity of literature studying novel biomarkers such as Apo B/ApoA1 ratio and highly sensitive C reactive protein (hs CRP) in predicting cardiometabolic risk in this population. Objectives: To study the prevalence of eveningness chronotype in attention-deficit/hyperactivity disorder (ADHD) and to know its association with metabolic risk factors that predict cardiometabolic consequences. Materials and Methods: This cross-sectional study consisted of thirty consenting adolescents and young adults who were on treatment for ADHD. Sociodemographic details were collected and the Morningness-eveningness questionnaire, alcohol use disorders identification test, HIV risk-taking behavior scale-sexual behavior subsection were used to determine eveningness, alcohol use, and risky sexual behavior, respectively. Body mass index (BMI) was measured. Blood investigations high-density lipoprotein, low-density lipoprotein, total cholesterol, triglycerides, Apo B/A1 ratio, lipoprotein A, and hsCRP were sent. Results: The prevalence of eveningness in our study participants was 30% (n = 9). Risky sexual behavior was more among those with eveningness (P = 0.03). Those with eveningness had significantly earlier sexual experience (P = 0.05). Alcohol use was also significantly more in those with eveningness (P = 0.02). There was no significant difference in traditional markers such as BMI, lipid profile for cardiometabolic risk among study participants with or without eveningness. However, Apo B/A1 ratio was significantly more in those with eveningness (P = 0.01). Conclusion: Eveningness chronotype is common in ADHD which could indicate risk for future cardiometabolic consequences in addition to behavioral issues. There is a need for large-scale cohort studies studying cardiometabolic risk and the clinical utility of novel biomarkers such as ApoB/ApoA1 in this population.


How to cite this article:
Kumar S, Venkatakrishna S, Ambalavana K, Nayak S. Prevalence of eveningness and its association with cardiometabolic risk factors, risky sexual behavior, and alcohol use in adolescents and young adult males with ADHD.Arch Ment Health 2021;22:92-97


How to cite this URL:
Kumar S, Venkatakrishna S, Ambalavana K, Nayak S. Prevalence of eveningness and its association with cardiometabolic risk factors, risky sexual behavior, and alcohol use in adolescents and young adult males with ADHD. Arch Ment Health [serial online] 2021 [cited 2022 Jan 25 ];22:92-97
Available from: https://www.amhonline.org/article.asp?issn=2589-9171;year=2021;volume=22;issue=2;spage=92;epage=97;aulast=Kumar;type=0