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Eating Disorder
Eating Disorder

ADHD and Eating Disorders: What’s the Connection?

Christine Russell, MS, RD, LD, CDCES
Medical Reviewer: 
Christine Russell, MS, RD, LD, CDCES
|
Published:
June 20, 2023
5
min read

Table of Contents

The Connection Between ADHD and Eating Disorders
What Eating Disorders Commonly Occur with ADHD?
Creating Healthy Eating Habits with ADHD
Takeaway
Seeking Help with Nourish
Eating Disorder

Key Takeaways

  • People with ADHD are more likely to experience disordered eating and eating disorders.
  • Binge eating disorder is the most common eating disorder.
  • Creating healthy eating habits can help to prevent disordered eating.

Attention deficit hyperactivity disorder (ADHD) is a disorder characterized by difficulty concentrating and controlling impulses. It is one of the most common mental health disorders among children. 

Over the last decade, studies have found an association between ADHD and disordered eating. 

This article reviews the connection between ADHD and eating disorders and provides suggestions to help create healthy eating habits.

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The Connection Between ADHD and Eating Disorders

Research has recently started looking at the link between ADHD and eating disorders. People with ADHD may experience:

  • Inability to focus; short attention span; daydream.
  • A lack of Impulse control or difficulty resisting temptation.
  • Difficulty managing emotions.
  • Poor memory; forget or lose things often.
  • Are slow to start a task and rarely able to finish tasks.

The inability to focus, poor planning skills, and a lack of impulse control can make healthy eating challenging.  

A systematic review published in 2016 found a strong association between ADHD and disordered eating or eating disorders. Children with ADHD were at a greater risk for disordered eating; whereas, adolescents and adults were at risk for both disordered eating and eating disorders. 

Nourish offers individualized nutrition counseling and accepts most popular insurance carriers. If you suspect you have an eating disorder, consider booking a virtual appointment with a Registered Dietitian. 

ADHD and Disordered Eating

A systematic review  found a positive association between ADHD symptoms and disordered eating.

A research study published in the Journal of Pediatrics reported that adult men who have been diagnosed with ADHD as children were twice as likely to struggle with disordered eating as adults as adults. Another review of the available research concluded that the current research supports a causal role of ADHD leading to weight gain later in life. 

The CDC has stated that anybody with a BMI >25 is at an increased risk for chronic health conditions, including high blood pressure, type 2 diabetes, gallbladder disease, heart disease, and different types of cancer. Addressing ADHD in childhood can help with disordered eating in adulthood. 

ADHD and Neurotransmitters

While the exact cause of ADHD isn’t known, some scientists believe that people who have ADHD may have too little dopamine in the brain or too much dopamine transporter which then lowers dopamine levels. Dopamine is a neurotransmitter that helps regulate a person's mood, attention, motivation, and movement. From a nutrition standpoint, a lack of dopamine in the brain can also contribute to:

  • Inability to follow healthy meal plans.
  • Inability to follow proper portion sizes.
  • Distractions during meal times.
  • Inability to listen to internal cues of hunger or satiety.
  • Binging followed by purging.

Studies of eating patterns in children with and without ADHD found significant differences between the two groups. Children with ADHD were more likely to skip sit-down meals but still ate more than five times per day. Additionally, those with ADHD also consumed more sweetened beverages and fewer fruits and vegetables compared to those without ADHD. In another study, adolescents with ADHD consumed more snack foods than those without ADHD.

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What Eating Disorders Commonly Occur with ADHD?

The most common eating disorder overall is binge eating disorder (BED). 

Binge eating disorder and bulimia nervosa are both prevalent in people with ADHD as both of these eating disorders include impulsive decision-making surrounding food. BED is characterized by repeated episodes of binge eating large amounts of food. Bulimia is also characterized by binge eating but includes purging by either self-induced vomiting, laxative abuse or other methods.

Anorexia nervosa can occur in people with ADHD. Anorexia occurs when a person severely restricts caloric intake and loses body weight as a result. Anorexia can be life-threatening if it is not addressed. 

Creating Healthy Eating Habits with ADHD

If you've been diagnosed with ADHD, creating healthy eating habits will help avoid impulsive eating.

Practice mindful eating

Mindfulness helps you become more aware of internal factors that drive you to eat, rather than external cues. Mindful eating includes experiencing all parts of the meal by:

  • Having set locations for eating and avoiding distractions. 
  • Take the time to enjoy your meal; avoid rushing.
  • Highlight features of the meal by acknowledging flavors and textures.
  • Paying attention to your body's internal cues for feelings of fullness.

Planning where to eat at home can help to avoid or limit distractions. Eating while working, watching television, or playing video games is not recommended. These distractions can add to mindless eating.

Sitting at the table, taking time to enjoy your food, will help you to apply mindful eating practices.Focus on putting your fork down and taking sips of water in between bites or taking time to enjoy conversation with others. Eating at a slower pace will also allow you to listen to your fullness cues and experience a greater level of meal satisfaction.

Literature reviews support the use of mindfulness-based interventions to address poor eating habits, binge eating, emotional eating, and external eating.

Take Time for Meal Planning

Taking the time to plan meals in advance will help to ensure you have healthy food choices readily available. This will help to avoid impulsive decisions which can lead to unhealthy food choices.

Meal planning can be challenging for people with ADHD because it involves grocery shopping and following recipes with multiple steps. 

To help with grocery shopping, make sure to have a list of items and bring a pen to cross off the items after you have added them to the cart.

When cooking with a recipe, read through the entire directions before starting. It is helpful to have all of your ingredients prepped before starting to cook. This means vegetables are washed, peeled, chopped, or minced while other ingredients are measured per recipe instructions. Meats may also need to be marinated for a while before cooking. Having your ingredients ready to go will make cooking much easier.

Avoid skipping meals

People with ADHD may forget to eat a meal if they are distracted by other events. It is important to develop a habit of eating three meals a day and snacks if needed. Skipping meals can lead to overeating at the next meal.

Some people skip breakfast as their first meal of the day. Yet, eating a healthy breakfast can help improve attention in the morning and feelings of hunger at the next meal. Eating a healthy breakfast should include carbohydrates, protein, and fiber. Without breakfast, you may feel even more hungry at lunch and possibly overeat later in the day. 

Book an appointment with an eating disorder dietitian

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Book an appointment with an eating disorder dietitian

Covered by insurance.

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91% of patients see improved mental and physical health

Book an appointment with an eating disorder dietitian

Covered by insurance.

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4.9 on Trustpilot

Book an appointment with an eating disorder dietitian

Covered by insurance.

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94% of Nourish patients pay $0 out of pocket!

Takeaway

People with ADHD are at greater risk of disordered eating and eating disorders. Creating healthy eating habits  is the key to both mental and physical health as it affects the way you feel and how your body works.

People with ADHD and disordered eating will benefit from therapy and individualized nutrition counseling. Treating ADHD may help you focus on developing healthy habits.

Seeking Help with Nourish

If ADHD is leading to poor food choices and disordered eating, nutrition counseling can help.. 

Nourish can help you find a Registered Dietitian to help you develop healthy eating habits. Take the next step in your health journey by booking a virtual appointment today. 

‍Find a dietitian near you to get started today for as little as $0—94% of our patients pay nothing out of pocket.

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References

View all references
  1. What is ADHD? (2022, August 9). Centers for Disease Control and Prevention 
  2. Udo, T., & Grilo, C. M. (2018). Prevalence and Correlates of DSM-5-Defined Eating Disorders in a Nationally Representative Sample of U.S. Adults. Biological psychiatry, 84(5), 345–354.
  3. Levin, R. L., & Rawana, J. S. (2016). Attention-deficit/hyperactivity disorder and eating disorders across the lifespan: A systematic review of the literature. Clinical psychology review, 50, 22–36. 
  4. Kaisari, P., Dourish, C. T., & Higgs, S. (2017). Attention Deficit Hyperactivity Disorder (ADHD) and disordered eating behaviour: A systematic review and a framework for future research. Clinical psychology review, 53, 109–121. 
  5. Cortese, S., Ramos Olazagasti, M. A., Klein, R. G., Castellanos, F. X., Proal, E., & Mannuzza, S. (2013). Obesity in men with childhood ADHD: a 33-year controlled, prospective, follow-up study. Pediatrics, 131(6), e1731–e1738. 
  6. Cortese, S., & Tessari, L. (2017). Attention-Deficit/Hyperactivity Disorder (ADHD) and Obesity: Update 2016. Current psychiatry reports, 19(1), 4. 
  7. Effects of Overweight and Obesity. (2022, September 24). Centers for Disease Control and Prevention. 
  8. Dougherty DD, Bonab AA, Spencer TJ, Rauch SL, Madras BK, & Fischman AJ. (1999). Dopamine transporter density in patients with attention deficit hyperactivity disorder. Lancet, 354, 2132-2133.
  9. Ptacek, R., Kuzelova, H., Stefano, G. B., Raboch, J., Sadkova, T., Goetz, M., & Kream, R. M. (2014). Disruptive patterns of eating behaviors and associated lifestyles in males with ADHD. Medical science monitor : international medical journal of experimental and clinical research, 20, 608–613. 
  10. Hartmann, A. S., Rief, W., & Hilbert, A. (2012). Laboratory snack food intake, negative mood, and impulsivity in youth with ADHD symptoms and episodes of loss of control eating. Where is the missing link?. Appetite, 58(2), 672–678. 
  11. Hudson, J. I., Hiripi, E., Pope, H. G., Jr, & Kessler, R. C. (2007). The prevalence and correlates of eating disorders in the National Comorbidity Survey Replication. Biological psychiatry, 61(3), 348–358. 
  12. Eating Disorders: About More Than Food. (n.d.). National Institute of Mental Health (NIMH). 
  13. O'Reilly, G. A., Cook, L., Spruijt-Metz, D., & Black, D. S. (2014). Mindfulness-based interventions for obesity-related eating behaviours: a literature review. Obesity reviews : an official journal of the International Association for the Study of Obesity, 15(6), 453–461. 
  14. Gajre, N. S., Fernandez, S., Balakrishna, N., & Vazir, S. (2008). Breakfast eating habit and its influence on attention-concentration, immediate memory and school achievement. Indian pediatrics, 45(10), 824–828.
  15. Karatzi, K., Moschonis, G., Choupi, E., Manios, Y., & Healthy Growth Study group (2017). Late-night overeating is associated with smaller breakfast, breakfast skipping, and obesity in children: The Healthy Growth Study. Nutrition (Burbank, Los Angeles County, Calif.), 33, 141–144. 
  16. Nazar, B. P., Bernardes, C., Peachey, G., Sergeant, J., Mattos, P., & Treasure, J. (2016). The risk of eating disorders comorbid with attention-deficit/hyperactivity disorder: A systematic review and meta-analysis. The International journal of eating disorders, 49(12), 1045–1057. 
Nourish has strict sourcing policies and prioritizes primary sources, including medical organizations, governmental agencies, academic institutions, and peer-reviewed scientific journals. Learn more about our medical review process and editorial guidelines.

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39.2908816, -76.610759
Detroit
, 
MI
Michigan
42.331429, -83.045753
Chesapeake
, 
VA
Virginia
36.7183708, -76.2466798
Birmingham
, 
AL
Alabama
33.5206824, -86.8024326
Scottsdale
, 
AZ
Arizona
33.501324, -111.925278
Cincinnati
, 
OH
Ohio
39.103700, -84.513610
North Las Vegas
, 
NV
Nevada
36.201946, -115.120216
Riverside
, 
CA
California
33.980602, -117.375496
Plano
, 
TX
Texas
33.019844, -96.698883
Minneapolis
, 
MN
Minnesota
44.977753, -93.265015
Salinas
, 
CA
California
,
Anaheim
, 
CA
California
33.836594, -117.914299
Springfield
, 
MO
Missouri
37.208958, -93.292297
Fort Wayne
, 
IN
Indiana
41.077469, -85.137489
Phoenix
, 
AZ
Arizona
33.448376, -112.074036
Bakersfield
, 
CA
California
35.3738712, -119.0194639
Garden Grove
, 
CA
California
33.774269, -117.937996
Anchorage
, 
AK
Alaska
61.2163129, -149.894852
Indianapolis
, 
IN
Indiana
39.768402, -86.158066
Nashville
, 
TN
Tennessee
36.162663, -86.781601
Tempe
, 
AZ
Arizona
33.425522, -111.941254
Mobile
, 
AL
Alabama
30.695366, -88.039894
New Orleans
, 
LA
Louisiana
29.951065, -90.071533
Knoxville
, 
TN
Tennessee
35.960636, -83.920738
Grand Rapids
, 
MI
Michigan
42.963360, -85.668083
Fontana
, 
CA
California
34.102890, -117.435760
Elk Grove
, 
CA
California
38.418129, -121.393257
Miami
, 
FL
Florida
25.7825389, -80.3118603
Grand Prairie
, 
TX
Texas
32.745499, -97.003532
Fort Collins
, 
CO
Colorado
40.588970, -105.082458
Killeen
, 
TX
Texas
31.117119, -97.727798
Modesto
, 
CA
California
37.639095, -120.996880
Oklahoma City
, 
OK
Oklahoma
35.468491, -97.521263
Santa Ana
, 
CA
California
33.745571, -117.867836
Ontario
, 
CA
California
34.063343, -117.650887
Brownsville
, 
TX
Texas
25.9015688, -97.4984005
Montgomery
, 
AL
Alabama
32.379223, -86.307739
Hialeah
, 
FL
Florida
25.857595, -80.278107
Springfield
, 
MA
Massachusetts
42.102051, -72.585762
Toledo
, 
OH
Ohio
41.652805, -83.537865
Pembroke Pines
, 
FL
Florida
26.007765, -80.296257
Overland Park
, 
KS
Kansas
38.974819, -94.683601
Little Rock
, 
AR
Arkansas
34.746483, -92.289597
Glendale
, 
CA
California
34.142509, -118.255074
Roseville
, 
CA
California
38.752125, -121.288010
Rancho Cucamonga
, 
CA
California
,
Wichita
, 
KS
Kansas
37.687176, -97.330055
Huntington Beach
, 
CA
California
33.659485, -117.998802
Augusta
, 
GA
Georgia
33.4709714, -81.9748429
Worcester
, 
MA
Massachusetts
42.271389, -71.798889
Virginia Beach
, 
VA
Virginia
36.852924, -75.977982
Oceanside
, 
CA
California
33.1958696, -117.3794834
Santa Clarita
, 
CA
California
34.456043, -118.571335
Philadelphia
, 
PA
Pennsylvania
39.952583, -75.165222
Corpus Christi
, 
TX
Texas
27.800583, -97.396378
Portland
, 
OR
Oregon
45.512230, -122.658722
Denver
, 
CO
Colorado
39.739235, -104.990250
Boston
, 
MA
Massachusetts
42.3554334, -71.060511
Atlanta
, 
GA
Georgia
33.7489924, -84.3902644
Chicago
, 
IL
Illinois
41.8755616, -87.6244212
Orlando
, 
FL
Florida
28.538336, -81.379234
Jacksonville
, 
FL
Florida
30.332184, -81.655647
Tampa
, 
FL
Florida
27.950575, -82.457176
Long Island
, 
NY
New York
40.757801, -73.940033
Queens
, 
NY
New York
40.728226, -73.794853
Bronx
, 
NY
New York
40.8466508, -73.8785937
Staten Island
, 
NY
New York
40.643501, -74.076202
Brooklyn
, 
NY
New York
40.6526006, -73.9497211
New York
, 
NY
New York
40.712776, -74.005974
San Jose
, 
CA
California
37.342205, -121.851990
San Francisco
, 
CA
California
37.774929, -122.419418
San Diego
, 
CA
California
32.834686, -117.130775
Los Angeles
, 
CA
California
34.052235, -118.243683
El Paso
, 
TX
Texas
31.761877, -106.485023
San Antonio
, 
TX
Texas
29.387428, -98.496574
Dallas
, 
TX
Texas
32.776665, -96.796989
Fort Worth
, 
TX
Texas
32.755489, -97.330765
Houston
, 
TX
Texas
29.760427, -95.369804
Austin
, 
TX
Texas
30.2711286, -97.7436995
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