PMID- 24994482 OWN - NLM STAT- MEDLINE DCOM- 20150810 LR - 20141031 IS - 1471-1788 (Electronic) IS - 1365-1501 (Linking) VI - 18 IP - 4 DP - 2014 Oct TI - Effect of methylphenidate treatment on appetite and levels of leptin, ghrelin, adiponectin, and brain-derived neurotrophic factor in children and adolescents with attention deficit and hyperactivity disorder. PG - 280-7 LID - 10.3109/13651501.2014.940054 [doi] AB - OBJECTIVES: We aimed to explore whether the use of methylphenidate relates leptin, ghrelin, adiponectin, and brain-derived neurotrophic factor (BDNF). In addition, the relationship between methylphenidate-related weight loss in attention deficit hyperactivity disorder (ADHD) patients and these biomolecules were evaluated. METHODS: Thirty ADHD patients receiving methylphenidate and 20 healthy controls were included. Leptin, ghrelin, adiponectin, and BDNF levels were measured at baseline and after two-month treatment in both groups. RESULTS: At baseline, leptin, ghrelin, adiponectin, and BDNF levels were similar in the ADHD and control groups. The most common adverse events occurring in the ADHD group after a 2-month treatment period included loss of appetite (70%) and weight loss (66.7%). A significant difference was found in body weight, BMI, and CGI scores of the ADHD patients after the treatment. While post-treatment ghrelin and adiponectin levels were significantly higher in the ADHD group, BDNF level was significantly lower. Post-treatment decrease in leptin levels was not significant. CONCLUSIONS: Leptin and BDNF were not associated with poor appetite and/or weight loss due to methylphenidate treatment. However, ghrelin and adiponectin might be biomolecules that play a role in underlying neurobiological mechanisms of methylphenidate-related appetite or weight loss. FAU - Sahin, Serkan AU - Sahin S AD - Child and Adolescent Psychiatry Clinic, Balikesir Ataturk State Hospital , Balikesir , Turkey. FAU - Yuce, Murat AU - Yuce M FAU - Alacam, Hasan AU - Alacam H FAU - Karabekiroglu, Koray AU - Karabekiroglu K FAU - Say, Gokce Nur AU - Say GN FAU - Salis, Osman AU - Salis O LA - eng PT - Controlled Clinical Trial PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140916 PL - England TA - Int J Psychiatry Clin Pract JT - International journal of psychiatry in clinical practice JID - 9709509 RN - 0 (Adiponectin) RN - 0 (Brain-Derived Neurotrophic Factor) RN - 0 (Central Nervous System Stimulants) RN - 0 (Delayed-Action Preparations) RN - 0 (Ghrelin) RN - 0 (Leptin) RN - 207ZZ9QZ49 (Methylphenidate) SB - IM MH - Adiponectin/*blood MH - Adolescent MH - Appetite/*drug effects MH - Attention Deficit Disorder with Hyperactivity/*blood/drug therapy MH - Brain-Derived Neurotrophic Factor/*blood MH - Central Nervous System Stimulants/administration & dosage/pharmacology/therapeutic use MH - Child MH - Delayed-Action Preparations/pharmacology/therapeutic use MH - Female MH - Ghrelin/*blood MH - Humans MH - Leptin/*blood MH - Male MH - Methylphenidate/administration & dosage/*pharmacology/therapeutic use OTO - NOTNLM OT - Attention deficit hyperactivity disorder OT - adiponectin OT - brain-derived neurotrophic factor OT - ghrelin OT - leptin OT - methylphenidate EDAT- 2014/07/06 06:00 MHDA- 2015/08/11 06:00 CRDT- 2014/07/05 06:00 PHST- 2014/07/05 06:00 [entrez] PHST- 2014/07/06 06:00 [pubmed] PHST- 2015/08/11 06:00 [medline] AID - 10.3109/13651501.2014.940054 [doi] PST - ppublish SO - Int J Psychiatry Clin Pract. 2014 Oct;18(4):280-7. doi: 10.3109/13651501.2014.940054. Epub 2014 Sep 16.