Health
ADHD now affects 15.5 million US adults, says new CDC report
Diagnoses of ADHD (attention-deficit/hyperactivity disorder) are on the rise among adults in the U.S.
Approximately 15.5 million adults had an ADHD diagnosis in 2023, according to a new report from the Centers for Disease Control and Prevention (CDC).
That’s equivalent to around 6% of adults in the country, or one in 16.
Around half of these diagnoses didn’t come until adulthood.
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The agency gathered this data from the National Center for Health Statistics Rapid Surveys System between October and November 2023.
The study also found that adults with ADHD were more likely to be 50 or younger (84.5% versus 51.2%) and more likely to be non-Hispanic White (70.4% versus 61.4%).
Those earning less than the federal poverty level were also more likely to be diagnosed (22.1% versus 12.3%), per the CDC.
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Around one-third of the adults with ADHD reported taking some type of stimulant medication, but more than 71% said the prescription was difficult to obtain.
Around half of diagnosed adults said they had ever used telehealth to receive treatment for ADHD.
The study did have some limitations, the CDC acknowledged.
“First, self-reports of ADHD diagnosis might be subject to recall and reporting biases and were not validated against medical records,” the agency stated in the report.
“Second, surveys with commercial online panels have low response rates and might underrepresent certain subpopulations, increasing the potential for nonresponse bias.”
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A third limitation is that the sociodemographic and geographic data were collected before the survey was administered, which “could have affected the demographic distribution for some variables, such as age, education, household income and metropolitan status,” the report stated.
A psychotherapist weighs in
Jonathan Alpert, a psychotherapist in Manhattan and Washington, D.C., said he has a new patient coming in each week with concerns about ADHD.
“There certainly are those accurately diagnosed with ADHD and in need of medication — however, much like the GLP-1 phenomenon, there’s a shortage of medication because of all the people using it off-label or not truly in need of it,” he told Fox News Digital.
“The first line of treatment should be psychological and behavioral intervention.”
There are also many patients who don’t actually have the disorder, but have been self-diagnosed through online research, according to Alpert.
“This fits into a broader phenomenon in our nation where we have become too therapized, too diagnosed, and frankly, too dependent upon people like me,” he said.
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When it comes to the treatment of ADHD and other mental health disorders, Alpert says, “the first line of treatment should be psychological and behavioral intervention — not necessarily medications, as they are not without side effects.”
The psychotherapist also flagged electronic devices and social media as potentially contributing to the spike in diagnoses.
“The very nature of these is to provide stimulation through a device where the brain is continuously engaged — and, for many people, overly engaged,” Alpert cautioned.
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“This leads to distractibility, disorganization and the inability to complete tasks, among other hallmark features of the diagnosis.”
“By making significant behavioral and lifestyle changes, one can start to minimize their symptoms and make improvements, thereby lessening their reliance on medication.”
Health
4 holiday nutrition tips from Dr. Nicole Saphier: 'Everything in moderation'
Two-thirds of people say they overindulge in food during the holidays and a third drink more alcohol, according to an Ohio State University survey last year.
But it is possible to enjoy the holidays while maintaining a healthy lifestyle, says Dr. Nicole Saphier.
In a conversation with Fox News Digital, the Fox News medical contributor shared her top four tips for navigating the season in a more nutritious way.
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1. Cook at home
It’s best to cook at home whenever possible, Saphier said.
Studies have shown that people who cook at home tend to have lower body mass index (BMI) and better overall health.
“When you go out, you are no longer in control of those oils and sugars and salts and everything that is added to your foods,” she told Fox News Digital.
“So if you’re getting your food from the grocery store and cooking it at home, it’s bound to be healthier than anything you’re getting out [at restaurants].”
2. Snack smart
Previous studies have shown that nearly a quarter of the calories U.S. adults consume come from snacks.
When snacking during the holidays, Saphier recommends choosing foods that pack a nutritional punch.
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“Maybe grab a handful of pistachios or blueberries or some of these other superfoods that are good for your brain and your entire body instead of grabbing potato chips,” she advised.
3. Steer clear of soda
When it comes to beverages, water is always the best choice, according to Saphier.
“You need to drink as much water as possible and stay away from the sugary drinks,” she said.
For those who have trouble drinking plain water, the doctor recommends unsweetened iced tea or herbal tea, without adding sugar packets.
Generally speaking, she said, the lower the sugar content, the better.
“Also, steer clear of any sort of sodas,” Saphier said.
“I don’t care what type it is, it’s not good for you. And even if there’s a ‘diet’ in front of it, it’s a no-no, especially heading into the holiday season.”
4. Limit or avoid alcohol
Studies have shown that Americans drink on average twice as much alcohol during the holidays.
“I know there are lots of parties going on, and I say everything in moderation,” Saphier said.
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“If you are someone who socially drinks, you can have a cocktail — but watch what you drink.”
There is no positive benefit to drinking alcohol, but there are “a lot of negatives,” Saphier said.
“It’s not just that it’s bad for the liver or that it increases the risk of cancer — it also increases the risk of depression and causes poor sleep habits.”
Lack of quality sleep can have a ripple effect on all aspects of life, the doctor warned.
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“When you don’t sleep well, everything is completely off the next day — it’s kind of a downward spiral,” she said.
“So if you can avoid alcohol, I recommend you do so.”
Health
Dementia risk could be linked to walking speed, study suggests
A slower walking pace could be a sign of cognitive decline or dementia, a new study suggests.
Researchers assessed more than 16,800 healthy people over the age of 65 in the U.S. and Australia during a seven-year period (2010 to 2017), according to the published study in JAMA Network Open.
The investigators measured participants’ walking speed and performed cognitive tests every two years.
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Those who demonstrated a decrease in walking speed by at least 2 inches per second a year — along with slower cognitive ability — had a higher risk of dementia, as compared to individuals considered to be “non-decliners, cognitive-only decliners or gait-only decliners,” according to the report.
“The combination of declining memory and slowing gait seems to be a stronger indicator of future dementia risk than decline in one of those things alone,” Dr. Taya A. Collyer, PhD, who led the study out of Monash University in Australia, told Fox News Digital.
Family members often comment that their loved one had changed prior to a dementia diagnosis, according to Dr. Amy Brodtmann, a neurologist and professor of the Cognitive Health Initiative at Monash University in Australia.
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“There has long been an assumption that a slowdown – of walking, thinking and actions – is a sign not just of aging, but of developing cognitive impairment and dementia,” she told Fox News Digital.
‘Simple to measure’
The researchers suggested that measurement of walking speeds could be a useful tool – combined with other screening measures – to help identify individuals who are at risk of developing dementia and ensure that they receive early testing and preventive interventions.
“We don’t yet have a definitive test for dementia that family doctors can do in their own clinics,” noted Brodtmann, one of the co-authors of the study.
Walking speed is very “simple to measure,” Collyer added.
“Our study also suggests that family doctors might keep an eye on walking speed when they (or their patients) have concerns about dementia,” she said.
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The manner in which a person walks, also known as the gait pattern, could help signal a potential issue, according to Edward Farrell, a physical therapist and certified strength specialist at Physical Solutions Physical Therapy and Fitness on Long Island, New York.
“Our gait pattern and speed requires reflexive planning, adjustments to surfaces, and focus and attention, which are often impaired with cognitive diseases,” Farrell, who was not involved with the study, told Fox News Digital.
Other risk factors
Courtney Kloske, PhD, director of scientific engagement for the Alzheimer’s Association in Chicago, Illinois, noted the importance of exploring other factors that may impact risk in diverse populations.
These risk factors include genetics, health conditions such as hypertension, health-related behaviors like physical activity and diet, and environmental elements, such as air pollution.
“Up to 45% of dementia cases could be delayed or prevented by adopting healthy lifestyle factors.”
“While not all factors are modifiable, research shows that up to 45% of dementia cases could be delayed or prevented by adopting healthy lifestyle factors,” Kloske, who was not involved in the study, told Fox News Digital, citing the 2024 Lancet Commission, a collaborative report from leading dementia experts.
The study highlights the benefits of adopting healthy lifestyle behaviors early and consistently, including helping to prevent or postpone the onset of cognitive decline, according to Kloske.
She recommends adhering to a healthy diet, maintaining a regular exercise routine, controlling diabetes and blood pressure, and staying socially engaged.
Step into health
Working to improve one’s walking stride is also important for overall health, according to Farrell.
“The ability to maintain a more normal gait stimulates our systems, allowing greater mobility, more independence and reduced fall risk,” he told Fox News Digital.
Farrell recommends taking frequent walks at various paces, with intervals of moderate to faster speeds, to improve reflexes. Certain exercises also support walking speed and pattern, he noted.
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“Regular strength training like squats, step-ups, bridges and leg lifts can keep our foundational muscles strong as we age,” he advised.
“Stretching to keep hamstrings, hip flexors and calf muscles limber allows for more free mobility to walk.”
Performing balance exercises like heel-toe walking, single leg stance drills and Tai chi can also improve stability and confidence with walking, Farrell noted.
For those who plan to start a walking program, it’s best to wear supportive sneakers that provide a stable base and cushioned comfort, the expert added.
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People who have challenges with balance and mobility may consider using an assistive device like a cane to ensure safe and consistent walking.
It is important to consult with a health care provider prior to starting a exercise regimen, experts agree.
Health
Holiday gatherings can lead to stress eating: Try these 5 tips to control it
Spending the holidays around family and friends can stir up a lot of emotions.
And when festivities also incorporate lots of indulgent foods, it can be challenging to control emotional eating.
While the holidays are portrayed as a joyous season, it may not be the case for some, noted Dr. Brian Licuanan, a board-certified clinical psychologist in California.
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“For a lot of people out there, this … part of the year is very emotionally distressing,,” he said in an interview with Fox News Digital.
“They could have had a past loss, or maybe they had a fallout in a marriage … maybe they’re navigating a medical condition.”
Holidays can be a time of loneliness for those without family, Licuanan noted, as well as a “tumultuous” period for people who struggle with substance abuse.
“Comfort eating” is one way that people tend to cope with stress, he said.
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“When stress levels increase, we [look] to soothe that,” he said.
“During the holiday season, when food is in abundance, it makes it a little bit more difficult.”
5 ways to curb emotional eating
Serena Poon, a certified celebrity nutritionist and longevity wellness expert in California, offered the following ways to rein in emotional eating during the holidays.
1. Acknowledge emotions and practice mindfulness
Recognizing the root causes of emotional cravings and practicing mindful habits can help with temptations, according to Poon.
“Suppressing emotions can lead to physical manifestations, as emotions are how our body communicates with us,” she told Fox News Digital during an interview.
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“Studies have shown that chronic stress can increase levels of cortisol, which not only amplifies cravings for sugary or comfort foods, but also impacts hormonal balance, gut health and even immunity,” Poon added.
The expert suggested trying a grounding exercise, like yoga or breath work, during times of stress.
Overindulging now and then doesn’t equate to failure, according to Poon.
“Practice self-compassion and focus on resetting at your next meal,” she advised.
“After a large holiday dinner, drink water, take a walk and plan a balanced breakfast with protein and fiber to reset your body and mindset.”
2. Set clear intentions
Being decisive about how to act at a gathering, whether socializing or eating, can help curb emotional impulses.
“For example, focus on having meaningful conversations or savoring one favorite dessert rather than sampling everything,” Poon suggested. “Setting intentions creates mindfulness and empowers decision-making.”
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For example, “If mashed potatoes are your weakness, decide beforehand that you’ll enjoy one serving guilt-free while prioritizing vegetables and protein on your plate,” she went on.
“This approach encourages mindful indulgence and reduces guilt.”
3. Stay hydrated and slow down
Dehydration can often be mistaken for hunger, according to Poon, who recommends drinking water throughout the day to help curb “unnecessary cravings.”
“Begin your holiday dinner with a salad or vegetable soup before indulging in heavier dishes,” she suggested. “Pair it with a glass of water or herbal tea.”
Poon also suggested pausing and taking three slow, deep breaths when cravings strike.
“If you feel drawn to the dessert table out of habit, pause and breathe deeply for a moment to assess whether it’s hunger or stress that’s motivating you,” she advised.
“Put your fork down between bites, chew thoroughly, and focus on the flavors and textures of your food.”
“This simple act activates the parasympathetic nervous system, calming stress and allowing for more intentional food choices.”
Getting into the habit of eating slowly and mindfully allows the body to register fullness as you enjoy your food, Poon added.
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“Put your fork down between bites, chew thoroughly, and focus on the flavors and textures of your food,” she advised.
“This not only enhances your experience, but also helps to regulate appetite.”
4. Introduce non-food celebrations or healthy alternatives
The holidays don’t have to revolve around just food, Poon noted.
Instead, she encouraged exploring non-food rewards and activities like decorating, playing games, volunteering or spending quality time with loved ones.
Poon also suggested bringing healthier versions of traditional holiday dishes, like mashed cauliflower instead of potatoes or low-sugar sweets.
“Swapping traditional recipes for healthier options can help balance indulgence with nutrition,” she said.
5. Prioritize sleep and self-care
Sleep deprivation can increase the hunger hormone (ghrelin) and decrease leptin, the satiety hormone, which can make cravings harder to resist, Poon mentioned.
“Aim for quality, restorative sleep,” she suggested. “Poor sleep has been linked to increased caloric intake and cravings for high-fat, high-sugar foods.”
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“By cultivating a mindful approach to eating, integrating gratitude and self-care, and addressing the root causes of emotional cravings, you can enjoy the holiday season with balance and joy.”
Emotional eating is not about perfection, the expert said, but about “creating a sustainable, compassionate relationship with your body and emotions.”
Licuanan encouraged Americans to take this time to “reconnect with people.”
“Get back to those relationships and connections that you really value,” he said.
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