The hidden health cost of growing up with ADHD traits

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Attention deficit hyperactivity disorder, often called ADHD, is usually discussed in terms of learning, behavior, and mental health.

However, new research suggests its effects may go far beyond school or work challenges. A large and long-running study from the United Kingdom has found that children who show signs of ADHD around age 10 are more likely to experience physical health problems and disability decades later, by the time they reach their mid‑40s.

The study was led by researchers from University College London and the University of Liverpool and published in the medical journal JAMA Network Open. It followed more than 10,000 people from birth into middle age, making it one of the largest and longest studies of its kind.

The findings add to growing evidence that ADHD is not only a childhood or mental health issue, but a lifelong condition that can affect many parts of a person’s health.

ADHD is a condition that affects attention, activity levels, and impulse control. People with ADHD may find it hard to stay focused on tasks they find boring, organize their time, or think through actions before acting.

At the same time, many people with ADHD are energetic, creative, and able to focus deeply on things that truly interest them. ADHD usually begins in childhood, and while many people continue to have symptoms as adults, it is still often missed or not properly supported later in life.

In this study, researchers looked at data from the 1970 British Cohort Study, which has tracked people born in one week of 1970 across the UK. When the participants were 10 years old, parents and teachers filled out questionnaires about the children’s behavior. These questionnaires measured ADHD traits, even if the child was never formally diagnosed.

When the participants reached age 46, they were asked about their physical health. The researchers found that those who had higher levels of ADHD traits in childhood were more likely to report physical health problems in midlife. These problems included conditions such as migraines, back pain, diabetes, epilepsy, and cancer.

Overall, people with higher childhood ADHD traits had about a 14 percent higher chance of having two or more physical health conditions by age 46. About 42 percent of people with higher ADHD traits reported at least two physical health problems, compared with 37 percent of those with lower ADHD traits.

The study also found that people who showed more ADHD traits as children were more likely to report physical health‑related disability in midlife. This means they were more likely to say that health problems interfered with their ability to work or carry out daily activities.

Researchers believe these differences are not caused by a single factor. Instead, they likely reflect a combination of challenges that people with ADHD face over many years.

The study showed that adults with childhood ADHD traits were more likely to have mental health problems, higher body weight, and higher smoking rates. All of these factors are known to increase the risk of long‑term physical illness.

Past research has also shown that people with ADHD often experience more stressful life events, social difficulties, and barriers to healthcare. They may be less likely to attend regular health checkups or receive early treatment for medical problems. Over time, these gaps in care can add up.

Interestingly, the link between childhood ADHD traits and physical disability appeared to be stronger in women than in men. This may be because ADHD is often underdiagnosed in girls, meaning many women grow up without understanding their symptoms or receiving proper support.

The researchers stress that ADHD does not doom anyone to poor health. Many people with ADHD live long, healthy, and successful lives, especially when they receive the right support. However, the study highlights that support is often missing. In the UK and many other countries, adults with ADHD have limited access to diagnosis, treatment, and long‑term care.

When reviewing the findings, the study suggests an important message for both healthcare systems and society.

ADHD should be seen as a condition that affects the whole person across their entire life, not just behavior in childhood. Early understanding, ongoing support, and accessible healthcare could help reduce many of the long‑term health risks seen in this study.

From a public health point of view, the findings suggest that people with ADHD may benefit from more regular health monitoring, easier access to screening programs, and care that takes their unique challenges into account. Better awareness among doctors could also help ensure that physical symptoms are not overlooked.

In summary, this study shows that childhood ADHD traits are linked to higher physical health risks decades later, but it also shows where change is possible.

With better diagnosis, support, and healthcare access, many of these risks could be reduced. The findings remind us that supporting children with ADHD today may help protect their physical health far into the future.

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