A systematic review of neuroimaging studies of adults aged 35 and older with clinical, symptomatic and genetic risk for attention-deficit/hyperactivity disorder.
Natalia G Docteur, Hayley G P Huston, Avery A Krupa et al.
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In 30 seconds
This systematic review examined neuroimaging studies of adults aged 35 and older with clinical, symptomatic, or genetic risk for ADHD. It found that ADHD groups showed significant brain alterations in fronto-striatal, fronto-parietal, and limbic systems compared to controls. Most studies included had a low risk of bias, with 11 out of 13 meeting this criterion.
Key findings
- ADHD groups exhibited alterations in fronto-striatal, fronto-parietal, and limbic systems compared to controls.
- Middle-aged adults with clinical ADHD showed more widespread cortical structural differences.
- Older adults with ADHD demonstrated abnormalities primarily in frontal regions.
- Interactions were noted between genetic risk for ADHD and Alzheimer's disease-related pathology.
Why it matters
Understanding the neurobiological mechanisms of ADHD in older adults is crucial, as it may inform strategies for managing cognitive decline and dementia risk associated with the disorder.