Table 1.
Study | N | Age (years) | Drug | Doseb | Duration | Design | Findings |
---|---|---|---|---|---|---|---|
Kramer et al., 200022 | 97 | 4-12 | MPHc | 10-40 mg | 36 months | Retrospective | Adult height and weight not affected |
Sund & Zeiner, 200223 | 91 | 3-10 | MPH
AMPd |
24 mg
12 mg |
12 month | Observational | Smaller weight growth on AMP |
Lisska & Rivkees, 200324 | 84 | - | MPH | 22 mg | 24 months | Observational | Decrease in height z scores |
Poulton & Cowell, 200325 | 51 | 3-11 | MPH
AMP |
27 mg
14 mg |
42 | Observational | 1 cm/year an 1.2 kg less than expected |
Biederman et al., 200326 | 124 | 6-17 | Multiple | Unspecified | Unspecified | Observational | No treatment effect on growth |
MTA Cooperative, 200427 | 579 | 7-10 | MPHe | 0-39 mgf | 14 months | Randomized | 1.23 cm/year and 2.48 kg/year less growth |
Faraone et al., 200529 | 569 | 6-12 | AMP-XR | 10-30 mg | 6-30 months | Observational | Decrease in height (-0.31) and weight (-0.63) z scores |
Spencer et al., 200630 | 178 | 6-13 | OROS MPH | 1.2 mg/kg
43.7 mg |
21 months | Observational | 0.23 cm less than expected
1.23 kg less than expected No change in mean z scores |
Pliszka et al., 200631 | 113
66 |
8.5 (mean)
9.0 (mean) |
MPH
AMP |
34.8
22.7 |
32 months
29 months |
Retrospective | No change in mean z scores |
Charach et al., 200632 | 79 | 6-12 | MPH or AMP | unspecified | 60 months | Observational | Dose dependent decrease in height and weight z scores. |
Zachor et al., 200633 | 81 | 8.5 (mean) | MPH or AMP | unspecified | 36 months | Retrospective | Decrease in z scores for weight but not for height |
Swanson et al. 200620 | 95 | 3-5 | MPH | 14.2 mg | 12 months | Observational | 1.4 cm/year less than expected
1.3 kg/yr less than expected 0.30 decrease in height z 0.53 decrease in weight z |
Swanson et al. 200721, h | 320 | 7-10 | MPH | unspecified | 36 months | Observational | Dose related decrease in height and weight z scores. Consistently medicated children were 2.3 cm shorter and 1.5 kg lighter than normal controls |
Farietta-Murray, 2007 | 50 | 4-10 | MPH
AMP |
unspecified | 24 months | Retrospective | Decrease in weight percentile only |
Included were studies of at least 50 children and of at least 12 month duration
Highest mean daily dose
MPH: methylphenidate
AMP: amphetamine
A few children received dextroamphetamine or other medications.
The mean daily MPH dose was 0 mg in the behavioral therapy group, 23 mg in the community control, 31 mg in the combined medication management/behavior therapy group, and 38 mg in the medication management group.
229 completed treatment
Based on the MTA study sample and reporting on the 36-month naturalistic follow-up.