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. 2018 May 10;2018(5):CD012069. doi: 10.1002/14651858.CD012069.pub2

Poulton 2012.

Methods A clinic‐based, prospective, cohort study with up to 3 years of follow‐up
Participants Number of participants screened: not stated
Number of participants included: 21
Number of participants followed up: 19
Number of withdrawals: not stated
 Diagnosis of ADHD: DSM‐IV (subtype: combined (76%), inattentive (19%),
 hyperactive (5%))
Age: mean 7.54, range 4.99‐9.04 years old
IQ: > 70
Sex: 18 males, 3 females
Methylphenidate‐naïve: 100%
Ethnicity: not stated
Country: Australia
Comorbidity. not stated
Comedication: not stated
Sociodemographics: not stated
Inclusion criteria
  1. ADHD according to DSM criteria

  2. Aged < 9 years old

  3. Newly diagnosed

  4. Clinical indication for starting treatment with stimulant medication


Exclusion criteria
  1. Previous treated with psychotropic medication

  2. Medical conditions likely to impact on growth

Interventions Methylphenidate type: immediate release
Methylphenidate dosage: 24.3 mg/day (6.2 mg/day) at 6 months
Administration schedule: not stated
Duration of intervention: up to 36 months
Treatment compliance: not stated
Outcomes Non‐serious adverse events:
 Growth: height, weight, and BMI z scores measured at baseline, 6 months, 18 months, 30 months. All measurement were made without shoes or outdoor clothing
 Height was measured to the nearest 1 mm using a wall mounted stadiometer
 Weight was measured to the nearest 0.1 kg using electronic scales
 BMI were corrected for age and sex by conversion to z scores based on Centers for Disease Control and Prevention (CDC) reference data
Notes Sample calculation: yes
 Ethics approval: yes
 Funding: the research was supported by the Australian Woman and Children's research Foundation (OZWAC) and by the Nepean Medical Research Foundation
 Vested interests/authors' affiliations: the authors declare that they have no competing interests
 Key conclusions of the study authors: stimulant medication was associated with early fat loss and reduced bone turnover. Lean tissue including bone increased more slowly over 3 years of continuous treatment than would be expected for growth in height. There was long‐term improvement in the proportion of central fat for height. This study shows that relatively minor reductions in weight on stimulant medication can be associated with long‐term changes in body composition. Further study is required to determine the effects of these changes on adults
 Comments from the review authors: the study describe children both on dexamphetamine treatment and methylphenidate treatment. We have received separate data on the methylphenidate group from the study authors
Exclusion of MPH non‐responders/children who have previously experienced adverse events on MPH: no
Supplemental information regarding data received through personal email correspondence with the authors in October 2013 (Poulton 2013b [pers comm])