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Effects of methylphenidate on height, weight and blood biochemistry parameters in prepubertal boys with attention deficit hyperactivity disorder: an open label prospective study

Open Access
|Sep 2021

Figures & Tables

FIGURE 1.

Association between the differences of weight z-score and ALP from baseline to 6 months
Association between the differences of weight z-score and ALP from baseline to 6 months

Comparisons of baseline and 6 months values in Wilcoxon signed-rank test

VariablesMeasurements M, (SD)Negative ranksPositive ranks Statistics
Baseline6 monthsNmean ranksum of ranksNmean ranksum of ranksTiesZSignificance (p)*Effect size (r)
Weight z-0.63 (1.12)0.24 (1.04)2916.834882490‒4.7040.000* 0.5
score
P1NP471.15 (264.24)648.30 (507.60)1413.141841718.353120‒1.2540.210
NTx248.48 (228.69)250.29 (256.86)2114.333011019.501950‒1.0390.299
WBC8.31 (2.68)7.65 (1.70)2115.293219161440‒1.8220.069
RBC4.84 (0.52)4.78 (0.51)1216.29195.5139.96129.505‒0.8960.370
BUN11.20 (2.80)12.06 (2.51)1111.181231515.202284‒1.3390.181
Magnesium2.07 (0.16)2.01 (0.18)1112.3613686.755411‒1.6760.094
ALT16.66 (13.38)16.46 (8.55)1215.831901512.531883‒0.0240.981
Ferritin23.34 (11.5719.72 (8.56)1913.18250.50815.94127.502‒1.4790.139
Transferrin266.06 (51.58)270.31 (30.90)1713.472291116.091771‒0.5920.554
Iron79.10 (31.90)75.37 (34.01)1615.382461213.331601‒0.9790.327
PTH38.09 (14.52)35.41 (24.25)2115.88333.50812.69101.500‒2.5090.012
OSC67.25 (18.75)60.18 (19.07)1916.39311.501012.35123.500‒2.0330.042
25OH-vit D18.42 (7.15)27.22 (7.18)48.25332516.084020‒3.9890.000* 0.5

Study participants

Subjects  N
Prepubertal boys with ADHD98
    Parents who rejected21
    Excluded at baseline exam  8
        Intellectual disability (N=2)
        Pubertal signs (N=2)
        Very high levels of TSH (N=1) and transaminases (N=1)
        Severe anemia (N=1)
        Very low growth percentile (N=1)
Recruited subjects69
    Drop-outs due to adverse effects  8
        Appetite loss and insomnia (N=2)
        Nausea and appetite loss (N=1)
        Stomachache and irritability (N=1)
        Syncope (N=1)
        Headache (N=1)
        Insomnia, irritability, and appetite loss (N=1)
        Headache, stomachache, and insomnia (N=1)
    Drop-outs due to other causes30
        Weak compliance (N=6)
        Parental disagreement (N=6)
        Summer holiday (N=6)
        Surgical operation (N=2)
        City change (N=3)
        Pubertal signs (N=2)
        Unknown (N=5)
Sample size31

Comparisons of baseline and 6 months values in paired samples t-test

VariableBaselineM (SD)6 monthsM (SD)T valuedfSignificance(p)*Effect size(r)
Height z-score0.23 (0.87)0.28 (0.85)‒1.50300.142
Hemoglobin12.57 (0.87)12.47 (0.86)0.89290.380
Hematocrit38.22 (2.52)37.850 (2.26)0.91290.368
Platelet331.53 (91.91)311.50 (59.96)1.37290.179
Glucose82.54 (6.21)88.09 (6.66)‒4.33300.000* 0.6
Creatinine0.56 (0.08)0.60 (0.06)‒3.27300.003* 0.5
Calcium9.46 (0.51)9.51 (0.45)‒0.46290.648
Phosphate4.71 (0.45)4.66 (0.42)0.56280.578
AST29.26 (6.23)29.60 (3.98)‒0.33290.738
ALP243.06 (47.07)215.24 (44.33)3.63280.001* 0.5
Vitamin B12306.72 (121.66)288.41 (115.31)1.10280.278
TSH2.64 (0.98)2.38 (1.03)1.68280.104
fT33.96 (0.65)3.73 (0.46)1.93280.063
fT40.87 (0.10)0.86 (0.09)0.60280.553
B-ALP84.44 (25.58)82.98 (23.25)0.32280.750
Language: English
Page range: 163 - 173
Submitted on: Oct 9, 2020
Accepted on: Aug 17, 2021
Published on: Sep 9, 2021
Published by: Psychiatric Research Unit
In partnership with: Paradigm Publishing Services
Publication frequency: 1 times per year

© 2021 Ahmet Çevikaslan, Mesut Parlak, Hamit Yaşar Ellidağ, Sibel Çilingiroğlu Kulaksızoğlu, Necat Yılmaz, published by Psychiatric Research Unit
This work is licensed under the Creative Commons Attribution 4.0 License.