Health
Study Finds US Doctors Prescribe ADHD Drugs Too Quickly for Young Children
A new study has found that many young children in the United States diagnosed with attention-deficit/hyperactivity disorder (ADHD) are being prescribed medication almost immediately, despite medical guidelines recommending behavioural therapy as the first step.
The analysis, published in JAMA Network Open, reviewed the cases of more than 9,700 children and revealed that 42.2% of four- and five-year-olds received ADHD medication within one month of diagnosis. By contrast, only 14.1% began drug treatment more than six months after diagnosis, the timeframe recommended by health experts.
Current US medical guidelines state that children aged four and five should undergo at least six months of behavioural therapy before starting on stimulants such as Ritalin or Concerta. These therapies aim to build skills and habits to help children manage daily challenges. Medication is considered a next step if behavioural treatment alone is not effective.
“This practice is concerning, because we know starting ADHD treatment with a behavioural approach is beneficial,” said Dr Yair Bannett, lead author of the study and assistant professor of paediatrics at Stanford University. “It has a big positive effect on the child as well as on the family.”
ADHD is one of the most common developmental disorders in children, affecting around 11.4% of Americans aged three to 17. Symptoms typically begin before age 12 and may include hyperactivity, restlessness, difficulty concentrating, and forgetfulness. Left untreated, ADHD can significantly affect academic performance and long-term outcomes into adulthood.
Experts note that while a combination of behavioural therapy and medication is often the most effective treatment, young children in particular should first be given non-drug interventions. However, access to behavioural therapy remains a challenge in many parts of the country, which may contribute to doctors prescribing medication sooner than recommended.
The study emphasised that safety concerns were not the primary issue. While ADHD medications are generally considered safe for young children, many families discontinue use due to side effects such as irritability, aggression, or heightened emotional reactions. “We never think of medication as the only solution for ADHD,” Bannett said, stressing that behavioural support is an essential component of treatment.
The researchers also highlighted limitations of the study, noting that it focused solely on the United States. ADHD prescribing patterns can vary significantly by region, with previous research suggesting children in North America are more likely to receive stimulant medications compared with their peers in Europe.
As the debate continues, the findings add weight to calls for expanding access to behavioural therapy, ensuring young children diagnosed with ADHD receive treatment in line with medical guidelines.
Health
World Cup Emotion Can Strain the Heart, Cardiologists Warn Fans at Risk
As the World Cup begins, medical experts are cautioning football fans with underlying heart conditions that the emotional intensity of matches can place unexpected strain on the cardiovascular system.
Cardiologists say that the excitement, tension, and anxiety generated during high-stakes games can trigger physical reactions similar to intense exercise, raising heart rate, blood pressure, and stress hormones.
“Intense emotions, whether positive or negative, can act as ‘precipitating risk factors’ for cardiovascular events such as heart attack,” said Paola Santalucia, a cardiologist and board member of the European Heart Network.
She explained that moments of extreme excitement, such as a decisive penalty shootout or a last-minute goal, may pose risks for people already living with heart disease. Those with additional risk factors, including hypertension, obesity, or smoking habits, are also advised to be cautious during emotionally charged matches.
Research using wearable devices has shown that during major football events, some fans experience heart rates climbing as high as 150 beats per minute. That level is comparable to sprinting and reflects how strongly the body reacts to emotional stress.
A study examining supporters during the 2025 German Cup final found that even watching from home can significantly affect physiological responses. “They still had an increase in heart rate that compares to walking, even though they didn’t walk,” said Christian Deutscher, professor of sports economics at Bielefeld University and co-author of the study.
He noted that the most intense reactions often occur not during goals themselves, but during moments of uncertainty such as VAR checks, penalty shootouts, or shots striking the post. These unpredictable situations, he said, are what drive the strongest emotional and physical responses among fans.
Deutscher also pointed out that stadium spectators may experience even greater strain due to environmental factors such as heat and alcohol consumption.
However, experts emphasize that football itself is not inherently dangerous. Instead, it is the body’s natural response to excitement that can create temporary stress.
“The adrenergic stimulation is at its max: extreme high blood pressure, high heart rate, and adrenaline, cortisol, skyrocketing,” said Dan Atar, professor of cardiology at Oslo University Hospital. In rare cases, he added, this surge can contribute to the rupture of arterial plaque in vulnerable individuals, potentially leading to a heart attack.
Atar stressed that such events can occur in everyday situations as well, including physical exertion like shoveling snow. “It is in no way dangerous to watch a football game,” he said. “All this is physiologic. It’s not dangerous to be excited.”
Still, he acknowledged that combining emotional stress with alcohol, heat, and pre-existing conditions can increase risk for some viewers.
Doctors advise those at higher risk to continue prescribed medications, limit alcohol intake, avoid smoking, and watch for warning signs such as chest pain or irregular heartbeat.
“The key message is not to avoid enjoying the match, but to do so with moderation and awareness,” Santalucia said.
Health
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Health
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