The Effect Of Supplementation Of Omegaâ€3, Zinc And Magnesium Rich Snack In Reducing The Neurobehavioral Symptoms In Children With Attention Deficit Hyperactivity Disorder (ADHD)†A Pilot Study


Affiliations

  • Sri Ramachandra University, Clinical Nutrition, Chennai, India

Abstract

ADHD is a neurobehavioral disorder characterized by inattentiveness, impulsivity and hyperactivity. The causes for ADHD are multifactorial and requiring a multifaceted treatment approach. Dietary modification and some nutrients play a major role in the management of ADHD and should be considered as part of the treatment protocol. Objectives: To formulate and standardize a nutritious cookie with emphasis on omegaâ€3, zinc and magnesium rich food sources and to evaluate the outcome (reducing the symptoms of hyperactivity, inattentiveness and impulsivity) of supplementation. Materials and methods: The Purposive random sampling technique was conducted on 16 children in the age group of 4â€8 years (boys) diagnosed with ADHD. They were segregated as study and control group (eight children in each group). The study group was supplemented cookies rich with omegaâ€3, zinc and magnesium rich food sources over a period of 8 weeks + 4 days. Behavior was assessed at the baseline and at the end of the supplementation period using Child behavior checklist (CBCL). Results: Following 8 weeks+ 4 days of supplementation, the study group children showed a significant reduction in symptoms such as inattention, hyperactivity and impulsivity (p<0.001). Though there was a reduction in the total and ADHD scores in the control group but still, it was not statistically significant. Conclusion: The results conclude that omegaâ€3, zinc and magnesium enriched snack has a beneficial effect in reducing ADHD symptoms in study group children and long term consumption of foods rich in these nutrients can bring about a greater change in their behavior and can improve the quality of life.

Keywords

Attention †Hyperactivity, Scoring, micronutrients, Supplementation, Outcome

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References

Bhatnagar S, Taneja S. Zinc and cognitive development. British journal of nutrition. 2001 May 1;85(S2):S139â€45.

Biederman J, Monuteaux MC, Kendrick E, Klein KL, Faraone SV. The CBCL as a screen for psychiatric comorbidity in paediatric patients with ADHD. Archives of Disease in Childhood. 2005 Oct 1;90(10):1010â€5.

Boris M, Mandel FS. Foods and additives are common causes of the attention deficit hyperactive disorder in children. Annals of allergy. 1994 May 1;72(5):462â€7.

Chriss JJ. Social control: An introduction. Polity; 2007 Sep 19.

Cruz NV, Bahna SL. Do foods or additives cause behavior disorders?. Pediatric annals. 2006 Oct 1;35(10):744â€54.

Döpfner M, Breuer D, Wille DP, Erhart M, Ravensâ€Sieberer U, Bella Study Group. How often do children meet ICDâ€10/DSMâ€IV criteria of attention deficitâ€/hyperactivity disorder and hyperkinetic disorder? Parent†based prevalence rates in a national sample–results of the BELLA study. European child & adolescent psychiatry. 2008 Dec 1;17(1):59â€70.

Eiraldi RB, Power TJ, Karustis JL, Goldstein SG. Assessing ADHD and comorbid disorders in children: the Child Behavior Checklist and the Devereux Scales of Mental Disorders. Journal of clinical child psychology. 2000 Feb 1;29(1):3â€16.

Huss M, Völp A, Staussâ€Grabo M. Supplementation of polyunsaturated fatty acids, magnesium and zinc in children seeking medical advice for attention†deficit/hyperactivity problems†an observational cohort study. Lipids in health and disease. 2010 Sep 24;9(1):1.

Katz DL, Friedman RSC. Diet and cognitive function. Nutrition in clinical practice: a comprehensive, evidenceâ€based manual for the practitioner. Philadelphia: Lippincott Williams & Wilkins; 2008:362â€368.

Kidd PM. Attention deficit/hyperactivity disorder (ADHD) in children: rationale for its integrative management. Alternative medicine review. 2000 Oct 1;5(5):402â€28.

Pelsser LM, Frankena K, Toorman J, Savelkoul HF, Pereira RR, Buitelaar JK. A randomised controlled trial into the effects of food on ADHD. European child & adolescent psychiatry. 2009 Jan 1;18(1):12â€9.

Schnoll R, Burshteyn D, Ceaâ€Aravena J. Nutrition in the treatment of attention†deficit hyperactivity disorder: a neglected but important aspect. Applied Psychophysiology and biofeedback. 2003 Mar 1;28(1):63â€75.

Silfverdal SA, Hernell O. Food additives can increase hyperactivity in children. Results from a British study confirm the connection. Läkartidningen. 2008;105(6):354.

Sinn N, Bryan J. Effect of supplementation with polyunsaturated fatty acids and micronutrients on learning and behavior problems associated with child ADHD. Journal of Developmental & Behavioral Pediatrics. 2007 Apr 1;28(2):82â€91.

Starobratâ€Hermelin B, Kozielec T. The effects of magnesium physiological supplementation on hyperactivity in children with attention deficit hyperactivity disorder (ADHD). Positive response to magnesium oral loading test. Magnesium research: official organ of the International Society for the Development of Research on Magnesium. 1997 Jun;10(2):149â€56.


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