Effect of supplementation with polyunsaturated fatty acids and micronutrients on learning and behavior problems
1Commonwealth Scientific and Industrial Reasearch Organization Human Nutrition, Adelaide, South Australia. natalie.sinn@unisa.edu.au
Insights
Polyunsaturated fatty acids (PUFAs) supplementation significantly improved attention-deficit/hyperactivity disorder (ADHD) symptoms in children. These benefits, observed in parent ratings, persisted with extended PUFA intake.
Area of Science:
- Nutritional Neuroscience
- Child Psychology
- Clinical Nutrition
Background:
- Attention-deficit/hyperactivity disorder (ADHD) is linked to polyunsaturated fatty acid (PUFA) deficiencies.
- PUFA supplementation shows promise in reducing ADHD symptoms.
Purpose of the Study:
- To investigate the effects of PUFA supplementation on ADHD symptoms.
- To explore potential synergistic effects of micronutrient co-supplementation.
Main Methods:
- A 15-week randomized, placebo-controlled, double-blind trial involving 104 Australian children (7-12 years) with ADHD.
- Participants received PUFAs alone, PUFAs + micronutrients, or placebo.
- A subsequent 15-week crossover phase involved all groups.
Main Results:
- Significant improvements in core ADHD symptoms, inattention, and hyperactivity/impulsivity were reported by parents in both PUFA groups compared to placebo.
- No additional benefits were observed with micronutrient supplementation.
- Improvements were sustained in the crossover phase, but teacher ratings showed no significant effects.
Conclusions:
- PUFA supplementation appears effective for managing ADHD-related inattention, hyperactivity, and impulsivity.
- Benefits may continue with supplementation up to 30 weeks.
- Further research is warranted, particularly regarding teacher-reported outcomes.
Methods:
Various developmental problems including attention-deficit/hyperactivity disorder (ADHD) have been linked to biological deficiencies in polyunsaturated fatty acids (PUFAs). Additionally, there is evidence that symptoms may be reduced with PUFA supplementation. This study investigated effects of supplementation with PUFAs on symptoms typically associated with ADHD. Because nutrients work synergistically, additional effects of micronutrient supplementation were also investigated. A total of 132 Australian children aged 7 to 12 years with scores > or = 2 SD above the population average on the Conners ADHD Index participated in a randomized, placebo-controlled, double-blind intervention over 15 weeks, taking PUFAs alone, PUFAs + micronutrients, or placebo. Due to unreturned questionnaires, data were only available for 104 children.
Results:
Significant medium to strong positive treatment effects were found on parent ratings of core ADHD symptoms, inattention, hyperactivity/impulsivity, on the Conners Parent Rating Scale (CPRS) in both PUFA treatment groups compared with the placebo group; no additional effects were found with the micronutrients. After a one-way crossover to active supplements in all groups for a further 15 weeks, these results were replicated in the placebo group, and the treatment groups continued to show significant improvements on CPRS core symptoms. No significant effects were found on Conners Teacher Rating Scales.
Conclusion:
These results add to preliminary findings that ADHD-related problems with inattention, hyperactivity, and impulsivity might respond to treatment with PUFAs and that improvements may continue with supplementation extending to 30 weeks.
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