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Cognitive effects of polyunsaturated fatty acids in children with attention deficit hyperactivity disorder symptoms:
1Nutritional Physiology Research Centre, University of South Australia, Adelaide, SA 5001, Australia. natalie.sinn@unisa.edu.au
Insights
Polyunsaturated fatty acid (PUFA) supplementation improved attention control in children with ADHD symptoms. These cognitive gains correlated with reduced inattention and hyperactivity, suggesting a shared neurological pathway.
Area of Science:
- Neuroscience
- Nutritional Psychiatry
- Developmental Psychology
Background:
- Attention-Deficit/Hyperactivity Disorder (ADHD) is a neurodevelopmental disorder characterized by inattention, hyperactivity, and impulsivity.
- Cognitive deficits, particularly in executive functions like attention control, are common in children with ADHD.
- Dietary factors, including polyunsaturated fatty acids (PUFAs) and micronutrients, are being explored for their potential role in managing ADHD symptoms.
Purpose of the Study:
- To investigate the effects of polyunsaturated fatty acid (PUFA) and micronutrient supplementation on cognitive function in children exhibiting ADHD symptoms.
- To determine if supplementation impacts specific cognitive domains related to attention and executive control.
- To explore the relationship between cognitive improvements and behavioral symptoms of ADHD.
Main Methods:
- A randomized controlled trial involving children aged 7-12 years with ADHD symptoms.
- Participants received either PUFA, PUFA plus multivitamins/minerals (MVM), or a placebo for 15 weeks.
- Following the initial phase, all children received PUFA+MVM for an additional 15 weeks.
Main Results:
- Significant improvements in attention control (Creature Counting task) were observed in children receiving PUFA compared to placebo after 15 weeks (p=0.002).
- This attention improvement was replicated when the placebo group subsequently received PUFA.
- No significant cognitive improvements were noted with additional micronutrient supplementation or in other cognitive measures.
Conclusions:
- PUFA supplementation shows promise in enhancing attention control in children with ADHD symptoms.
- Cognitive performance improvements mediated parent-reported reductions in inattention, hyperactivity, and impulsivity.
- These findings suggest a potential common neurological mechanism underlying both cognitive and behavioral ADHD symptoms, responsive to PUFA intervention.
Abstract:
This study investigated effects of PUFA and micronutrient supplementation on cognition in children with ADHD symptoms. In a randomised controlled trial, 7-12-year-old children with symptoms 2 S.D. on Conners' ADHD Index were given PUFA, PUFA+multivitamins/minerals (MVM), or placebo for 15 weeks, and then all children were given PUFA+MVM for an additional 15 weeks. After 15 weeks there were improvements in a test of the ability to switch and control attention (Creature Counting) in the PUFA groups compared to placebo (N=129, p=0.002). This improvement was also observed in the placebo group after taking PUFA from weeks 16 to 30 (N=104). There were no significant improvements in other cognitive measures, or with additional micronutrient supplementation. However, improvements in cognitive performance mediated previous parent-reported improvements in inattention, hyperactivity and impulsivity [N. Sinn, J. Bryan, Effect of supplementation with polyunsaturated fatty acids and micronutrients on ADHD-related problems with attention and behaviour, J. Dev. Behav. Pediatr. 28 (2) (2007) 82-91], suggestive of a common neurological mechanism for these symptoms.
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