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Dietary PUFA intakes in children with attention-deficit/hyperactivity disorder symptoms
Ka-Hung Ng1, Barbara J Meyer, Lauren Reece
1School of Health Sciences, University of Wollongong, Northfields Avenue, Wollongong, NSW 2522, Australia.
Insights
Children with ADHD had higher alpha-linolenic acid intakes but lower arachidonic acid intakes compared to national data. While meeting recommendations for long-chain polyunsaturated fatty acids (LC n-3 PUFA), their overall intake of other nutrients fell short.
Area of Science:
- Nutritional Science
- Neuroscience
- Pediatrics
Background:
- Associations exist between attention-deficit/hyperactivity disorder (ADHD) and erythrocyte long-chain polyunsaturated fatty acid (LC n-3 PUFA) levels.
- Limited research has explored the direct relationship between dietary intake of LC n-3 PUFA and ADHD.
Purpose of the Study:
- To evaluate dietary polyunsaturated fatty acid (PUFA) intake and food sources in children diagnosed with ADHD.
- To compare these dietary intakes with Australian National Nutrition Survey (NNS) data.
- To investigate potential correlations between dietary PUFA intake and ADHD symptom severity.
Main Methods:
- Analysis of 86 three-day weighed food records from children with ADHD.
- Comparison of fatty acid intake data (linoleic acid, arachidonic acid, alpha-linolenic acid, EPA, DHA) with NNS data.
- Assessment of food group consumption (fish/seafood, meat, eggs) relative to NNS benchmarks.
Main Results:
- Children with ADHD exhibited higher intakes of alpha-linolenic acid (18:3n-3) and lower intakes of arachidonic acid (20:4n-6) compared to NNS data (P < 0.05).
- Consumption of fish/seafood, meat, and eggs was halved in children with ADHD versus the NNS cohort (P < 0.05).
- No significant correlations were identified between specific fatty acid intakes and ADHD symptom severity.
Conclusions:
- Children with ADHD met adequate intake levels for LC n-3 PUFA but did not meet other dietary recommendations.
- Dietary patterns in children with ADHD differ from the general population, particularly in fish, meat, and egg consumption.
- Further research is needed to clarify the role of specific dietary PUFAs in ADHD management.
Abstract:
Research has shown associations between attention-deficit/hyperactivity disorder (ADHD) and erythrocyte long-chain n-3 PUFA (LC n-3 PUFA) levels, with limited evidence for dietary LC n-3 PUFA intake and ADHD. The aims of the present study were to assess dietary PUFA intakes and food sources in children with ADHD, to compare these intakes to previously published Australian National Nutrition Survey (NNS) data and determine any relationships between intakes and ADHD symptoms. Eighty-six 3-d-weighed food records (FR) were analysed from children with ADHD. The median (interquartile range) daily intakes of fatty acids (mg/d) were: linoleic acid (18 : 2n-6), 7797 (6240-12 333); arachidonic acid (20 : 4n-6), 55 (27.0-93); total n-6 PUFA, 7818 (6286-10 662); alpha-linolenic acid (18 : 3n-3), 1039 (779-1461); EPA (20 : 5n-3), 18 (6.0-32.0); docosapentaenoic acid (22 : 5n-3), 17 (6.3-39.3); DHA (22 : 6n-3), 16 (8.5-445); total LC n-3 PUFA (addition of 20 : 5n-3, 22 : 5n-3 and 22 : 6n-3), 65 (28.3-120.1); total n-3 PUFA, 1151 (876-1592). In comparison to the NNS data, 18 : 3n-3 intakes were higher and 20 : 4n-6 were lower (P < 0.05). Children with ADHD consumed half the amount of fish/seafood, meat and eggs when compared to the NNS (P < 0.05). No significant correlations were found between fatty acids and ADHD symptoms. Children with ADHD met the adequate intake for LC n-3 PUFA, but fell short of other recommendations.
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