Polyunsaturated fatty acids, cognition and literacy in children with ADHD with and without learning difficulties
Catherine M Milte1, Natalie Sinn, Jonathan D Buckley
1Nutritional Physiology Research Centre, University of South Australia, Australia.
Insights
Low omega-3 polyunsaturated fatty acid (PUFA) levels in children with ADHD may impact learning and behavior. Higher omega-3s correlated with better reading and lower anxiety, while higher omega-6s were linked to poorer academic performance.
Area of Science:
- Neuroscience
- Nutritional Science
- Developmental Psychology
Background:
- Suboptimal omega-3 polyunsaturated fatty acid (n-3 PUFA) levels are implicated in attention deficit hyperactivity disorder (ADHD).
- Understanding the relationship between PUFA status and cognitive/behavioral outcomes in children with ADHD is crucial.
Purpose of the Study:
- To investigate associations between erythrocyte n-3 and omega-6 (n-6) PUFA levels and learning/behavior in children with ADHD.
- To compare PUFA status in children with ADHD with and without learning difficulties.
Main Methods:
- Assessed erythrocyte PUFA levels in 75 children (aged 7-12) with ADHD via blood samples.
- Administered cognitive assessments and parent-completed questionnaires (including Conners' Rating Scales).
- Analyzed relationships between PUFA levels and cognitive/behavioral measures, controlling for covariates.
Main Results:
- Higher n-3 PUFA levels predicted lower anxiety/shyness.
- Higher docosahexaenoic acid (DHA) was associated with better word reading.
- Higher n-6 PUFA levels correlated with poorer reading, vocabulary, spelling, and attention.
- Children with ADHD and learning difficulties had significantly lower DHA levels compared to those without.
Conclusions:
- Erythrocyte PUFA status is linked to specific cognitive and behavioral outcomes in children with ADHD.
- Lower DHA levels may be a distinguishing factor in ADHD children with learning difficulties.
- Findings suggest that children with ADHD, particularly those with learning difficulties, may benefit from n-3 PUFA supplementation.
Abstract:
Suboptimal omega-3 polyunsaturated fatty acid (n-3 PUFA) levels may contribute to attention deficit hyperactivity disorder (ADHD) and related developmental problems. Associations between n-3 and omega-6 (n-6) PUFA levels in red blood cells (erythrocytes) and learning and behaviour were investigated in 75 children aged 7-12 with ADHD. Children provided blood samples and underwent cognitive assessments. Parents completed questionnaires and Conners' Rating Scales. Controlling for covariates, higher n-3 PUFA predicted lower anxiety/shyness (β = -.27), higher docosahexaenoic acid (DHA) better word reading (β = .22), and higher n-6 PUFA poorer reading (β = -.34), vocabulary (β = .-.26), spelling (β = -.30) and attention (β = -.30). Thirty-six per cent of the sample with learning difficulties had lower DHA than those without (M = 3.26 ± 0.54 vs M = 3.68 ± 0.76, p = .02). This study is the first to compare erythrocyte PUFAs (a measure of PUFA status) in children who have ADHD with and without learning difficulties, and supports emerging indications that the former may be more likely responders to n-3 PUFAs.
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