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Association of hair manganese level with symptoms in attention-deficit/hyperactivity disorder
Dong-Won Shin1, Eun-Ji Kim2, Se-Won Lim1
1Department of Psychiatry, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
Insights
Hair manganese levels, both high and low, are linked to attention-deficit/hyperactivity disorder (ADHD) in Korean children. This suggests manganese may play a role in ADHD development.
Area of Science:
- Pediatric Neurodevelopment
- Environmental Toxicology
- Child Psychiatry
Background:
- Attention-deficit/hyperactivity disorder (ADHD) is a common neurodevelopmental disorder in children.
- Manganese (Mn) is an essential trace element, but its neurotoxicity is also recognized.
- Hair mineral analysis is a non-invasive method to assess long-term exposure to elements like manganese.
Purpose of the Study:
- To investigate the association between hair manganese levels and ADHD in Korean children.
- To determine if either manganese deficiency or excess is related to ADHD symptoms.
Main Methods:
- Study included 40 children diagnosed with ADHD and 43 healthy controls (ages 6-15) from Seoul, Korea.
- ADHD diagnosis and symptom severity were assessed using standardized criteria and rating scales.
- Hair manganese levels were analyzed and categorized to compare ADHD patients with controls, controlling for age, sex, and IQ.
Main Results:
- A higher proportion of children with ADHD exhibited abnormal hair manganese levels compared to controls.
- Abnormal manganese levels remained significantly associated with ADHD after adjusting for covariates (OR=6.40, p=0.017).
Conclusions:
- Both excess exposure and deficiency of manganese are associated with ADHD in Korean children.
- Further research is warranted to elucidate the specific role of hair manganese levels in ADHD symptomatology.
Objective:
The study examined the association between hair manganese level and symptoms of attention-deficit/hyperactivity disorder (ADHD) in Korean children.
Methods:
Forty clinic-referred children with ADHD and 43 normal control children participated in this study. The participants were 6-15 years old and were mainly from the urban area of Seoul, Korea. ADHD was diagnosed using the Diagnostic and Statistical Manual of Mental Disorders, 4th edition and Kiddie-Schedule for Affective Disorders and Schizophrenia-Present and Lifetime Version-Korean Version. The severity and symptoms of ADHD was evaluated according to the ADHD Diagnostic System, and parent's Korean ADHD Rating Scale (K-ARS). All participants completed intelligence test and hair mineral analysis. We divided the data of hair Mn into two groups to determine whether a deficit or excess of Mn are associated with ADHD. Multiple logistic regression analyses were performed to identify hair manganese levels associated with ADHD, controlling for age, sex, and full scale intelligence quotient (IQ).
Results:
The proportion of abnormal range Mn group was significantly high in ADHD compared to controls. However, after statistical control for covariates including age and sex, abnormal range Mn group was significantly associated with ADHD (OR=6.40, 95% CI=1.39-29.41, p=0.017).
Conclusion:
The result of this study suggests that excess exposure or deficiency of Mn were associated with ADHD among children in Korea. Further investigation is needed to evaluate the effects of hair manganese levels on symptoms in ADHD.
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