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Evaluation of Iodine Deficiency in Children with Attention Deficit/Hyperactivity Disorder
Saliha Kanık Yüksek1, Zehra Aycan, Özgür Öner
1Ankara Children's Hematology Oncology Training and Research Hospital, Clinic of Pediatrics, Ankara, Turkey,
Insights
Iodine deficiency (ID) affects over 70% of children with attention deficit/hyperactivity disorder (ADHD), impacting learning and attention. Further trials are needed to confirm these findings on cognitive function.
Area of Science:
- Pediatric Endocrinology
- Neurodevelopmental Disorders
- Nutritional Science
Background:
- Attention deficit/hyperactivity disorder (ADHD) is a common neurodevelopmental disorder in children.
- Iodine deficiency (ID) is a global health concern with potential impacts on cognitive development.
- The relationship between ID and ADHD symptoms requires further investigation.
Purpose of the Study:
- To determine the incidence of iodine deficiency (ID) in children diagnosed with attention deficit/hyperactivity disorder (ADHD).
- To explore the effects of ID on the mental functions of children with ADHD.
- To assess correlations between urinary iodine levels and cognitive/behavioral assessments in this population.
Main Methods:
- Prospective study of 89 children with a diagnosis of ADHD.
- Data collection included parental questionnaires, Conners' Rating Scales (CPRS, CTRS), and the Wechsler Intelligence Scale for Children-Revised (WISC-R).
- Biochemical analyses included serum thyroid hormones and urinary iodine levels.
Main Results:
- Iodine deficiency (ID) was prevalent, detected in 71.9% of children, all classified as mild ID.
- No significant correlation was found between urinary iodine levels and WISC-R subtest scores or CPRS.
- A significant association was observed between urinary iodine levels and hyperactivity scores on the CTRS, and between learning disorder diagnosis and WISC-R freedom subtest.
Conclusions:
- This study suggests that iodine deficiency (ID) may influence comprehension, perception, attention, and learning in children with ADHD.
- The findings indicate a potential link between ID and specific aspects of cognitive function and behavior in children with ADHD.
- Further randomized controlled trials are recommended to validate these preliminary findings and establish causality.
Objective:
To investigate the incidence of iodine deficiency (ID) and its effects on mental function in children referred to the Dr. Sami Ulus Maternity and Children's Training and Research Hospital with a prospective diagnosis of attention deficit/hyperactivity disorder (ADHD).
Methods:
The study was conducted on 89 children referred in the period from September 2009 to June 2010 with a diagnosis of ADHD. A questionnaire was given to all parents. Conners' rating scales were applied to the parents (CPRS) and teachers (CTRS), and revised Wechsler intelligence scale for children (WISC-R) to the children. Serum thyroid-stimulating hormone, free triiodothyronine and free thyroxine, thyroglobulin, anti-thyroid peroxidase, anti-thyroglobulin, and urinary iodine levels were measured in all children.
Results:
Median age was 9.41±1.95 years, and 83.1% of subjects were male. The mean urinary iodine level of the children was 92.56±22.25 μg/L. ID was detected in 71.9% of subjects and all were mild ID. There was no significant relationship between urinary iodine levels with WISC-R subtest scores and CPRS. However, a significant association was found between urinary iodine levels and hyperactivity section of CTRS (p<0.05). Likewise, a significant relationship was found between learning disorder/mental retardation diagnosis and freedom subtest of WISC-R (p<0.05).
Conclusion:
This study highlights the effects of ID on comprehension, perception, attention, and learning. However, the results need to be supported by new randomized controlled trials.
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