Omega-3 and Zinc supplementation as complementary therapies in children with attention-deficit/hyperactivity disorder
Bahman Salehi1, Abolfazl Mohammadbeigi2, Hamid Sheykholeslam3
1Department of Psychiatry, Arak University of Medical Sciences, Arak, Iran.
Insights
Zinc and omega-3 supplements show promise in treating attention-deficit/hyperactivity disorder (ADHD) in children. Omega-3 was found superior to zinc and placebo for overall ADHD symptom improvement.
Area of Science:
- Pediatric Neurology
- Nutritional Psychiatry
- Clinical Pharmacology
Background:
- Attention-deficit/hyperactivity disorder (ADHD) is a common neurodevelopmental disorder in children.
- Standard treatments for ADHD include stimulant medications, but adjunctive therapies are being explored.
- Micronutrients like zinc and omega-3 fatty acids play crucial roles in brain function and development.
Purpose of the Study:
- To assess the efficacy of zinc and omega-3 fatty acid supplementation as adjuncts to standard ADHD treatment in children.
- To compare the effects of zinc, omega-3, and placebo on ADHD symptom severity.
Main Methods:
- A randomized, double-blind, placebo-controlled trial involving 150 children (6-15 years) diagnosed with ADHD.
- Participants received methylphenidate plus either zinc sulfate, omega-3, or placebo for 8 weeks.
- Symptom severity was measured using Conners' Parent and Teacher Rating Scales at baseline and at weeks 2, 4, and 8.
Main Results:
- Zinc supplementation significantly improved attention-deficit symptoms compared to placebo (P = 0.02).
- Omega-3 supplementation demonstrated superior clinical improvement in ADHD symptoms compared to both zinc and placebo groups (P < 0.05).
- No significant difference was observed between the omega-3 and placebo groups in overall Conners' scale scores (P = 0.89).
Conclusions:
- Zinc supplementation, when used with standard ADHD treatment, can significantly improve attention-deficit symptoms.
- Omega-3 fatty acids appear to be more effective than zinc and placebo in enhancing the clinical management of ADHD symptoms.
- Further research is warranted to elucidate the mechanisms and optimal use of these supplements in pediatric ADHD.
Objective:
The aim of this study is to evaluate the effect of zinc and omega-3 supplements as adjunctive drugs in the treatment of attention-deficit/hyperactivity disorder (ADHD) of children.
Methods:
This study is a randomized, double-blind clinical trial conducted on 150 children aged 6-15 years old that diagnosed as new cases of ADHD. Study subjects were evaluated for 8 weeks. Besides of drug of choice (methylphenidate) for the ADHD, patients received placebo in the control group (n = 50), zinc sulfate in second group (n = 50), and omega-3 (n = 50) in third group. Clinical improvement was checking by Conners' Parent and Teacher Rating Scales before and in 2(nd), 4(th), and 8(th) week of treatment. Results were analyzed with SPSS version 16 software.
Findings:
In this study, mean scores of Conners' scale showed significant improvement during treatment in the zinc group compared to control group in children that affected to attention-deficit disorder subtype of ADHD (P = 0.02). Moreover, in omega-3 group, better clinical response was seen than other groups (P < 0.05). However, there was no significant difference between omega-3 group compared to placebo group in the mean scores of Conners' scale (P = 0.89).
Conclusion:
Zinc supplementation accompanied by the main treatment significantly improves symptom of attention-deficit disorder subtype of ADHD. However, omega-3 supplementation was superior to zinc and placebo in the clinical improvement of ADHD.
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