Vitamin D insufficiency and sleep disturbances in children with ADHD: a case-control study

Panpan Zhang1,2, Yang Liu1,2, Yan Ma1,2

  • 1Department of Child Health, Dalian Municipal Women and Children's Medical Center (Group), Dalian, Liaoning, China.

PubMed

Insights

Vitamin D insufficiency in children with Attention Deficit Hyperactivity Disorder (ADHD) significantly worsens sleep duration and disordered breathing. However, it does not directly impact ADHD symptoms or functional impairment. Screening for vitamin D deficiency is recommended for these children.

Area of Science:

  • Pediatric Neurology
  • Nutritional Neuroscience
  • Sleep Medicine

Background:

  • Attention Deficit Hyperactivity Disorder (ADHD) is a prevalent neurodevelopmental disorder frequently associated with sleep disturbances.
  • Vitamin D plays a crucial role in regulating sleep patterns and supporting optimal brain function.
  • The impact of vitamin D insufficiency on sleep problems and ADHD symptomology in children remains under-investigated.

Purpose of the Study:

  • To investigate the relationship between vitamin D insufficiency and sleep problems in children diagnosed with ADHD.
  • To determine if vitamin D deficiency exacerbates ADHD symptoms and functional impairment in pediatric populations.

Main Methods:

  • A case-control study involving 260 children aged 6-14 years with ADHD.
  • Participants were categorized into groups with vitamin D insufficiency (n=95) and sufficiency (n=165).
  • Assessment included ADHD symptom severity, functional impairment scales, and the Children's Sleep Habits Questionnaire (CSHQ).

Main Results:

  • Children with ADHD and vitamin D insufficiency exhibited significantly higher scores for sleep duration and sleep-disordered breathing compared to those with sufficient vitamin D levels.
  • Overall, ADHD children demonstrated prevalent sleep problems, with CSHQ scores exceeding the threshold for concern.
  • No direct correlation was found between vitamin D insufficiency and the type of ADHD, symptom severity, or functional impairment.

Conclusions:

  • Sleep problems are common in children with ADHD, and vitamin D insufficiency is linked to increased sleep duration and sleep-disordered breathing.
  • While vitamin D insufficiency does not directly worsen ADHD symptoms or functional impairment, its association with sleep disturbances highlights the need for screening.
  • Addressing vitamin D levels in children with ADHD may be beneficial for managing associated sleep issues, potentially offering indirect improvements in overall well-being.
Abstract

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