儿童多动症微量营养素的持续效果:随机对照试验与开放式扩展
Adarsh Chand1, Kathryn Darling1, Julia J Rucklidge2
1School of Psychology, Speech and Hearing, University of Canterbury, Christchurch, New Zealand.
European child & adolescent psychiatry
|September 3, 2025
概括
对于注意力缺陷/ 过度活动障碍 (ADHD) 的微量营养素治疗显示在20周内持续改善. 最初接受安慰剂的儿童在转换为微量营养素后明显改善,与持续治疗的儿童相匹配.
科学领域:
- 营养心理医学
- 儿童神经学
背景情况:
- 注意缺陷/多动症 (ADHD) 是一种常见的神经发育障碍.
- 微量营养素的补充已被证明有助于控制ADHD的症状.
研究的目的:
- 调查微量营养素对多动症的长期疗效.
- 评估微量营养素治疗时间的影响.
- 评估最初随机分配给安慰剂的儿童的影响.
主要方法:
- 一个为期10周的随机对照试验 (RCT),随后是10周的开放阶段 (OL).
- 参与者 (7-12岁) 在RCT阶段接受微量营养素或安慰剂,然后在OL阶段接受微量营养素.
- 评估包括ADHD症状,情绪失调和临床整体印象改善 (CGI-I).
主要成果:
- 最初接受安慰剂治疗的儿童在转向微量营养素治疗后 (32. 4% 至 64. 9%) 显著改善症状 (CGI- I反应者).
- 接受微量营养素治疗20周的儿童保持了高反应率 (46.3%至63.4%).
- 超过一半的儿童在OL阶段结束时有反应,没有显著的群体差异或增加的副作用.
结论:
- 微量营养素是ADHD的可行的治疗选择,
- 延长治疗时间进一步增强了疗效,安慰剂反应者赶上了持续治疗组.
- 在ADHD中补充微量营养素是安全有效的,促进症状改善和身体成长.
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