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Nutrition in the Treatment of Attention-Deficit Hyperactivity Disorder: A Neglected but Important Aspect

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Abstract

Attention-deficit hyperactivity disorder (ADHD) is multidetermined and complex, requiring a multifaceted treatment approach. Nutritional management is one aspect that has been relatively neglected to date. Nutritional factors such as food additives, refined sugars, food sensitivities/allergies, and fatty acid deficiencies have all been linked to ADHD. There is increasing evidence that many children with behavioral problems are sensitive to one or more food components that can negatively impact their behavior. Individual response is an important factor for determining the proper approach in treating children with ADHD. In general, diet modification plays a major role in the management of ADHD and should be considered as part of the treatment protocol.

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REFERENCES

  • Barkley, R. A. (1981). Hyperactive children: A handbook for diagnosis and treatment.

  • Behar, D., Rapoport, J. L., Adams, A. A., Berg, C. J., & Cornblath, M. (1984). Sugar challenge testing with children considered behaviorally “sugar reactive.” Journal of Nutrition and Behavior, 1, 277-288.

    Google Scholar 

  • Boris, M., & Mandell, F. S. (1994). Foods and Additives are common causes of the attention deficit hyperactive disorder in children. Annals of Allergy, 72, 462-468.

    Google Scholar 

  • Breaky, J. (1997). The role of diet and behavior in childhood. Journal of Pediatrics and Child Health, 33, 190-194.

    Google Scholar 

  • Carter, C. M., Urbanowicz, M., Hemsley, R., Mantila, L., Strobel, S., Graham, P. J., et al. (1993). Effects of few food diet in attention deficit disorder. Archives of Disease in Childhood, 69, 564-568.

    Google Scholar 

  • Colquhoun, I., & Bunday, S. (1981). A lack of essential fatty acids as a possible cause of hyperactivity in children. Medical Hypothesis, 7, 673-679.

    Google Scholar 

  • Conners, C. K., Goyette, C. H., Southwick, D. S., Lees, J. M., & Andrulonis, P. A. (1976). Food Additives and hyperkinesis: A controlled double-blind experiment. Pediatrics, 58, 154-166.

    Google Scholar 

  • Crook, W. G. (1980). Can what a child eats make him dull, stupid, or hyperactive? Journal of Learning Disabilities, 13, 53-58.

    Google Scholar 

  • Egger, J., Carter, C. M., Graham, P. J., Gumley, D. & Soothill, J. F. (1985). Controlled trial of oligoantigenic treatment in the hyperkinetic syndrome. Lancet, 8355, 865–869.

    Google Scholar 

  • Feingold, B. F. (1975). Why is your child hyperactive? New York: Random House.

    Google Scholar 

  • Ferguson, H. B., Stoddart, C., & Simeon, J. G. (1986). Double blind challenge studies of behavioral and cognitive effects of sucrose–aspartame ingestion in normal children. Nutrition Reviews, 44, 144-150.

    Google Scholar 

  • Goldman, J. A., Lerman, R. H., Contois, J. H., & Udall, J. N. (1986). Behavioral effects of sucrose on preschool children. Journal of Abnormal Child Psychology, 14, 565-577.

    Google Scholar 

  • Harley, J. P., Ray, R. S., Tomasi, L., Eichman, P. L., Matthews, C., Chun, R., et al. (1978). Synthetic food colors and hyperactivity in children: A double-blind challenge experiment. Pediatrics, 62, 978-983.

    Google Scholar 

  • Hughes, E. C., Weinstein, R. C., Gott, P. S., Binggeli, R., & Whitaker, K. L. (1982). Food sensitivity in attention deficit disorder with hyperactivity (ADD/HA): A procedure for differential diagnosis. Annals of Allergy, 49, 276-280.

    Google Scholar 

  • Johnson, H. (1988). Drugs, dialogue, or diet: Diagnosing and treating the hyperactive child. Social Work, 43, 349-355.

    Google Scholar 

  • Kanarek, R. B., & Marks-Kaufman, R. (1991). Nutrition and behavior: New perspectives. New York: Van Nostrand Reinhold.

    Google Scholar 

  • Kane, P. (1999, March). Metabolic assessment and nutritional biochemistry. Clinical and research aspects. Symposium conducted at the Great Lakes College of Clinical Medicine, XXXI International Congress, Asheville, NC.

  • Lipton, M. A., & Mayo, J. P. (1983). Diet and hyperkinesis—An update. Journal of the American Dietetic Association, 83, 132-134.

    Google Scholar 

  • Lubar, J. O., & Lubar, J. F. (1984). Electroenchephalographic biofeedback of SMR and beta for treatment of Attention Deficit Disorders in a clinical setting. Biofeedback and Self-Regulation, 9, 1-24.

    Google Scholar 

  • Milich, R., & Pelham, W. E., (1986). Effects of sugar ingestion on the classroom and playgroup behavior of attention-deficit-disordered boys. Journal of Consulting and Clinical Psychology, 54, 714-718.

    Google Scholar 

  • Mitchell, E. A., Aman, M. G., Turbott, S. H., & Manku, M. (1987). Clinical characteristics and serum essential fatty acid levels in hyperactive children. Clinical Pediatrics, 26, 406-411.

    Google Scholar 

  • O'Shea, J. A., & Porter, S. F. (1981). Double-blind stufy of children with multi-allergen extract sublingually. Journal of Learning Disabilities, 14, 189-237.

    Google Scholar 

  • Prinz, R. J., & Riddle, D. B. (1986). Associations betwen nutrition and behavior in 5-year-old children. Nutrition Reviews, 44, 151-157.

    Google Scholar 

  • Prinz, R. J., Roberts, W. A., & Hantman, E. (1980). Dietary correlates of hyperactive behavior in children. Journal of Consulting and Clinical Psychology, 48, 760-769.

    Google Scholar 

  • Rapp, D. J. (1978). Does diet affect hyperactivity? Journal of Learning Disabilities, 11, 56-62.

    Google Scholar 

  • Rapp, D. J. (1979). Food allergy treatment for hyperkinesis. Journal of Learning Disabilities, 12, 42-50.

    Google Scholar 

  • Rapp, D. J. (1991). Is this your child? Discovering and treating unrecognized allergies in children and adults. New York: William Morrow.

    Google Scholar 

  • Rimland, B. (1983). The Feingold diet: An assessment of the reviews by Mattes, by Kavale and Forness and others. Journal of Learning Disabilities, 16, 331-333.

    Google Scholar 

  • Silver, L. B. (1986). The “magic cure”: A review of the current controversial approaches for treating learning disabilities. American Journal of Diseases, 140, 1045-1052.

    Google Scholar 

  • Stevens, L. J., Zentall, S. S., Abate, M. L., Kuczek, T., & Burgess, J. R. (1996). Omega-3 fatty acids in boys with behavior, learning, and health problems. Physiology and Behavior, 59, 915-920.

    Google Scholar 

  • Stevens, L. J., Zentall, S. S., Deck, J. L., Abate, M. L., Watkins, B. A., Lipp, S. R., et al. (1995). Essential fatty acid metabolism in boys with attention-deficit hyperactivity disorder. American Journal of Clincial Nutrition, 62, 761-768.

    Google Scholar 

  • Swanson, J. M., & Kinsbourne, M. (1980). Food dyes impair performance of hyperactive children on a laboratory learning test. Science, 207, 1485-1487.

    Google Scholar 

  • Thompson, L., & Thompson, M. (1998). Neurofeedback combined with training in metacognitive strategies: Effectiveness in students with ADD. Applied Psychophysiology and Biofeedback, 23, 243-263.

    Google Scholar 

  • Uhlig, T., Merkenschlager, R., Brandmaier, R., & Egger, J. (1979) Topographic mapping of brain electrical activity in children with food-induced attention deficit hyperkinetic disorder. European Journal of Pediatrics, 156, 557-561.

    Google Scholar 

  • Varley, C. K. (1984). Diet and the behavior of children with attention deficit disorder. Journal of the American Academy of Child Psychiatry, 23, 182-185.

    Google Scholar 

  • Wolraich, M. L., Lindgren, S. D., Stumbo, P. J., Stegink, L. D., Appelbaum, M. I., & Kiritsy, M. C. (1994). Effects of diets high in sucrose or aspartame on the behavior and cognitive performance of children. The New England Journal of Medicine, 330, 301-307.

    Google Scholar 

  • Wolraich, M., Milich, R., Stumbo, P., & Schultz, F. (1985). Effects of sucrose ingestion on the behavior of hyperactive boys. Journal of Pediatrics, 106, 675-682.

    Google Scholar 

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Correspondence to Roseanne Schnoll.

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Schnoll, R., Burshteyn, D. & Cea-Aravena, J. Nutrition in the Treatment of Attention-Deficit Hyperactivity Disorder: A Neglected but Important Aspect. Appl Psychophysiol Biofeedback 28, 63–75 (2003). https://doi.org/10.1023/A:1022321017467

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