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注意力缺陷多动障碍及相关神经发育障碍中的Omega-3脂肪酸

Omega-3 fatty acids in ADHD and related neurodevelopmental disorders.

作者信息

Richardson Alexandra J

机构信息

Department of Physiology, Human Anatomy and Genetics, University of Oxford, UK.

出版信息

Int Rev Psychiatry. 2006 Apr;18(2):155-72. doi: 10.1080/09540260600583031.

Abstract

Omega-3 fatty acids are dietary essentials, and are critical to brain development and function. Increasing evidence suggests that a relative lack of omega-3 may contribute to many psychiatric and neurodevelopmental disorders. This review focuses on the possible role of omega-3 in attention-deficit/hyperactivity disorder (ADHD) and related childhood developmental disorders, evaluating the existing evidence from both research and clinical perspectives. Theory and experimental evidence support a role for omega-3 in ADHD, dyslexia, developmental coordination disorder (DCD) and autism. Results from controlled treatment trials are mixed, but the few studies in this area have involved different populations and treatment formulations. Dietary supplementation with fish oils (providing EPA and DHA) appears to alleviate ADHD-related symptoms in at least some children, and one study of DCD children also found benefits for academic achievement. Larger trials are now needed to confirm these findings, and to establish the specificity and durability of any treatment effects as well as optimal formulations and dosages. Omega-3 is not supported by current evidence as a primary treatment for ADHD or related conditions, but further research in this area is clearly warranted. Given their relative safety and general health benefits, omega-3 fatty acids offer a promising complementary approach to standard treatments.

摘要

欧米伽-3脂肪酸是饮食中的必需物质,对大脑发育和功能至关重要。越来越多的证据表明,欧米伽-3相对缺乏可能导致许多精神疾病和神经发育障碍。本综述重点关注欧米伽-3在注意力缺陷多动障碍(ADHD)及相关儿童发育障碍中的可能作用,从研究和临床角度评估现有证据。理论和实验证据支持欧米伽-3在ADHD、诵读困难、发育性协调障碍(DCD)和自闭症中发挥作用。对照治疗试验的结果不一,但该领域的少数研究涉及不同人群和治疗配方。补充鱼油(提供二十碳五烯酸和二十二碳六烯酸)似乎至少能缓解部分儿童的ADHD相关症状,一项针对DCD儿童的研究还发现对学业成绩有益。现在需要更大规模的试验来证实这些发现,并确定任何治疗效果的特异性和持久性以及最佳配方和剂量。目前证据不支持将欧米伽-3作为ADHD或相关病症的主要治疗方法,但该领域显然有必要进行进一步研究。鉴于其相对安全性和对整体健康的益处,欧米伽-3脂肪酸为标准治疗提供了一种有前景的补充方法。

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