Konikowska Klaudia, Regulska-Ilow Bozena, Rózańska Dorota
Department of Dietetics, Wroclaw Medical University, Poland.
Rocz Panstw Zakl Hig. 2012;63(2):127-34.
In most children with ADHD the cause of the disease is not exactly known, and its etiology is multifactorial. The conventional treatment is based on the combination of behavioral and psychological therapy and the pharmacotherapy. The pharmacotherapy has a high effectiveness in ADHD treatment, but it is often associated with undesirable side effects, such as: loss of appetite and weight, growth inhibition, abdominal pain, headaches, sleeping problems and increased blood pressure. In the recent years, much attention was devoted to the issue of an appropriate diet in this disease, especially when the standard pharmacotherapy is not effective. The diet of pregnant and lactating woman, and child may have an impact on the development and deepening of the hyperkinetic syndrome. There is much evidence to indicate that it is linked to nutritional factors. Chronic deficiencies of certain minerals such as zinc, iron, magnesium and iodine and insufficient dietary intake of long-chain polyunsaturated fatty acids may have a significant impact on the development and deepening of the symptoms of ADHD in children. A crucial role in the diet of pregnant and lactating women, and child plays also polyunsaturated omega-3 fatty acids, mainly DHA, which are necessary for proper development and function of brain. Their chronic deficiency may contribute to increase risk of ADHD in children. The authors of several studies also demonstrated the positive impact of the elimination food products containing synthetic food additives, like artificial food dyes and preservatives on the behavior of children with ADHD. The beneficial effects brought also the elimination of food products, that are rich in salicylates. It was found that the intake of food products with a low glycemic index helps to reduce symptoms in some hyperactive children. Providing an appropriate supply of nutrients and minerals and elimination of certain food products from diet is especially important during intensive growth and development of the child. In this article the issues concerning the role of the diet in treatment of the children with diagnosed ADHD and the importance of deficiency of certain minerals and long-chain polyunsaturated fatty acids in pregnancy and child growth was discussed. There is a need for further studies in this area to evaluate the potential effectiveness of the diet in treating the symptoms of ADHD.
在大多数患有注意力缺陷多动障碍(ADHD)的儿童中,该病的确切病因尚不清楚,其病因是多因素的。传统治疗方法是行为和心理治疗与药物治疗相结合。药物治疗在ADHD治疗中具有很高的有效性,但它常常伴有不良副作用,如:食欲不振、体重减轻、生长抑制、腹痛、头痛、睡眠问题和血压升高。近年来,人们对这种疾病的适当饮食问题给予了很多关注,尤其是在标准药物治疗无效时。孕妇、哺乳期妇女和儿童的饮食可能会对多动综合征的发展和加重产生影响。有许多证据表明它与营养因素有关。某些矿物质如锌、铁、镁和碘的长期缺乏以及长链多不饱和脂肪酸的饮食摄入量不足,可能会对儿童ADHD症状的发展和加重产生重大影响。多不饱和ω-3脂肪酸,主要是DHA,在孕妇、哺乳期妇女和儿童的饮食中也起着关键作用,它们对大脑的正常发育和功能是必需的。它们的长期缺乏可能会增加儿童患ADHD的风险。几项研究的作者还证明,消除含有合成食品添加剂的食品,如人工食用色素和防腐剂,对ADHD儿童的行为有积极影响。消除富含水杨酸盐的食品也带来了有益效果。研究发现,摄入低血糖指数的食品有助于减轻一些多动儿童的症状。在儿童快速生长发育期间,提供适当的营养和矿物质供应以及从饮食中消除某些食品尤为重要。本文讨论了饮食在诊断为ADHD的儿童治疗中的作用以及某些矿物质和长链多不饱和脂肪酸缺乏在孕期和儿童生长中的重要性。有必要在这一领域进行进一步研究,以评估饮食在治疗ADHD症状方面的潜在有效性。