Mohammadzadeh Soleiman, Baghi Narmin, Yousefi Fayegh, Yousefzamani Bahar
Child and Adolescent Psychiatrist, Neurosciences Research Center, Kurdistan University of Medical Sciences, Sanandaj, Iran.
Neurosciences Research Center, Kurdistan University of Medical Sciences, Sanandaj, Iran.
Korean J Pediatr. 2019 Sep;62(9):360-366. doi: 10.3345/kjp.2018.06982. Epub 2019 May 20.
Attention deficit-hyperactivity disorder (ADHD) is one of the most common chronic behavioral disorders in school-aged children.
This study aimed to evaluate the effect of omega-3 supplementation as an alternative therapy for ADHD, which can be caused by vitamin and mineral deficiencies.
This was a double-blinded clinical trial study. Sixty-six children with ADHD (aged 6-12 years) referred to our child and adolescent psychiatric educational and therapeutic clinic were selected based on Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision criteria. Instruments including the Parent ADHD Rating Scale were used to assess ADHD at 0, 2, 4, and 8 weeks during the study.
The results showed no statistically significant difference between the methylphenidate with omega-3 group and methylphenidate with placebo group based on the Parents ADHD Rating Scale between week 0 (P≥0.96) and week 8 (P≥0.75). There were no significant intergroup differences between the Inattention (P≥0.48) and hyperactivity/impulsivity (P≥0.80) subscale scores on the Parents ADHD Rating Scale. The most common drug complications in the methylphenidate with placebo and methylphenidate with omega-3 groups were anorexia (27 [54%] vs. 41 [60.29%], respectively) and diarrhea (10 [20%] vs. 8 [11.76%], respectively), but the differences were not statistically significant (P> 0.05).
Our results demonstrate that a specific dose of omega-3 for 8 weeks had no effect on ADHD.
注意力缺陷多动障碍(ADHD)是学龄儿童中最常见的慢性行为障碍之一。
本研究旨在评估补充ω-3作为ADHD替代疗法的效果,ADHD可能由维生素和矿物质缺乏引起。
这是一项双盲临床试验研究。根据《精神疾病诊断与统计手册》第四版修订版标准,选取了66名患有ADHD(6至12岁)并转诊至我们儿童和青少年精神病学教育与治疗诊所的儿童。在研究期间,使用包括父母ADHD评定量表在内的工具在第0、2、4和8周评估ADHD。
根据父母ADHD评定量表,在第0周(P≥0.96)和第8周(P≥0.75)时,哌甲酯与ω-3组和哌甲酯与安慰剂组之间没有统计学上的显著差异。在父母ADHD评定量表的注意力不集中(P≥0.48)和多动/冲动(P≥0.80)子量表得分上,组间没有显著差异。哌甲酯与安慰剂组和哌甲酯与ω-3组中最常见的药物并发症分别是厌食(分别为27例[54%]和41例[60.29%])和腹泻(分别为10例[20%]和8例[11.76%]),但差异无统计学意义(P>0.05)。
我们的结果表明,特定剂量的ω-3持续8周对ADHD没有影响。