Medscape
In a group of young children with attention-deficit/hyperactivity disorder (ADHD), nearly two-thirds who followed a restricted elimination diet experienced a significant reduction in ADHD symptoms and oppositional defiant behavior. Going off the diet led to relapse.
The findings, from the Impact of Nutrition on Children with ADHD (INCA) study, are published in the February 5 issue of The Lancet.
"We think that dietary intervention should be considered in all children with ADHD, provided parents are willing to follow a diagnostic restricted elimination diet for a 5-week period and provided expert supervision is available," Lidy M. Pelsser, PhD, of the ADHD Research Centre in Eindhoven, the Netherlands, and colleagues write.
"Children who react favorably to this diet should be diagnosed with food-induced ADHD and should enter a challenge procedure to define which foods each child reacts to and to increase the feasibility and to minimize the burden of the diet," they advise.
But in comments to Medscape Medical News, Jaswinder Ghuman, MD, of the Division of Child and Adolescent Psychiatry at University of Arizona, Tuscon, author of a linked commentary, said further investigation is needed "to make recommendations for children who are more likely to benefit."[...]
In a group of young children with attention-deficit/hyperactivity disorder (ADHD), nearly two-thirds who followed a restricted elimination diet experienced a significant reduction in ADHD symptoms and oppositional defiant behavior. Going off the diet led to relapse.
The findings, from the Impact of Nutrition on Children with ADHD (INCA) study, are published in the February 5 issue of The Lancet.
"We think that dietary intervention should be considered in all children with ADHD, provided parents are willing to follow a diagnostic restricted elimination diet for a 5-week period and provided expert supervision is available," Lidy M. Pelsser, PhD, of the ADHD Research Centre in Eindhoven, the Netherlands, and colleagues write.
"Children who react favorably to this diet should be diagnosed with food-induced ADHD and should enter a challenge procedure to define which foods each child reacts to and to increase the feasibility and to minimize the burden of the diet," they advise.
But in comments to Medscape Medical News, Jaswinder Ghuman, MD, of the Division of Child and Adolescent Psychiatry at University of Arizona, Tuscon, author of a linked commentary, said further investigation is needed "to make recommendations for children who are more likely to benefit."[...]
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