Attention Deficit Disorder
Description
Attention Deficit Disorder (ADD) is a neurological condition linked to disruptions in the central nervous system, particularly affecting focus and attention. In children diagnosed with ADD, these difficulties can hinder learning and school performance. Unlike Attention Deficit Hyperactivity Disorder (ADHD), individuals with ADD do not exhibit hyperactive behavior; instead, they may appear shy, withdrawn, or reserved. Common traits include disorganization, losing belongings frequently, difficulty following instructions, and forgetfulness. These individuals often struggle to complete tasks, frequently moving from one activity to another without finishing any. Early recognition of ADD's distinct characteristics is crucial for proper diagnosis and treatment. Management strategies may include cognitive-behavioral therapy, educational accommodations, lifestyle adjustments, and dietary modifications designed to improve focus and attention over time.
Body System
[1] Derbyshire, E. (2019). Do Omega 3/6 fatty acids have a therapeutic role in children and young people with ADHD? Journal of Lipids, 2017; 2017: 6285218.
[2] King’s College London (2019). Omega-3 fish oil as effective for attention as ADHD drugs for some children. AAAS and EurekAlert!, 2019.
[3] Königs A., Kiliaan A.J. (2016). Critical appraisal of omega-3 fatty acids in attention-deficit/hyperactivity disorder treatment. Neuropsychiatric Disease and Treatment, 2016: 12: 1869–1882.
[4] Chang, J.PC., Su, KP., Mondelli, V. et al. (2019). High-dose eicosapentaenoic acid (EPA) improves attention and vigilance in children and adolescents with attention deficit hyperactivity disorder (ADHD) and low endogenous EPA levels. Transl Psychiatry 9, 303 (2019).
[5] Chang JP, Su KP, Mondelli V, Pariante CM (2018). Omega-3 Polyunsaturated Fatty Acids in Youths with Attention Deficit Hyperactivity Disorder: a Systematic Review and Meta-Analysis of Clinical Trials and Biological Studies. Neuropsychopharmacology. 2018 Feb;43(3):534-545.
[6] Bloch MH, Qawasmi A (2011). Omega-3 fatty acid supplementation for the treatment of children with attention-deficit/hyperactivity disorder symptomatology: systematic review and meta-analysis. J Am Acad Child Adolesc Psychiatry. 2011 Oct;50(10):991-1000.
[7] Manor I, Magen A, Keidar D, Rosen S, Tasker H, Cohen T, Richter Y, Zaaroor-Regev D, Manor Y, Weizman A (2012). The effect of phosphatidylserine containing Omega3 fatty-acids on attention-deficit hyperactivity disorder symptoms in children: a double-blind placebo-controlled trial, followed by an open-label extension. Eur Psychiatry. 2012 Jul;27(5):335-42.
[8] Bull-Larsen S, Mohajeri MH (2019). The Potential Influence of the Bacterial Microbiome on the Development and Progression of ADHD. Nutrients. 2019;11(11):2805. Published 2019 Nov 17.
[9] Kumperscak H G, Gricar A, Ülen I, Micetic-Turk D (2020). A Pilot Randomized Control Trial with the Probiotic Strain Lactobacillus rhamnosus GG (LGG) in ADHD: Children and Adolescents Report Better Health-Related Quality of Life. Frontiers in Psychiatry. 2020, 11:181.
[10] Cenit M, Nuevo I, Codoñer-Franch P, Dinan T, Sanz Y (2017). Gut microbiota and attention deficit hyperactivity disorder: new perspectives for a challenging condition. European Child & Adolescent Psychiatry. 2017, 26.
[11] Gonzalez A, Stombaugh J, Lozupone C, Turnbaugh PJ, Gordon JI, Knight R (2011). The mind-body-microbial continuum. Dialogues Clin Neurosci. 2011 Mar; 13(1): 55–62.
[12] Rucklidge J, Taylor M, Whitehead K (2011). Effect of Micronutrients on Behavior and Mood in Adults With ADHD: Evidence From an 8-Week Open Label Trial With Natural Extension. Journal of Attention Disorders. 2011;15(1):79-91.
[13] Landaas ET, Aarsland TI, Ulvik A, Halmøy A, Ueland PM, Haavik J (2016). Vitamin levels in adults with ADHD. BJ Psych Open. 2016;2(6):377-384. Published 2016 Dec 13.
[14] Coleman M, Steinberg G, Tippett J, Bhagavan HN, Coursin DB, Gross M, Lewis C, DeVeau L (1979). A preliminary study of the effect of pyridoxine administration in a subgroup of hyperkinetic children: a double-blind crossover comparison with methylphenidate. Biol Psychiatry. 1979 Oct;14(5):741-51.
[15] Brenner A (1982). The effects of megadoses of selected B complex vitamins on children with hyperkinesis: controlled studies with long-term follow-up. J Learn Disabil. 1982 May;15(5):258-64.
[16] Prousky J (2011). Vitamin Treatment of Hyperactivity in Children and Youth: Review of the Literature and Practical Treatment Recommendations. Journal of Orthomolecular Medicine. 2011, 26:117-126.
[17] Mousain-Bosc M, Roche M, Polge A, Pradal-Prat D, Rapin J, Bali JP (2006). Improvement of neurobehavioral disorders in children supplemented with magnesium-vitamin B6. I. Attention deficit hyperactivity disorders. Magnes Res. 2006 Mar;19(1):46-52.
[18] Shaw, I., Rucklidge, J.J. & Hughes, R.N (2010). A Possible Biological Mechanism for the B Vitamins Altering Behaviour in Attention-Deficit/Hyperactivity Disorder. Pharm Med 2010, 24: 89–294.
[19] Gorlova A, Veniaminova E (2019). Depression, aggression, and vitamin B1 thiamine supplements as a new treatment. New Brain Nutrition. 2019, Oct.
[20] Hemamy M, Heidari-Beni M, Askari G, Karahmadi M, Maracy M (2020). Effect of Vitamin D and Magnesium Supplementation on Behavior Problems in Children with Attention-Deficit Hyperactivity Disorder. Int J Prev Med. 2020;11:4.
[21] Gan J, Galer P, Ma D, Chen C, Xiong T (2019). The Effect of Vitamin D Supplementation on Attention-Deficit/Hyperactivity Disorder: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Journal of Child and Adolescent Psychopharmacology 2019, Nov; 29(9):670
[22] University of Turku (2020). Vitamin D deficiency during pregnancy connected to elevated risk of ADHD. Medicine express 2020, Feb.
[23] Mousain-Bosc M, Siatka C, Bali JP (2011). Magnesium, hyperactivity and autism in children. In: Vink R, Nechifor M, editors. Magnesium in the Central Nervous System [Internet]. Adelaide (AU): University of Adelaide Press; 2011.
[24] Hemamy M, Heidari-Beni M, Askari G, Karahmadi M, Maracy M. Effect of Vitamin D and Magnesium Supplementation on Behavior Problems in Children with Attention-Deficit Hyperactivity Disorder. Int J Prev Med. 2020;11:4. Published 2020 Jan 24.
[25] Starobrat-Hermelin B (1998). Wpływ niedoboru wybranych biopierwiastków na nadpobudliwość psychoruchowa u dzieci z określonymi zaburzeniami psychicznymi [The effect of deficiency of selected bioelements on hyperactivity in children with certain specified mental disorders]. Ann Acad Med Stetin. 1998;44:297-314. Polish.
[26] Starobrat-Hermelin B, Kozielec T (1997). The effects of magnesium physiological supplementation on hyperactivity in children with attention deficit hyperactivity disorder (ADHD). Positive response to magnesium oral loading test. Magnes Res. 1997 Jun;10(2):149-56.
[27] Baza, Farida & Ahmed, Heba & Zahra, Sally & Mahmoud, Rana. (2015). Magnesium supplementation in children with attention deficit hyperactivity disorder. Egyptian Journal of Medical Human Genetics. 17.
[28] Khan SA (2017). Levels of Zinc, Magnesium and Iron in Children with Attention Deficit Disorder. Electronic J Biol, 2017 May; 13:2.
[29] Saul Case H (2016). Magnesium Decreases Hyperactivity in ADHD Children. Riordan Clinic, 2016.
[30] Greenblatt JM, Delane DD (2017) Micronutrient Deficiencies in ADHD: A Global Research Consensus. J Orthomol Med. 2017; 32(6).
[31] Lepping P, Huber M (2010). Role of zinc in the pathogenesis of attention-deficit hyperactivity disorder: implications for research and treatment. CNS Drugs. 2010 Sep;24(9):721-8.
[32] Dodig-Curković K, Dovhanj J, Curković M, Dodig-Radić J, Degmecić D (2009). Uloga cinka u lijecenju hiperaktivnog poremećaja u djece [The role of zinc in the treatment of hyperactivity disorder in children]. Acta Med Croatica. 2009 Oct;63(4):307-13.
[33] Akhondzadeh S, Mohammadi MR, Khademi M (2004). Zinc sulfate as an adjunct to methylphenidate for the treatment of attention deficit hyperactivity disorder in children: a double blind and randomized trial [ISRCTN64132371]. BMC Psychiatry. 2004 Apr 8;4:9.
[34] Bourre JM (2006). Effects of nutrients (in food) on the structure and function of the nervous system: update on dietary requirements for brain. Part 1: micronutrients. J Nutr Health Aging. 2006 Sep-Oct;10(5):377-85.
[35] Wang Y, Huang L, Zhang L, Qu Y, Mu D (2017). Iron Status in Attention-Deficit/Hyperactivity Disorder: A Systematic Review and Meta-Analysis. PLoS One. 2017;12(1):e0169145. Published 2017 Jan 3.
[36] Bener A, Kamal M, Bener H, Bhugra D (2014). Higher prevalence of iron deficiency as strong predictor of attention deficit hyperactivity disorder in children. Ann Med Health Sci Res. 2014;4(Suppl 3):S291-S297.
[37] Konofal E, Lecendreux M, Arnulf I, Mouren M (2004). Iron Deficiency in Children With Attention-Deficit/Hyperactivity Disorder. Arch Pediatr Adolesc Med. 2004;158(12):1113–1115.
[38] Starobrat-Hermelin B (1998). Wpływ niedoboru wybranych biopierwiastków na nadpobudliwość psychoruchowa u dzieci z określonymi zaburzeniami psychicznymi [The effect of deficiency of selected bioelements on hyperactivity in children with certain specified mental disorders]. Ann Acad Med Stetin. 1998;44:297-314. Polish.
[39] Pessler LM, Frankena K, Toorman J, Savelkoul HF, Dubois AE, Rodrigues Pereira R, et al (2011). The Lancet. 2011, Feb; 377:9764.
[40] Cohen SCL, Harvey DJ, Shields RH, et al. Effects of Yoga on Attention, Impulsivity, and Hyperactivity in Preschool-Aged Children with Attention-Deficit Hyperactivity Disorder Symptoms. J Dev Behav Pediatr. 2018;39(3):200-209.
[41] Gonzalez NA, Sakhamuri N, Athiyaman S, et al. A Systematic Review of Yoga and Meditation for Attention-Deficit/Hyperactivity Disorder in Children. Cureus. 2023;15(3):e36143. Published 2023 Mar 14.
[42] Gunaseelan L, Vanama MS, Abdi F, Qureshi A, Siddiqua A, Hamid MA. Yoga for the Management of Attention-Deficit/Hyperactivity Disorder. Cureus. 2021;13(12):e20466. Published 2021 Dec 16.
1. Multivitamins: Multivitamins help address nutrient deficiencies that may impact cognitive function and emotional regulation by providing essential vitamins like B-complex, zinc, and magnesium, which support neurotransmitter balance and brain health.
2. Vitamin D: Vitamin D3 supports cognitive function by reducing inflammation and improving neurotransmitter activity, which may help manage issues like inattention and impulsivity.
3. Calcium: Calcium lactate supports neurological function by ensuring proper neurotransmitter release and muscle contraction, promoting overall brain health.
4. Magnesium: Magnesium supports neurotransmitter function, helping to improve sleep quality, reduce irritability, and enhance attention.
5. Vitamin B1: Vitamin B1 (Thiamine) supports neurotransmitter production and glucose metabolism, providing the brain with energy and improving mental clarity while helping to manage stress.
6. Vitamin B-Complex: Vitamin B complex supports brain function and emotional balance by providing essential B vitamins, including B6 and B12. B6 helps regulate neurotransmitters, improving alertness and reducing anxiety, while B12 supports learning and cognitive processing.
7. Omega 3: Omega-3 fatty acids protect neurons, reduce inflammation, and support dopamine production, helping to improve focus and attention.
8. Probiotics: Probiotics support brain function through the gut-brain axis by promoting a healthy gut microbiome, which can positively influence neurotransmitter production and emotional regulation.
No replicated and convincing research studies are available, and there is no anecdotal evidence supporting the effectiveness of this method.
1. Nutritional Yeast: Nutritional yeast provides B vitamins, including B6 and B12, which support neurotransmitter function, helping improve alertness, reduce anxiety, and support learning.
1. Yoga: Yoga enhances attention, focus, and self-regulation through mindfulness and relaxation techniques, helping to manage impulses and foster a calm, focused mindset.
Supplements
Plant Extracts
Natural Compounds
Alternative Treatments
Symptoms & Signs
Causes
Impariment of Neurological Functions, Neurotoxins, Maternal Tobacco, Alcohol, and Drug Use, Heavy Metals Exposure, Pesticide Exposure
Books That You May Want To Read
How Nutrients Function
Electrolytes: Electrolytes carry charged ions essential for transmitting nerve impulses, regulating muscle function, and maintaining fluid balance. They are pivotal in supporting hydration, nerve signaling, and overall physiological balance.
Fatty Acids: Fatty acids serve as energy sources, structural components of cell membranes, and precursors to signaling molecules. Essential fatty acids, like omega-3 and omega-6, play critical roles in brain function, cardiovascular health, and inflammation regulation.
Minerals: Minerals are essential for various physiological functions, including bone health, nerve transmission, and enzyme activity. They support overall health by ensuring proper cellular function and metabolic processes.
Probiotics: Probiotics are live microorganisms that confer health benefits when consumed. They support gut health, immune function, and oral hygiene by promoting the growth of beneficial bacteria and inhibiting the growth of harmful pathogens.
Vitamins: Vitamins are essential micronutrients that play diverse roles in supporting cellular processes, immune function, and overall health. They must be obtained through diet or supplementation to ensure proper bodily function.
Nutrients Explained In Nutritional Guide
Podcast Episodes To Listen To
Educational Videos To Learn From
Functional Lab Tests That You Might Consider
References
Things To Do
For people, especially children, who have the ADD diagnosis, the most appropriate approach to dealing with the condition and symptom control includes diet optimization.
Opt for a whole-foods-based diet rich in fiber. Include a lot of vegetables, fruits, and whole grains. These foods contain complex carbohydrates.
Preferably, buy organic whole foods that are pesticide-free.
opt for a low-carbohydrate diet rather than a carb-rich diet.
Include omega-3 fatty acids in the diet in the form of cold-water fish. They are beneficial for the development and functioning of the brain.
incorporate a good amount of protein into the diet. Proteins contain amino acids, which, in addition to a low-carbohydrate diet, can reduce potential hypoglycemia in ADD individuals.
Eat whole foods rich in magnesium, zinc, and iron.
Eat home-cooked meals. Avoid eating out to have better control over what is in your food.
Eliminate foods that aggravate the condition. Test for food sensitivities and intolerances.
If you buy packaged foods, always read the label.
Other helpful strategies and changes to the environment include:
Opt for natural, safe, and toxin-free cleaning supplies, body care products, laundry detergents, and air fresheners.
Take care of a proper sleeping environment and sleep hygiene. Incoprorate blackout curtains, white noise machines, sleep-inducing and relaxing essential oils, etc.
Get a sufficient amount of sleep every night.
Incorporate a lot of [outdoor] physical activity.
Get a lot of fresh air and spend time in the greenery.
Things To Avoid
Diagnosed ADD is associated with a long list of don'ts and things to avoid to reduce the aggravation of the condition.
Consume no sugar. Any sugar can cause symptoms and behavioral problems to escalate.
Avoid foods high in salicilates, such as raisins, nuts, apples, and oranges.
Watch out for food additives, such as MSG [monosodium glutamate], colorants, flavorings, preservatives, and yeast.
Reduce the intake of foods high in sulfur, such as dairy products, eggs, cheese, crabs, lobsters, lentils, peas, kidney beans, and chickpeas. Many people with ADD can't process sulfur properly.
Avoid white flour, bread, pastries, and candy.
Do not consume processed foods, which contain added sugar, artificial ingredients, and phosphates.
Do not drink cacarbonated beverages, sweetened sodas, alcohol, caffinated tea and coffee, or fruit juices.
Avoid foods that cause allergic reactions.
Eating out and takeout
Also avoid:
electronics and screen exposure. Especially in the late afternoon and evening. Blue light and flashing images are very stimulating to the brain.
toxic household products, body care products, and cleaning supplies.
stressful situations that drive anxiety.
lack of or insufficient sleep.
inactivity.
stimulating events, especially for children.