A number of behavioral and self-awareness strategies have been found
to have some effect at improving symptoms of ADHD, and potentially
reducing the amount of stimulant medications required. These include
basics such as establishing household and school routines, avoiding
information and stimulus overloads (Davenport TH et al 2000; Goddard J
2000), and maintaining good eye contact, as well as techniques that
require more practice and specific training, such as meditation and
some forms of biofeedback.
In addition, there is preliminary evidence that vigorous exercise
may have a role in managing some features of ADHD, especially in boys.
This may be related to exercise-induced increases in dopamine activity
(Tantillo M et al 2002).
Environmental and Dietary Considerations
Considerable controversy continues to surround the questions of how
much environmental toxins and dietary factors contribute to ADHD (Kidd
PM 2000). Overt toxicity from contaminants and pollutants such as
mercury and polychlorinated biphenyls (PCBs) are known to cause a wide
spectrum of behavioral disorders (Rice DC 2000), although the effects
of more subtle exposures are less clear.
Similarly, several theories have been advanced regarding the
association between dietary components (such as simple sugars) and
ADHD, but again convincing evidence is lacking (Chaves-Carballo E
2003). Dietary manipulations, such as the Feingold elimination diet, in
which one category (or several categories) of food is carefully
excluded, have been tried but with no success in treating ADHD (Krummel
DA et al 1996).
Likewise, although allergies to foods or food additives have been
proposed as a cause of ADHD (Boris M et al 1994; Rowe KS et al 1994),
there is little scientific basis for this idea. So-called
oligoantigenic diets aim to reduce the number and variety of food-based
allergens that children might be exposed to. A few small trials have
shown some benefit in carefully selected groups of children (Egger J et
al 1985). Because such diets aim to eliminate large categories of food
(on which growing children may depend), they should be undertaken only
in careful collaboration with a physician. Allergy testing has rarely
proved helpful in treating ADHD.
The role of dietary sugar. Despite a great deal of
attention in the popular press, there has been no convincing evidence
that dietary sugar is causal in ADHD (Krummel DA et al 1996). In a 1985
study, children with ADHD were shown to have lower adrenaline levels
after a sugar intake than control children (Girardi NL et al 1995). The
implications of this study are not clear. However, other studies have
suggested that some children with ADHD may have food sensitivities that
include sugar. The authors of these studies conclude that diet
modification is an important part of ADHD management (Schnoll R et al
2003). Whatever the outcome of this debate, there is little doubt that
dietary sugar is not a benefit in children's diets. It is linked to
tooth decay, obesity, and other health conditions. Therefore, it is
probably wise for all children to limit or completely avoid dietary
sugar.
Vitamin Depot Online.com Foundation Recommendations
Ideally, ADHD treatment will touch on many aspects of a patient's
life, from daily routines to exercise to behavior therapies to
nutrition. ADHD is likely a multifactorial disease, therefore it
deserves to be treated on many fronts. The following lifestyle changes
can help in reducing the anxiety associated with ADHD:
Diet. Aim for a well-balanced diet. Avoid
unnecessary simple sugars. Use specific elimination diets only in
partnership with a physician. People observing elimination diets are
likely to need supplementation with vitamins, minerals, and possibly
other nutrients.
Exercise. Moderate to vigorous physical
activity is beneficial for all children but especially for children who
have behavior disorders. Try moderate-intensity activity for 30 minutes
almost every day and a minimum of 30 minutes of vigorous activity 3 to
4 days a week.
Mind-body techniques. Try massage,
biofeedback, and meditation. Avoid information overload. Some children
with ADHD benefit from predictable, rigid schedules.
In addition, the following nutrients may help relieve symptoms:
All the nutrients and supplements discussed in this section are
available through the Vitamin Depot Online.com Foundation Buyers Club, Inc. For
ordering information, call anytime toll-free 1-800-544-4440, or visit
us online at www.LifeExtension.com.
The blood tests discussed in this section are available through Vitamin Depot Online.com National Diagnostics, Inc. For ordering information, call
anytime toll-free 1-800-208-3444, or visit us online at
www.LifeExtension.com.
ADHD Safety Caveats
An aggressive program of dietary supplementation should not be
launched without the supervision of a qualified physician. Several of
the nutrients suggested in this protocol may have adverse effects.
These include:
Acetyl-L-Carnitine
Acetyl-L-carnitine can cause gastrointestinal symptoms such as nausea and diarrhea.
DHEA
Do not take DHEA if you could be pregnant, are breastfeeding, or could have prostate, breast, uterine, or ovarian cancer.
DHEA can cause androgenic effects in woman such as acne, deepening of the voice, facial hair growth and hair loss.
EPA/DHA
Consult your doctor before taking EPA/DHA if you take warfarin
(Coumadin). Taking EPA/DHA with warfarin may increase the risk of
bleeding.
Discontinue using EPA/DHA 2 weeks before any surgical procedure.
Ginger
Do not take ginger if you have a bile duct obstruction or gallstones. Ginger may stimulate bile production.
High doses of ginger (6 grams or more) can cause damage to the stomach lining and ulcers.
Ginger can cause anllergic skin reactions.
Consult your doctor before taking ginger if you take blood
thinners such as warfarin (Coumadin). Ginger can increase the risk of
bleeding.
Ginkgo Biloba
Individuals with a known risk factor for intracranial hemorrhage,
systematic arterial hypertension, diabetes, or seizures should avoid
ginkgo.
Do not use prior to or after surgery.
Avoid concomitant use of ginkgo with NSAIDS, blood thinners, diuretics, or SSRIs.
Gastrointestinal symptoms (nausea and diarrhea) may occur.
Allergic skin reactions may occur.
Elevations in blood pressure may occur.
Magnesium
Do not take magnesium if you have kidney failure or myasthenia gravis.
Melatonin
Do not take melatonin if you are depressed.
Do not take high doses of melatonin if you are trying to
conceive. High doses of melatonin have been shown to inhibit ovulation.
Melatonin can cause morning grogginess, a feeling of having a
hangover or a heavy head, or gastrointestinal symptoms such as nausea
and diarrhea.
Vitamin B6
Individuals who are being treated with levodopa without
taking carbidopa at the same time should avoid doses of 5 milligrams or
greater daily of vitamin B6.
Vitamin E
Consult your doctor before taking vitamin E if you take warfarin (Coumadin).
Consult your doctor before taking high doses of vitamin E if you have a vitamin K deficiency or a history of liver failure.
Consult your doctor before taking vitamin E if you have a
history of any bleeding disorder such as peptic ulcers, hemorrhagic
stroke, or hemophilia.
Discontinue using vitamin E 1 month before any surgical procedure.
Zinc
High doses of zinc (above 30 milligrams daily) can cause adverse reactions.
Zinc can cause a metallic taste, headache, drowsiness, and gastrointestinal symptoms such as nausea and diarrhea.
High doses of zinc can lead to copper deficiency and hypochromic microcytic anemia secondary to zinc-induced copper deficiency.
High doses of zinc may suppress the immune system.