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ADHD and Vitamin B12

ADHD and Vitamin B12 deficiency

ADHD occurs at about twice the rate in boys to girls. It has many Co-deficiencies, including anxiety, depression, learning difficulties and can be associated with autism. Serum analysis reveals higher homocysteine in ADHD, suggesting a role for functional B12 deficiency in the condition. Functional vitamin B12 deficiency in mothers has been associated with ADHD (Sourander et al, 2021;Lukovac et al, 2024; Altun et al, 2018; Bala et al, 2016)

ADHD and vitamin D deficiency

There is an association between an increased level of vitamin D deficiency and an increased incidence of ADHD (Bala etal, 2016)

ADHD and Sleep

The contribution of vitamin B12 to ADHD can be deduced from the sleep problems that are common in ADHD. Lack of melatonin is a consequence of vitamin B12 deficiency (Larsson et al, 2022; Yuge et al, 2020)

Drug Treatments for ADHD

The standard drug treatment for ADHD are Stimulants such as Methylphenidate (Ritalin or Concerta), and Amphetamines (Aderall, Vyvanse), which work on dopamine production. Alternatively Non-Stimulants are used such as Atomexine, Guanfacine, or Clonidine, which work on the a-2-adrenergic receptors. The belief is that the person with ADHD is underproducing dopamine or adrenalin, however, biochemically it can be shown that because of the functional B2 deficiency, they are actually overproducing both.

Organic Acid

ADHD

Control

Homovanillic acid

2.46

1.72

Vanillylmandelic Acid

1.26

1.05

5-HIAA

2.97

0.66

Quinolinic Acid

3.3

1.23

Vitamin D and ADHD

The observation that the iron dependent enzymes Prolyl hydroxylase and Lysyl hydroxylase are essential for building strength into collagen fibres and hence into structural compenents such as ligaments, potentially explains the greater

Gastrointestinal disorders and ADHD

Gut disturbances are common in ADHD. This is common in vitamin B12 deficiency, as maturation of the gut is delayed due to lack of melatonin production, and hence sensitivity to lactose, histamine, sulphites etc is higher. Up to 50% of kids with ADHD have gut issues.

References

Roy NM, Al-Harthi L, Sampat N, Al-Mujaini R, Mahadevan S, Al Adawi S, Essa MM, Al Subhi L, Al-Balushi B, Qoronfleh MW. Impact of vitamin D on neurocognitive function in dementia, depression, schizophrenia and ADHD. Front Biosci (Landmark Ed). 2021 Jan 1;26(3):566-611. doi: 10.2741/4908. PMID: 33049684

Fasihpour B, Moayeri H, Shariat M, Keihanidoust Z, Effatpanah M, Khedmat L. Vitamin D deficiency in school-age Iranian children with attention-deficit/hyperactivity disorder (ADHD) symptoms: A critical comparison with healthy controls. Child Neuropsychol. 2020 May;26(4):460-474. doi: 10.1080/09297049.2019.1665638. Epub 2019 Sep 13. PMID: 31514566.

Chien MC, Huang CY, Wang JH, Shih CL, Wu P. Effects of vitamin D in pregnancy on maternal and offspring health-related outcomes: An umbrella review of systematic review and meta-analyses. Nutr Diabetes. 2024 May 30;14(1):35. doi: 10.1038/s41387-024-00296-0. PMID: 38816412; PMCID: PMC11139885.

Ye X, Zhou Q, Ren P, Xiang W, Xiao L. The Synaptic and Circuit Functions of Vitamin D in Neurodevelopment Disorders. Neuropsychiatr Dis Treat. 2023 Jul 3;19:1515-1530. doi: 10.2147/NDT.S407731. PMID: 37424961; PMCID: PMC10327924.

Berridge MJ. Vitamin D deficiency: infertility and neurodevelopmental diseases (attention deficit hyperactivity disorder, autism, and schizophrenia). Am J Physiol Cell Physiol. 2018 Feb 1;314(2):C135-C151. doi: 10.1152/ajpcell.00188.2017. Epub 2017 Oct 25. PMID: 29070492

Upadhyaya S, Ståhlberg T, Silwal S, Arrhenius B, Sourander A. Maternal Vitamin D Levels during Pregnancy and Offspring Psychiatric Outcomes: A Systematic Review. Int J Mol Sci. 2022 Dec 21;24(1):63. doi: 10.3390/ijms24010063. PMID: 36613505; PMCID: PMC9820292.

Sourander A, Silwal S, Upadhyaya S, Surcel HM, Hinkka-Yli-Salomäki S, McKeague IW, Cheslack-Postava K, Brown AS. Maternal serum Vitamin B12 and offspring attention-deficit/hyperactivity disorder (ADHD). Eur Child Adolesc Psychiatry. 2021 Sep;30(9):1449-1462. doi: 10.1007/s00787-020-01621-5. Epub 2020 Sep 4. PMID: 32886223; PMCID: PMC8359793.

Lukovac T, Hil OA, Popović M, Jovanović V, Savić T, Pavlović AM, Pavlović D. Serum Biomarker Analysis in Pediatric ADHD: Implications of Homocysteine, Vitamin B12, Vitamin D, Ferritin, and Iron Levels. Children (Basel). 2024 Apr 22;11(4):497. doi: 10.3390/children11040497. PMID: 38671715; PMCID: PMC11048887

Altun H, Şahin N, Belge Kurutaş E, Güngör O. Homocysteine, Pyridoxine, Folate and Vitamin B12 Levels in Children with Attention Deficit Hyperactivity Disorder. Psychiatr Danub. 2018 Sep;30(3):310-316. doi: 10.24869/psyd.2018.310. PMID: 30267523.

Bala KA, Doğan M, Kaba S, Mutluer T, Aslan O, Doğan SZ. Hormone disorder and vitamin deficiency in attention deficit hyperactivity disorder (ADHD) and autism spectrum disorders (ASDs). J Pediatr Endocrinol Metab. 2016 Sep 1;29(9):1077-82. doi: 10.1515/jpem-2015-0473. PMID: 27544717.

Larsson I, Aili K, Lönn M, Svedberg P, Nygren JM, Ivarsson A, Johansson P. Sleep interventions for children with attention deficit hyperactivity disorder (ADHD): A systematic literature review. Sleep Med. 2023 Feb;102:64-75. doi: 10.1016/j.sleep.2022.12.021. Epub 2022 Dec 26. PMID: 36603513.

Yuge K, Nagamitsu S, Ishikawa Y, Hamada I, Takahashi H, Sugioka H, Yotsuya O, Mishima K, Hayashi M, Yamashita Y. Long-term melatonin treatment for the sleep problems and aberrant behaviors of children with neurodevelopmental disorders. BMC Psychiatry. 2020 Sep 10;20(1):445. doi: 10.1186/s12888-020-02847-y. PMID: 32912180; PMCID: PMC7488027.

 

 

 

 

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