Effect of Omega-3 and Korean Red Ginseng on Children with Attention Deficit Hyperactivity Disorder: An Open-Label Pilot Study
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Objective: The purpose of the present study was to evaluate the efficacy of omega-3 and Korean red ginseng on improving attention deficit hyperactivity disorder (ADHD) symptoms and cognitive function in children with ADHD. Methods: A total of 40 children aged 6 to 12 years diagnosed with ADHD participated in this open-label trial. Participants received daily supplements containing 500 mg of omega-3 (eicosapentaenoic acid, 294 mg; docosahexaenoic acid, 206 mg) and 3 mg of Korean red ginseng extract (combination of ginsenoside Rg1, Rb1, and Rg3) for 12 weeks. No psychotropic drug was allowed during the study period. ADHD symptoms were assessed using the ADHD Rating Scale (ADHD-RS) and Clinical Global Impression-Severity (CGI-S) scale. Neuropsychological tests on sustained attention, short-term memory, and executive function were also assessed. Results: After 12 weeks, participants showed significant improvements on ADHD-RS (31.12 ± 8.82 at baseline, 24.15 ± 11.45 at endpoint; p < 0.001) and CGI-S (3.38 ± 1.18 at baseline, 2.94 ± 1.00 at endpoint; p < 0.001). On the Continuous Performance Test, commission errors significantly decreased, while reaction time significantly increased. Immediate recall and delayed recall on both Auditory Verbal Learning Test and Complex Figure Test showed significant improvements. Scores of Color−Word Task from Stroop Color−Word Test also showed significant improvements after the treatment. The supplement was well tolerated. Conclusion: The results of this pilot study suggest that the combination of omega-3 and Korean red ginseng may improve ADHD symptoms and cognitive function including attention, memory, and executive function in children with ADHD. Future randomized placebo-controlled trials with a larger sample is warranted.
Abstract
Objective: The purpose of the present study was to evaluate the efficacy of omega-3 and Korean red ginseng on improving attention deficit hyperactivity disorder (ADHD) symptoms and cognitive function in children with ADHD. Methods: A total of 40 children aged 6 to 12 years diagnosed with ADHD participated in this open-label trial. Participants received daily supplements containing 500 mg of omega-3 (eicosapentaenoic acid, 294 mg; docosahexaenoic acid, 206 mg) and 3 mg of Korean red ginseng extract (combination of ginsenoside Rg1, Rb1, and Rg3) for 12 weeks. No psychotropic drug was allowed during the study period. ADHD symptoms were assessed using the ADHD Rating Scale (ADHD-RS) and Clinical Global Impression-Severity (CGI-S) scale. Neuropsychological tests on sustained attention, short-term memory, and executive function were also assessed. Results: After 12 weeks, participants showed significant improvements on ADHD-RS (31.12 ± 8.82 at baseline, 24.15 ± 11.45 at endpoint; p < 0.001) and CGI-S (3.38 ± 1.18 at baseline, 2.94 ± 1.00 at endpoint; p < 0.001). On the Continuous Performance Test, commission errors significantly decreased, while reaction time significantly increased. Immediate recall and delayed recall on both Auditory Verbal Learning Test and Complex Figure Test showed significant improvements. Scores of Color−Word Task from Stroop Color−Word Test also showed significant improvements after the treatment. The supplement was well tolerated. Conclusion: The results of this pilot study suggest that the combination of omega-3 and Korean red ginseng may improve ADHD symptoms and cognitive function including attention, memory, and executive function in children with ADHD. Future randomized placebo-controlled trials with a larger sample is warranted.
참고문헌 (25)
- American Psychiatric Association, "Diagnostic and statistical manual of mental disorders" (2013), American Psychiatric Publishing
- Rapport MD, "Attention deficit disorder and methylphenidate : normalization rates, clinical effectiveness, and response prediction in 76 children", J Am Acad Child Adolesc Psychiatry, 33, pp.882~893 (1994)
- Cem Gokcen, "Methylphenidate Induced Lip and Tongue Biting", Clinical Psychopharmacology and Neuroscience, 16(2), pp.218~220 (2018), 대한정신약물학회[DOI]
- Kuan-Pin Su, "Omega-3 Polyunsaturated Fatty Acids in Prevention of Mood and Anxiety Disorders", Clinical Psychopharmacology and Neuroscience, 13(2), pp.129~137 (2015), 대한정신약물학회
- Burgess JR, "Long-chain polyunsaturated fatty acids in children with attention-deficit hyperactivity disorder", Am J Clin Nutr, 71(1 Suppl), pp.327S~330S (2000)
- Gillies D, "Polyunsaturated fatty acids (PUFA) for attention deficit hyperactivity disorder (ADHD) in children and adolescents", Cochrane Database Syst Rev, pp.CD007986~ (2012)
- Bloch MH, "Omega-3 fatty acid supplementation for the treatment of children with attention-deficit", hyperactivity disorder symptomatology : systematic review and meta-analysis, 2011, pp.50, 991~1000
- Sonuga-Barke EJ, "Nonpharmacological interventions for ADHD : systematic review and meta-analyses of randomized controlled trials of dietary and psychological treatments", Am J Psychiatry, 170, pp.275~289 (2013)
- 김희진, "A comprehensive review of the therapeutic and pharmacological effects of ginseng and ginsenosides in central nervous system", Journal of Ginseng Research, 37(1), pp.8~29 (2013), 고려인삼학회
- Itoh T, "Effects of Panax ginseng root on the vertical and horizontal motor activities and on brain monoamine-related substances in mice", Planta Med, 55, pp.429~433 (1989)
- Benishin CG, "Actions of ginsenoside Rb1 on choline uptake in central cholinergic nerve endings", Neurochem Int, 21, pp.1~5 (1992)
- Rudakewich M, "Neurotrophic and neuroprotective actions of ginsenosides Rb(1)and Rg(1)", Planta Med, 67, pp.533~537 (2001)
- Ko HJ, "Effects of Korean red ginseng extract on behavior in children with symptoms of inattention and hyperactivity", impulsivity : a double-blind randomized placebo-controlled trial, 2014, pp.24, 501~508
- DuPaul GJ, "Parent and teacher ratings of ADHD symptoms : psychometric properties in a community-based sample", J Clin Child Adolesc Psychol, 20, pp.245~253 (1991)
- 소유경, "한국어판 부모, 교사 ADHD 평가 척도의 신뢰도와 타당도 연구", 신경정신의학, 41(2), pp.283~289 (2002), 대한신경정신의학회
- Busner J, "The Clinical Global Impressions Scale:applying a research tool in clinical practice", Psychiatry (Edgmont), 4, pp.28~37 (2007)
- Cho SZ, "A study of the development and standardization of ADHD diagnostic system", J Korean Acad Child Adolesc Psychiatry, 11, pp.91~99 (2000)
- Kim HK, "Assessment of memory disorders using Rey-Kim Memory Test", Korean J Rehabil Psychol, 8, pp.29~48 (2001)
- Kim HK, "Kims EXIT (Executive Intelligence Test) for children:manual" (2005), Neuropsychology Publishing Co
- Goodman D, "Interpreting ADHD rating scale scores : linking ADHD rating scale scores and CGI levels in two randomized controlled trials of lisdexamfetamine dimesylate in ADHD", Prim Psychiatry, 17, pp.44~52 (2010)
- Vaisman N, "Correlation between changes in blood fatty acid composition and visual sustained attention performance in children with inattention : effect of dietary n-3 fatty acids containing phospholipids", Am J Clin Nutr, 87, pp.1170~1180 (2008)
- Suk Hwa Lee, "Clinical Effects of Korean Red Ginseng on Attention Deficit Hyperactivity Disorder in Children: An Observational Study", Journal of Ginseng Research, 35(2), pp.226~234 (2011), 고려인삼학회
- Portillo-Reyes V, "Clinical significance of neuropsychological improvement after supplementation with omega-3 in 8-12 years old malnourished Mexican children : a randomized, double-blind, placebo and treatment clinical trial", Res Dev Disabil, 35, pp.861~870 (2014)
- Muthayya S, "Effect of fortification with multiple micronutrients and n-3 fatty acids on growth and cognitive performance in Indian schoolchildren : the CHAMPION(Children's Health and Mental Performance Influenced by Optimal Nutrition)Study", Am J Clin Nutr, 89, pp.1766~1775 (2009)
- Hirayama S, "Effect of docosahexaenoic acid-containing food administration on symptoms of attention-deficit", hyperactivity disorder-a placebo-controlled double-blind study, 2004, pp.58, 467~473
