There's no evidence that diet causes the behavioral disorder ADHD.
However, research suggests that for some people, dietary changes can help to improve symptoms.
In fact, a substantial amount of research has examined how nutrition affects ADHD.
This article is an overview of these findings, discussing foods, diets, and supplements involved.
The exact cause of ADHD is unclear, but research shows that genetics play a major role. Other factors, such as environmental toxicity and poor nutrition during infancy, have also been implicated (
Summary ADHD is a complicated behavioral disorder. Common treatments include therapy and medication. Dietary changes may also be useful.
The science behind the effect of food on behavior is still quite new and controversial. However, certain foods do affect behavior.
Nutritional deficiencies can also affect behavior. One study concluded that taking a supplement of essential fatty acids, vitamins, and minerals led to a significant reduction in antisocial behavior, compared with a placebo (
Since foods and supplements may influence behavior, it seems plausible that they could also affect ADHD symptoms, which are largely behavioral.
For this reason, a good amount of nutrition research has looked into the effects of foods and supplements on ADHD.
Mostly, two types of studies have been performed:
- Supplement studies. These focus on supplementing with one or several nutrients.
- Elimination studies. These focus on eliminating one or several ingredients from the diet.
Summary Studies indicate that certain foods and supplements do affect behavior. For these reasons, quite a few studies have looked into how nutrition affects ADHD symptoms, which are mostly behavioral.
This caused researchers to speculate that supplements might help improve symptoms.
Nutrition studies have looked into the effects of several supplements on ADHD symptoms, including:
- amino acids
- omega-3 fatty acids
Amino acid supplements
Every cell in your body needs amino acids to function. Among other things, amino acids are used to make neurotransmitters, or signaling molecules in the brain.
In particular, the amino acids phenylalanine, tyrosine, and tryptophan are used to make the neurotransmitters dopamine, serotonin, and norepinephrine.
For this reason, a few studies have examined how amino acid supplements affect ADHD symptoms in children.
Summary Amino acid supplements for ADHD show some promise, but more studies need to be done. For now, the results are mixed.
Vitamin and mineral supplements
Nevertheless, a 2014 trial of a multivitamin and mineral supplement did find an effect. The adults taking the supplement showed improvement on ADHD rating scales after 8 weeks, compared with the placebo group (
Summary The results from vitamin and mineral supplement studies have been mixed, but several show promise.
Omega-3 fatty acid supplements
Omega-3 fatty acids play important roles in the brain.
What's more, the lower their omega-3 levels, the more learning and behavioral problems the children with ADHD have (
However, not all researchers are convinced. One analysis of studies, estimating ADHD symptoms using the Connor’s rating scale (CRS), concluded that there’s poor evidence supporting the claim that omega-3 supplements improve ADHD symptoms in children (
Summary Numerous trials have found that omega-3 supplements can bring about modest improvements in ADHD symptoms, although the evidence is not entirely consistent.
Studies have examined the effects of eliminating many ingredients, including:
- food additives
- allergenic foods
Eliminating salicylates and food additives
By accident, an allergist named Dr. Feingold discovered that food could affect behavior.
In the 1970s, he prescribed a diet to his patients that eliminated certain ingredients that produced a reaction for them.
The diet was free of salicylates, which are compounds found in many foods, medications, and food additives.
While on the diet, some of Feingold's patients noted an improvement in their behavioral problems.
Soon after, Feingold started recruiting children diagnosed with hyperactivity for dietary experiments. He claimed that 30–50% of them improved on the diet (68).
His work was celebrated by many parents, who formed the still-existent Feingold Association of the United States (
Although reviews concluded the Feingold diet was not an effective intervention for hyperactivity, it stimulated further research into the effects of food and additive elimination on ADHD (
Some medical professionals strongly advise against using salicylate elimination diets in the treatment of ADHD. The diet may cause nutritional deficiencies and promote food aversion among children (
Summary The Feingold diet pioneered elimination diet research for ADHD. Dr. Feingold claimed it improved symptoms in children with ADHD, although evidence is lacking.
Eliminating artificial colorants and preservatives
After the Feingold diet was no longer considered effective, researchers narrowed their focus to look at artificial food colors (AFCs) and preservatives.
One study followed 800 children suspected of hyperactivity. Of the group, 75% of them improved while on an AFC-free diet, but relapsed once given AFCs again (
Another study found that hyperactivity was increased when 1,873 children consumed AFCs and sodium benzoate, which is a preservative (77).
Nonetheless, the Food and Drug Administration (FDA) requires certain AFCs to be listed on food packages. The European Union (EU) additionally requires foods containing AFCs to have a warning label listing adverse effects to children's attention and behavior (82,
Summary AFCs may affect behavior in children, although some say the evidence is not strong enough. However, the FDA and the EU require food labels to list additives.
Eliminating sugar and artificial sweeteners
Theoretically, it's more likely that sugar causes inattention, rather than hyperactivity, as blood sugar imbalances can cause attention levels to drop.
Summary Sugar and artificial sweeteners have not been shown to directly affect ADHD. However, they may have indirect effects.
The Few Foods Elimination Diet
The Few Foods Elimination Diet is a method that tests how people with ADHD respond to foods. Here's how it works:
- Elimination. This step involves following a very restricted diet of low-allergen foods that are unlikely to cause adverse effects. If symptoms get better, enter the next phase.
- Reintroduction. Foods suspected of causing adverse effects are reintroduced every 3–7 days. If symptoms return, the food is identified as "sensitizing."
- Treatment. A personal dietary protocol is prescribed during this step. It avoids sensitizing foods as much as possible, in order to minimize symptoms.
Twelve different studies have tested this diet, each of which lasted 1–5 weeks and included 21–50 children.
Eleven of the studies found a statistically significant decrease in ADHD symptoms in 50–80% of the participants, while the other one found improvements in 24% of the children (
The reason why this diet works for some children and not others is unknown.
Summary The Few Foods Elimination Diet is a diagnostic tool to rule out problems with food. All studies have found a favorable effect in a subgroup of children, usually more than half.
Research on the effects of food on ADHD symptoms is far from conclusive.
Yet, the studies mentioned here suggest that diet can have powerful effects on behavior.