Published: March 12, 2011
Hyperactivity. Fidgeting. Inattention. Impulsivity. If your child has one or more of these qualities on a regular basis, you may be told that he or she has attention deficit hyperactivity disorder. If so, they'd be among about 10 percent of children in the United States.
Kids with ADHD can be restless and difficult to handle. Many of them are treated with drugs, but a new study says food may be the key. Published in The Lancet journal, the study suggests that with a very restrictive diet, kids with ADHD could experience a significant reduction in symptoms.
The study's lead author, Dr. Lidy Pelsser of the ADHD Research Centre in the Netherlands, writes in The Lancet that the disorder is triggered in many cases by external factors — and those can be treated through changes to one's environment.
"ADHD, it's just a couple of symptoms — it's not a disease," the Dutch researcher tells All Things Considered weekend host Guy Raz.
The way we think about — and treat — these behaviors is wrong, Pelsser says. "There is a paradigm shift needed. If a child is diagnosed ADHD, we should say, 'OK, we have got those symptoms, now let's start looking for a cause.' "
Pelsser compares ADHD to eczema. "The skin is affected, but a lot of people get eczema because of a latex allergy or because they are eating a pineapple or strawberries."
According to Pelsser, 64 percent of children diagnosed with ADHD are actually experiencing a hypersensitivity to food. Researchers determined that by starting kids on a very elaborate diet, then restricting it over a few weeks' time.
"It's only five weeks," Pelsser says. "If it is the diet, then we start to find out which foods are causing the problems."
Teachers and doctors who worked with children in the study reported marked changes in behavior. "In fact, they were flabbergasted," Pelsser says.
"After the diet, they were just normal children with normal behavior," she says. No longer were they easily distracted or forgetful, and the temper tantrums subsided.
Some teachers said they never thought it would work, Pelsser says. "It was so strange," she says, "that a diet would change the behavior of a child as thoroughly as they saw it. It was a miracle, a teacher said."
But diet is not the solution for all children with ADHD, Pelsser cautions.
"In all children, we should start with diet research," she says. If a child's behavior doesn't change, then drugs may still be necessary. "But now we are giving them all drugs, and I think that's a huge mistake," she says.
Also, Pelsser warns, altering your child's diet without a doctor's supervision is inadvisable.
"We have got good news — that food is the main cause of ADHD," she says. "We've got bad news — that we have to train physicians to monitor this procedure because it cannot be done by a physician who is not trained." [Copyright 2013 NPR]
GUY RAZ, host:
ADHD - or attention deficit hyperactivity disorder - is said to affect up to 10 percent of American children, and almost 3 million of those kids take medication to control it.
But Dutch researcher Lidy Pelsser says as many as two-thirds of those kids may not need medicine at all. It's a conclusion she recently published in the British medical journal Lancet. And Pelsser, who runs the ADHD Research Centre in the Netherlands, argues that in many cases, behaviors usually associated with ADHD can be controlled by changes in diet.
Dr. LIDY PELSSER (ADHD Research Centre): ADHD, it's just a couple of symptoms; it's not a disease. We should look for the cause of it. Like in eczema, the skin is affected. But a lot of people get eczema because of a latex allergy, or because they are eating a pineapple or strawberries.
And I think there is a paradigm shift needed. If a child is diagnosed ADHD, we should say OK, we have got those symptoms; now, let's start looking for the cause.
RAZ: The majority of children who are diagnosed ADHD are given medication, but you believe that this research suggests that many of those children may not need it, that they may simply need to alter their diets.
Dr. PELSSER: Well, what we know now is that in 64 percent of children with ADHD, ADHD is caused by food. It's a hypersensitivity reaction to food. So then, there is 36 percent left. In those children, we could start - research for dyslexia, for highly talented, or maybe children who are not so talented and who have to do too much in school and just don't manage to do it, and they are getting distracted, too, and they start fidgeting, too.
RAZ: Now, you're not saying that some children with ADHD should not be given medication, right? I mean, you're saying that even...
Dr. PELSSER: No.
RAZ: ...with your research, some kids will still need medication.
Dr. PELSSER: Yes. I think in all children, we should start with a diet research. And if that is not successful, if behavior doesn't - changes, well then we do need drugs. Of course, we do need them. But now, we are giving them all drugs, and I think that's a huge mistake.
RAZ: Explain how you tested the children. What did you feed them, for example?
Dr. PELSSER: In fact, we started with a very elaborate diet. And after two weeks, we made an inventory of the problems. If the problems still were there, we started to restrict the diet until we came to that few food diet - with only rice, turkey, pear and lettuce - and water.
RAZ: And we can know - or you say that your research shows that it only takes about five weeks to determine whether...
Dr. PELSSER: Yes, five weeks of diet. Parents should not start a diet for a year or so. It's only five weeks to find out whether diet is the cause.
Dr. PELSSER: And if it isn't, that child can have drugs, of course. And if it is the diet, then we start to find out which foods are causing the problems.
RAZ: Right. But how would a parent listening now go about trying this? I mean, what should they do? You know, should they go talk to the doctors?
Dr. PELSSER: Well, we have got the good news that food is the main cause of ADHD. We've got the bad news that we have to train physicians to monitor this procedure because it cannot be done by a physician who is not trained.
RAZ: Now, did you hear from any of the schoolteachers of these kids, or even the physicians who describe changes in behavior?
Dr. PELSSER: Well, in fact, they were flabbergasted. After the diet, they were just normal children with normal behavior. They were no more easily distracted. They were no more forgetful. There were no more temper tantrums. Some teachers saying that they never thought it would work - it was so strange that a diet would change the behavior of a child as thoroughly as they saw it. It was a miracle, a teacher said.
RAZ: That's Lidy Pessler. She's from the ADHD Research Center in Eindhoven, in the Netherlands. She led a study that links diet to ADHD. It was published in the latest issue of the journal Lancet.
Dr. Pessler, thank you so much.
Ms. PESSLER: I was glad to join you. Transcript provided by NPR, Copyright NPR.