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Effects of Iron Supplementation on Attention Deficit Hyperactivity Disorder in Children Treated with Methylphenidate

Clinical Psychopharmacology and Neuroscience 2021년 19권 4호 p.712 ~ 720
Tohidi Sepehr, Bidabadi Elham, Khosousi Mohammad-Javad, Amoukhteh Melika, Kousha Maryam, Mashouf Parham, Shahraki Tamkin,
소속 상세정보
 ( Tohidi Sepehr ) - Guilan Universtiy of Medical Sciences School of Medicine Student Research Committee
 ( Bidabadi Elham ) - Guilan University of Medical Sciences Pediatric Diseases Research Center
 ( Khosousi Mohammad-Javad ) - Guilan University of Medical Sciences Gastrointestinal and Liver Diseases Research Center
 ( Amoukhteh Melika ) - Guilan University of Medical Sciences Pediatric Diseases Research Center
 ( Kousha Maryam ) - Guilan University of Medical Sciences Shafa Hospital Department of Psychiatry
 ( Mashouf Parham ) - Arya Hospital Emergency Department
 ( Shahraki Tamkin ) - Guilan University of Medical Sciences Pediatric Diseases Research Center

Abstract


Objective: To evaluate the effect of iron on the attention deficit hyperactivity disorder, treated with methylphenidate.

Methods: This double-blind, randomized placebo-controlled clinical trial was performed on 50 children with attention deficit hyperactivity disorder under the treatment of methylphenidate, with ferritin levels below 30 ng/ml and absence of anemia. They were randomly assigned into two groups of ferrous sulfate and placebo, for 12 weeks. Conners' Parent Rating Scale (CPRS) was used to assess the outcome in the first, sixth, and twelfth weeks.

Results: Almost all CPRS subscales improved in the ferrous sulfate group from the baseline to the endpoint, although only the changes in conduct subscale scores were significant (p = 0.003). There was no significant difference in score changes between two groups in intergroup comparison. Also, the score of learning problems (p = 0.007) in the first six weeks, and conduct (p = 0.023) and psychosomatic (p = 0.018) subscales in the second six weeks were improved in the ferrous sulfate group compared with the placebo group.

Conclusion: Our study showed promising effects of iron supplementation in the improvement of subscales of the CPRS.

키워드

Attention deficit disorder with hyperactivity; Iron; Child; Methylphenidate

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