拉妮亞·納比爾·薩布里
目的：此檢查旨在調查飲食改變對 ADHD 結果的影響、食物作為 ADHD 症狀加速因素的作用及其與血清 S1P 的關係。
病患與方法：檢查對象為47名近期被認定為過動症的青少年，未接受臨床或進行治療，年齡6-9歲，智商不低於70，無相關合併症。記錄了完整的病史；當飲食改變計畫持續5週時，進行臨床評估、人體測量估計、24小時飲食回顧、飲食調查、康納父母評定量表更新的短結構和血清S1P。
結果：根據康納父母評定量表更新的短結構（CPR-RS）估計，經過 5 週的飲食改變計劃後，ADHD 表現有所改善。飲食習慣調整計畫後，澱粉和蛋白質的攝取量明顯減少。在日常飲食計劃後，活力消耗沒有表現出明顯的差異，而脂肪攝取量則完全增加。飲食計畫後，營養素A、C、核黃素、硫胺素和鐵的攝取量顯著減少，但仍在建議的飲食攝取範圍內。飲食習慣改變後血清 S1P 水準顯著下降
結論：遵循健康指導提示和飲食改變計劃可改善 ADHD 的副作用，記錄為心肺復甦評分降低以及血清 S1P 下降。膳食澱粉和蛋白質攝取量與康納家長重新考慮的短期評分量表 (CPR-RS) 分數和 S1P 有顯著相關。
背景： Attention-shortfall/hyperactivity issue (ADHD) is a confusion set apart by a continuous example of heedlessness or potentially hyperactivity-impulsivity that meddles with working or advancement. Obliviousness implies an individual stray’s task, needs diligence, experiences issues continuing center, and is complicated; and these issues are not because of disobedience or absence of cognizance. Hyperactivity implies an individual appears to move about continually, remembering for circumstances in which it isn't proper; or exorbitantly squirms, taps, or talks. In grown-ups, it might be extraordinary eagerness or destroying others with consistent action. Impulsivity implies an individual makes hurried activities that happen at the time without first contemplating them and that may have a high potential for hurt, or a craving for guaranteed prizes or powerlessness to defer satisfaction. A hasty individual might be socially nosy and unreasonably intrude on others or settle on significant choices without thinking about the drawn out results. Carelessness and hyperactivity/impulsivity are the key practices of ADHD. A few people with ADHD just have issues with one of the practices, while others have both negligence and hyperactivity-impulsivity. Most kids have the joined kind of ADHD. Analysis of ADHD requires a far reaching assessment by an authorized clinician, for example, a pediatrician, therapist, or specialist with mastery in ADHD. For an individual to get a finding of ADHD, the side effects of negligence or potentially hyperactivity-impulsivity must be constant or dependable, disable the individual's working, and cause the individual to fall behind run of the mill advancement for their age. The specialist will likewise guarantee that any ADHD manifestations are not because of another clinical or mental condition. Most youngsters with ADHD get a conclusion during the grade school years. For a young adult or grown-up to get a determination of ADHD, the side effects need to have been available before age 12. ADHD indications can show up as right on time as between the ages of 3 and 6 and can proceed through puberty and adulthood. Manifestations of ADHD can be confused with passionate or disciplinary issues or missed altogether in peaceful, respectful youngsters, prompting a postponement in determination. Grown-ups with undiscovered ADHD may have a background marked by helpless scholastic execution, issues at work, or troublesome or bombed connections. ADHD side effects can change after some time as individual ages. In small kids with ADHD, hyperactivity-impulsivity is the most transcendent manifestation. As a kid arrives at grade school, the side effect of negligence may turn out to be progressively unmistakable and cause the youngster to battle scholastically. In pre-adulthood, hyperactivity appears to reduce and may show all the more regularly as sentiments of fretfulness or squirming, however negligence and impulsivity may remain. Numerous teenagers with ADHD likewise battle with connections and solitary practices. Negligence, eagerness, and impulsivity will in general persevere into adulthood. ADHD is one of the most widely recognized neurodevelopmental messes, influence 5% of youngsters worldwide and portrayed by weakening obliviousness, hyperactivity and impulsivity and can be maintained a strategic distance from by barring hazard factors, for example, food. Sphingosin-1-phosphate (S1P) is thought to have job in neuropsychiatric issues, immunological maladies/unfavorably susceptible responses and aggravations in its metabolic pathway were related with admission of certain nourishments and supplements
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