Food and Behaviour Research

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The effect of omega-3 fatty acids supplementation on social and behavioral disorders of children with autism: a randomized clinical trial

Doaei S, Fatemeh Bourbour F, Teymoori Z, Jafari F, Kalantari N, Torki SA, Ashoori N, Gorgani SN, Gholamalizadeh M (2021) Pediatr Endocrinol Diabetes Metab 7(1) 12-18. doi: 10.5114/pedm.2020.101806. 

Web URL: Read this and related abstracts via Pubmed here. Free full text of this article is available online

Abstract:

Introduction: 

Some studies reported that essential fatty acids deficiencies can be related to autism spectrum disorders (ASD) in children. This study aimed to investigate the effect of omega-3 on social, verbal, and behavioral activities in ASD children.

Material and methods: 

A double-blind, randomized clinical trial study was conducted on 54 children with autism, who were assigned to the case (n = 28) and control (n = 26) groups. The cases received one capsule of 1000 mg omega-3 daily and the controls received one capsule of 1000 mg medium chain triglyceride daily as placebo for eight weeks. The Gilliam Autism Rating Scale-second edition (GARS-2) was used to assess the severity of autism and food frequency questionnaire (FFQ) was used to assess their dietary intake. All measurements were done at baseline and after the intervention.

Results: 

After adjusting for age, gender, birth weight, BMI, dietary intake, mother's age, and mother's BMI, the intervention group had significantly improved stereotyped behaviors (p = 0.02), social communication (p = 0.02), and the GARS score (p = 0.001) after the intervention compared to the control group. No significant change was found in the score of social interaction subscale.

Conclusions: 

The findings indicate that omega-3 treatment improved autism characteristics including stereotyped behaviors and social communication. Further studies are needed to confirm these findings and to determine the underlying mechanisms.

 

FAB RESEARCH COMMENT:

This small clinical trial found that supplementation with long-chain omega-3 fatty acids (EPA and DHA) improved behaviour and social communication (but not social interaction) in children with autistic spectrum disorders.

These findings support those of some previous randomised controlled trials of omega-3 for ASD symptoms, although evidence remains limited and inconsistent, as most trials in this area have been small. 

ASD is well known to be a highly heterogenous condition - so no single intervention is ever likely to help all children with this diagnosis.

However, good nutrition is fundamental for healthy development, and many children with ASD have particularly poor diets - often, but not always, reflecting highly selective eating patterns. 

Multiple nutrient deficiencies are therefore typically reported in studies of their micronutrient status (whether from dietary intake and/or biochemical assessments).

This is important, as unlike drugs, nutrients always work together, not in isolation. In the case of long-chain omega-3, for example:
  • adequate intakes of certain B vitamins are needed to transport omega-3 DHA into the brain
  • both Vitamin D and omega-3 EPA are needed to make serotonin, a key neurotransmitter implicated in both mood regulation and gut health (among many other functions)  
For these reasons, many ASD children may need supplementation with additional nutrients to gain the maxiumum benefit from omega-3 supplementation, as other clinical trials have indicated.

See for example:
  
And for more information on omega-3 and ASD, see: