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Dietary Alignment with the Mediterranean Diet is Associated with a Lower Risk of Attention Deficit Hyperactivity Disorder in University Students: A Cross-Sectional Study.

Journal of the American Nutrition Association
April 4, 2025
Zeynep Aksoy et al. (2 authors)
Journal ArticleHuman Study
Study Details

Study Goal

The researchers aimed to investigate the relationship between ADHD symptoms and dietary alignment with the Mediterranean Diet (MD) in young adults.

Results Summary

Greater adherence to the MD was significantly associated with lower ADHD symptom scores, including attention deficit and hyperactivity/impulsivity, with strong negative correlations observed. The study suggests that the MD may help reduce ADHD risk, though causal inference is limited by the cross-sectional design.

Population

440 university students aged 18 to 24 years in Türkiye.

Effective Dosage

Not specified

Duration

Not specified (cross-sectional study)

Interactions

None mentioned

Extracted Claims (10)
InterventionDirectionEndpointPopulationDosageImpactClaim #
greater dietary alignment with the Mediterranean diet
decrease
ADHD symptoms
students aged 18 to 24 years studying at Tekirdağ Namık Kemal University, Türkiye
-
was associated with a lower risk
#1
greater dietary alignment with the Mediterranean diet
decrease
attention deficit
students aged 18 to 24 years studying at Tekirdağ Namık Kemal University, Türkiye
-
was associated with a lower risk
#2
greater dietary alignment with the Mediterranean diet
decrease
hyperactivity/impulsivity
students aged 18 to 24 years studying at Tekirdağ Namık Kemal University, Türkiye
-
was associated with a lower risk
#3
low dietary alignment with the Mediterranean diet
increase
mean scores for the Attention Deficit subscale
participants with low dietary alignment with the MD
-
were significantly higher
#4
low dietary alignment with the Mediterranean diet
increase
mean scores for the Hyperactivity/Impulsivity subscale
participants with low dietary alignment with the MD
-
were significantly higher
#5
low dietary alignment with the Mediterranean diet
increase
total ASRS total score
participants with low dietary alignment with the MD
-
were significantly higher
#6
KIDMED scores
decrease
total ASRS scores
students aged 18 to 24 years studying at Tekirdağ Namık Kemal University, Türkiye
r = -0.681
showed a strong negative correlation
#7
KIDMED scores
decrease
Attention Deficit subscale scores
students aged 18 to 24 years studying at Tekirdağ Namık Kemal University, Türkiye
r = -0.643
showed a strong negative correlation
#8
KIDMED scores
decrease
Hyperactivity/Impulsivity subscale scores
students aged 18 to 24 years studying at Tekirdağ Namık Kemal University, Türkiye
r = -0.533
showed a moderate negative correlation
#9
a one-unit increase in the KIDMED score
decrease
ASRS score
students aged 18 to 24 years studying at Tekirdağ Namık Kemal University, Türkiye
2.333 units
is associated with a decrease
#10
Abstract

BACKGROUND AND OBJECTIVE: Attention deficit hyperactivity disorder (ADHD) is one of the most common psychiatric disorders of childhood, causing cognitive and social dysfunctions. Symptoms may persist into adolescence and adulthood or may occur later in life without childhood onset. Nutrition, which is an environmental risk factor, is also important in the treatment of ADHD. The Mediterranean diet (MD) is a dietary model in accordance with the nutritional recommendations indicated in ADHD. The aim of this study was to investigate the relationship between ADHD and dietary alignment with the MD. METHODS: This cross-sectional study was conducted with 440 students aged 18 to 24 years studying at Tekirdağ Namık Kemal University, Türkiye. The data collection tools used in the study were a sociodemographic characteristics form, an MD Quality Index (KIDMED), and the Adult ADHD Self-Report Scale (ASRS). RESULTS: The mean scores for the Attention Deficit subscale, Hyperactivity/Impulsivity subscale, and total ASRS total score of the participants with low dietary alignment with the MD were significantly higher than those of the participants with moderate and high dietary alignment with the MD (p < 0.001). The KIDMED scores showed a strong negative correlation with the total ASRS scores (r = -0.681; p < 0.001) and the Attention Deficit subscale scores (r = -0.643; p < 0.001) and a moderate negative correlation with the Hyperactivity/Impulsivity subscale scores (r = -0.533; p < 0.001). According to the results of the multivariate linear regression analysis, a one-unit increase in the KIDMED score is associated with a decrease of 2.333 units in the ASRS score (β = -2.333, p < 0.001). CONCLUSION: Greater dietary alignment with the MD was associated with a lower risk of ADHD symptoms, including attention deficit and hyperactivity/impulsivity, and the positive relationship between the ASRS subscales suggests that these symptoms often co-occur. Though the findings suggest that the MD may help reduce ADHD risk, the cross-sectional design precludes causal inference.

Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality75/10
Research Impact Scores
APT Score0.05
Weight Score2.50
Normalized Score0.69
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