Research Article
EffectofVitaminDSupplementationonInflammatory
BiomarkersinSchool-AgedChildrenwithAttentionDeficit
HyperactivityDisorder
MahsaSamadi ,
1
FatemehGholami ,
1
MarziehSeyedi ,
1
MahmoudJalali,
1
MohammadEffatpanah ,
2
MirSaeidYekaninejad,
3
MinaAbdolahi,
1
MaryamChamari ,
4
andNiyazMohammadzadehHonarvar
1
1
Department of Cellular and Molecular Nutrition, School of Nutritional Sciences and Dietetics,
Tehran University of Medical Sciences, Tehran, Iran
2
School of Medicine, Ziaeian Hospital, International Campus, Tehran University of Medical Sciences, Tehran, Iran
3
Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Science, Tehran, Iran
4
Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences,
Tehran, Iran
Correspondence should be addressed to Niyaz Mohammadzadeh Honarvar; niyaz_m.honarvar@yahoo.com
Received 26 February 2022; Accepted 31 March 2022; Published 22 August 2022
Academic Editor: Khaled Saad
Copyright©2022MahsaSamadietal.isisanopenaccessarticledistributedundertheCreativeCommonsAttributionLicense,
which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Background and Objective. Attention deficit hyperactivity disorder (ADHD) is one of the most prevalent psychiatric and developmental
disorders in children. Low serum vitamin D concentration and elevated inflammation biomarkers might be involved in neuropsychiatric
disorders, such as ADHD. e purpose of this study was to evaluate the effect of vitamin D supplementation on TNF-α and IL-6 levels in
children with attention deficit hyperactivity disorder. Method. is randomized double-blind, placebo-controlled trial was conducted on
75 school-aged children with a diagnosis of ADHD based on DSM-V criteria. Children were randomly allocated to receive either vitamin
D3 (2000IU/day) or a placebo for 3 months. Serum IL-6, TNF-α, and 25(OH) D were assessed before and after the intervention to
determine the effects of vitamin D on the highlighted parameters. Results. Serum levels of 25(OH) D increased significantly in the
vitamin D group (P � 0.01). However, no significant differences in serum IL-6 and TNF-α were found between both groups at the
baseline and at the end of the intervention. Conclusion. e findings revealed that vitamin D supplementation for 3months is not
efficacious in reducing inflammatory cytokines in children with ADHD. Further studies are required to confirm these results.
1.Introduction
Attention deficit hyperactivity disorder (ADHD) is one of
the most prevalent psychiatric and developmental disorders
among children and adolescents [1]. It features clinical
impairments of hyperactivity, impulsivity, and inattention
[2–6]. In addition, these children have challenges with
school performance and independent socioeconomic factors
[7, 8]. Psychiatric comorbidities of ADHD include aggres-
sion, mood disorders, and antisocial behavior [9, 10]. e
overall prevalence of ADHD in school-aged children is
estimated to be 3–5%, affecting 2–18% of children worldwide
[11, 12], and it is estimated that three-quarters of these
children retain ADHD symptoms in adulthood [1]. Despite
considerable research, the underlying mechanisms leading
to ADHD are poorly understood [12, 13]. Some studies
indicated that abnormal immune functioning may play a
substantial role in the etiology of this disorder. Meanwhile,
ADHD has been suggested to contribute to an exaggerated
central nervous system (CNS) and inflammatory response in
a fetus as a result of maternal inflammation [14]. Further-
more, the elevated levels of proinflammatory cytokines such
as interleukin IL-6 may be associated with the risk of ADHD.
Vitamin D has novel functions beyond its classical roles
in bone metabolism. It might regulate brain functions [15]
and has significant effects on neurodevelopmental diseases
Hindawi
International Journal of Clinical Practice
Volume 2022, Article ID 1256408, 7 pages
https://doi.org/10.1155/2022/1256408