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	<title>Child Neuropsychology &#187; fish oil</title>
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		<title>Does fish oil help with learning and behaviour?</title>
		<link>http://www.drjonathanreed.co.uk/wordpress/2008/10/does-fish-oil-help-with-learning-and-behaviour/</link>
		<comments>http://www.drjonathanreed.co.uk/wordpress/2008/10/does-fish-oil-help-with-learning-and-behaviour/#comments</comments>
		<pubDate>Thu, 23 Oct 2008 06:52:13 +0000</pubDate>
		<dc:creator>Jonathan</dc:creator>
				<category><![CDATA[adhd]]></category>
		<category><![CDATA[adhd treatment]]></category>
		<category><![CDATA[fish oil]]></category>

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		<description><![CDATA[There has been a lot of discussion in the media recently about the use of fish oil to improve learning and behaviour.  Is there any substance behind the claims or is it just a fad?   Fish always used to be known as brain food and there are good physiological reasons to expect [...]]]></description>
			<content:encoded><![CDATA[<p class="MsoNormal" style="margin: 0cm 0cm 0pt;"><span style="font-size: small;"><span style="font-family: Arial; mso-ansi-language: EN-GB;">There has been a lot of discussion in the media recently about the use of <strong>fish oil</strong> to improve learning and behaviour. <span style="mso-spacerun: yes;"> </span>Is there any substance behind the claims or is it just a fad?<span style="mso-spacerun: yes;">   </span>Fish always used to be known as brain food and there are good physiological reasons to expect fish oil to help neurodevelopment.<span style="mso-spacerun: yes;">  </span>Fish oil is a type of polyunsaturated fatty acid (PUFA) containing omega 3.<span style="mso-spacerun: yes;">  </span>Omega 3 fatty acids make up about 20% of brain and heart membrane.<span style="mso-spacerun: yes;">  </span>They are thought to speed up nerve and muscle signalling.<span style="mso-spacerun: yes;">  </span>Many children today have diets very low in fish.<span style="mso-spacerun: yes;">  </span>One would think therefore that fish oil supplements would help, especially for children with low fish diets.<span style="mso-spacerun: yes;">  </span>The evidence, however, is not strong. <span style="mso-spacerun: yes;"> </span>Research in 2005 by </span><strong><span style="font-weight: normal; font-family: Arial; mso-bidi-font-weight: bold;">Alexandra Richardson and Paul Montgomery</span></strong><span style="font-family: Arial; mso-ansi-language: EN-GB;"> <span lang="EN-GB">from </span></span><span style="font-family: Arial; mso-ansi-language: EN-GB;">Oxford</span><span style="font-family: Arial; mso-ansi-language: EN-GB;"> </span><span style="font-family: Arial; mso-ansi-language: EN-GB;">University</span><span style="font-family: Arial; mso-ansi-language: EN-GB;"> showed that omega 3 resulted in improvements with reading, spelling and behaviour (see the <strong><a title="fab study" href="http://www.fabresearch.org/view_item.aspx?item_id=953&amp;list_id=list1-103&amp;list_index=0&amp;add_cat=ADHD" target="_blank">Food and Behaviour Research website</a>)</strong>.<span style="mso-spacerun: yes;">   </span>However, after these promising initial findings the research hasn’t been so positive. </span></span></p>
<p class="MsoNormal" style="margin: 0cm 0cm 0pt;"><span style="font-size: small;"><span style="font-family: Arial; mso-ansi-language: EN-GB;">T</span></span><span style="font-size: small;"><span style="font-family: Arial; mso-ansi-language: EN-GB;">he<strong> National </strong></span></span><span style="font-size: small;"><strong><span style="font-family: Arial; mso-ansi-language: EN-GB;">Institute for Health and Clinical Excellence (</span><span style="font-family: Arial; mso-ansi-language: EN-GB;">NICE</span></strong><span style="font-family: Arial; mso-ansi-language: EN-GB;"><strong>)</strong> review on treatment for <strong>ADHD</strong> showed that the evidence does not support using omega 3 in the treatment of ADHD.</span></span><span style="font-size: small;"><span style="font-family: Arial; mso-ansi-language: EN-GB;"><span style="mso-spacerun: yes;"> <strong> <span style="font-family: Arial; mso-ansi-language: EN-GB;"><a title="nice" href="http://www.nice.org.uk/Guidance/CG72/Guidance/pdf/English" target="_blank"><span style="color: #800080;">http://www.nice.org.uk/Guidance/CG72/Guidance/pdf/English</span></a></span></strong></span>  </span></span></p>
<div><span style="font-family: Arial; mso-ansi-language: EN-GB;"><span style="font-size: small;">A large study was recently carried out in Durham UK with about 3000 children taking fatty acid supplements but there have been concerns about the way the trial was carried out, at the large number of pupils dropping out and the results are <span style="font-size: 12pt; color: #000000; font-family: Arial; mso-ansi-language: EN-GB; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: EN-US; mso-bidi-language: AR-SA;">disappointing</span>.<span style="mso-spacerun: yes;">  </span>The difficulties with the study are summarised here on the <a title="bad science" href="http://www.badscience.net/2008/09/dave-ford-from-durham-council-plays-at-being-a-scientist-again/" target="_blank"><strong>bad science</strong> </a>website.<span style="mso-spacerun: yes;">   </span><span style="mso-spacerun: yes;"> </span></span></span></div>
<p class="MsoNormal" style="margin: 0cm 0cm 0pt;">
<p class="MsoNormal" style="margin: 0cm 0cm 0pt;"> <span style="font-family: Arial; mso-ansi-language: EN-GB;"><span style="font-size: small;">One of the leading advocates of the positive effects of fish oil on brain development is Professor John Stein, professor of physiology at Magdelen College, Oxford (and interestingly the brother of famous fish chef Rick Stein). <span style="mso-spacerun: yes;"> </span>He is currently undertaking a study looking effects on the behaviour of boys in a Young Offenders Institute and this may provide some answers. <span style="mso-spacerun: yes;"> See </span></span><a title="stein study" href="http://news.bbc.co.uk/1/hi/health/7618888.stm" target="_blank"><span style="font-size: small;"><strong>http://news.bbc.co.uk/1/hi/health/7618888.stm</strong></span></a><span style="font-size: small;">. </span></span><span style="font-family: Arial; mso-ansi-language: EN-GB;"><span style="font-size: small;"> </span></span></p>
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<p class="MsoNormal" style="margin: 0cm 0cm 0pt;"><span style="font-family: Arial; mso-ansi-language: EN-GB;"><span style="font-size: small;">Until then the jury is still out on the effectiveness on fish oil on neurodevelopment.<span style="mso-spacerun: yes;">  </span>There are some promising signs and from a biological perspective it does seem make sense, however, the evidence is not there at the moment to make clinical or policy recommendations. <span style="mso-spacerun: yes;"> I will post any updates on this topic here</span>.<span style="mso-spacerun: yes;">  </span><span style="mso-spacerun: yes;">   </span></span></span></p>
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