ADHD Natural Management - Pediatric

Pediatric ADHD affects 8-10% of kids. Evidence stronger for dietary interventions in kids than adults. Artificial colors/preservatives: Meta-analyses show 30-40% of ADHD kids improve with elimination (especially younger kids, those with food sensitivities). Southampton study showed behavioral effects even in general population. Oligoantigenic (few-foods) diet: 60-70% of kids improve in controlled trials, but very restrictive. More practical: eliminate artificial additives + trial remove dairy/gluten. Omega-3: Multiple RCTs show small-moderate benefit (effect size 0.2-0.3). Kids often deficient. Higher EPA ratios studied. Iron: Low ferritin (<50) in 70% of ADHD kids, supplementation improves symptoms and response to stimulants. Zinc: Deficiency common (especially high-copper kids), supplementation studied with benefit. Screen time: Excessive use worsens ADHD, limit strictly. Outdoor time: Nature exposure improves focus (attention restoration theory). Exercise: Burns hyperactive energy, acutely raises dopamine. Sleep: ADHD kids often have insomnia, delayed sleep phase - address sleep hygiene, melatonin. Behavioral: Parent training more effective than many realize (evidence-based programs). School accommodations: 504 plans provide supports without special ed label. Medication: If natural approaches insufficient and significant impairment (grades, social, safety), stimulants are evidence-based and safe - long-term outcomes better with treatment than without. Many kids do well with combination (diet, supplements, behavioral + low-dose stimulant).