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Nutrition, mood and behaviour: a review

Published online by Cambridge University Press:  24 June 2014

Nerissa L Soh*
Affiliation:
Child and Adolescent Mental Health Services, Northern Sydney Central Coast Area Health, North Ryde, New South Wales, Australia
Garry Walter
Affiliation:
Child and Adolescent Mental Health Services, Northern Sydney Central Coast Area Health, North Ryde, New South Wales, Australia Discipline of Psychological Medicine, University of Sydney, New South Wales, Australia
Louise Baur
Affiliation:
Discipline of Paediatrics and Child Health, University of Sydney New South Wales, Australia
Clare Collins
Affiliation:
Nutrition and Dietetics School of Health Sciences, The University of Newcastle, Callaghan, New South Wales, Australia
*
Dr Nerissa L Soh, Coral Tree Family Service, PO Box 142, North Ryde, NSW 1670, Australia. Tel: +61 2 8877 5371; Fax: +61 2 9887 2941; E-mail: nsoh@nsccahs.health.nsw.gov.au

Abstract

Objective:

To conduct a critical review of recent empirical research regarding mood, behaviour and nutrition factors including essential fatty acids, macronutrients, micronutrients and food additives.

Method:

A literature search of databases Medline, PsycInfo, CINAHL and Embase up to October 2008. The search emphasised empirical research published in the last 10 years and also included older literature. Studies in both adults and children were addressed.

Results:

Research into omega-3 fatty acids has been substantial but evidence for their potential in treating mood and behaviour is modest. In comparison, there has been much less research into carbohydrate and protein intakes and little evidence for their ability to influence mood and behaviour. Recent trials with food additives suggest their removal from the diet may benefit susceptible children with hyperactivity disorders. Micronutrient supplementation appears to improve mood only in those who were initially deficient in micronutrients.

Conclusions:

More stringent research designs such as longitudinal studies and the use of biologically inert placebos within randomised controlled trials are needed before supplemental use of omega-3 fatty acids to treat disorders of mood and behaviour can be recommended. Caution is advised regarding the indiscriminate use of diets free of artificial food additives in managing hyperactivity disorders, as they may place an undue burden on individuals and their families. Should omega-3 fatty acid supplementation or the elimination of certain food additives be established as effective, they may provide cost-effective, accessible and well-tolerated adjuncts to standard psychiatric treatments for mood and behavioural disturbances.

Type
Review article
Copyright
Copyright © 2009 John Wiley & Sons A/S

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References

Jacka, F, Berk, M.Food for thought. Acta Neuropsychiatr 2007;19:321332. CrossRefGoogle Scholar
Jonas, BS, Brody, D, Roper, M, Narrow, WE.Prevalence of mood disorders in a national sample of young American adults. Soc Psychiatry Psychiatr Epidemiol 2003;38:618624. CrossRefGoogle Scholar
Kessler, RC, Berglund, P, Demler, O, Jin, R, Merikangas, KR, Walters, EE.Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry 2005;62:593602. CrossRefGoogle ScholarPubMed
Alonso, J, Angermeyer, MC, Bernert, Set al. Prevalence of mental disorders in Europe: results from the European Study of the Epidemiology of Mental Disorders (ESEMeD) project. Acta Psychiatr Scand 2004;109:2127. CrossRefGoogle Scholar
Australian Bureau of Statistics. Mental health in Australia: a snapshot, 2004-05. Australian Bureau of Statistics, http://www.abs.gov.au/AUSSTATS/abs@.nsf/Lookup/4824.0.55.001Main+Features12004-05?OpenDocument#. Last updated 8 December 2006; accessed 29 April 2008. Google Scholar
World Health Organization. Caring for children and adolescents with mental disorders: setting WHO directions. Geneva: World Health Organization, 2003. Google Scholar
Sawyer, MG, Arney, FM, Baghurst, PAet al. The mental health of young people in Australia: Key findings from the Child and Adolescent Component of the National Survey of Mental Health and Well-Being. Aust N Z J Psychiatry 2001;35:806814. CrossRefGoogle Scholar
Parker, G, Gibson, NA, Brotchie, H, Heruc, G, Rees, AM, Hadzi-Pavlovic, D.Omega-3 fatty acids and mood disorders. Am J Psychiatry 2006;163:969978. CrossRefGoogle ScholarPubMed
Appleton, KM, Woodside, JV, Yarnell, JWet al. Depressed mood and dietary fish intake: direct relationship or indirect relationship as a result of diet and lifestyle? J Affect Disord 2007;104:217223. CrossRefGoogle ScholarPubMed
Appleton, KM, Peters, TJ, Hayward, RCet al. Depressed mood and n-3 polyunsaturated fatty acid intake from fish: non-linear or confounded association? Soc Psychiatry Psychiatr Epidemiol 2007;42:100104. CrossRefGoogle ScholarPubMed
Sanchez-Villegas, A, Henrìquez, P, Figueiras, A, Ortuño, F, Lahortiga, F, Martìnez-González, MA.Long chain omega-3 fatty acids intake, fish consumption and mental disorders in the SUN cohort study. Eur J Nutr 2007;46:337346. CrossRefGoogle ScholarPubMed
Kamphuis, MH, Geerlings, MI, Tijhuis, MA, Kalmijn, S, Grobbee, DE, Kromhout, D.Depression and cardiovascular mortality: a role for n-3 fatty acids? Am J Clin Nutr 2006;84:15131517. Google ScholarPubMed
Makrides, M, Neumann, MA, Byard, RW, Simmer, K, Gibson, RA.Fatty acid composition of brain, retina, and erythrocytes in breast- and formula-fed infants. Am J Clin Nutr 1994;60:189194. Google ScholarPubMed
Sobczak, S, Honig, A, Christophe, Aet al. Lower high-density lipoprotein cholesterol and increased omega-6 polyunsaturated fatty acids in first-degree relatives of bipolar patients. Psychol Med 2004;34:103112. CrossRefGoogle ScholarPubMed
Osher, Y, Bersudsky, Y, Belmaker, RH.Omega-3 eicosapentaenoic acid in bipolar depression: report of a small open-label study. J Clin Psychiatry 2005;66:726729. CrossRefGoogle ScholarPubMed
Keck, PE Jr., Mintz, J, McElroy, SLet al. Double-blind, randomized, placebo-controlled trials of ethyl-eicosapentanoate in the treatment of bipolar depression and rapid cycling bipolar disorder. Biol Psychiatry 2006;60:10201022. CrossRefGoogle ScholarPubMed
Stoll, AL, Severus, WE, Freeman, MPet al. Omega 3 fatty acids in bipolar disorder: a preliminary double-blind, placebo-controlled trial. Arch Gen Psychiatry 1999;56:407412. CrossRefGoogle ScholarPubMed
Sublette, ME, Bosetti, F, Demar, JCet al. Plasma free polyunsaturated fatty acid levels are associated with symptom severity in acute mania. Bipolar Disord 2007;9:759765. CrossRefGoogle ScholarPubMed
Frangou, S, Lewis, M, Mccrone, P.Efficacy of ethyl-eicosapentaenoic acid in bipolar depression: randomised double-blind placebo-controlled study. Br J Psychiatry 2006;188:4650. CrossRefGoogle ScholarPubMed
Chiu, CC, Huang, SY, Chen, CC, Su, KP.Omega-3 fatty acids are more beneficial in the depressive phase than in the manic phase in patients with bipolar I disorder. J Clin Psychiatry 2005;66:16131614. CrossRefGoogle ScholarPubMed
Wozniak, J, Biederman, J, Mick, Eet al. Omega-3 fatty acid monotherapy for pediatric bipolar disorder: a prospective open-label trial. Eur Neuropsychopharmacol 2007;17:440447. CrossRefGoogle ScholarPubMed
Gracious, B, Chirieac, MC, Youngstrom, EA. An RCT of flax oil in children and adolescents with bipolar disorder, New Clinical Drug Evaluation Unit 46th Annual Meeting, 2006;222. Google Scholar
Astorg, P, Couthouis, A, Bertrais, Set al. Association of fish and long-chain n-3 polyunsaturated fatty acid intakes with the occurrence of depressive episodes in middle-aged French men and women. Prostaglandins Leukot Essent Fatty Acids 2008;78:171182. CrossRefGoogle ScholarPubMed
Mcnamara, RK, Hahn, CG, Jandacek, Ret al. Selective deficits in the omega-3 fatty acid docosahexaenoic acid in the postmortem orbitofrontal cortex of patients with major depressive disorder. Biol Psychiatry 2007;62:1724. CrossRefGoogle ScholarPubMed
Appleton, KM, Gunnell, K, Peters, TJ, Ness, AR, Kessler, K, Rogers, PJ.No clear evidence of an association between plasma concentrations of n-3 long-chain polyunsaturated fatty acids and depressed mood in a non-clinical population. Prostaglandins Leukot Essent Fatty Acids 2008;78:337342. CrossRefGoogle Scholar
Schins, A, Crijns, HJ, Brummer, RJet al. Altered omega-3 polyunsaturated fatty acid status in depressed post-myocardial infarction patients. Acta Psychiatr Scand 2007;115:3540. CrossRefGoogle ScholarPubMed
Frasure-Smith, N, Lesperance, F, Julien, P.Major depression is associated with lower omega-3 fatty acid levels in patients with recent acute coronary syndromes. Biol Psychiatry 2004;55:891896. CrossRefGoogle ScholarPubMed
Murakami, K, Mizoue, T, Sasaki, Set al. Dietary intake of folate, other B vitamins, and omega-3 polyunsaturated fatty acids in relation to depressive symptoms in Japanese adults. Nutrition 2008;24:140147. CrossRefGoogle ScholarPubMed
Miyake, Y, Sasaki, S, Yokoyama, Tet al. Risk of postpartum depression in relation to dietary fish and fat intake in Japan: The Osaka Maternal and Child Health Study. Psychol Med 2006;36:17271735. CrossRefGoogle ScholarPubMed
Mamalakis, G, Kiriakakis, M, Tsibinos, Get al. Lack of an association of depression with n-3 polyunsaturated fatty acids in adipose tissue and serum phospholipids in healthy adults. Pharmacol Biochem Behav 2008;89:610. CrossRefGoogle ScholarPubMed
Edwards, R, Peet, M, Shay, J, Horrobin, D.Omega-3 polyunsaturated fatty acid levels in the diet and in red blood cell membranes of depressed patients. J Affect Disord 1998;48:149155. CrossRefGoogle ScholarPubMed
Appleton, KM, Hayward, RC, Gunnell, Det al. Effects of n-3 long-chain polyunsaturated fatty acids on depressed mood: systematic review of published trials. Am J Clin Nutr 2006;84:13081316. Google ScholarPubMed
Lin, PY, Su, KP.A meta-analytic review of double-blind, placebo-controlled trials of antidepressant efficacy of omega-3 fatty acids. J Clin Psychiatry 2007;68:10561061. CrossRefGoogle ScholarPubMed
Grenyer, BF, Crowe, T, Meyer, Bet al. Fish oil supplementation in the treatment of major depression: a randomised double-blind placebo-controlled trial. Prog Neuropsychopharmacol Biol Psychiatry 2007;31:13931396. CrossRefGoogle ScholarPubMed
Silvers, KM, Woolley, CC, Hamilton, FC, Watts, PM, Watson, RA.Randomised double-blind placebo-controlled trial of fish oil in the treatment of depression. Prostaglandins Leukot Essent Fatty Acids 2005;72:211218. CrossRefGoogle ScholarPubMed
Su, KP, Huang, SY, Chiu, CC, Shen, WW.Omega-3 fatty acids in major depressive disorder. A preliminary double-blind, placebo-controlled trial. Eur Neuropsychopharmacol 2003;13:267271. CrossRefGoogle ScholarPubMed
Nemets, B, Stahl, Z, Belmaker, RH.Addition of omega-3 fatty acid to maintenance medication treatment for recurrent unipolar depressive disorder. Am J Psychiatry 2002;159:477479. CrossRefGoogle ScholarPubMed
Jazayeri, S, Tehrani-Doost, M, Keshavarz, SAet al. Comparison of therapeutic effects of omega-3 fatty acid eicosapentaenoic acid and fluoxetine, separately and in combination, in major depressive disorder. Aust N Z J Psychiatry 2008;42:192198. CrossRefGoogle ScholarPubMed
Marangell, LB, Martinez, JM, Zboyan, HA, Kertz, B, Kim, HF, Puryear, LJ.A double-blind, placebo-controlled study of the omega-3 fatty acid docosahexaenoic acid in the treatment of major depression. Am J Psychiatry 2003;160:996998. CrossRefGoogle ScholarPubMed
Rogers, PJ, Appleton, KM, Kessler, Det al. No effect of n-3 long-chain polyunsaturated fatty acid (EPA and DHA) supplementation on depressed mood and cognitive function: a randomised controlled trial. Br J Nutr 2008;99:421431. CrossRefGoogle ScholarPubMed
Ness, ARG, Gallacher, JEJ, Bennett, PDet al. Advice to eat fish and mood: A randomised controlled trial in men with angina. Nutr Neurosci 2003;6:6365. CrossRefGoogle ScholarPubMed
Mischoulon, D, Best-Popescu, C, Lapasata, Met al. A double-blind dose-finding pilot study of docosahexaenoic acid (DHA) for major depressive disorder. Eur Neuropsychopharmacol 2008;18:639645. CrossRefGoogle ScholarPubMed
Peet, M, Horrobin, DF.A dose-ranging study of the effects of ethyl-eicosapentaenoate in patients with ongoing depression despite apparently adequate treatment with standard drugs. Arch Gen Psychiatry 2002;59:913919. CrossRefGoogle ScholarPubMed
Freeman, MPH, Hibbeln, JR, Wisner, KL, Watchman, M, Gelenberg, AJ.An open trial of Omega-3 fatty acids for depression in pregnancy. Acta Neuropsychiatr 2006;18:2124. CrossRefGoogle ScholarPubMed
de Vriese, SR, Christophe, AB, Maes, M.Lowered serum n-3 polyunsaturated fatty acid (PUFA) levels predict the occurrence of postpartum depression: Further evidence that lowered n-PUFAs are related to major depression. Life Sci 2003;73:31813817. CrossRefGoogle ScholarPubMed
Browne, JC, Scott, KM, Silvers, KM.Fish consumption in pregnancy and omega-3 status after birth are not associated with postnatal depression. J Affect Disord 2006;90:131139. CrossRefGoogle Scholar
Rees, AM, Austin, MP, Parker, GB.Omega-3 fatty acids as a treatment for perinatal depression: randomized double-blind placebo-controlled trial. Aust N Z J Psychiatry 2008;42:199205. CrossRefGoogle ScholarPubMed
Llorente, AM, Jensen, CL, Voigt, RG, Fraley, JK, Berretta, MC, Heird, WC.Effect of maternal docosahexaenoic acid supplementation on postpartum depression and information processing. Am J Obstet Gynecol 2003;188:13481353. CrossRefGoogle ScholarPubMed
Jensen, CL.Effects of n-3 fatty acids during pregnancy and lactation. Am J Clin Nutr 2006;83:1452S1457S. Google ScholarPubMed
Freeman, MP, Davis, M, Sinha, P, Wisner, KL, Hibbeln, JR, Gelenberg, AJ.Omega-3 fatty acids and supportive psychotherapy for perinatal depression: a randomized placebo-controlled study. J Affect Disord 2008;110:142148. CrossRefGoogle ScholarPubMed
Su, KP, Huang, SY, Chiu, THet al. Omega-3 fatty acids for major depressive disorder during pregnancy: results from a randomized, double-blind, placebo-controlled trial. J Clin Psychiatry 2008;69:644651. CrossRefGoogle ScholarPubMed
Freeman, MP, Hibbeln, JR, Wisner, KL, Brumbach, BH, Watchman, M, Gelenberg, AJ.Randomized dose-ranging pilot trial of omega-3 fatty acids for postpartum depression. Acta Psychiatr Scand 2006;113:3135. CrossRefGoogle ScholarPubMed
Krabbendam, L, Bakker, E, Hornstra, G, Van, OJ.Relationship between DHA status at birth and child problem behaviour at 7 years of age. Prostaglandins Leukot Essent Fatty Acids 2007;76:2934. CrossRefGoogle ScholarPubMed
Rojas, NL, Chan, E.Old and new controversies in the alternative treatment of attention-deficit hyperactivity disorder. Ment Retard Dev Disabil Res Rev 2005;11:116130. CrossRefGoogle ScholarPubMed
Colter, A, Cutler, C, Meckling, K.Fatty acid status and behavioural symptoms of Attention Deficit Hyperactivity Disorder in adolescents: a case-control study. Nutr J 2008;7:8. CrossRefGoogle ScholarPubMed
Chen, JR, Hsu, SF, Hsu, CD, Hwang, LH, Yang, SC.Dietary patterns and blood fatty acid composition in children with attention-deficit hyperactivity disorder in Taiwan. J Nutr Biochem 2004;15:467472. CrossRefGoogle ScholarPubMed
Germano, M, Meleleo, D, Montorfano, Get al. Plasma, red blood cells phospholipids and clinical evaluation after long chain omega-3 supplementation in children with attention deficit hyperactivity disorder (ADHD). Nutr Neurosci 2007;10:19. CrossRefGoogle Scholar
Sorgi, PJ, Hallowell, EM, Hutchins, HL, Sears, B.Effects of an open-label pilot study with high-dose EPA/DHA concentrates on plasma phospholipids and behavior in children with attention deficit hyperactivity disorder. Nutr J 2007;6:16. CrossRefGoogle ScholarPubMed
Joshi, K, Lad, S, Kale, Met al. Supplementation with flax oil and vitamin C improves the outcome of Attention Deficit Hyperactivity Disorder (ADHD). Prostaglandins Leukot Essent Fatty Acids 2006;74:1721. CrossRefGoogle Scholar
Sinn, N, Bryan, J.Effect of supplementation with polyunsaturated fatty acids and micronutrients on learning and behavior problems associated with child ADHD. J Dev Behav Pediatr 2007;28:8291. CrossRefGoogle ScholarPubMed
Stevens, L, Zhang, W, Peck, Let al. EFA supplementation in children with inattention, hyperactivity, and other disruptive behaviors. Lipids 2003;38:10071021. CrossRefGoogle ScholarPubMed
Richardson, AJ, Puri, BK.A randomized double-blind, placebo-controlled study of the effects of supplementation with highly unsaturated fatty acids on ADHD-related symptoms in children with specific learning difficulties. Prog Neuropsychopharmacol Biol Psychiatry 2002;26:233239. CrossRefGoogle ScholarPubMed
Voigt, RG, Llorente, AM, Jensen, CL, Fraley, JK, Berretta, MC, Heird, WC.A randomized, double-blind, placebo-controlled trial of docosahexaenoic acid supplementation in children with attention-deficit/hyperactivity disorder. J Pediatr 2001;139:189196. CrossRefGoogle ScholarPubMed
Young, GS, Maharaj, NJ, Conquer, JA.Blood phospholipid fatty acid analysis of adults with and without attention deficit/hyperactivity disorder. Lipids 2004;39:117123. Google ScholarPubMed
Young, GS, Conquer, JA, Thomas, R.Effect of randomized supplementation with high dose olive, flax or fish oil on serum phospholipid fatty acid levels in adults with attention deficit hyperactivity disorder. Reprod Nutr Dev 2005;45:549558. CrossRefGoogle ScholarPubMed
Hamazaki, T, Sawazaki, S, Nagoa, Yet al. Docosahexaenoic acid does not affect aggression of normal volunteers under nonstressful conditions. A randomized, placebo-controlled, double-blind study. Lipids 1998;33:663667. CrossRefGoogle ScholarPubMed
Itomura, M, Hamazaki, K, Sawazaki, Set al. The effect of fish oil on physical aggression in schoolchildren - A randomized, double-blind, placebo-controlled trial. J Nutr Biochem 2005;16:163171. CrossRefGoogle ScholarPubMed
Noaghiul, S, Hibbeln, JR.Cross-national comparisons of seafood consumption and rates of bipolar disorders. Am J Psychiatry 2003;160:22222227. CrossRefGoogle ScholarPubMed
Marangell, LB, Suppes, T, Ketter, TAet al. Omega-3 fatty acids in bipolar disorder: clinical and research considerations. Prostaglandins Leukot Essent Fatty Acids 2006;75:315321. CrossRefGoogle ScholarPubMed
Wells, AS, Read, NW, Laugharne, JDE, Ahluwalia, NS.Alterations in mood after changing to a low-fat diet. Br J Nutr 1998;79:2330. CrossRefGoogle ScholarPubMed
Wurtman, RJ, Wurtman, JJ.Carbohydrates and depression. Science 1989;260:5057. Google ScholarPubMed
Benton, D, Donohoe, RT.The effects of nutrients on mood. Public Health Nutr 1999;2:403409. CrossRefGoogle ScholarPubMed
Bellisle, F, Blundell, JE, Dye, Let al. Functional food science and behaviour and psychological functions. Br J Nutr 1998;80:S173S193. CrossRefGoogle ScholarPubMed
Young, SN.Some effects of dietary components (amino acids, carbohydrate, folic acid) on brain serotonin synthesis, mood, and behavior. Can J Physiol Pharmacol 1991;69:893903. CrossRefGoogle Scholar
Markus, CR, Panhuysen, G, Tuiten, A, Koppeschaar, H, Fekkes, D, Peters, ML.Does carbohydrate-rich, protein-poor food prevent a deterioration of mood and cognitive performance of stress-prone subjects when subjected to a stressful task? Appetite 1998;31:4965. CrossRefGoogle ScholarPubMed
Schweiger, U, Laessle, R, Kittl, S, Dickhaut, B, Schweiger, M, Pirke, KM.Macronutrient intake, plasma large neutral amino acids and mood during weight-reducing diets. J Neural Transm 1986;67:7786. CrossRefGoogle ScholarPubMed
Deijen, JB, Heemstra, ML, Orlebeke, JF.Dietary effects on mood and performance. J Psychiatr Res 1989;23:275283. CrossRefGoogle ScholarPubMed
Beulens, JW, Bindels, JG, De, GC, Alles, MS, Wouters-Wesseling, W.Alpha-lactalbumin combined with a regular diet increases plasma Trp-LNAA ratio. Physiol Behav 2004;81:585593. CrossRefGoogle ScholarPubMed
Leathwood, PDPPollet, P.Diet-induced mood changes in normal populations. J Psychiatr Res 1982;17:147154. CrossRefGoogle ScholarPubMed
Talbot, PS, Watson, DR, Barrett, SL, Cooper, SJ.Rapid tryptophan depletion improves decision-making cognition in healthy humans without affecting reversal learning or set shifting. Neuropsychopharmacology 2006;31:15191525. CrossRefGoogle ScholarPubMed
Bellisle, F.Effects of diet on behaviour and cognition in children. Br J Nutr 2004;92:S227S232. CrossRefGoogle ScholarPubMed
Brody, SWolitzky, DL.Lack of mood changes following sucrose loading. Psychosomatics 1983;24:155162. CrossRefGoogle ScholarPubMed
Conners, CKBlouin, AG.Nutrition effects on behavior of children. J Psychiatr Res 1982;17:193201. CrossRefGoogle Scholar
Wolraich, ML, Lindgren, SD, Stumbo, PJ, Stegink, LD, Appelbaum, MI, Kiritsy, MC.Effects of diets high in sucrose or aspartame on the behavior and cognitive performance of children. N Engl J Med 1994;330:301307. CrossRefGoogle ScholarPubMed
Rapoport, JL.Effects of dietary substances in children. J Psychiatr Res 1982;17:187191. CrossRefGoogle ScholarPubMed
Hoover, D, Milich, R.Effects of sugar ingestion expectancies on mother-child interactions. J Abnorm Child Psychol 1994;22:501515. CrossRefGoogle ScholarPubMed
Benton, D.The impact of diet on anti-social, violent and criminal behaviour. Neurosci Biobehav Rev 2007;31:752774. CrossRefGoogle ScholarPubMed
Stevenson, J.Dietary influences on cognitive development and behaviour in children. Proc Nutr Soc 2006;65:361365. CrossRefGoogle ScholarPubMed
Schab, DW, Trinh, NH.Do artificial food colors promote hyperactivity in children with hyperactive syndromes? A meta-analysis of double-blind placebo-controlled trials. J Dev Behav Pediatr 2004;25:423434. CrossRefGoogle ScholarPubMed
Carter, CMU, Urbanowicz, M, Hemsley, Ret al. Effects of a few food diet in attention deficit disorder. Arch Dis Child 1993;69:564568. CrossRefGoogle ScholarPubMed
Swain, AR, Soutter, VL, Loblay, RH.Food allergies and intolerances. In: Friendly food: the essential guide to avoiding allergies, additives and problem chemicals. London: Murdoch Books, 2004;625. Google Scholar
McCann, D, Barrett, A, Cooper, Aet al. Food additives and hyperactive behaviour in 3-year-old and 8/9-year-old children in the community: a randomised, double-blinded, placebo-controlled trial. Lancet 2007;370:15601567. CrossRefGoogle ScholarPubMed
Eigenmann, PA, Haenggeli, CA.Food colourings, preservatives, and hyperactivity. Lancet 2007;370:15241525. CrossRefGoogle ScholarPubMed
Bateman, B, Warner, JO, Hutchinson, Eet al. The effects of a double blind, placebo controlled, artificial food colourings and benzoate preservative challenge on hyperactivity in a general population sample of preschool children. Arch Dis Child 2004;89:506511. CrossRefGoogle Scholar
Eigenmann, PA, Haenggeli, CA.Food colourings and preservatives - allergy and hyperactivity. Lancet 2004;364:823824. CrossRefGoogle ScholarPubMed
Pasco, JA, Nicholson, GC, Ng, Fet al. Oxidative stress may be a common mechanism linking major depression and osteoporosis. Acta Neuropsychiatr 2008;20:112116. CrossRefGoogle ScholarPubMed
Kaplan, BJ, Crawford, SG, Field, CJ, Simpson, J, Steven, A.Vitamins, minerals, and mood. Psychol Bull 2007;133:747760. CrossRefGoogle ScholarPubMed
Benton, D, Haller, J, Fordy, J.Vitamin supplementation for 1 year improves mood. Neuropsychobiology 1995;32:98105. CrossRefGoogle ScholarPubMed
Ballin, A, Berar, M, Rubinstein, U, Kleter, Y, Hershkovitz, A, Meytes, D.Iron state in female adolescents. Am J Dis Child 1992;146:803805. Google Scholar
Benton, D, Cook, R.The impact of selenium supplementation on mood. Biol Psychiatry 1991;29:10921098. CrossRefGoogle ScholarPubMed
Hawkes, WC, Hornbostel, L.Effects of dietary selenium on mood in healthy men living in a metabolic research unit. Biol Psychiatry 1996;39:121128. CrossRefGoogle Scholar
Akhondzadeh, S, Mohammadi, MR, Khademi, M.Zinc sulfate as an adjunct to methylphenidate for the treatment of attention deficit hyperactivity disorder in children: a double blind and randomized trial [ISRCTN64132371]. BMC Psychiatry 2004;4:9. CrossRefGoogle Scholar
Schoenthaler, S, Doraz, SAW, Kelly, MA, Muedeking, G, Wakefield, J.The effect of randomized vitamin-mineral supplementation on violent and non-violent antisocial behavior among incarcerated juveniles. J Nutr Environ Med 1997;7:343352. CrossRefGoogle Scholar
Parker, GB, Heruc, GA, Hilton, TMet al. Low levels of docosahexaenoic acid identified in acute coronary syndrome patients with depression. Psychiatry Res 2006;141:279286. CrossRefGoogle ScholarPubMed
Berk, M.Should we be targeting exercise as a routine mental health intervention? Acta Neuropsychiatr 2007;19:217218. CrossRefGoogle Scholar