J Korean Acad Child Adolesc Psychiatry.  2020 Jan;31(1):41-45. 10.5765/jkacap.190036.

Magnesium Status in Children with Attention-Deficit/Hyperactivity Disorder and/or Autism Spectrum Disorder

Affiliations
  • 1Laboratory of Biotechnology and Applied Bioelementology, Yaroslavl State University, Yaroslavl, Russia
  • 2Laboratory of Molecular Dietetics, IM Sechenov First Moscow State Medical University, Moscow, Russia
  • 3Department of Medical Elementology, RUDN University, Moscow, Russia
  • 4Council for Nutritional and Environmental Medicine, Mo i Rana, Norway

Abstract


Objective
The objective of this study was to assess serum, hair, and urinary magnesium (Mg) levels in children with attention-deficit/ hyperactivity disorder (ADHD), autism spectrum disorder (ASD), and both ASD and ADHD to reveal potential interactive effects.
Methods
A total of 148 boys aged 4–9 years old were enrolled in this study, including 44 children with ADHD, 40 pediatric patients with ASD, 32 patients with both ADHD and ASD, as well as 32 healthy neurotypical children. Hair, serum, and urinary Mg levels were assessed using inductively-coupled plasma mass spectrometry (ICP-MS). Laboratory quality control was performed using certified reference materials of human hair, plasma, and urine.
Results
No significant group difference in serum Mg levels was observed. Mg content in hair was found to be reduced in children with ADHD and ADHD+ASD compared to that in healthy controls by 11% and 15%, respectively. Urinary Mg levels in children with ADHD+ASD exceeded the control, ADHD, and ASD values by 51, 76, and 65%, respectively. Factorial analysis revealed significant contribution of ADHD to hair and urinary Mg levels. Multiple regression analysis demonstrated that hair and urinary Mg levels were considered as significant predictors of neurodevelopmental disorder complexity.
Conclusion
We propose that impaired Mg status may provide a link between ADHD and ASD.

Keyword

Neurodevelopmental disorders; Magnesium; Comorbidity; Urine; Hair
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