Vitamins B9 and B12 in children with attention deficit hyperactivity disorder (ADHD)

Razavinia et al., 2024 | Int J Vitam Nutr Res | Meta Analysis

Citation

Razavinia Fatemeh, Ebrahimiyan Atefeh, ... Abedi Parvin. Vitamins B9 and B12 in children with attention deficit hyperactivity disorder (ADHD). Int J Vitam Nutr Res. 2024-Jun;94(5-6):476-484. doi:10.1024/0300-9831/a000809

Abstract

Background: Attention deficit hyperactivity disorder (ADHD) is a common childhood neurodevelopmental disorder that begins before age 12. Given the role of B group vitamins in cell metabolism, synthesis of nucleotides, and neurotransmitters, the present study systematically investigated the plasma levels of vitamins B9 and B12 in children with ADHD. Methods: We searched electronic databases including Web of Science, MEDLINE, EMBASE, Scopus, Iran MEDEX, Cochran database, and SID from conception to June 2023. Full-text case-control or cross-sectional studies were included in this study. Participants in the case group were children with ADHD aged 6-12 years. Review Manager Software (RevMan 5.4) was used for statistical analyses. Standardized mean differences (SMD) with 95% CIs were used to determine the differences between the two groups. Results: Six studies were included in the present meta-analysis. They included 982 children, of whom, 204 were girls and 744 were boys. The mean age of the children was 8.86±2.03 years. The level of vitamin B9 was significantly different between children with and without ADHD [SMD -0.80, 95% CI (-1.55, -0.04)]. Vitamin B12 was significantly lower in children with ADHD [SMD -0.29, 95% CI (-0.42, -0.16)]. However, due to high heterogeneity (I2 = 93%), sensitivity analysis was used, I2 fell to 21%, and significant difference was observed between the two groups [SMD -0.19, 95% CI (-0.34, -0.04)]. Conclusion: The results of this systematic review showed that the level of vitamins B9 and B12 in children with ADHD was significantly lower than that in healthy children.

Key Findings

Six studies were included in the present meta-analysis. They included 982 children, of whom, 204 were girls and 744 were boys. The mean age of the children was 8.86±2.03 years. The level of vitamin B9 was significantly different between children with and without ADHD [SMD -0.80, 95% CI (-1.55, -0.04)]. Vitamin B12 was significantly lower in children with ADHD [SMD -0.29, 95% CI (-0.42, -0.16)]. However, due to high heterogeneity (I2 = 93%), sensitivity analysis was used, I2 fell to 21%, and sign

Outcomes Measured

  • Requires manual extraction

Population

Field Value
Population healthy children
Sample Size 982
Age Range aged 6-12
Condition See abstract

MeSH Terms

  • Humans
  • Attention Deficit Disorder with Hyperactivity
  • Vitamin B 12
  • Child
  • Female
  • Male
  • Pantothenic Acid
  • Cross-Sectional Studies
  • Case-Control Studies

Evidence Classification

  • Level: Meta Analysis
  • Publication Types: Journal Article, Meta-Analysis, Systematic Review
  • Vertical: vitamin-b12

Provenance


Source extracted via PubMed E-utilities API on 2026-04-09