Nutritional supplementation in the management of childhood/youth aggression: A systematic review

IF 3.4 2区心理学 Q1 CRIMINOLOGY & PENOLOGY Aggression and Violent Behavior Pub Date : 2023-07-01 DOI:10.1016/j.avb.2023.101841

Rameen Qamar , Sabrina M. Wang , Fahad Manzar Qureshi , Laura LaChance , Nathan J. Kolla , Barna Konkolÿ Thege

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Abstract

Excessive aggression in children and youth can lead to impairments in family, social or academic functioning. The aim of the present study was to review the evidence on the effectiveness of nutritional supplements in reducing excessive hetero-aggression in children and youth (up to 18 years). The Cochrane Library, EMBASE, MEDLINE, ProQuest Dissertations & Theses, PsycINFO, and PubMed data bases were searched for relevant studies. Altogether, 22 studies met inclusion criteria; 13 investigated the effect of macronutrients (fatty acids and amino acids), 6 studies investigated the effect of micronutrients (vitamins and minerals), while 3 studies investigated a combination of macro- and micronutrients. Out of the 22 studies, 7 reported a beneficial effect of nutritional supplementation (vitamins and minerals, essential fatty acids, or a certain combination of these); eight studies did not report a significant beneficial effect of nutritional supplementation (essential fatty acids, vitamin D, and L-tryptophan); while 7 studies reported mixed effects (vitamin B6, essential fatty acids alone and in combination with vitamins and minerals, and carnitine). The results overall suggest that there may be a role for broad-range vitamin and mineral supplements in the treatment of hetero-aggression in youth and children, while the evidence for single-nutrient supplements is quite ambiguous.

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儿童/青少年攻击性管理中的营养补充：一项系统综述

儿童和青年的过度攻击会导致家庭、社会或学术功能受损。本研究的目的是审查营养补充剂在减少儿童和青少年（18岁以下）过度异性攻击方面的有效性证据。Cochrane图书馆、EMBASE、MEDLINE、ProQuest论文和；检索论文、PsycINFO和PubMed数据库中的相关研究。总共有22项研究符合纳入标准；13项研究调查了大量营养素（脂肪酸和氨基酸）的影响，6项研究调查微量营养素（维生素和矿物质）的影响。3项研究调查大量和微量营养素的组合。在22项研究中，有7项报告了营养补充剂（维生素和矿物质、必需脂肪酸或它们的某种组合）的有益效果；八项研究没有报告营养补充（必需脂肪酸、维生素D和L-色氨酸）的显著有益效果；而7项研究报告了混合作用（维生素B6、单独的必需脂肪酸以及与维生素和矿物质的组合，以及肉碱）。总体结果表明，广泛的维生素和矿物质补充剂可能在治疗青少年和儿童的异性攻击中发挥作用，而单一营养补充剂的证据相当模糊。

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来源期刊

Aggression and Violent Behavior Multiple-

CiteScore

7.50

自引率

4.30%

发文量

期刊介绍： Aggression and Violent Behavior, A Review Journal is a multidisciplinary journal that publishes substantive and integrative reviews, as well as summary reports of innovative ongoing clinical research programs on a wide range of topics germane to the field of aggression and violent behavior. Papers encompass a large variety of issues, populations, and domains, including homicide (serial, spree, and mass murder: sexual homicide), sexual deviance and assault (rape, serial rape, child molestation, paraphilias), child and youth violence (firesetting, gang violence, juvenile sexual offending), family violence (child physical and sexual abuse, child neglect, incest, spouse and elder abuse), genetic predispositions, and the physiological basis of aggression.