الفهرس 
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Abstract
Attention deficit hyperactivity disorder (ADHD) affects children and teens and can continue into adulthood. ADHD is the most commonly diagnosed mental disorder of children. Children with ADHD may be hyperactive and unable control their impulses. Or they may have trouble paying attention. These behaviors interfere with school and home life. It‘s more common in boys than in girls. It‘s usually discovered during the early school years, when a child begins to have problems paying attention.
This study was conducted in Neuro clinic of Pediatric in University hospital in Shebin El com in the period between March 2016 to July 2016 with help and under supervision of Neuro specialists.26 case and 20 control children in the school age from 7 to 13 years from different areas of the govern ate with symptoms as loss of concentration and forgetness, hyperactivity all these in home and school.
Patients: The cases were diagnosed and examined before nutritional treatment then they were recommended to take the nutritional supplements with accurate doses for 3 months with follow up of the availability of the medicines and the compliance of the patients and their parents
1. Omega-3 fatty acids:
Children younger than 8 years old should take between 1,000-1,500mg/day, older children should get 2,000-2,5000mg /day (liquid or capsule forms are the best form).
2. Zinc:
The child should take 20mg/daily from oral zinc (suspension or capsule).
3. Iron:
The child should take 6mg/kg/day of oral iron (syrup or capsule).
After 3 months with follow up of the cases, they were re-evaluated again by
•The opinions of the parents about changes in the children behavior and concentration.
•(DSM-IV) Diagnostic Criteria for ADHD
•Laboratory investigations: including
Serum iron
Serum ferritin
Serum zinc. Results: According to our study and results we found that •No significant difference between the cases and the control according to the demographic data. •No obvious risk factor or cause for the ADHD. •There is a relation between nocturnal enuresis and ADHD.
•The serum levels of iron, ferritin and zinc are significantly low in cases before treatment with nutritional supplements. •The serum levels of iron, ferritin and zinc are significantly high in cases after treatment with nutritional supplements. from the present study it is concluded that: The nutritional treatment and minerals compensation in the cases of ADHD is helpful and important line of treatment beside other lines The free fatty acids and minerals are very important components in diet of ADHD cases for improvement of brain functions and behavior. Recommendations Based on our analysis using omega-3 and mineral supplements (iron and zinc) for 3 months in treatment of ADHD cases we recommended that: The necessary of parents understanding the nature of their children‘s disorder and how to deal and treat their children by using our recommendations in Arabic guide.
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The necessary of laboratory investigations for ADHA children as (HB%, serum iron, ferritin, and zinc) to detect any need for treatment and follow up. Using omega-3 supplements with proper doses to improve the brain cells functions. Using iron and zinc supplements with proper doses to decrease hyperactivity and increased attention.