Dietary supplements for aggressive behaviour in people with intellectual disabilities: A randomised controlled crossover trial.

aggressive behaviour dietary supplements intellectual disabilities randomised controlled trial

Journal

Journal of applied research in intellectual disabilities : JARID
ISSN: 1468-3148
Titre abrégé: J Appl Res Intellect Disabil
Pays: England
ID NLM: 9613616

Informations de publication

Date de publication:
Jan 2023
Historique:
revised: 22 09 2022
received: 12 05 2022
accepted: 23 09 2022
pubmed: 13 10 2022
medline: 17 12 2022
entrez: 12 10 2022
Statut: ppublish

Résumé

Aggressive incidents are common in people with intellectual disabilities. Therefore, we aimed to assess whether supplementation of multivitamins, minerals, and omega-3 fatty acids (FA) reduces aggressive incidents. We conducted a randomised, triple blind, placebo controlled, single crossover intervention trial. People with intellectual disabilities or borderline intellectual functioning, between 12 and 40 years of age, and showing aggressive behaviour were included. Participants received either a daily dose of dietary supplements, or placebo. Primary outcome was the number of aggressive incidents, measured using the Modified Overt Aggression Scale (MOAS). there were 113 participants (placebo, n = 56), of whom 24 (placebo, n = 10) participated in the crossover phase of the trial. All 137 trajectories were included in the analyses. There was no significant difference in mean number of aggressive incidents per day between those assigned to supplements and those who received placebo (rate ratio = 0.93: 95% Confidence Interval [CI] = 0.59-1.45). In this pragmatic trial, we did not find significant differences in the outcomes between the supplement and placebo arms. The COVID-19 pandemic started midway through our trial, this may have affected the results.

Sections du résumé

BACKGROUND BACKGROUND
Aggressive incidents are common in people with intellectual disabilities. Therefore, we aimed to assess whether supplementation of multivitamins, minerals, and omega-3 fatty acids (FA) reduces aggressive incidents.
METHODS METHODS
We conducted a randomised, triple blind, placebo controlled, single crossover intervention trial. People with intellectual disabilities or borderline intellectual functioning, between 12 and 40 years of age, and showing aggressive behaviour were included. Participants received either a daily dose of dietary supplements, or placebo. Primary outcome was the number of aggressive incidents, measured using the Modified Overt Aggression Scale (MOAS).
RESULTS RESULTS
there were 113 participants (placebo, n = 56), of whom 24 (placebo, n = 10) participated in the crossover phase of the trial. All 137 trajectories were included in the analyses. There was no significant difference in mean number of aggressive incidents per day between those assigned to supplements and those who received placebo (rate ratio = 0.93: 95% Confidence Interval [CI] = 0.59-1.45).
CONCLUSION CONCLUSIONS
In this pragmatic trial, we did not find significant differences in the outcomes between the supplement and placebo arms. The COVID-19 pandemic started midway through our trial, this may have affected the results.

Identifiants

pubmed: 36224110
doi: 10.1111/jar.13041
pmc: PMC10092216
doi:

Types de publication

Randomized Controlled Trial Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

122-131

Subventions

Organisme : Healthcare insurance Fund, The Netherlands
ID : 3326

Informations de copyright

© 2022 The Authors. Journal of Applied Research in Intellectual Disabilities published by John Wiley & Sons Ltd.

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Auteurs

David A A Gast (DAA)

Department of Psychiatry, Leiden University Medical Center, Leiden, The Netherlands.
Gemiva-SVG Group, Gouda, The Netherlands.

Robert Didden (R)

Behavioural Science Institute, Radboud University, Nijmegen, The Netherlands.
Trajectum, Zwolle, The Netherlands.

Johanna J Westera (JJ)

's Heeren Loo, Amersfoort, The Netherlands.

Ondine van de Rest (O)

Division of Human Nutrition and Health, Wageningen University & Research, Wageningen, The Netherlands.

Albert M van Hemert (AM)

Department of Psychiatry, Leiden University Medical Center, Leiden, The Netherlands.

Erik J Giltay (EJ)

Department of Psychiatry, Leiden University Medical Center, Leiden, The Netherlands.

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Classifications MeSH