A pilot randomized controlled trial of omega-3 fatty acids for autism spectrum disorder
Open accessAbstract
We conducted a pilot randomized controlled trial to determine the feasibility and initial safety and efficacy of omega-3 fatty acids (1.3 g/day) for the treatment of hyperactivity in 27 children ages 3-8 with autism spectrum disorder (ASD). After 12 weeks, hyperactivity, as measured by the Aberrant Behavior Checklist, improved 2.7 (± 4.8) points in the omega-3 group compared to 0.3 (± 7.2) points in the placebo group (p = 0.40; effect size = 0.38). Correlations were found between decreases in five fatty acid levels and decreases in hyperactivity, and the treatment was well tolerated. Although this pilot study did not find a statistically significant benefit from omega-3 fatty acids, the small sample size does not rule out small to moderate beneficial effects.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Other antioxidants including omega-3 fatty acids have been studied in ASD with mixed results.
“Other antioxidants have been studied in ASD including omega-3 fatty acids [71, 72] with mixed results”
From An Update on Psychopharmacological Treatment of Autism Spectrum Disorder (2022) · cites this paper as [71]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
No adjustments are needed for multiple comparisons.
Rothman, K. J. (1990) · Epidemiology · doi:10.1097/00001648-199001000-00010 · Cited by 5,965 · see citing works
Measuring Health: A Guide to Rating Scales and Questionnaires
McDowell, I., & Newell, C. (1987) · Cited by 4,207 · see citing works
Omega-3 Fatty Acids in Inflammation and Autoimmune Diseases
Simopoulos, A. P. (2002) · Journal of the American College of Nutrition · doi:10.1080/07315724.2002.10719248 · Cited by 2,014 · see citing works
Risperidone in Children with Autism and Serious Behavioral Problems
McCracken, J. T., McGough, J., Shah, B., Cronin, P., Hong, D., Aman, M. G., Arnold, L. E., Lindsay, R., Nash, P., Hollway, J., et al. (2002) · New England Journal of Medicine · doi:10.1056/nejmoa013171 · Cited by 1,574 · see citing works
Measuring Health: A Guide to Rating Scales and Questionnaires
Anderson, J. C. (1997) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-199711000-00018 · Cited by 1,534 · see citing works
Amminger, G. P., Schäfer, M. R., Papageorgiou, K., Klier, C. M., Cotton, S. M., Harrigan, S. M., Mackinnon, A., McGorry, P. D., & Berger, G. E. (2010) · Archives of General Psychiatry · doi:10.1001/archgenpsychiatry.2009.192 · Cited by 896 · see citing works
. Caution regarding the use of pilot studies to guide power calculations for study proposals.
Kraemer, H. C., Mintz, J., Noda, A., Tinklenberg, J., & Yesavage, J. A. (2006) · Archives of General Psychiatry · doi:10.1001/archpsyc.63.5.484 · Cited by 702 · see citing works
Internet survey of treatments used by parents of children with autism.
Green, V. A., Pituch, K. A., Itchon, J., Choi, A., O’Reilly, M., & Sigafoos, J. (2006) · Research in Developmental Disabilities · doi:10.1016/j.ridd.2004.12.002 · Cited by 617 · see citing works
Lecavalier, L. (2006) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-006-0147-5 · Cited by 569 · see citing works
Multiple Comparisons and Related Issues in the Interpretation of Epidemiologic Data
Savitz, D. A., & Olshan, A. F. (1995) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a117737 · Cited by 463 · see citing works
Amminger, G. P., Berger, G. E., Schäfer, M. R., Klier, C., Friedrich, M. H., & Feucht, M. (2007) · Biological Psychiatry · doi:10.1016/j.biopsych.2006.05.007 · Cited by 355 · see citing works
Plasma fatty acid levels in autistic children
Vancassel, S., Durand, G., Barthélémy, C., Lejeune, B., Martineau, J., Guilloteau, D., Andres, C. R., & Chalon, S. (2001) · Prostaglandins Leukotrienes and Essential Fatty Acids · doi:10.1054/plef.2001.0281 · Cited by 265 · see citing works
Parental reports on the use of treatments and therapies for children with autism spectrum disorders
Goin‐Kochel, R. P., Myers, B. J., & Mackintosh, V. H. (2006) · Research in Autism · doi:10.1016/j.rasd.2006.08.006 · Cited by 232 · see citing works
Essential fatty acids and phospholipase A2 in autistic spectrum disorders
Bell, J. G., Mackinlay, E. E., Dick, J. R., MacDonald, D. J., Boyle, R. M., & Glen, A. C. A. (2004) · Prostaglandins Leukotrienes and Essential Fatty Acids · doi:10.1016/j.plefa.2004.03.008 · Cited by 199 · see citing works
Role of polyunsaturated fatty acids in the management of Egyptian children with autism
Meguid, N. A., Atta, H. M., Gouda, A. S., & Khalil, R. O. (2008) · Clinical Biochemistry · doi:10.1016/j.clinbiochem.2008.05.013 · Cited by 125 · see citing works
Describing data requires no adjustment for multiple comparisons: a reply from Savitz and Olshan.
Savitz, D., & Olshan, A. (1998) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a009532 · Cited by 112 · see citing works
Aman, M. G., & Langworthy, K. (2000) · Journal of Autism and Developmental Disorders · doi:10.1023/a:1005559725475 · Cited by 104 · see citing works
Plasma fatty acid profiles in autism: A case-control study
Wiest, M. M., German, J. B., Harvey, D. J., Watkins, S. M., & Hertz‐Picciotto, I. (2009) · Prostaglandins Leukotrienes and Essential Fatty Acids · doi:10.1016/j.plefa.2009.01.007 · Cited by 97 · see citing works
Omega-3 Fatty Acids for Autistic Spectrum Disorder: A Systematic Review
Bent, S., Bertoglio, K. C., & Hendren, R. L. (2009) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-009-0724-5 · Cited by 93 · see citing works
Self-citationThompson, J. R. (1998) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a009530 · Cited by 89 · see citing works
Essential fatty acids and attention‐deficit–hyperactivity disorder: a systematic review
Raz, R., & Gabis, L. V. (2009) · Developmental Medicine & Child Neurology · doi:10.1111/j.1469-8749.2009.03351.x · Cited by 77 · see citing works
Politi, P., Cena, H., Comelli, M., Marrone, G., Allegri, C., Emanuele, E., & Nemi, S. U. D. (2008) · Archives of Medical Research · doi:10.1016/j.arcmed.2008.06.005 · Cited by 77 · see citing works
Fatty acid compositions of red blood cell phospholipids in children with autism
Bu, B., Ashwood, P., Harvey, D., King, I. B., de Water, J. V., & Jin, L. W. (2006) · Prostaglandins Leukotrienes and Essential Fatty Acids · doi:10.1016/j.plefa.2006.02.001 · Cited by 66 · see citing works
Self-citationEffects of omega-3 fatty acids on mental health.
Schachter, H. M., Kourad, K., Merali, Z., Lumb, A., Tran, K. T., & Miguelez, M. (2005) · PubMed Central · Cited by 52 · see citing works
Gilbert, D. L. (2007) · Biological Psychiatry · doi:10.1016/j.biopsych.2007.03.028 · Cited by 5 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Microbiota and the social brain
Sherwin, E., Bordenstein, S. R., Quinn, J. L., Dinan, T. G., & Cryan, J. F. (2019) · Science · doi:10.1126/science.aar2016 · Cited by 462 · see citing works
Very long-chain <i>n</i> -3 fatty acids and human health: fact, fiction and the future
Calder, P. C. (2018) · Proceedings of the Nutrition Society · doi:10.1017/s0029665117003950 · Cited by 419 · see citing works
A randomized controlled pilot trial of oral N-acetylcysteine in children with autism
Hardan, A. Y., Fung, L. K., Libove, R. A., Obukhanych, T. V., Nair, S., Herzenberg, L. A., Frazier, T. W., & Tirouvanziam, R. (2012) · Biological Psychiatry · doi:10.1016/j.biopsych.2012.01.014 · Cited by 293 · see citing works
Adams, J., Audhya, T., Geis, E., Gehn, E., Fimbres, V., Pollard, E., Mitchell, J., Ingram, J., Hellmers, R., Laake, D., et al. (2018) · Nutrients · doi:10.3390/nu10030369 · Cited by 267 · see citing works
An Update on Psychopharmacological Treatment of Autism Spectrum Disorder
Aishworiya, R., Valica, T., Hagerman, R., & Restrepo, B. (2022) · Neurotherapeutics · doi:10.1007/s13311-022-01183-1 · Cited by 233 · see citing works
Ghezzo, A., Visconti, P., Abruzzo, P. M., Bolotta, A., Ferreri, C., Gobbi, G., Malisardi, G., Manfredini, S., Marini, M., Nanetti, L., et al. (2013) · PLoS ONE · doi:10.1371/journal.pone.0066418 · Cited by 164 · see citing works
Madore, C., Leyrolle, Q., Lacabanne, C., Benmamar-Badel, A., Joffre, C., Nadjar, A., & Layé, S. (2016) · Neural Plasticity · doi:10.1155/2016/3597209 · Cited by 141 · see citing works
Nutritional and Dietary Interventions for Autism Spectrum Disorder: A Systematic Review
Sathe, N., Andrews, J. C., McPheeters, M. L., & Warren, Z. E. (2017) · PEDIATRICS · doi:10.1542/peds.2017-0346 · Cited by 138 · see citing works
Complementary and Alternative Therapies for Autism Spectrum Disorder
Brondino, N., Fusar-Poli, L., Rocchetti, M., Provenzani, U., Barale, F., & Politi, P. (2015) · Evidence-Based Complementary and Alternative Medicine · doi:10.1155/2015/258589 · Cited by 116 · see citing works
Mazahery, H., Conlon, C. A., Beck, K. L., Mugridge, O., Kruger, M. C., Stonehouse, W., Camargo, C. A., Meyer, B. J., Jones, B., & von Hurst, P. R. (2019) · The Journal of Steroid Biochemistry and Molecular Biology · doi:10.1016/j.jsbmb.2018.10.017 · Cited by 106 · see citing works
Dietary Interventions for Autism Spectrum Disorder: A Meta-analysis
Fraguas, D., Díaz-Caneja, C. M., Pina-Camacho, L., Moreno, C., Durán-Cutilla, M., Ayora, M., González-Vioque, E., de Matteis, M., Hendren, R. L., Arango, C., et al. (2019) · PEDIATRICS · doi:10.1542/peds.2018-3218 · Cited by 80 · see citing works
Masi, A., Lampit, A., Glozier, N., Hickie, I. B., & Guastella, A. J. (2015) · Translational Psychiatry · doi:10.1038/tp.2015.143 · Cited by 78 · see citing works
Parellada, M., Llorente, C., Calvo, R., Gutierrez, S., Lázaro, L., Graell, M., Guisasola, M., Dorado, M. L., Boada, L., Romo, J., et al. (2017) · European Neuropsychopharmacology · doi:10.1016/j.euroneuro.2017.08.426 · Cited by 77 · see citing works
González-Domenech, P. J., Díaz Atienza, F., García Pablos, C., Fernández Soto, M. L., Martínez-Ortega, J. M., & Gutiérrez-Rojas, L. (2020) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-019-04333-1 · Cited by 76 · see citing works
Autism spectrum disorder: A systematic review about nutritional interventions
Monteiro, M. A., Santos, A. A. A. D., Gomes, L. M. M., & Rito, R. V. V. F. (2020) · Revista Paulista de Pediatria · doi:10.1590/1984-0462/2020/38/2018262 · Cited by 71 · see citing works
- Authors
- Bent, S., Bertoglio, K., Ashwood, P., Bostrom, A., & Hendren, R. L.
- Affiliations
- San Francisco VA Medical Center (US)
- University of California, Davis (US)
- University of California, San Francisco (US)
- Corresponding author
- Bent, Stephen
- Venue
- Journal of Autism and Developmental Disorders
- Published
- 2010-08-04
- Volume
- 41
- Issue
- 5
- Pages
- 545-554
- ISSN
- 0162-3257 (ISSN-L)
- 1573-3432
- PMC
- PMC3076562
- OpenAlex
- W2009214635
- Cited by
- 156
- References
- 25
- Citations by year
- 2026: 7 · 2025: 9 · 2024: 8 · 2023: 10 · 2022: 12 · 2021: 8 · 2020: 13 · 2019: 10 · 2018: 10 · 2017: 12 · 2016: 8 · 2015: 11 · 2014: 12 · 2013: 10 · 2012: 8
- FWCI
- 7.59
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by-nc
- Locations
- Journal of Autism and Developmental Disorders (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- eScholarship (California Digital Library) (submittedVersion, cc-by-nc)
- Funders
- Autism Speaks (AS2311)
- Emch Foundation
- National Institutes of Health (RR024131)
- University of California, San Francisco (UL1RR024131)
- National Center for Research Resources (UL1RR024131, RR 024131, UCSF-CTSI Grant Number UL1 RR024131)
- Topics
- Health Sciences › Nursing › Nutrition and Dietetics › Fatty Acid Research and Health
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
- Keywords
- omega-3 fatty acids, autism spectrum disorder, hyperactivity, dietary supplementation, children, Aberrant Behavior Checklist, fatty acid levels, treatment safety, feasibility
- MeSH terms
- Child, Child Development Disorders, Pervasive, Child, Preschool, Female, Humans, Hyperkinesis, Male, Pilot Projects, Fatty Acids, Omega-3, Treatment Outcome
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review