Key Topics Covered

In Part 1 we covered specific nutrients of interest, logistical challenges, and elimination diets associated with ADHD.
In this episode, we will explore the role of food colours and sugar.
Food Colours

- Research on food colours has been inconsistent.
- For example, some research has identified a dose-response relationship in blinded settings.
- Not every participant in those studies experienced any impact from this though. So it could be case by case.
- Other research has found no noticeable link.
- A 2012 literature review on it had a nice summary though. They highlighted that a lot of research on the topic had obvious flaws, making it difficult to come to solid conclusions.
- BUT they also highlighted that the impact is not unique to ADHD.
Research on Children
- Research on children has identified that artificial colours can impact behaviour in those with and without diagnosable ADHD.
- So they described it as more of a public health issue than an ADHD one.
- There is an interesting link from the NHS.
- They highlighted that specific food colours are more linked to hyperactivity than others.
- They listed 6 of them to look out for. In the UK, these colours come with warning labels about hyperactivity.
- If you are concerned about this, it probably makes sense to avoid a high intake of food colours.
- From the alternative angle, the effect size of this has been pretty small on average, so it likely isn’t a big deal regardless.
Thoughts on Sugar

- Sugar is a controversial one in the ADHD space.
- A lot of people have identified it as a clear issue.
- Some experts have highlighted it as an issue. A lot of individuals notice differences. And some animal research has found a link too.
- But meta-analysis data looking at this topic has not indicated any link in humans.
- Limiting added sugar is typically a good idea regardless.
- The only reason this topic really matters is from a food flexibility perspective. Becoming obsessive about avoiding all sugar can potentially create a bunch of issues too.
Potential Reasons for This Link
- High sugar intake = high energy intake. If somebody is already hyperactive and you add that, it could exacerbate that.
- High sugar intake usually equals low micronutrient intake too. So that could play a role.
- High sugar intake usually means a high intake of artificial colours too.
- Expectations of symptoms can influence behaviour and interpretations.
- Individual variation can play a role too.
Relevant Blogs / Resources
Blog Posts
Studies Mentioned
- Food Colour Dose-Response Relationship
- Food Colours Literature Review
- Sugar and ADHD
- Sugar and ADHD (Study 2)
Relevant Links
