Attention Deficit/Hyperactivity Disorder Clinical Trial
Official title:
Catecholamine and Cognitive Response to Exercise in Children With Attention Deficit Hyperactivity Disorder
The study will investigate catecholamines responses, and cognitive effects of exercise in children with attention deficit hyperactivity disorder, and the effect of exercise training on these measures.
A leading pathophysiologic hypothesis of attention-deficit/hyperactivity disorder (ADHD) is
based on the notion of a catecholamine [CA; norepinephrine (NE), epinephrine (EPI), and
dopamine (DA)] dysfunction. This hypothesis suggests that the CA response to environmental
stimuli is attenuated in ADHD and is derived primarily from observations that drugs such as
methylphenidate and amphetamine - considered to be CA agonists - are effective in treating
the symptoms of ADHD. Despite this compelling evidence, a definitive role of CA
responsiveness in ADHD remains controversial. Physical activity is widely known to be a
powerful stimulus of the hypothalamic-pituitary-adrenal (HPA) and noradrenergic systems. On
the basis of the nation of a CA dysfunction in ADHD, we reasoned that the normal robust
increase in circulating CA seen in response to exercise would be blunted in children with
ADHD.
The objective of this study is to examine the possibility that exercise program and testing
might be useful in differentiating CA responses to stress between children who had received a
diagnosis of attention-deficit/hyperactivity disorder (ADHD) and age- and gender-matched
controls.
This study will take place in 'Children and adolescence health and sports center' in Meir
Medical Center, Kfar-Saba, Israel. Forty-five children, boys and girls between the ages 6 and
18, with newly diagnosed ADHD that not receiving any drugs will be assigned to the
intervention group. Age and gender matched children with ADHD, receiving Ritalin and not
engaged in regular exercise, or healthy children's without ADHD will serve as controls. The
intervention group will participate in an exercise program, including aerobic and anaerobic
components, twice a week, for 3 months. Exercise testing, blood sampling and cognitive
assessment will be performed at the start and in the end of this study.
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