Reply to: The Geographic Variation in the Prevalence of Attention-Deficit/Hyperactivity Disorder the United States is Likely Due to Geographical Variations of Solar Ultraviolet B Doses and Race
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Study at a glance
- Area
- ADHD & Attention
- Study type
- Observational study
- Authors
- Arns M, van der Heijden KB, Eugene Arnold L, Leon Kenemans J
- Journal
- Biological Psychiatry
- Year
- 2014
- Protocol
- reanalysis of state-level ADHD prevalence and solar intensity data
Key findings
- Adding percentage of African American residents per state did not change the correlations between solar intensity and ADHD prevalence (2003: r = -0.637 to -0.639; 2007: r = -0.580 to -0.597)
- Several states with small African American populations had above-average ADHD prevalence
- U.S. trends in vitamin D deficiency and milk fortification did not match the rise in reported ADHD prevalence from 7.8% (2003) to 9.5% (2007)
- Cites genetic, circadian phase delay, light therapy and melatonin evidence supporting a circadian role in ADHD
Replying to a letter that proposed vitamin D from solar ultraviolet B light and race explain geographic differences in ADHD prevalence across the United States, the authors defend their view that sunlight affects ADHD mainly through the circadian system. Rerunning their state-level analysis with the percentage of African American residents as a covariate left the link between solar intensity and ADHD prevalence essentially unchanged, and they find little published or trend data tying vitamin D to ADHD. The authors judge the circadian hypothesis most plausible but say further research must test both ideas.