Authors: Liv Grimstvedt Kvalvik; Kari Klungsøyr; Jannicke Igland; Ida Henriette Caspersen; Anne Lise Brantsæter; Berit Skretting Solberg; Catharina Hartman; Lizanne Johanna Stephanie Schweren; Henrik Larsson; Lin Li; Ingeborg Forthun; Stefan Johansson; Alejandro Arias Vasquez; Jan Haavik · Research

Can Mothers' Soda Intake During Pregnancy Affect Their Child's ADHD Symptoms?

A large Norwegian study suggests a small increased risk of ADHD symptoms in children whose mothers drank sweetened carbonated beverages daily during pregnancy.

Source: Kvalvik, L.G., Klungsøyr, K., Igland, J. et al. (2022). Association of sweetened carbonated beverage consumption during pregnancy and ADHD symptoms in the offspring: a study from the Norwegian Mother, Father and Child Cohort Study (MoBa). European Journal of Nutrition, 61, 2153–2166. https://doi.org/10.1007/s00394-022-02798-y

What you need to know

  • Mothers who drank sweetened carbonated beverages (like soda) daily during pregnancy had a small increased risk of their child showing ADHD symptoms at age 8.

  • The risk was small - about a 16-21% higher chance of the child having 6 or more ADHD symptoms.

  • This link remained even after accounting for factors like the mother’s education, age, and overall diet quality.

  • The study cannot prove that soda directly causes ADHD symptoms, but suggests it may play a small role along with other factors.

A Large Study on Mothers’ Soda Intake and Children’s ADHD

Attention-deficit/hyperactivity disorder (ADHD) is a common condition that affects about 3-5% of children. It involves symptoms like hyperactivity, inattention, and impulsivity that can interfere with daily life. While we know genetics play a big role in ADHD, researchers are also interested in how environmental factors, including nutrition during pregnancy, might influence a child’s risk.

To explore this, researchers in Norway looked at data from a large ongoing study called the Norwegian Mother, Father and Child Cohort Study (MoBa). They focused on nearly 40,000 mothers and their children, following them from pregnancy until the child was 8 years old.

How the Study Worked

During pregnancy, mothers filled out detailed questionnaires about their diet, including how often they drank sweetened carbonated beverages (SCBs) like soda. When the children were 8 years old, mothers answered questions about their child’s behavior related to ADHD symptoms.

The researchers compared children whose mothers drank one or more servings of SCBs daily during pregnancy to those whose mothers drank less. They looked at both a general ADHD symptom score and whether children had 6 or more significant ADHD symptoms.

What the Study Found

After accounting for many other factors that could influence the results, like the mother’s education, age, and overall diet quality, the researchers found:

  1. Children whose mothers drank SCBs daily during pregnancy had slightly higher ADHD symptom scores at age 8.

  2. These children had about a 16-21% higher chance of having 6 or more significant ADHD symptoms.

  3. The absolute risk was still fairly low - about 4.5% of children whose mothers drank SCBs daily had 6+ ADHD symptoms, compared to 3.4% for other children.

  4. The link seemed slightly stronger for sugar-sweetened drinks compared to artificially sweetened ones, but more research is needed to confirm this.

What This Means

It’s important to note that this type of study can’t prove that drinking soda directly causes ADHD symptoms in children. There could be other explanations for the link. For example, mothers who drink a lot of soda might have other dietary or lifestyle factors that influence their child’s development.

However, the study does suggest that frequent soda intake during pregnancy might play a small role in increasing ADHD risk, along with many other genetic and environmental factors. The researchers describe the effect as “weak,” meaning it likely only explains a tiny part of why some children develop ADHD symptoms.

Strengths and Limitations

This study has several strengths:

  • It was very large, following nearly 40,000 mother-child pairs.
  • It collected detailed information during pregnancy, rather than relying on mothers to remember years later.
  • It considered many other factors that could influence the results.

However, it also has some limitations:

  • Dietary information was self-reported, which isn’t always perfectly accurate.
  • Many families dropped out of the study over time, which could potentially bias the results (though the researchers tried to account for this).
  • The study only looked at ADHD symptoms reported by mothers, not formal diagnoses.

Conclusions

While this study suggests a possible link between mothers’ soda intake during pregnancy and children’s ADHD symptoms, it’s just one piece of a complex puzzle. ADHD is influenced by many factors, with genetics playing a major role.

Still, this research adds to growing evidence that diet during pregnancy may have subtle effects on child development. Limiting intake of sugary drinks is already recommended during pregnancy for other health reasons. This study provides one more potential reason to consider cutting back on soda while expecting.

For parents of children with ADHD, it’s important to remember that prenatal diet is likely only a very small piece of the puzzle, if it plays a role at all. Many other factors, including genetics and early life experiences, have a much bigger influence on ADHD development.

If you have concerns about your child’s behavior or attention, it’s always best to speak with a healthcare provider for personalized advice and evaluation.

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