N-acetyl cysteine (NAC), a nutrient well-known specifically for
displaying strong antioxidant activity, has been advocated as a valuable
asset for purposes related to detoxification. A new study now suggests
it may be effective in easing irritability and repetitive behaviors in
children with autism–a disorder displaying alarming increases.
The 12-week, double-blind, randomized, placebo-controlled study
involved 33 children, aged 3 to 12, and, reflective of the general
characteristic of the disorder, predominantly male (31 of 33). All were
diagnosed with an autistic disorder and Clinical Global Impressions-Severity (CGI-S) score of 4 or higher.
The children were randomly divided into experimental and placebo
groups. The N-acetyl cysteine protocol involved a steady increase in
dosage, consisting first of 900 mg of NAC administered daily for four
weeks, followed by 900 mg twice daily for four weeks, followed by 900
mg taken three times daily for a final four weeks.
Follow-up data were available on 14 of the children in the
NAC-receiving group and on 15 children in the placebo group. Compared
with placebo, NAC treatment was associated with a significant decrease
in irritability scores from 13.1 to 7.2 on the Aberrant Behavior Check
List (or ABC) irritability subscale. Improvement was observed in week
four and continued through weeks eight and 12, according to authors.
The change is not as large as that seen in children taking
antipsychotics, according to lead investigator Antonio Hardan, MD, from
Stanford University School of Medicine, in Palo Alto, California, “but
this is still a potentially valuable tool to have before jumping on
these big guns.”
These results lend some support to related observations involving
dietary changes in autistic children, particularly so-called
“elimination diets”, and collectively these studies serve to strengthen
the association believed to exist between certain nutritional “pollutants”
and the impaired cognitive function characteristic of autism.
Additional research is required to help narrow the focus, but the study
above not only reveals more about the causes of autism, but potentially one part of the solution.
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