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The researchers theorized that increased sugar consumption may be a consequence rather than a cause of ADHD.18 Increased sweetened beverage consumption was, however, associated with significantly increased odds of being at risk of inattention and hyperactivity in a study of the health behaviors of 1,649 US middle schoolers, although the researchers noted that ADHD diagnoses werent determined, and the 24-hour recalls may not have reflected usual intake.19 Caffeine use has been associated with ADHD in some studies but not others, and theres conflicting data on caffeines positive or negative effects on ADHD symptoms.20,21 In one study of 302 adolescents aged 12 to 14, afternoon and evening consumption of at least one caffeinated beverage was linked with reported sleep problems.20,21 Sleep problems have been correlated with ADHD.20,22 In addition to dietary risk factors, children with ADHD have been found in some research to have other lifestyle risk factors, many of which are interrelated, including more screen time and less physical activity than children without the disorder.11,20,22 Physical activity levels in children and adolescents with ADHD have been associated with fewer ADHD symptoms in adulthood.23 Although several of these studies point to a trend of lower diet quality and other lifestyle risks in ADHD, none of them establish causality due to their observational design
