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Downs Syndrome Treatment

 

There is no medical cure for Downs syndrome, and because of this, the focus of initial treatment is on an early detection of the condition and correction of associated complications of the heart and/or gastrointestinal defects.  Since individuals with Down syndrome often have associated health conditions, there is emphasis on management of these problems that often lead to further complications.  Many with Downs Syndrome are able to read, write, attend school, and engage in jobs at various skill levels.  Intervention at a young age with appropriate sensory, motor and cognitive stimulation may increase the likelihood of that person living an autonomous, functional life.

 

 

Supplements helpful for Downs Syndrome

 

Zinc:

Zinc a powerful antioxidant and supporter of immune function has been shown to have a positive effect in those with Downs Syndrome. One study followed 22 children; 16 males and 6 females, who received zinc sulphate over a period of 6 to 9 months.  At the conclusion of the study, 15 of the 22 children had reached a higher level on their growth chart. [8]

 

As discussed, those with Down syndrome can have a host of other health related conditions, one being low thyroid function.  Downs Syndrome Adults who supplemented with zinc sulphate that had a low thyroid function showed an improvement in both hypothyroidism and subclinical hypothyroidism. [9]  In addition, frequent respiratory infections are better managed and may be resolved more quickly by using zinc.  Known to inhibit the replication of certain common viruses, zinc is useful adjunctive treatment in people with recurrent viral infections.

 

Essential Fatty Acids Docosahexaenoic acid (DHA) and EPA

DHA and EPA are long chain polyunsaturated fatty acids derived from fish, other marine animals, and microalgae.  DHA plays a critical role in brain function and is thought to contribute to proper structural, neurologic, and synaptic membrane development. [10]  DHA and EPA are incorporated into the brain in large amounts throughout the last part of pregnancy and also in the first months of life. [11]  In those with Downs Syndrome, research shows an altered composition of essential fatty acids in the brain. [12]  Because of these effects, supplementation with essential fatty acids may help with cognitive function.

 

Glutathione peroxidase is an enzyme in the body involved with decreasing the activity of free radicals.  In those with Downs Syndrome, there is an increase in free radical activity.  EPA has been shown to increase levels of Glutathione peroxidase, therefore decreasing free radical damage, and alleviating cellular stress. [13]

 

Antioxidants

In those with Downs Syndrome, the increased level of oxidative stress warrants therapy that prevents free radical damage.  It has been shown that in those with Downs Syndrome, there is a higher activity of superoxide dismutase, an enzyme that could lead to increased oxidative damage. [14]  Therefore, it would follow that supplementation with antioxidants would have a positive effect, decreasing the overall oxidative stress on the system.

 

Researchers at Harvard Medical School examined fetuses with Downs Syndrome in comparison to those with normal brain tissues.  When grown in cultures, the Downs Syndrome brain cells had a 3 to 4 fold increase in free radicals and died much more quickly then the normal brain cells.  They repeated the culture, but this time the Downs Syndrome cells were pretreated with different antioxidants.  Some of the treatments were able to greatly increase the number of sustainable cells compared to those given no antioxidant support. Among the most effective antioxidants were vitamin E and N-acetyl-cysteine. [15]

 

Vitamins A, C, E, selenium, and zinc all have powerful antioxidant effects that have been shown, in many research studies, to have a positive effect on decreasing oxidative stress.  Many reports also show that Downs Syndrome individuals have low serum antioxidant levels, and that antioxidant supplementation would be beneficial. [16, 17]

 

B12 and Folate/folic acid

B 12 is a water-soluble vitamin needed for proper cell division and cell maturity, nerve cell conduction, and DNA replication.  Studies suggest that those with Downs Syndrome have abnormal blood cells.  This suggests that there may be a deficiency in both B12 and folic acid in these individuals.  Furthermore, it is common for children to have diminished gastrointestinal function, which leads to decreased absorption of nutrients and vitamins.

 

More specifically, research suggests that some with Downs Syndrome can have a B12 deficiency. [18]  Deficiency of folic acid and B12 in pregnant women is a well-established cause of neural tube defects in their children. [19]  There seems to be a relationship with those at risk for neural tube defects and Downs Syndrome.  Mothers of babies with neural tube defects (NTDs) have been found to have problems metabolizing folic acid, which may also be a risk factor for Downs Syndrome as well. In one study involving 493 families who had had a previous pregnancy affected by NTD and 516 families who had had a pregnancy affected by Down's syndrome, there were five times the number of children born with Down syndrome among the neural tube defect group as expected from women of the same age. [20]

 

5-Hydroxytryptophan (5-HTP)

5-HTP is similar to the amino acid L-tryptophan and the neurotransmitter serotonin.  In the body, L-tryptophan converts to 5-HTP that is then transformed to serotonin.  The main role of 5-HTP is to increase circulating levels of serotonin in the central nervous system.  Serotonin plays many roles in the body; some of which are appetite modulation, mood and behavior regulation, and sleep pattern development.  Some studies show that in Downs Syndrome children, there are low levels of serotonin and that the administration of 5-HTP improves muscle tone and reduces tongue protrusion (a common physical characteristic in Downs Syndrome). [21, 22]

 

 

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