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Mark L. Wolraich, MD; David B Wilson, PhD
Vanderbilt University Nashville, Tenn

J. Wade White, MD
Yokosuka, Japan

JAMA. 1996;275(10):757.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

In Reply.

—We feel that our interpretations were appropriately qualified. Although meta-analysis does examine mean scores, it is important to point out that six of the 23 studies we analyzed included children most likely to demonstrate effects, namely, those children who were reported to respond adversely to sugar. In addition, the dietary intervention studies¹ performed additional analyses of their results to detect individual effects and found none. As we stated in our article, we could not exclude the possibility of a small number of children responding adversely, but if so, the number is likely to be very small and the distinguishing characteristics of these children are yet to be determined.

Dr Jacobson cites a study of 21 boys (the data were included in our analysis, as the cohort had been reported²) as evidence of the differential effects of sugar on behavior. However, we cannot conclude that sugar was . . . [Full Text PDF of this Article]

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