I have never seen a child with ADHD who eats a real food diet, but is that cause or effect? Or do children rarely eat real food diet these days.

There are certainly theoretical reasons why the brain should function badly without nutritious food, or when food is high in sugar so I always ask parents what they feed their child when they come to talk to me about his or her behaviour.

The standard eating pattern of a child age 4-11 in England is as follows:

Cereal or toast or both for breakfast (that is not enough nutritionally to keep them going for the morning)

School lunch or sandwich, crisps and fruit (these could cause an afternoon slump)

Hot dinner, with meat or fish or chicken, vegetables and pasta, rice or potatoes.

Snacks are sweets, chocolate and/or crisps (will cause their blood glucose to oscillate widely).

Drinks are fruit cordials or fruit juice- rarely milk.

All children over 6 can tell me about 5 a day, which proves that the marketing ploy masquerading as health advice has worked.

An 9 year old described the Eatwell plate (a more subtle and clever marketing ploy) to me the other day and as she is the child of my “bestest” friend, now deceased, I will have to think carefully of how I tackle it with her before she is in a position to buy her own food.

I advise all parents to feed their child real food as per the guide on the front page of my website.