{"title":"Nutritional interventions in depression: The role of vitamin D and omega-3 fatty acids in neuropsychiatric health","authors":"Muhammad Liaquat Raza , Syed Tawassul Hassan , Subia Jamil , Wajiha Fatima , Madiha Fatima","doi":"10.1016/j.clnu.2025.01.009","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Depression is a pervasive mental health disorder with complex etiologies involving neurotransmitter imbalances, inflammation, and hormonal dysregulation. Emerging evidence highlights the significance of nutritional interventions in improving depressive symptoms.</div></div><div><h3>Objective</h3><div>This review explores the mechanisms of action and clinical applications of Vitamin D and Omega-3 fatty acids in managing depression, providing insights into their potential therapeutic roles.</div></div><div><h3>Methods</h3><div>A comprehensive search was conducted across databases, including PubMed, Scopus, Web of Science, and PsycINFO. Keywords such as “depression,” “Vitamin D,” “Omega-3 fatty acids,” “nutritional psychiatry,” and “mental health” were employed. Articles were selected based on relevance, methodology, and contribution to the understanding of nutritional interventions in depression. Observational studies, randomized controlled trials, and meta-analyses were prioritized, while non-peer-reviewed sources were excluded.</div></div><div><h3>Results</h3><div>Vitamin D modulates neurotransmitter activity, reduces neuroinflammation, and influences neuroplasticity, enhancing cognitive function and mood regulation. Omega-3 fatty acids, particularly EPA and DHA, exhibit anti-inflammatory properties, optimize serotonergic transmission, and stabilize neuronal membranes. Clinical evidence suggests that supplementation with these nutrients can significantly reduce depressive symptoms, particularly in patients with comorbid nutritional deficiencies. However, variability in study designs and dosages limits the generalizability of findings.</div></div><div><h3>Conclusion</h3><div>Integrating Vitamin D and Omega-3 supplementation into mental health care holds promise as an adjunctive strategy for treating depression. However, limitations in existing studies, including heterogeneity in study design and dosage, warrant further investigation.</div></div>","PeriodicalId":10517,"journal":{"name":"Clinical nutrition","volume":"45 ","pages":"Pages 270-280"},"PeriodicalIF":7.4000,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical nutrition","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S026156142500010X","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/7 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"NUTRITION & DIETETICS","Score":null,"Total":0}
引用次数: 0
Abstract
Background
Depression is a pervasive mental health disorder with complex etiologies involving neurotransmitter imbalances, inflammation, and hormonal dysregulation. Emerging evidence highlights the significance of nutritional interventions in improving depressive symptoms.
Objective
This review explores the mechanisms of action and clinical applications of Vitamin D and Omega-3 fatty acids in managing depression, providing insights into their potential therapeutic roles.
Methods
A comprehensive search was conducted across databases, including PubMed, Scopus, Web of Science, and PsycINFO. Keywords such as “depression,” “Vitamin D,” “Omega-3 fatty acids,” “nutritional psychiatry,” and “mental health” were employed. Articles were selected based on relevance, methodology, and contribution to the understanding of nutritional interventions in depression. Observational studies, randomized controlled trials, and meta-analyses were prioritized, while non-peer-reviewed sources were excluded.
Results
Vitamin D modulates neurotransmitter activity, reduces neuroinflammation, and influences neuroplasticity, enhancing cognitive function and mood regulation. Omega-3 fatty acids, particularly EPA and DHA, exhibit anti-inflammatory properties, optimize serotonergic transmission, and stabilize neuronal membranes. Clinical evidence suggests that supplementation with these nutrients can significantly reduce depressive symptoms, particularly in patients with comorbid nutritional deficiencies. However, variability in study designs and dosages limits the generalizability of findings.
Conclusion
Integrating Vitamin D and Omega-3 supplementation into mental health care holds promise as an adjunctive strategy for treating depression. However, limitations in existing studies, including heterogeneity in study design and dosage, warrant further investigation.
背景:抑郁症是一种普遍存在的精神健康障碍,其病因复杂,涉及神经递质失衡、炎症和激素失调。新出现的证据强调了营养干预在改善抑郁症状方面的重要性。目的:本文综述了维生素D和Omega-3脂肪酸在抑郁症治疗中的作用机制和临床应用,为其潜在的治疗作用提供见解。方法:对PubMed、Scopus、Web of Science、PsycINFO等数据库进行综合检索。关键词包括“抑郁症”、“维生素D”、“Omega-3脂肪酸”、“营养精神病学”和“心理健康”。文章是根据相关性、方法和对理解营养干预抑郁症的贡献来选择的。观察性研究、随机对照试验和荟萃分析被优先考虑,而非同行评审的来源被排除在外。结果:维生素D可调节神经递质活性,减少神经炎症,影响神经可塑性,增强认知功能和情绪调节。Omega-3脂肪酸,特别是EPA和DHA,具有抗炎特性,优化血清素能传递,稳定神经膜。临床证据表明,补充这些营养素可以显著减轻抑郁症状,特别是对合并营养缺乏的患者。然而,研究设计和剂量的可变性限制了研究结果的普遍性。结论:将维生素D和Omega-3补充剂整合到精神卫生保健中,有望成为治疗抑郁症的辅助策略。然而,现有研究的局限性,包括研究设计和剂量的异质性,值得进一步研究。
期刊介绍:
Clinical Nutrition, the official journal of ESPEN, The European Society for Clinical Nutrition and Metabolism, is an international journal providing essential scientific information on nutritional and metabolic care and the relationship between nutrition and disease both in the setting of basic science and clinical practice. Published bi-monthly, each issue combines original articles and reviews providing an invaluable reference for any specialist concerned with these fields.