[B vitamins and brain dysfunction].

D A Iskra, A G Trufanov
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Abstract

An unbalanced diet and some other factors are the reason for the extreme prevalence of hypovitaminosis among the population of both developing and developed countries. The metabolic relationships of B vitamins determine the more frequent occurrence of poly-, rather than monovitamin deficiency. Since B vitamins play an important role in the processes of energy production and in the functioning of neurotransmitter systems, the first symptoms of such polyhypovitaminosis are signs of brain dysfunction: asthenia, depression, anxiety, cognitive disorders. Correct diagnosis of polyhypovitaminosis based on the identification of risk groups of patients and the determination of their subclinical or early manifesting signs of brain dysfunction is the most important task of a practicing physician. Detection of insufficient intake and vitamin content, as well as verification of the onset of symptoms of brain dysfunction and the appointment of adequate therapy can significantly increase the effectiveness of treatment, as well as prevent asthenic, psycho-emotional and cognitive disorders in patients with polyhypovitaminosis.

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B族维生素和脑功能障碍。
不平衡的饮食和其他一些因素是发展中国家和发达国家人口中维生素缺乏症极端流行的原因。B族维生素的代谢关系决定了多维生素缺乏症比单维生素缺乏症更容易发生。由于B族维生素在能量产生过程和神经递质系统的功能中起着重要作用,因此这种多维生素缺乏症的最初症状是脑功能障碍的迹象:虚弱、抑郁、焦虑、认知障碍。正确诊断多维生素缺乏症的基础上识别患者的危险人群和确定其亚临床或早期表现的脑功能障碍的迹象是执业医师最重要的任务。检测摄入和维生素含量不足,以及验证脑功能障碍症状的发病和预约适当的治疗,可以显著提高治疗的有效性,并预防多维生素缺乏症患者出现虚弱、心理情绪和认知障碍。
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来源期刊
Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova
Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova Medicine-Psychiatry and Mental Health
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