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Association between vitamin D, depression, and sleep health in the National Health and Nutrition Examination Surveys: a mediation analysis. 国家健康和营养检查调查中维生素D、抑郁和睡眠健康之间的关系:中介分析
IF 3.6 4区 医学 Q2 NEUROSCIENCES Pub Date : 2024-09-01 Epub Date: 2023-11-14 DOI: 10.1080/1028415X.2023.2279363
Jingliang Shuai, Mengqi Gao, Qi Zou, Youming He

Objective: This study aimed to assess the association between vitamin D and sleep health and to investigate whether depression could mediate this relationship.

Methods: A cross-sectional analysis was performed using the 2005-2014 US National Health and Nutrition Examination Survey (NHANES) data. The logistic regression models were conducted to evaluate association of serum vitamin D concentrations with sleep health and depression. Mediation analyses were conducted to investigate the mediated effects of depression on the association of vitamin D with sleep health.

Results: In multivariate logistic models, vitamin D was found to be negatively associated with an increased risk of poor sleep health, with an odds ratio (OR) of vitamin D deficiency versus sufficiency was 1.256 (95% CI = 1.084-1.455). Additionally, univariate logistic models showed that vitamin D was also negatively associated with depression risk (vitamin D deficiency vs. sufficiency: OR = 1.699, 95% CI = (1.373-2.103). Further mediation analyses showed that the association of vitamin D with sleep health was mediated by depression, with the mediating effects of depression accounted for 44.56% of the total effects.

Conclusion: Vitamin D affects sleep health directly and indirectly through depression. The results suggest that interventions increasing intake of vitamin D should be prioritized to promote sleep health of persons with or at risk of depression.

目的:本研究旨在评估维生素D与睡眠健康之间的关系,并探讨抑郁症是否可能介导这种关系。方法:采用2005-2014年美国国家健康与营养检查调查(NHANES)数据进行横断面分析。采用logistic回归模型评价血清维生素D浓度与睡眠健康和抑郁的关系。进行中介分析,以调查抑郁症在维生素D与睡眠健康之间的中介作用。结果:在多变量logistic模型中,维生素D被发现与睡眠健康不良风险增加负相关,维生素D缺乏与充足的比值比(OR)为1.256 (95% CI = 1.084-1.455)。此外,单变量logistic模型显示维生素D也与抑郁风险呈负相关(维生素D缺乏vs充足:OR = 1.699, 95% CI =(1.373-2.103))。进一步的中介分析表明,维生素D与睡眠健康的关联是由抑郁介导的,抑郁的中介作用占总效应的44.56%。结论:维生素D通过抑郁直接或间接影响睡眠健康。研究结果表明,增加维生素D摄入量的干预措施应该优先考虑,以促进抑郁症患者或有抑郁症风险的人的睡眠健康。
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引用次数: 0
Mediterranean diet-based intervention to improve depressive symptoms: analysis of the PREDIDEP randomized trial. 地中海饮食干预改善抑郁症状:PREDIDEP随机试验分析
IF 3.6 4区 医学 Q2 NEUROSCIENCES Pub Date : 2024-09-01 Epub Date: 2023-11-22 DOI: 10.1080/1028415X.2023.2283290
Beatriz M Cabrera-Suárez, Jose L Hernández-Fleta, Patricio Molero, Ana González-Pinto, Francisca Lahortiga, Claudio Cabrera, Carlos Chiclana-Actis, Almudena Sánchez-Villegas

Background: The effect of an intervention based on Mediterranean diet on reducing recurrence risk or subsyndromal depressive symptoms in recovered depressed patients has not been explored.

Methods: The PREDIDEP study was a two-year randomized trial designed to assess the effect of the Mediterranean Diet enriched with extra virgin olive oil on depression recurrence. At baseline and at four, eight, 16, 20, and 24 months of follow-up, depressive symptoms were evaluated through the Beck Depression inventory. Cox regression analysis was fitted to assess the role of dietary intervention on the risk of depression recurrence. Mixed effects linear models were used to assess changes in depressive subsyndromal symptoms according to the intervention.

Results: After two years of intervention, the dietary intervention group (n = 103) compared to the control group (n = 93) showed no differences regarding depression recurrence risk as main outcome. As secondary outcomes, an improvement of depressive symptoms was yielded at four (-2.15; 95% CI = -4.00 to -0.29) and eight months (-2.42; 95% CI = -4.17 to -0.67) in the intervention group, with no changes in control group. Moreover, at 20 months, significant differences were found between groups (-3.35; 95% CI = -6.08 to -0.61).

Conclusions: An intervention with Mediterranean diet in patients with previous depressive episodes might contribute to the reduction of depressive subsyndromal symptoms.

背景:以地中海饮食为基础的干预对降低康复抑郁症患者复发风险或亚综合征性抑郁症状的影响尚未探讨。方法:PREDIDEP研究是一项为期两年的随机试验,旨在评估富含特级初榨橄榄油的地中海饮食对抑郁症复发的影响。在基线和随访4、8、16、20和24个月时,通过贝克抑郁量表评估抑郁症状。采用Cox回归分析评估饮食干预对抑郁症复发风险的影响。采用混合效应线性模型评估干预后抑郁亚综合征症状的变化。结果:干预2年后,饮食干预组(n = 103)与对照组(n = 93)在抑郁症复发风险为主要结局指标方面无差异。作为次要结局,抑郁症状的改善在4 (-2.15;95% CI = -4.00至-0.29)和8个月(-2.42;95% CI = -4.17 ~ -0.67),对照组无变化。此外,在20个月时,组间差异显著(-3.35;95% CI = -6.08 ~ -0.61)。结论:地中海饮食对既往抑郁发作患者的干预可能有助于减轻抑郁亚综合征症状。
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引用次数: 0
Does hazelnut consumption affect brain health and function against neurodegenerative diseases? 食用榛子会影响大脑健康和功能,预防神经退行性疾病吗?
IF 3.6 4区 医学 Q2 NEUROSCIENCES Pub Date : 2024-09-01 Epub Date: 2023-12-27 DOI: 10.1080/1028415X.2023.2296164
Shadi Talebi, Fariba Khodagholi, Zahra Bahaeddin, Mitra Ansari Dezfouli, Arman Zeinaddini-Meymand, Samuel Berchi Kankam, Forough Foolad, Fatemeh Alijaniha, Fatemeh Fayazi Piranghar

Introduction: A healthy daily diet and consuming certain nutrients, such as polyphenols, vitamins, and unsaturated fatty acids, may help neuronal health maintenance. Polyphenolic chemicals, which have antioxidant and anti-inflammatory properties, are involved in the neuroprotective pathway. Because of their nutritional value, nuts have been shown in recent research to be helpful in neuroprotection.

Objective: Hazelnut is often consumed worldwide in various items, including processed foods, particularly in bakery, chocolate, and confectionery products. This nut is an excellent source of vitamins, amino acids, tocopherols, phytosterols, polyphenols, minerals, and unsaturated fatty acids. Consuming hazelnut may attenuate the risk of neurodegenerative disorders including Alzheimer's disease, Parkinson's disease, amyotrophic lateral sclerosis, multiple sclerosis, and Huntington's disease due to its anti-inflammatory and anti-oxidant qualities.

Results: Many documents introduce hazelnut as an excellent choice to provide neuroprotection against neurodegenerative disorders and there is some direct proof of its neuroprotective effects.

Discussion: So hazelnut consumption in daily diet may reduce neurodegenerative disease risk and be advantageous in reducing the imposed costs of dealing with neurodegenerative diseases.

简介健康的日常饮食和摄入某些营养素(如多酚、维生素和不饱和脂肪酸)可能有助于维持神经元的健康。多酚化学物质具有抗氧化和抗炎特性,参与神经保护途径。由于坚果的营养价值高,最近的研究表明它们有助于神经保护。这种坚果是维生素、氨基酸、生育酚、植物甾醇、多酚、矿物质和不饱和脂肪酸的极佳来源。由于榛子具有抗炎和抗氧化的功效,因此食用榛子可以降低患神经退行性疾病的风险,包括阿尔茨海默氏症、帕金森氏症、肌萎缩性脊髓侧索硬化症、多发性硬化症和亨廷顿氏症:结果:许多文献介绍榛子是保护神经免受神经退行性疾病侵害的极佳选择,而且有一些直接证据证明榛子具有保护神经的作用:因此,在日常饮食中食用榛子可降低神经退行性疾病的风险,并有利于减少神经退行性疾病的治疗成本。
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引用次数: 0
Association between dietary fat intake and history of stroke in US adults: findings from National Health and Nutrition Examination Survey 2007-2018. 美国成年人膳食脂肪摄入量与中风病史之间的关系:2007-2018 年全国健康与营养调查的结果。
IF 3.6 4区 医学 Q2 NEUROSCIENCES Pub Date : 2024-08-22 DOI: 10.1080/1028415X.2024.2391652
Juanying Zhen, Bernard Man Yung Cheung, Chao Li

Objectives: Diet is an important target for primary prevention of stroke. There are mixed findings on the relationship between dietary fat intake and stroke. We aimed to investigate the relationship of stroke with fats, including total fat, saturated fatty acids (SFA), monounsaturated fatty acids (MUFA) and polyunsaturated fatty acids (PUFA).

Methods: We analysed data on 27,673 participants who had valid data on dietary fat intake and history of stroke from the National Health and Nutrition Examination Survey 2007-2018. History of stroke was defined according to previous diagnosis by doctors or other health professional. Data on 24-h dietary recalls was collected using Automated Multiple-Pass Method. Age, sex, race/ethnicity, total calories, body mass index, diabetes, hypertension, hypercholesterolaemia, smoking, alcohol consumption and physical activity were adjusted in multivariable models.

Results: 3.8% (n = 1,054) of participants had a diagnosis of stroke. History of stroke was inversely associated with total fat (OR = 0.89, 95% CI = 0.79-0.99, P = 0.037), SFA (OR = 0.46, 95% CI = 0.23-0.91) and MUFA (OR = 0.08, 95% CI = 0.02-0.38, P = 0.002) from supplements. There was an inverse association between history of stroke and PUFA intake (from diet: quartile 4 vs quartile 1, OR = 0.58, 95% CI = 0.43-0.78, P for trend = 0.003; from supplements: OR = 0.44, 95% CI = 0.27-0.72, P = 0.001).

Conclusions: In this large-scale nationally representative study, stroke is inversely associated with fat intake from supplements and PUFA intake from diet. While lifestyle choices may not be the most vital health factor for stroke patients, increasing fat intake from specific supplements does provide additional motivation for undertaking the difficult challenge of stroke prevention.

目的:饮食是中风一级预防的重要目标。关于膳食脂肪摄入量与中风之间的关系,研究结果不一。我们旨在研究中风与脂肪的关系,包括总脂肪、饱和脂肪酸 (SFA)、单不饱和脂肪酸 (MUFA) 和多不饱和脂肪酸 (PUFA):我们分析了 2007-2018 年全国健康与营养调查中 27673 名有膳食脂肪摄入量和中风病史有效数据的参与者的数据。中风病史是根据医生或其他卫生专业人员的既往诊断定义的。24 小时膳食回顾数据采用自动多重传递法收集。在多变量模型中对年龄、性别、种族/民族、总热量、体重指数、糖尿病、高血压、高胆固醇血症、吸烟、饮酒和体力活动进行了调整:结果:3.8%(n = 1 054)的参与者确诊为中风。中风史与补充剂中的总脂肪(OR = 0.89,95% CI = 0.79-0.99,P = 0.037)、SFA(OR = 0.46,95% CI = 0.23-0.91)和 MUFA(OR = 0.08,95% CI = 0.02-0.38,P = 0.002)成反比。中风史与摄入 PUFA 之间存在反向关系(从饮食中摄入:四分位数 4 vs 四分位数 1,OR = 0.58,95% CI = 0.43-0.78,P=0.003;从补充剂中摄入:OR = 0.44,95% CI = 0.23-0.91,P=0.002):OR=0.44,95% CI=0.27-0.72,P=0.001):在这项具有全国代表性的大规模研究中,中风与从补充剂中摄入的脂肪和从饮食中摄入的 PUFA 成反比。虽然生活方式的选择可能不是脑卒中患者最重要的健康因素,但从特定营养补充剂中增加脂肪摄入量确实为预防脑卒中这一艰巨挑战提供了额外的动力。
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引用次数: 0
Effect of probiotics as an adjunctive therapy with Ritalin among ADHD children and adolescents: a triple-blind randomized controlled trial. 益生菌作为利他林的辅助疗法对多动症儿童和青少年的影响:三重盲法随机对照试验。
IF 3.6 4区 医学 Q2 NEUROSCIENCES Pub Date : 2024-08-20 DOI: 10.1080/1028415X.2024.2391655
Zahra Sadat Sangsefidi, Zohreh Sadat Sangsefidi, Fatemeh Moharreri, Aazam Sadat Heydari Yazdi, Saeid Eslami, Bahareh Emadzadeh, Behrouz Ghorani, Mahboobe Sarabi-Jamab, Atefeh Farahmand, Atena Modiri Dovom, Ali Ghanaei, Maryam Emadzadeh

Objective: Attention Deficit Hyperactivity Disorder (ADHD) is one of the most common mental disorders in children. Evidence regarding the impact of probiotics supplementation in ADHD children is limited and controversial. Thus, this study aimed to assess the effect of probiotics as an adjunctive therapy with Ritalin among ADHD children and adolescents.

Methods: This study was a triple-blind, randomized controlled trial of 60 Iranian ADHD patients aged four to sixteen. The participants were randomly assigned to receive probiotics supplements containing both Lactobacillus plantarum PTCC 1896™ (A7) and Bifidobacterium animalis subsp. Lactis (BB-12®) (n = 30) or placebo (n = 30) for 8 weeks. ADHD symptoms were assessed using Conners' Parent Rating Scale (CPRS) and Integrated Visual and Auditory Continuous Performance Test (IVA/CPT) at baseline and during the study.

Results: This study showed a significant decrease in the CPRS total score after 4 weeks of intervention in the probiotic group (baseline: 43.96 ± 21.52; fourth week: 37.22 ± 23.01; p = 0.01). However, no significant finding was found for the total score of the CPRS after 8 weeks. Moreover, at the end of the study, a significant increase was observed in score of auditory response control in the probiotic versus the placebo group (probiotic: 91.55 ± 16.69; placebo: 80.55 ± 17.43; p = 0.02).

Conclusions: Probiotics supplementation with Ritalin may have some beneficial effects among ADHD children and adolescents, such as improving auditory response control and total score of CPRS. However, further clinical trials are required to clarify the impact of probiotics on ADHD.

目的:注意力缺陷多动障碍(ADHD)是儿童最常见的精神疾病之一。有关补充益生菌对多动症儿童的影响的证据有限,且存在争议。因此,本研究旨在评估益生菌作为利他林的辅助疗法对多动症儿童和青少年的影响:本研究是一项三盲随机对照试验,对象为 60 名年龄在 4 至 16 岁之间的伊朗多动症患者。参与者被随机分配到含有植物乳杆菌 PTCC 1896™ (A7)和动物双歧杆菌亚种(BB-12®)(n = 30)或安慰剂(n = 30)的益生菌补充剂中,接受为期 8 周的治疗。在基线和研究期间,使用康纳斯家长评定量表(CPRS)和视听综合连续表现测试(IVA/CPT)对多动症状进行评估:研究结果表明,益生菌组的 CPRS 总分在干预 4 周后明显下降(基线:43.96 ± 21.52;第四周:37.22 ± 23.01;P = 0.01)。然而,8 周后的 CPRS 总分没有发现明显变化。此外,在研究结束时,益生菌组与安慰剂组相比,听觉反应控制得分有显著提高(益生菌组:91.55 ± 16.69;安慰剂组:80.55 ± 17.43;P = 0.02):结论:在利他林中补充益生菌可能会对多动症儿童和青少年产生一些有益的影响,如改善听觉反应控制和CPRS总分。然而,要明确益生菌对多动症的影响,还需要进一步的临床试验。
{"title":"Effect of probiotics as an adjunctive therapy with Ritalin among ADHD children and adolescents: a triple-blind randomized controlled trial.","authors":"Zahra Sadat Sangsefidi, Zohreh Sadat Sangsefidi, Fatemeh Moharreri, Aazam Sadat Heydari Yazdi, Saeid Eslami, Bahareh Emadzadeh, Behrouz Ghorani, Mahboobe Sarabi-Jamab, Atefeh Farahmand, Atena Modiri Dovom, Ali Ghanaei, Maryam Emadzadeh","doi":"10.1080/1028415X.2024.2391655","DOIUrl":"https://doi.org/10.1080/1028415X.2024.2391655","url":null,"abstract":"<p><strong>Objective: </strong>Attention Deficit Hyperactivity Disorder (ADHD) is one of the most common mental disorders in children. Evidence regarding the impact of probiotics supplementation in ADHD children is limited and controversial. Thus, this study aimed to assess the effect of probiotics as an adjunctive therapy with Ritalin among ADHD children and adolescents.</p><p><strong>Methods: </strong>This study was a triple-blind, randomized controlled trial of 60 Iranian ADHD patients aged four to sixteen. The participants were randomly assigned to receive probiotics supplements containing both <i>Lactobacillus plantarum PTCC 1896</i>™ (A7) and <i>Bifidobacterium animalis</i> subsp. <i>Lactis</i> (BB-12®) (n = 30) or placebo (n = 30) for 8 weeks. ADHD symptoms were assessed using <i>Conners' Parent Rating Scale (CPRS)</i> and <i>Integrated Visual and Auditory Continuous Performance Test (IVA/CPT)</i> at baseline and during the study.</p><p><strong>Results: </strong>This study showed a significant decrease in the CPRS total score after 4 weeks of intervention in the probiotic group (baseline: 43.96 ± 21.52; fourth week: 37.22 ± 23.01; <i>p</i> = 0.01). However, no significant finding was found for the total score of the CPRS after 8 weeks. Moreover, at the end of the study, a significant increase was observed in score of auditory response control in the probiotic versus the placebo group (probiotic: 91.55 ± 16.69; placebo: 80.55 ± 17.43; <i>p</i> = 0.02).</p><p><strong>Conclusions: </strong>Probiotics supplementation with Ritalin may have some beneficial effects among ADHD children and adolescents, such as improving auditory response control and total score of CPRS. However, further clinical trials are required to clarify the impact of probiotics on ADHD.</p>","PeriodicalId":19423,"journal":{"name":"Nutritional Neuroscience","volume":" ","pages":"1-10"},"PeriodicalIF":3.6,"publicationDate":"2024-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142009086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Insect-derived extracts and peptides in neuroprotection. 昆虫提取物和肽在神经保护中的作用。
IF 3.6 4区 医学 Q2 NEUROSCIENCES Pub Date : 2024-08-19 DOI: 10.1080/1028415X.2024.2392410
Shivam Bhola, Eun-Jung Park, Hae-Jeung Lee

Throughout history, various cultures have recognized the significance of insects and have integrated them into traditional medicinal practices. In addition to medicines, insects are garnering attention as a sustainable and nutritious dietary alternative. Although edible insects have long been recognized as food sources in many Asian cultures, recent scientific studies have highlighted their potential therapeutic benefits, particularly in the field of neuroprotection. This review explores insect-derived extracts and peptides, elucidating their neuroprotective potential. This review highlights the potential use of insects as a source of neuroprotective agents. Advancements in neuroprotection may find a key ally in insects as our understanding of the symbiotic relationship between insects and human health becomes more profound.

纵观历史,各种文化都认识到昆虫的重要意义,并将其纳入传统医学实践。除了药物之外,昆虫作为一种可持续的营养膳食替代品也备受关注。虽然在许多亚洲文化中,食用昆虫早已被视为食物来源,但最近的科学研究强调了它们的潜在治疗功效,尤其是在神经保护领域。本综述探讨了昆虫提取物和肽,阐明了它们的神经保护潜力。这篇综述强调了昆虫作为神经保护剂来源的潜在用途。随着我们对昆虫与人类健康之间共生关系的理解越来越深刻,神经保护领域的进步可能会在昆虫身上找到关键的盟友。
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引用次数: 0
Gut microbiota, vitamin A deficiency and autism spectrum disorder: an interconnected trio - a systematic review. 肠道微生物群、维生素 A 缺乏症和自闭症谱系障碍:相互关联的三重奏--系统综述。
IF 3.6 4区 医学 Q2 NEUROSCIENCES Pub Date : 2024-08-13 DOI: 10.1080/1028415X.2024.2389498
Fatima Ezzahra Kacimi, Latifa Didou, Soumia Ed Day, Fatima Zahra Azzaoui, Mhamed Ramchoun, Hicham Berrougui, Hanane Khalki, Samira Boulbaroud

Accumulating evidence proves that children with autism have gastrointestinal problems. However, a significant difference in gut microbiota (GM) exists between autistic and non-autistic children. These changes in the GM may stem from several factors. Recently, researchers focused on nutritional factors, especially vitamin deficiency. Thus, our systematic review investigates the connections among autism, GM alterations, and vitamin A deficiency (VAD), by analyzing studies sourced from PubMed and Embase databases spanning from 2010 to 2022. Adhering to PRISMA guidelines, we meticulously selected 19 pertinent studies that established links between autism and GM changes or between autism and VAD. Our findings uniformly point to significant alterations in the GM of individuals with autism, indicating these changes as promising biomarkers for the disorder. Despite the consistent association of GM alterations with autism, our analysis revealed no notable differences in GM composition between individuals with autism and those experiencing VAD. This suggests that VAD, especially when encountered early in life, might play a role in the onset of autism. Furthermore, our review underscores a distinct correlation between reduced levels of retinoic acid in children with autism, a disparity that could relate to the severity of autism symptoms. The implications of our findings are twofold: they not only reinforce the significance of GM alterations as potential diagnostic markers but also spotlight the critical need for further research into nutritional interventions. Specifically, vitamin A supplementation emerges as a promising avenue for alleviating autism symptoms, warranting deeper investigation into its therapeutic potential.

越来越多的证据证明,自闭症儿童有肠胃问题。然而,自闭症儿童与非自闭症儿童之间的肠道微生物群(GM)存在明显差异。肠道微生物群的这些变化可能源于多种因素。最近,研究人员关注营养因素,尤其是维生素缺乏。因此,我们的系统性综述通过分析来自 PubMed 和 Embase 数据库的 2010 年至 2022 年期间的研究,探讨了自闭症、肠道菌群变化和维生素 A 缺乏(VAD)之间的联系。根据 PRISMA 指南,我们精心挑选了 19 项相关研究,这些研究证实了自闭症与基因组改变或自闭症与 VAD 之间的联系。我们的研究结果一致表明,自闭症患者的基因组发生了显著变化,这些变化有望成为自闭症的生物标志物。尽管自闭症患者的基因组变化与自闭症有着一致的联系,但我们的分析表明,自闭症患者和颅内动脉粥样硬化患者的基因组组成并无明显差异。这表明,VAD,尤其是在生命早期出现的 VAD,可能会在自闭症的发病中发挥作用。此外,我们的研究强调了自闭症儿童视黄酸水平降低之间的明显相关性,这种差异可能与自闭症症状的严重程度有关。我们的研究结果具有双重意义:它们不仅强化了基因组学改变作为潜在诊断标志物的重要性,还凸显了进一步研究营养干预措施的迫切需要。具体来说,补充维生素 A 是缓解自闭症症状的一个很有希望的途径,值得深入研究其治疗潜力。
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引用次数: 0
Fruits and vegetables intake may be associated with a reduced odds of multiple sclerosis: a systematic review and dose-response meta-analysis of observational studies. 水果和蔬菜摄入可能与多发性硬化症几率降低有关:观察性研究的系统综述和剂量反应荟萃分析。
IF 3.6 4区 医学 Q2 NEUROSCIENCES Pub Date : 2024-08-01 Epub Date: 2023-10-18 DOI: 10.1080/1028415X.2023.2268390
Danial Fotros, Morvarid Noormohammadi, Soodeh Razeghi Jahromi, Mohammadjavad Abdolkarimi

Introduction: Multiple sclerosis (MS) is an immune-mediated condition of the central nervous system (CNS). Intake of fruits and vegetables high in vitamins, minerals, fiber, and active molecules contributes to the body's overall health, immunity, and physiological function. This study sought to review the literature and investigate the relationship between fruits and vegetables consumption and MS odds.

Methods: In the current systematic review and meta-analysis, a systematic search of original databases from inception to 21 Dec 2022 was conducted based on the PRISMA 2020 statement. Human observational studies examining the association between fruits or vegetables consumption and MS prevalence were included if they reported and provided effect size with 95% confidence intervals (CIs).

Results: The systematic review and meta-analysis included eight studies. Random effect model showed the protective effect of fruits (I2 = 81.0%, P for heterogeneity < 0.001; pooled OR = 0.52, 95%CI = 0.27, 0.97, P-value = 0.042) and vegetables consumption (I2 = 73.5%, P for heterogeneity = 0.002; pooled OR = 0.61, 95%CI = 0.38, 1.00, P-value = 0.050) on MS odds. According to a linear dose-response meta-analysis of four case-control studies, an increase of 100 grams of fruits per day reduced the odds of MS by 9% (I2 = 0.0%, P for heterogeneity = 0.77; pooled OR = 0.91, 95%CI = 0.83, 0.99, P-value = 0.021).

Conclusion: Consumption of fruits and vegetables may be associated with a potential protective effect against MS. However, further confirmation is required through prospective longitudinal studies and randomized clinical trials.

引言:多发性硬化症是一种免疫介导的中枢神经系统疾病。摄入富含维生素、矿物质、纤维和活性分子的水果和蔬菜有助于身体的整体健康、免疫力和生理功能。本研究试图回顾文献,并调查水果和蔬菜消费与MS发病率之间的关系。方法:在当前的系统综述和荟萃分析中,根据PRISMA 2020声明,对从成立到2022年12月21日的原始数据库进行了系统搜索。研究水果或蔬菜消费与多发性硬化症患病率之间关系的人类观察性研究也包括在内,前提是这些研究报告并提供了95%置信区间(CI)的效应大小。结果:系统综述和荟萃分析包括8项研究。随机效应模型显示了果实的保护作用(I2 = 81.0%,P表示异质性 P值 = 0.042)和蔬菜消费量(I2 = 73.5%,P表示异质性 = 0.002;合并OR = 0.61,95%CI = 0.381.00,P值 = 0.050)。根据四项病例对照研究的线性剂量反应荟萃分析,每天增加100克水果可将多发性硬化症的几率降低9%(I2 = 0.0%,P表示异质性 = 0.77;合并OR = 0.91,95%CI = 0.83,0.99,P值 = 0.021)。结论:食用水果和蔬菜可能与对MS的潜在保护作用有关。然而,还需要通过前瞻性纵向研究和随机临床试验来进一步证实。
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引用次数: 0
Associations between short-chain fatty acid levels and mood disorder symptoms: a systematic review. 短链脂肪酸水平与情绪障碍症状之间的关系:一项系统综述
IF 3.6 4区 医学 Q2 NEUROSCIENCES Pub Date : 2024-08-01 Epub Date: 2023-11-17 DOI: 10.1080/1028415X.2023.2277970
Caroline Fussing Bruun, Tue Haldor Hansen, Maj Vinberg, Lars Vedel Kessing, Klara Coello

Background: Available evidence points to a possible role of Short Chain Fatty Acids (SCFAs) in mood disorders. This is the first systematic review to map the associations between SCFA levels and mood disorder symptoms.Methods: Following the PRISMA guidelines, the databases PubMed, Embase, and PsycINFO were searched for studies that assessed SCFA levels in human populations with mood disorder symptoms, or animal models of mood disorder. Risk of bias was assessed by the Strengthening of Reporting of Observational Studies in Epidemiology (STROBE) checklist.Results: 19 studies were included and could be divided into animal (n=8) and human studies (n=11), with the animal studies including 166 animals and 100 controls, and the human studies including 662 participants and 330 controls. The studies were characterized by heterogeneity and methodological challenges on multiple parameters, limiting the validity and transferability of findings. Notably, only two of the clinical studies assessed the presence of mood disorder with diagnostic criteria, and no studies of mania or bipolar disorder met the inclusion criteria.Discussion: Despite significant methodological limitations, associations between SCFA levels and depressive symptoms were reported in most of the studies. However, the direction of these associations and the specific SCFAs identified varied. The quantification of SCFA levels in mood disorders is an emerging yet sparsely studied research field. Although there is some evidence suggesting a link between SCFAs and depressive symptoms, the directionality of effects and mechanisms are unclear and the relation to manic symptoms is uninvestigated.

背景:现有证据表明短链脂肪酸(SCFAs)可能在情绪障碍中起作用。这是第一个系统的回顾,描绘了SCFA水平和情绪障碍症状之间的关系。方法:根据PRISMA指南,检索PubMed、Embase和PsycINFO数据库,以评估情绪障碍症状人群或情绪障碍动物模型中SCFA水平的研究。偏倚风险通过加强流行病学观察性研究报告(STROBE)检查表进行评估。结果:共纳入19项研究,分为动物研究(n=8)和人类研究(n=11),其中动物研究包括166只动物和100名对照,人类研究包括662名参与者和330名对照。这些研究的特点是异质性和对多个参数的方法学挑战,限制了研究结果的有效性和可转移性。值得注意的是,只有两项临床研究用诊断标准评估了情绪障碍的存在,没有躁狂症或双相情感障碍的研究符合纳入标准。讨论:尽管存在显著的方法学局限性,但大多数研究都报道了SCFA水平与抑郁症状之间的关联。然而,这些关联的方向和确定的特定scfa各不相同。情绪障碍中SCFA水平的量化是一个新兴但研究较少的研究领域。虽然有一些证据表明短链脂肪酸与抑郁症状之间存在联系,但其作用的方向性和机制尚不清楚,与躁狂症状的关系也未得到调查。
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引用次数: 0
The effect of a low-calorie, high-protein diet on psychometric variables in obese individuals: a Randomized Clinical Trial. 低热量、高蛋白饮食对肥胖个体心理测量变量的影响:一项随机临床试验。
IF 3.6 4区 医学 Q2 NEUROSCIENCES Pub Date : 2024-08-01 Epub Date: 2023-10-19 DOI: 10.1080/1028415X.2023.2261680
Fatemeh Sadat Hashemi Javaheri, Alireza Ostadrahimi, Mohsen Nematy, Seyyed Mostafa Arabi, Kazem Rahmani, Mahnaz Amini

Introduction: The last decade has seen the increased prevalence of obesity as a public health challenge, particularly in low- and middle-income countries. At the same time, studies have shown that there is a two-way relationship between low-calorie diets and depression in obese individuals. This study was designed and implemented to investigate the effect of a low-calorie high-protein diet on psychometric variables in obese individuals.

Materials and methods: The present study is a Randomized Clinical Trial. Individuals meeting the inclusion criteria were randomly assigned to either the intervention group (low-calorie diet with increased protein percentage) or the control group (standard protein percentage) using block stratification. Psychometric characteristics of the participants were evaluated using the DASS-21 questionnaire.

Results: There were no significant differences in enrollment between the two groups with respect to anthropometric variables, body composition, and physical activity (p-value > .05). Similarly, no significant differences were observed between the two groups in terms of psychological variables (depression, anxiety and stress) (p-value > .05). However, the intervention groups had significantly lower depression and anxiety scores 15 days into the intervention (p-value < .05). After 30 and 60 days of intervention, significant differences were observed between the 2 groups in terms of depression, stress, and anxiety (p-value < .05), indicating a relative improvement in psychometric variables in the intervention group (p-value < .05).

Conclusion: The results of this study showed that low-calorie diets with a high-protein percentage can significantly improve psychometric variables in obese people.Trial registration: Iranian Registry of Clinical Trials identifier: IRCT20221101056371N1..

引言:在过去十年中,肥胖患病率的上升是一项公共卫生挑战,尤其是在中低收入国家。同时,研究表明,低热量饮食与肥胖者的抑郁症之间存在双向关系。本研究旨在研究低热量高蛋白饮食对肥胖个体心理测量变量的影响。材料和方法:本研究为随机临床试验。符合纳入标准的个体被随机分配到干预组(蛋白质百分比增加的低热量饮食)或对照组(标准蛋白质百分比),使用块分层。使用DAS-21问卷对参与者的心理测量特征进行评估。结果:在人体测量变量、身体成分和体育活动方面,两组的入组人数没有显著差异(p值 > .05)。同样,在心理变量(抑郁、焦虑和压力)方面,两组之间没有观察到显著差异(p值 > .05)。然而,干预组在干预15天后的抑郁和焦虑评分显著降低(p值 p值 p值 结论:本研究的结果表明,低热量饮食和高蛋白质百分比可以显著改善肥胖人群的心理测量变量。试验注册:伊朗临床试验注册处标识符:IRCT202211056371N1。。
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Nutritional Neuroscience
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