Raza Muhammad Liaquat, Hassan Syed Tawassul, Jamil Subia, Fatima Wajiha, Fatima Madiha
Department of Infection Prevention & Control, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia; King Abdullah International Medical Research Center, Riyadh, Saudi Arabia; King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
Liaquat University of Medical & Health Sciences, Jamshoro, Sindh, Pakistan.
Clin Nutr. 2025 Feb;45:270-280. doi: 10.1016/j.clnu.2025.01.009. Epub 2025 Jan 7.
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.
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.
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.
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.
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.
抑郁症是一种普遍存在的心理健康障碍,其病因复杂,涉及神经递质失衡、炎症和激素失调。新出现的证据凸显了营养干预在改善抑郁症状方面的重要性。
本综述探讨维生素D和ω-3脂肪酸在治疗抑郁症中的作用机制及临床应用,深入了解它们潜在的治疗作用。
对包括PubMed、Scopus、科学网和PsycINFO在内的数据库进行了全面检索。使用了“抑郁症”“维生素D”“ω-3脂肪酸”“营养精神病学”和“心理健康”等关键词。根据相关性、方法以及对理解抑郁症营养干预的贡献来选择文章。优先考虑观察性研究、随机对照试验和荟萃分析,同时排除未经同行评审的来源。
维生素D调节神经递质活性,减轻神经炎症,并影响神经可塑性,增强认知功能和情绪调节。ω-3脂肪酸,特别是二十碳五烯酸(EPA)和二十二碳六烯酸(DHA),具有抗炎特性,优化血清素能传递,并稳定神经元膜。临床证据表明,补充这些营养素可显著减轻抑郁症状,尤其是在伴有营养缺乏的患者中。然而,研究设计和剂量的差异限制了研究结果的普遍性。
将补充维生素D和ω-3脂肪酸纳入精神卫生保健有望成为治疗抑郁症的辅助策略。然而,现有研究存在局限性,包括研究设计和剂量的异质性,需要进一步研究。