Jacka Felice N, Overland Simon, Stewart Robert, Tell Grethe S, Bjelland Ingvar, Mykletun Arnstein
University of Melbourne, Department of Clinical and Biomedical Sciences: Barwon Health, Vic., Australia.
Aust N Z J Psychiatry. 2009 Jan;43(1):45-52. doi: 10.1080/00048670802534408.
Systemic inflammation is associated with both the dietary intake of magnesium, and depression. Limited experimental and clinical data suggest an association between magnesium and depression. Thus, there are reasons to consider dietary magnesium as a variable of interest in depressive disorders. The aim of the present study was to examine the association between magnesium intake and depression and anxiety in a large sample of community-dwelling men and women. This sample consisted of 5708 individuals aged 46-49 or 70-74 years who participated in the Hordaland Health Study in Western Norway.
Symptoms of depression and anxiety were self-reported using the Hospital Anxiety and Depression Scale, and magnesium intake was assessed using a comprehensive food frequency questionnaire.
There was an inverse association between standardized energy-adjusted magnesium intake and standardized depression scores that was not confounded by age, gender, body habitus or blood pressure (beta=-0.16, 95% confidence interval (CI)=-0.22 to -0.11). The association was attenuated after adjustment for socioeconomic and lifestyle variables, but remained statistically significant (beta=-0.11, 95%CI=-0.16 to -0.05). Standardized magnesium intake was also related to case-level depression (odds ratio (OR)=0.70, 95%CI=0.56-0.88), although the association was attenuated when adjusted for socioeconomic and lifestyle factors (OR=0.86, 95%CI=0.69-1.08). The inverse relationship between magnesium intake and score and case-level anxiety was weaker and not statistically significant in the fully adjusted models.
The hypothesis that magnesium intake is related to depression in the community is supported by the present findings. These findings may have public health and treatment implications.
全身炎症与镁的饮食摄入量及抑郁症均有关联。有限的实验和临床数据表明镁与抑郁症之间存在关联。因此,有理由将饮食中的镁视为抑郁症的一个相关变量。本研究的目的是在大量社区居住的男性和女性样本中,研究镁摄入量与抑郁和焦虑之间的关联。该样本由5708名年龄在46 - 49岁或70 - 74岁之间的个体组成,他们参与了挪威西部的霍达兰健康研究。
使用医院焦虑抑郁量表自我报告抑郁和焦虑症状,并使用综合食物频率问卷评估镁摄入量。
经标准化能量调整后的镁摄入量与标准化抑郁评分之间存在负相关,且不受年龄、性别、体型或血压的影响(β=-0.16,95%置信区间(CI)=-0.22至-0.11)。在对社会经济和生活方式变量进行调整后,这种关联减弱,但仍具有统计学意义(β=-0.11,95%CI=-0.16至-0.05)。标准化镁摄入量也与病例水平的抑郁有关(比值比(OR)=0.70,95%CI=0.56 - 0.88),尽管在对社会经济和生活方式因素进行调整后,这种关联减弱(OR=0.86,95%CI=0.69 - 1.08)。在完全调整后的模型中,镁摄入量与评分及病例水平焦虑之间的负相关关系较弱且无统计学意义。
本研究结果支持镁摄入量与社区抑郁症有关的假设。这些发现可能对公共卫生和治疗具有启示意义。