DiGirolamo Ann M, Ramirez-Zea Manuel
Hubert Department of Global Health, Emory University, 1518 Clifton Road, NE, Atlanta, GA 30307, USA.
Am J Clin Nutr. 2009 Mar;89(3):940S-945S. doi: 10.3945/ajcn.2008.26692C. Epub 2009 Jan 28.
Mental health problems in women, children, and adolescents are a significant public health issue. Given current barriers to the effective treatment of these problems, researchers are looking to the field of nutrition for potential alternatives to better understand and address mental health issues. The purpose of this article was to review current evidence on the relation between zinc and mental health disorders with a focus on 2 mental health problems that commonly affect women and children: depression and attention-deficit hyperactivity disorder (ADHD). A literature search of the databases Medline and PsychInfo was conducted with the use of key terms. The review included articles from 1975 to May 2008, but focused on articles published in recent years. Relations between zinc concentrations and behavior in animals; the relation between zinc deficiency, depression, and ADHD in patient and community samples; and the potential biological mechanisms for these relations were explored. The data support a relation between low concentrations of zinc and mental health problems, especially in at-risk populations. Evidence for the potential use of zinc in treating mental health problems comes mainly from patient populations and is strongest when zinc is given in combination with pharmacologic treatment. Less conclusive evidence exists for the effectiveness of zinc alone or in general community samples. Recommendations for further research in this area are provided.
女性、儿童和青少年的心理健康问题是一个重大的公共卫生问题。鉴于目前有效治疗这些问题存在障碍,研究人员正在从营养领域寻找潜在的替代方法,以更好地理解和解决心理健康问题。本文的目的是综述当前关于锌与心理健康障碍之间关系的证据,重点关注2种常见于女性和儿童的心理健康问题:抑郁症和注意力缺陷多动障碍(ADHD)。使用关键词对Medline和PsychInfo数据库进行了文献检索。该综述纳入了1975年至2008年5月的文章,但重点关注近年来发表的文章。探讨了动物体内锌浓度与行为之间的关系;患者和社区样本中锌缺乏、抑郁症和ADHD之间的关系;以及这些关系的潜在生物学机制。数据支持低锌浓度与心理健康问题之间的关系,尤其是在高危人群中。锌在治疗心理健康问题方面潜在用途的证据主要来自患者群体,并且当锌与药物治疗联合使用时证据最为充分。关于锌单独使用或在一般社区样本中的有效性,证据尚不确凿。本文还提供了该领域进一步研究的建议。