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在一系列病例中,抑郁的青少年体内维生素 D 水平较低,而维生素 D 补充剂可改善抑郁症状。

Depressed adolescents in a case-series were low in vitamin D and depression was ameliorated by vitamin D supplementation.

机构信息

Department of Women's and Children's Health, Child and Adolescent Psychiatric Unit, Karolinska Institutet, Astrid Lindgren Children's Hospital, Stockholm, Sweden.

出版信息

Acta Paediatr. 2012 Jul;101(7):779-83. doi: 10.1111/j.1651-2227.2012.02655.x. Epub 2012 Mar 27.

Abstract

AIM

The relationship between depression in adolescents and vitamin D was studied in a case-series that included effects of vitamin D supplementation.

METHODS

Serum 25OH vitamin D (25OHD) levels in 54 Swedish depressed adolescents were investigated. Subjects with vitamin D deficiency were given vitamin D(3) over 3 months (n = 48). To evaluate well-being and symptoms related to depression and vitamin D status, the WHO-5 well-being scale, the Mood and Feelings Questionnaire (MFQ-S) and a vitamin D deficiency scale were used.

RESULTS

Mean serum 25OHD in the depressed adolescents was 41 at baseline and 91 nmol/L (p < 0.001) after supplementation. Basal 25OHD levels correlated positively with well-being (p < 0.05). After vitamin D supplementation, well-being increased (p < 0.001) and there was a significant improvement in eight of the nine items in the vitamin D deficiency scale: depressed feeling (p < 0.001), irritability (p < 0.05), tiredness (p < 0.001), mood swings (p < 0.01), sleep difficulties (p < 0.01), weakness (p < 0.01), ability to concentrate (p < 0.05) and pain (p < 0.05). There was a significant amelioration of depression according to the MFQ-S (p < 0.05).

CONCLUSION

This study showed low levels of vitamin D in 54 depressed adolescents, positive correlation between vitamin D and well-being, and improved symptoms related to depression and vitamin D deficiency after vitamin D supplementation.

摘要

目的

在一项病例系列研究中,研究了青少年抑郁与维生素 D 之间的关系,其中包括了维生素 D 补充的效果。

方法

对 54 名瑞典抑郁青少年的血清 25 羟维生素 D(25OHD)水平进行了调查。患有维生素 D 缺乏症的受试者接受了为期 3 个月的维生素 D(3)补充(n = 48)。为了评估幸福感和与抑郁及维生素 D 状态相关的症状,使用了 WHO-5 幸福感量表、心境和情感问卷(MFQ-S)和维生素 D 缺乏量表。

结果

抑郁青少年的基础血清 25OHD 均值为 41 nmol/L,补充后为 91 nmol/L(p < 0.001)。基础 25OHD 水平与幸福感呈正相关(p < 0.05)。补充维生素 D 后,幸福感增加(p < 0.001),维生素 D 缺乏量表的九个项目中有八项得到显著改善:抑郁感(p < 0.001)、易怒(p < 0.05)、疲劳(p < 0.001)、情绪波动(p < 0.01)、睡眠困难(p < 0.01)、虚弱(p < 0.01)、注意力集中能力(p < 0.05)和疼痛(p < 0.05)。MFQ-S 显示抑郁程度显著改善(p < 0.05)。

结论

本研究显示 54 名抑郁青少年的维生素 D 水平较低,维生素 D 与幸福感呈正相关,补充维生素 D 后,与抑郁和维生素 D 缺乏相关的症状得到改善。

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