Wojciak Rafal W
Department of Human Nutrition and Hygiene, Poznan University of Life Sciences, Poznan, Poland,
Eat Weight Disord. 2014;19(3):321-7. doi: 10.1007/s40519-013-0091-2. Epub 2013 Dec 19.
The idea that iron deficiency anemia can be recognized in depressive patients has been around for a few years, as well as negative association between ferritin levels and depression. Iron deficiency anemia, associated with low iron intake, has been observed in women using restriction diets, for example in vegetarians or anorexics. There are no data on the influence of the short-term food restrictions, observed for example in slimming women, on iron management and its connection with behavior expressed via changes in the subject's emotional state.
This study describes the effect of one- and two-day food restrictions (every 8 days for a period of 48 days) on selected iron management parameters in the serum and blood of 46 healthy volunteer women (23 in each group), aged 25.5 ± 3.0 years, in association with the subjects' self-described emotional status and depression symptoms. The association between iron parameters and depression was also analyzed.
Results show that short-term (2 days) fasting significantly decreases iron concentrations in serum and hair, as well as levels of ferritin, hemoglobin, hematocrit, red blood cells, and total iron binding capacity, but the short-term fasting did not influence the other iron management parameters. Each model of food restrictions also increased negative feelings towards depression. A significant negative correlation between serum ferritin levels and depression was found in women who starved for 2 days.
The study shows that, through an impact on mineral levels, even short-term food restrictions, as observed in many slimming women and girls, can be a reason for iron deficiency and also can alter the emotional status of healthy women. Maybe depression symptoms in anorexia or other eating disorders patients can be associated with iron deficiencies.
缺铁性贫血可在抑郁症患者中被识别这一观点已存在数年,铁蛋白水平与抑郁症之间也存在负相关。与铁摄入量低相关的缺铁性贫血已在采用限制饮食的女性中观察到,例如素食者或厌食症患者。目前尚无关于短期食物限制(如在减肥女性中观察到的)对铁代谢及其与通过受试者情绪状态变化所表现出的行为之间联系的影响的数据。
本研究描述了46名年龄为25.5±3.0岁的健康志愿者女性(每组23人)在进行为期48天、每8天一次的1天和2天食物限制后,血清和血液中选定的铁代谢参数的变化,以及受试者自我描述的情绪状态和抑郁症状。同时还分析了铁参数与抑郁症之间的关联。
结果显示,短期(2天)禁食显著降低了血清和头发中的铁浓度,以及铁蛋白、血红蛋白、血细胞比容、红细胞和总铁结合力水平,但短期禁食并未影响其他铁代谢参数。每种食物限制模式还增加了对抑郁症的负面情绪。在禁食2天的女性中,血清铁蛋白水平与抑郁症之间存在显著的负相关。
该研究表明,即使是许多减肥女性和女孩中观察到的短期食物限制,通过对矿物质水平的影响,也可能是缺铁的原因,并且还会改变健康女性的情绪状态。也许厌食症或其他饮食失调患者的抑郁症状可能与缺铁有关。