Kerr David C R, Zava David T, Piper Walter T, Saturn Sarina R, Frei Balz, Gombart Adrian F
School of Psychological Science, Oregon State University , United States.
ZRT Laboratory, Beaverton, OR, United States.
Psychiatry Res. 2015 May 30;227(1):46-51. doi: 10.1016/j.psychres.2015.02.016. Epub 2015 Mar 5.
There have been few studies of whether vitamin D insufficiency is linked with depression in healthy young women despite women׳s high rates of both problems. Female undergraduates (n=185) living in the Pacific Northwest during fall, winter, and spring academic terms completed the Center for Epidemiologic Studies Depression (CES-D) scale weekly for 4 weeks (W1-W5). We measured serum levels of vitamin D3 and C (ascorbate; as a control variable) in blood samples collected at W1 and W5. Vitamin D insufficiency (<30ng/mL) was common at W1 (42%) and W5 (46%), and rates of clinically significant depressive symptoms (CES-D≥16) were 34-42% at W1-W5. Lower W1 vitamin D3 predicted clinically significant depressive symptoms across W1-W5 (β=-0.20, p<0.05), controlling for season, BMI, race/ethnicity, diet, exercise, and time outside. There was some evidence that lower levels of depressive symptoms in Fall participants (vs. Winter and Spring) were explained by their higher levels of vitamin D3. W1 depressive symptoms did not predict change in vitamin D3 levels from W1 to W5. Findings are consistent with a temporal association between low levels of vitamin D and clinically meaningful depressive symptoms. The preventive value of supplementation should be tested further.
尽管维生素D不足和抑郁症在女性中都高发,但针对健康年轻女性中维生素D不足是否与抑郁症有关的研究却很少。在秋冬春三个学期居住于美国太平洋西北部的185名本科女生,连续四周(第1周-第5周)每周完成流行病学研究中心抑郁量表(CES-D)。我们在第1周和第5周采集的血样中测量了血清维生素D3和维生素C(抗坏血酸;作为对照变量)的水平。维生素D不足(<30ng/mL)在第1周(42%)和第5周(46%)很常见,在第1周-第5周临床显著抑郁症状(CES-D≥16)的发生率为34%-42%。控制季节、体重指数、种族/民族、饮食、运动和户外活动时间后,第1周较低的维生素D3水平可预测第1周-第5周临床显著的抑郁症状(β=-0.20,p<0.05)。有证据表明,秋季参与者(与冬季和春季相比)较低的抑郁症状水平可由其较高的维生素D3水平来解释。第1周的抑郁症状并不能预测维生素D3水平从第1周到第5周的变化。研究结果与低水平维生素D和具有临床意义的抑郁症状之间的时间关联一致。补充维生素D的预防价值应进一步进行测试。