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高剂量维生素D补充剂与青春期女孩抑郁评分降低相关:一项为期九周的随访研究。

High Dose Vitamin D Supplementation Is Associated With a Reduction in Depression Score Among Adolescent Girls: A Nine-Week Follow-Up Study.

作者信息

Bahrami Afsane, Mazloum Seyed Reza, Maghsoudi Shahrokh, Soleimani Davood, Khayyatzadeh Sayyed Saeid, Arekhi Soheil, Arya Arsalan, Mirmoosavi Seyed Jamal, Ferns Gordon A, Bahrami-Taghanaki Hamidreza, Ghayour-Mobarhan Majid

机构信息

a Department of Modern Sciences and Technologies, Faculty of Medicine , Mashhad University of Medical Sciences , Mashhad , Iran.

b Student Research Committee , Mashhad University of Medical Sciences , Mashhad , Iran.

出版信息

J Diet Suppl. 2018 Mar 4;15(2):173-182. doi: 10.1080/19390211.2017.1334736. Epub 2017 Jul 31.

Abstract

Although vitamin D deficiency is known to be a risk factor for some psychological disorders, there have been few studies on the effects of vitamin D supplementation on their symptoms. Depression and aggression are common mental disorders and are associated with disability and disease burden. We aimed to evaluate the effectiveness of high-dose vitamin D supplementation on depression and aggression scores in adolescent girls. Nine hundred forty adolescent girls received vitamin D at a dose of 50,000 IU/week for 9 weeks. Anthropometric parameters and blood pressure were measured using standard protocols at the baseline and at the end of the study. Depression score was evaluated using the Beck Depression Inventory-II and aggression was evaluated using the Buss-Perry Aggression Questionnaire at baseline and at the end of the study. Comparison among the four categories of depression score (normal, mild, moderate, and severe) revealed no significant differences in demographic and anthropometric parameters at baseline. After 9 weeks of vitamin D supplementation, there was a significant reduction on mild, moderate, and severe depression score. However, vitamin D supplementation had no significant effect on aggression score. Our results suggest that supplementation with vitamin D may improve depressive symptoms among adolescent girls, as assessed by questionnaire, but not aggression score. Formal, larger, randomized controlled studies are required to confirm this effect on cases with different degrees of depression.

摘要

尽管维生素D缺乏是某些心理障碍的已知风险因素,但关于补充维生素D对其症状影响的研究却很少。抑郁和攻击性是常见的精神障碍,与残疾和疾病负担相关。我们旨在评估高剂量补充维生素D对青春期女孩抑郁和攻击性评分的有效性。940名青春期女孩接受了为期9周、每周50,000国际单位剂量的维生素D。在基线和研究结束时使用标准方案测量人体测量参数和血压。在基线和研究结束时,使用贝克抑郁量表-II评估抑郁评分,并使用布斯-佩里攻击性问卷评估攻击性。对抑郁评分的四个类别(正常、轻度、中度和重度)进行比较,结果显示基线时的人口统计学和人体测量参数无显著差异。补充维生素D 9周后,轻度、中度和重度抑郁评分显著降低。然而,补充维生素D对攻击性评分没有显著影响。我们的结果表明,通过问卷调查评估,补充维生素D可能改善青春期女孩的抑郁症状,但对攻击性评分没有影响。需要进行正式、更大规模的随机对照研究来证实这种对不同程度抑郁症患者的影响。

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