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抗氧化维生素摄入与女性青少年抑郁、焦虑和压力的关系。

Antioxidant vitamin intakes and risk of depression, anxiety and stress among female adolescents.

机构信息

Nutrition and Endocrine Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Department of Nutrition, School of Paramedicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran; National Nutrition and Food Technology Research Institute (WHO Collaborating Center), Faculty of Nutrition Sciences and Food Technology, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

Clin Nutr ESPEN. 2020 Dec;40:257-262. doi: 10.1016/j.clnesp.2020.09.010. Epub 2020 Sep 23.

Abstract

BACKGROUND AND AIM

The relation of some antioxidant nutrients with psychological disorders has been studied previously. The aim of this study was to examine the association between antioxidant vitamin intakes and the risk of depression, anxiety, and stress.

METHODS

This cross-sectional study was conducted on 263 Tehranian female adolescents. Dietary intakes of vitamin E, C, and β-Carotene were determined using a valid and reliable food-frequency questionnaire. Depression, anxiety, and stress scores were characterized by DASS-21 (Depression Anxiety Stress Score-21 items) questionnaire. The multivariable logistic regression models were used to determine the odds ratios (ORs) and 95% confidence intervals (95%CIs) of depression, anxiety, and stress across tertiles of antioxidant vitamin intakes.

RESULTS

The mean ± SD age of participants was 16.20 ± 0.97 years. Also, the mean ± SD depression, anxiety and stress scores of participants were 9.89 ± 4.15, 8.43 ± 4.39 and 14.00 ± 6.45, respectively. In the fully adjusted model, subjects in the highest tertile of β-Carotene had a lower prevalence of depression (OR:0.46, 95%CI:0.23-0.95), anxiety (OR:0.40, 95%CI:0.20-0.81), and stress (OR:0.35, 95%CI:0.17-0.73) compared to the lowest tertile (P for trend<0.05). Moreover, individuals in the top tertile of vitamin E had a lower prevalence of stress, in comparison to the bottom tertile (OR:0.34, 95% CI:0.13-0.89), (P for trend<0.05). However, no significant associations were found between the intakes of vitamin E and C and other psychological disorders.

CONCLUSION

In this study, higher intake of β-Carotene was associated with lower prevalence of depression, anxiety and stress. Also, we found an inverse relationship between vitamin E intake and the risk of stress.

摘要

背景与目的

先前已有研究探讨了某些抗氧化营养素与心理障碍之间的关系。本研究旨在探讨抗氧化维生素摄入量与抑郁、焦虑和压力风险之间的关联。

方法

这项横断面研究纳入了 263 名来自德黑兰的女性青少年。采用经过验证和可靠的食物频率问卷评估维生素 E、C 和β-胡萝卜素的摄入量。采用 DASS-21(抑郁焦虑压力量表-21 项)问卷评估抑郁、焦虑和压力评分。采用多变量逻辑回归模型确定抗氧化维生素摄入量三分位组的抑郁、焦虑和压力比值比(OR)和 95%置信区间(95%CI)。

结果

参与者的平均年龄为 16.20±0.97 岁。此外,参与者的平均抑郁、焦虑和压力评分分别为 9.89±4.15、8.43±4.39 和 14.00±6.45。在完全调整模型中,β-胡萝卜素摄入量最高的三分位组中,抑郁(OR:0.46,95%CI:0.23-0.95)、焦虑(OR:0.40,95%CI:0.20-0.81)和压力(OR:0.35,95%CI:0.17-0.73)的患病率低于最低三分位组(趋势 P<0.05)。此外,与最低三分位组相比,维生素 E 摄入量最高的三分位组的压力患病率较低(OR:0.34,95%CI:0.13-0.89)(趋势 P<0.05)。然而,维生素 E 和 C 的摄入量与其他心理障碍之间没有显著关联。

结论

在这项研究中,β-胡萝卜素摄入量较高与抑郁、焦虑和压力的发生率较低有关。此外,我们发现维生素 E 摄入量与压力风险呈负相关。

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