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针对情绪障碍的营养干预措施。

Nutrition-based interventions for mood disorders.

作者信息

Martins Lais B, Braga Tibães Jenneffer Rayane, Sanches Marsal, Jacka Felice, Berk Michael, Teixeira Antônio L

机构信息

Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center, Houston, Texas, United States.

Departamento de Nutrição, Escola de Enfermagem, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.

出版信息

Expert Rev Neurother. 2021 Mar;21(3):303-315. doi: 10.1080/14737175.2021.1881482. Epub 2021 Mar 3.

Abstract

: 'Nutritional Psychiatry' is an emerging area of research that has great potential as an adjunctive tool for the prevention and treatment of diverse neuropsychiatric disorders. Several nutrition-related aspects, such as obesity, dietary patterns, gut microbiome composition and gut permeability, bioactive food compounds, and nutrients can influence pathways implicated in the pathophysiology of mood disorders.: Here, the authors review the current evidence on nutrition-mood interaction and nutrition-based treatments for the two main mood disorders, i.e., major depressive disorder and bipolar disorder.: Consistent evidence from observational studies has pointed out the association between a 'healthy' diet, generally characterized by a higher intake of fruits, vegetables, legumes, nuts, whole grains, and good quality sources of protein (i.e. fish and/or seafood), and decreased risk of mood disorders and the parallel association between a 'Western' diet pattern and increased risk. However, only a few clinical trials have evaluated the effect of nutritional interventions on the treatment of these conditions. The bidirectional interaction between the brain and the gut, named 'brain-gut-microbiome axis' or 'gut-brain axis', plays a key role in the link between nutrition and mood disorders. Therefore, nutrition-based strategies for gut microbiota modulation are promising fields in mood disorders.

摘要

“营养精神病学”是一个新兴的研究领域,作为预防和治疗多种神经精神疾病的辅助工具具有巨大潜力。一些与营养相关的方面,如肥胖、饮食模式、肠道微生物群组成和肠道通透性、生物活性食品化合物以及营养素等,都可能影响与情绪障碍病理生理学相关的途径。在此,作者回顾了当前关于营养与情绪相互作用以及针对两种主要情绪障碍(即重度抑郁症和双相情感障碍)的营养疗法的证据。观察性研究的一致证据指出,“健康”饮食(通常以较高的水果、蔬菜、豆类、坚果、全谷物和优质蛋白质来源(如鱼和/或海鲜)摄入量为特征)与情绪障碍风险降低之间存在关联,以及“西方”饮食模式与风险增加之间的平行关联。然而,只有少数临床试验评估了营养干预对这些疾病治疗的效果。大脑与肠道之间的双向相互作用,即“脑-肠-微生物群轴”或“肠-脑轴”,在营养与情绪障碍之间的联系中起着关键作用。因此,基于营养的调节肠道微生物群策略是情绪障碍领域有前景的方向。

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