McCabe Delia, Bednarz Jana, Lockwood Craig, Barker Timothy H
The Joanna Briggs Institute, Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, Australia.
Adelaide Health Technology Assessment (AHTA), School of Public Health, The University of Adelaide, Adelaide, Australia.
Womens Health Rep (New Rochelle). 2020 Aug 12;1(1):241-251. doi: 10.1089/whr.2020.0035. eCollection 2020.
Women are negatively impacted by psychological stress and despite the prolific use of dietary supplements to manage stress there is little evidence to support their use for such. This study examined the relationship between intake of specific nutrients through diet and/or dietary supplementation and level of perceived stress. In this cross-sectional study of adult Australian women ( = 74), perceived stress was measured using the Perceived Stress Scale, dietary intake was assessed using a validated Food Frequency Questionnaire, and supplement usage was recorded using a Supplement Use Questionnaire. Potentially substantive reductions in stress scores were associated with polyunsaturated fatty acid supplementation: α-linolenic acid (mean difference [MD] = -3.34, 95% confidence interval [CI] = -7.97 to 1.29), linoleic acid (MD = -4.08, 95% CI = -8.97 to 0.82), γ-linolenic acid (MD = -2.23, 95% CI = -7.20 to 2.74), and eicosapentaenoic acid (EPA)/docosahexaenoic acid (DHA) (MD = -4.05, 95% CI = -8.07 to -0.03). There were negative correlations between intake of vitamin B6 and vitamin C and stress ( = -0.50 and -0.35, respectively). Compared with nonsupplementers, stress scores were on average 0.92 units lower among those supplementing with magnesium and vitamin B6 concurrently (95% CI = -3.88 to 2.03). An increase in vitamin B6 through food was related to lower stress scores. For most nutrients, intake from food was positively associated with supplementation status. There is some evidence to suggest potentially meaningful associations between intake of particular nutrients and stress, although CIs were wide and there were no statistically significant relationships observed. Further research is warranted to investigate any potential benefits more precisely using randomized controlled trials or large-scale observational studies.
女性会受到心理压力的负面影响,尽管人们大量使用膳食补充剂来应对压力,但几乎没有证据支持其用于此目的。本研究调查了通过饮食和/或膳食补充剂摄入特定营养素与感知压力水平之间的关系。在这项针对成年澳大利亚女性(n = 74)的横断面研究中,使用感知压力量表测量感知压力,使用经过验证的食物频率问卷评估饮食摄入量,并使用补充剂使用问卷记录补充剂使用情况。补充多不饱和脂肪酸与压力得分可能有实质性降低相关:α-亚麻酸(平均差[MD]= -3.34,95%置信区间[CI]= -7.97至1.29)、亚油酸(MD = -4.08,95% CI = -8.97至0.82)、γ-亚麻酸(MD = -2.23,95% CI = -7.20至2.74)以及二十碳五烯酸(EPA)/二十二碳六烯酸(DHA)(MD = -4.05,95% CI = -8.07至 -0.03)。维生素B6和维生素C的摄入量与压力之间存在负相关(分别为r = -0.50和 -0.35)。与不服用补充剂的人相比,同时补充镁和维生素B6的人的压力得分平均低0.92个单位(95% CI = -3.88至2.03)。通过食物摄入更多维生素B6与较低的压力得分相关。对于大多数营养素,食物摄入量与补充剂使用状况呈正相关。有一些证据表明特定营养素的摄入量与压力之间可能存在有意义的关联,尽管置信区间较宽且未观察到统计学上的显著关系。有必要进行进一步研究,使用随机对照试验或大规模观察性研究更精确地调查任何潜在益处。