Thurfah Jihan Nurul, Bagaskhara Petrus Putra, Alfian Sofa Dewi, Puspitasari Irma Melyani
Department of Pharmacology and Clinical Pharmacy, Faculty of Pharmacy, Universitas Padjadjaran, Sumedang, West Java, Indonesia.
Pharmacist Professional Program, Faculty of Pharmacy, Universitas Padjadjaran, Sumedang, West Java, Indonesia.
J Multidiscip Healthc. 2022 May 17;15:1121-1141. doi: 10.2147/JMDH.S360029. eCollection 2022.
Depression is a mood disturbance condition that occurs for more than two weeks in a row, leading to suicide. Due to adverse effects of depression, antidepressants and adjunctive therapies, such as dietary supplementation, are used for treatment. Therefore, this review explored and summarized dietary supplements' types, dosages, and effectiveness in preventing and treating depression. A literature search of the PubMed database was conducted in August 2021 to identify studies assessing depression, after which scale measurements based on dietary supplements were identified. From the obtained 221 studies, we selected 63 papers. Results showed PUFA (EPA and DHA combination), vitamin D, and probiotics as the most common supplementation used in clinical studies to reduce depressive symptoms. We also observed that although the total daily PUFA dosage that exhibited beneficial effects was in the range of 0.7-2 g EPA and 0.4-0.8 g DHA daily, with an administration period of three weeks to four months, positive vitamin D-based supplementation effects were observed after administering doses of 2000 IU/day or 50,000 IU/week between 8 weeks and 24 months. Alternatively, microbes from the genus and in the probiotic group with a minimum dose of 10 CFU in various dose forms effectively treated depression. Besides, a depression scale was helpful to assess the effect of an intervention on depression. Hence, PUFA, vitamin D, and probiotics were proposed as adjunctive therapies for depression treatment based on the results from this study.
抑郁症是一种情绪障碍疾病,连续发作两周以上会导致自杀。由于抑郁症以及抗抑郁药和辅助疗法(如膳食补充剂)的不良影响,人们使用这些方法进行治疗。因此,本综述探讨并总结了膳食补充剂在预防和治疗抑郁症方面的类型、剂量和有效性。2021年8月对PubMed数据库进行了文献检索,以确定评估抑郁症的研究,之后确定了基于膳食补充剂的量表测量。从获得的221项研究中,我们选择了63篇论文。结果显示,多不饱和脂肪酸(EPA和DHA组合)、维生素D和益生菌是临床研究中最常用于减轻抑郁症状的补充剂。我们还观察到,虽然显示有益效果的每日多不饱和脂肪酸总剂量范围为每日0.7 - 2克EPA和0.4 - 0.8克DHA,给药期为三周至四个月,但在8周和24个月之间给予2000国际单位/天或50000国际单位/周的剂量后,观察到基于维生素D的补充剂有积极效果。或者,益生菌组中来自某属的微生物,以各种剂型,最低剂量为10CFU,能有效治疗抑郁症。此外,抑郁量表有助于评估干预对抑郁症的效果。因此,根据本研究结果,多不饱和脂肪酸、维生素D和益生菌被提议作为抑郁症治疗的辅助疗法。