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ω-3 脂肪酸的摄入与抑郁发作的维持和发生:ELSA-Brasil 研究。

Consumption of Omega-3 and Maintenance and Incidence of Depressive Episodes: The ELSA-Brasil Study.

机构信息

Department of Food and Nutrition, Piquet Carneiro Polyclinic, Universidade do Estado do Rio de Janeiro, Rio de Janeiro 20950-000, Brazil.

Department of Applied Nutrition, Universidade do Estado do Rio de Janeiro, Rio de Janeiro 20950-000, Brazil.

出版信息

Nutrients. 2022 Aug 7;14(15):3227. doi: 10.3390/nu14153227.

Abstract

Depression affects 264 million persons in the world, accounting for some 4.3% of the global burden of disease. Current studies indicate that the decrease in the consumption of omega-3 food sources is associated with the increasing incidence of depression. The study aims to assess the association between the consumption of omega-3 and the maintenance and incidence of depressive episodes in adults (39−64 years) and elderly adults (>65 years). This was a longitudinal study using data from the baseline and first follow-up wave of the Longitudinal Study of Adult Health (ELSA-Brasil). Depressive episodes were obtained with the Clinical Interview Schedule Revised (CIS-R), and food consumption was measured with the Food Frequency Questionnaire (FFQ). Logistic regression was used to analyze associations between the consumption of omega-3 and depressive episodes. Fatty acids from the omega-3 family showed a protective effect against the maintenance of depressive episodes. In relation to incidence, the estimates suggest that the higher the consumption of omega-3 acids, the lower the risk of developing depressive episodes, and significant associations were found between the consumption of omega-3 and alpha-linolenic acid. Dietary consumption of omega-3, DHA, EPA, DPA, and alpha linolenic fatty acids may have a protective effect against the maintenance and incidence of depressive episodes.

摘要

抑郁症影响全球 2.64 亿人,占全球疾病负担的 4.3%左右。目前的研究表明,ω-3 食物来源的消耗减少与抑郁症发病率的增加有关。本研究旨在评估ω-3 摄入量与成年人(39-64 岁)和老年人(>65 岁)抑郁发作的维持和发生之间的关系。这是一项使用成人健康纵向研究(ELSA-Brasil)基线和第一次随访数据的纵向研究。使用临床访谈时间表修订版(CIS-R)获得抑郁发作,使用食物频率问卷(FFQ)测量食物消耗。使用逻辑回归分析ω-3 摄入量与抑郁发作之间的关联。ω-3 系列脂肪酸对维持抑郁发作有保护作用。关于发病率,估计表明ω-3 酸摄入量越高,发生抑郁发作的风险越低,并且在 ω-3 和α-亚麻酸的消耗之间发现了显著的关联。ω-3、二十二碳六烯酸、二十碳五烯酸、二十二碳五烯酸和α-亚麻酸的饮食摄入可能对抑郁发作的维持和发生有保护作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/700e/9370473/146e0336f8a3/nutrients-14-03227-g001.jpg

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