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维生素 D 可预防抑郁症:来自干预性和观察性荟萃分析的综合证据。

Vitamin D protects against depression: Evidence from an umbrella meta-analysis on interventional and observational meta-analyses.

机构信息

Student Research Committee, Nutrition Research Center, School of Nutrition and Food Sciences, Tabriz University of Medical Sciences, Tabriz, Islamic Republic of Iran; School of Nutrition and Food Sciences, Tabriz University of Medical Sciences, Tabriz, Islamic Republic of Iran.

Student Research Committee, Nutrition Research Center, School of Nutrition and Food Sciences, Tabriz University of Medical Sciences, Tabriz, Islamic Republic of Iran; Nutrition Research Center, School of Nutrition and Food Sciences, Tabriz University of Medical Sciences, Tabriz, Islamic Republic of Iran.

出版信息

Pharmacol Res. 2023 Jan;187:106605. doi: 10.1016/j.phrs.2022.106605. Epub 2022 Dec 9.

Abstract

Meta-analyses of interventional and observational studies investigating the efficacy and the relationship between vitamin D and depression provided inconsistent results. The current umbrella meta-analysis was conducted to assess the available evidence and provide a conclusive outcome in this regard. The following international databases were systematically searched till March 2022: PubMed, Scopus, Embase, Web of Science, and Google Scholar. Random-effects model was carried out to calculate the pooled point estimates and their respective 95 % confidence intervals (CI). Ten meta-analyses of randomised controlled trials (RCTs) revealed significant reduction in depression symptoms comparing participants on vitmain D supplements to those on placebo (Pooled standardised mean difference: - 0.40; 95 % CI: - 0.60, - 0.21, p < 0.01: I = 89.1 %, p < 0.01). Four meta-analyses of cohort studies (with one having two subgroups) revealed that participants with lower levels of serum vitamin D were at increased odds of depression than those with higher levels of serum vitamin D (Pooled odds ratio: 1.60; 95 % CI: 1.08, 2.36, p < 0.01; I = 91.3 %, p < 0.01). The present umbrella meta-analysis confirms the potential benefits of vitamin D supplementation and higher serum vitamin D levels in reducing the development and symptoms of depression.

摘要

干预性和观察性研究的荟萃分析调查了维生素 D 与抑郁症之间的疗效和关系,结果不一致。目前进行了伞式荟萃分析,以评估这方面的现有证据并提供明确的结果。系统搜索了以下国际数据库,直到 2022 年 3 月:PubMed、Scopus、Embase、Web of Science 和 Google Scholar。采用随机效应模型计算汇总点估计值及其各自的 95%置信区间 (CI)。十项随机对照试验 (RCT) 的荟萃分析显示,与安慰剂相比,服用维生素 D 补充剂的参与者的抑郁症状明显减轻(汇总标准化均数差:-0.40;95%CI:-0.60,-0.21,p<0.01:I = 89.1%,p<0.01)。四项队列研究的荟萃分析(其中一项有两个亚组)表明,血清维生素 D 水平较低的参与者患抑郁症的几率高于血清维生素 D 水平较高的参与者(汇总优势比:1.60;95%CI:1.08,2.36,p<0.01;I = 91.3%,p<0.01)。本伞式荟萃分析证实了维生素 D 补充剂和较高的血清维生素 D 水平在降低抑郁症的发展和症状方面的潜在益处。

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