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印度喀拉拉邦埃纳库拉姆私立诊所就诊人群中抑郁症与维生素D3之间的关联。

Association between depression and vitamin D3 among the people attending private clinic in Ernakulam, Kerala, India.

作者信息

Anaswaradev A, Joseph Alex

机构信息

Division of Epidemiology, SRM School of Public Health, SRM Institute of Science and Technology, Kattankulathur, Tamil Nadu, India.

Unique Health, North Fort, Thripunithura, Ernakulam, Kerala, India.

出版信息

J Family Med Prim Care. 2025 Mar;14(3):1079-1084. doi: 10.4103/jfmpc.jfmpc_1498_24. Epub 2025 Mar 25.

Abstract

BACKGROUND

Depression is a serious global public health issue due to its significant impact on well-being and quality of life. Since vitamin D3 is involved in more than simply bone health, there has been discussion over its potential link to depression. Despite growing evidence that there is a connection between vitamin D3 deficiency and depression, there is a lack of evidence from India. So this study aims to evaluate vitamin D deficiency and depression among patients attending private clinics in Ernakulam, Kerala, India.

METHODS

The cross-sectional study investigated the association between vitamin D3 levels and depression. This study was approved by the institutional ethical committee of SRM School of Public Health, SRMIST, Kattankulathur, and Tamil Nadu. After getting informed consent from the patients the data regarding socio-demographic profile, Vitamin D and depression was acquired from the patients during their next consecutive follow-up. Participants without significant psychiatric problems or chronic illnesses between the ages of 18 and 49 were enrolled. Serum 25 (OH) D levels were tested, and depression was evaluated using the modified Beck Depression Inventory (BDI-II). Descriptive, Chi-square, and logistic regression analyses were done.

RESULTS

The study was among the 126 participants. Depression was more common in those with low vitamin D3 levels than in those without it (67.2% vs. 32.8%). There is a significant association between depression and demographic variables such as age, gender, and occupation. Under logistic regression, age was found to be a significant predictor, the odds ratios showed that older adults had 12 times the odds of developing depression than younger adults. Males have 2.9 times the odds of developing depression than females.

CONCLUSION

This study shows that there is an association between vitamin D insufficiency and increased depression in Ernakulam, Kerala, India. The identification and treatment of depression should take into account vitamin D3 status since treating vitamin D3 insufficiency may have an impact on mental health outcomes. Prospective investigations ought to delve into longitudinal associations and encompass a range of demographics to reinforce causal deductions and overall applicability.

摘要

背景

抑郁症是一个严重的全球公共卫生问题,因为它对幸福感和生活质量有重大影响。由于维生素D3不仅仅涉及骨骼健康,因此人们对其与抑郁症的潜在联系进行了讨论。尽管越来越多的证据表明维生素D3缺乏与抑郁症之间存在关联,但印度缺乏相关证据。因此,本研究旨在评估印度喀拉拉邦埃尔讷古勒姆私立诊所患者中的维生素D缺乏情况和抑郁症。

方法

这项横断面研究调查了维生素D3水平与抑郁症之间的关联。本研究获得了位于泰米尔纳德邦卡坦库勒图尔的SRMIST SRM公共卫生学院机构伦理委员会的批准。在获得患者知情同意后,在患者连续的下一次随访中收集有关社会人口统计学特征、维生素D和抑郁症的数据。纳入年龄在18至49岁之间且无重大精神问题或慢性疾病的参与者。检测血清25(OH)D水平,并使用改良的贝克抑郁量表(BDI-II)评估抑郁症。进行了描述性、卡方和逻辑回归分析。

结果

该研究共有126名参与者。维生素D3水平低的人比维生素D3水平正常的人更易患抑郁症(67.2%对32.8%)。抑郁症与年龄、性别和职业等人口统计学变量之间存在显著关联。在逻辑回归分析中,年龄是一个显著的预测因素,优势比表明老年人患抑郁症的几率是年轻人的12倍。男性患抑郁症的几率是女性的2.9倍。

结论

本研究表明,在印度喀拉拉邦埃尔讷古勒姆,维生素D不足与抑郁症增加之间存在关联。抑郁症的识别和治疗应考虑维生素D3状态,因为治疗维生素D3不足可能会对心理健康结果产生影响。前瞻性研究应深入探讨纵向关联,并涵盖一系列人口统计学特征,以加强因果推断和总体适用性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bfc/12007807/2ee6735667b6/JFMPC-14-1079-g001.jpg

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