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饮食与情绪:常量营养素在抑郁症预防和治疗中的作用。

Feeding the mood: The role of macronutrients in depression prevention and treatment.

作者信息

Wang Chao-Ban, Tang Jie, Cao Yao

机构信息

Department of Pediatrics, West China Second University Hospital, Sichuan University, Chengdu 610000, Sichuan Province, China.

Department of Pediatrics, Sichuan Taikang Hospital, Chengdu 651000, Sichuan Province, China.

出版信息

World J Psychiatry. 2025 Aug 19;15(8):107435. doi: 10.5498/wjp.v15.i8.107435.

DOI:10.5498/wjp.v15.i8.107435
PMID:40837787
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12362651/
Abstract

Depression is a complex mental health disorder that significantly impairs quality of life and affects millions globally. Emerging evidence underscores a potential link between macronutrient imbalances and depression onset or progression. This review explores how macronutrients-carbohydrates, fats, and proteins-may influence depressive symptoms. For example, excessive sugar consumption is associated with heightened depressive risk, likely due to its effects on insulin resistance and inflammation. Conversely, sufficient protein intake appears to mitigate depression risk, with studies reporting that a 10% increase in caloric intake from protein correlates with a significant reduction in depression prevalence. However, diets rich in saturated fats and proteins may slightly elevate depressive risk. This review emphasizes the critical importance of dietary balance in promoting mental health. Although some studies have suggested that maintaining specific macronutrient ratios may be associated with a reduced risk of depression, given the diversity of evidence and contradictory findings among studies, further research is needed to clarify the exact effects. Future research should aim to elucidate the molecular mechanisms underlying these associations, providing a robust foundation for dietary interventions in the prevention and treatment of depression.

摘要

抑郁症是一种复杂的心理健康障碍,严重损害生活质量,全球影响数百万人。新出现的证据强调了宏量营养素失衡与抑郁症发作或进展之间的潜在联系。本综述探讨了宏量营养素(碳水化合物、脂肪和蛋白质)如何影响抑郁症状。例如,过量摄入糖与抑郁风险增加有关,这可能是由于其对胰岛素抵抗和炎症的影响。相反,充足的蛋白质摄入似乎能降低抑郁风险,研究报告称,蛋白质热量摄入增加10%与抑郁症患病率显著降低相关。然而,富含饱和脂肪和蛋白质的饮食可能会略微增加抑郁风险。本综述强调了饮食平衡对促进心理健康的至关重要性。尽管一些研究表明,维持特定的宏量营养素比例可能与降低抑郁症风险有关,但鉴于研究证据的多样性和相互矛盾的结果,需要进一步研究以阐明确切影响。未来的研究应旨在阐明这些关联背后的分子机制,为抑郁症预防和治疗中的饮食干预提供坚实基础。

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本文引用的文献

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