益生菌对抑郁症的影响和安全性:随机对照试验的系统审查和元分析
Junjie Lin1, Yu Zhang1, Kunyi Wang1
1School of Public Health, Zhejiang Chinese Medical University, 548 Binwen Road, Binjiang District, Hangzhou, 310053, Zhejiang Province, China.
European journal of nutrition
|May 29, 2023
概括
益生菌在治疗抑郁症方面表现有前途,通过显著降低症状得分. 这项研究证实了它们作为有效管理抑郁症状的补充疗法的潜力.
科学领域:
- 神经科学是一个神经科学.
- 微生物学 微生物学
- 精神病学是一个精神病学.
背景情况:
- 抑郁症是全球日益严重的健康问题,目前治疗方法有限.
- 人们对肠-大脑轴及其在心理健康中的作用越来越感兴趣.
研究的目的:
- 系统地评估益生菌在治疗抑郁症方面的临床疗效.
- 评估益生菌对抑郁症状和相关生化标志物的影响.
主要方法:
- 进行了随机对照试验的元分析.
- 搜索的数据库:Pubmed,科克伦图书馆,科学网,万芳,CNKI (截至2022年3月).
- 包括776名患者;分析了贝克抑郁症清单 (BDI) 和DASS-21分数,IL-6,NO,TNF-α水平和不良事件.
主要成果:
- 益生菌显著降低了贝克抑郁症库存 (BDI) 评分 (MD = -1.98).
- 益生菌干预显示了改善DASS-21分数的趋势 (MD = 0.90).
- 益生菌显著降低IL-6水平 (SMD = -0.55) 和增加NO水平 (MD = 5.27),而TNF-α水平没有显著变化 (SMD = 0.19).
结论:
- 益生菌显示出对抑郁症的治疗潜力.
- 它们可以显著缓解抑郁症状并降低BDI得分.
- 对特定菌株和机制的进一步研究是有必要的.
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