在中风急性阶段的维生素D缺乏可能预测中风后抑郁症:系统性审查和元分析
Yongjun Tan1, Xiaojun Jing1, Jiani Wang1
1Department of Neurology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Journal of geriatric psychiatry and neurology
|August 23, 2024
概括
急性中风患者的维生素D缺乏与中风后抑郁症 (PSD) 的更高风险有关. 与没有PSD患者相比,PSD患者的维生素D水平较低.
科学领域:
- 神经学 神经学
- 营养神经科学 营养神经科学
- 临床研究 临床研究
背景情况:
- 脑卒中后抑郁症 (PSD) 是中风后的一个常见并发症.
- 维生素D缺乏症在中风患者中很普遍,可能会影响神经恢复和情绪障碍.
研究的目的:
- 研究中风急性阶段维生素D水平与中风后抑郁症 (PSD) 的发展之间的关联.
主要方法:
- 对观察性研究进行了系统审查和元分析.
- 搜索了五个国际和一个中国数据库,截至2024年5月.
- 包括7项涉及3537名参与者的研究,全部在中国进行.
主要成果:
- 与非PSD患者相比,中风患者在急性阶段患有中风后抑郁症的维生素D水平明显较低.
- 维生素D缺乏 (<50nmol/L) 与PSD风险增加3.59倍有关.
- 在维生素D不足 (50-75 nmol/L) 和PSD之间没有发现统计学意义上的关联.
结论:
- 在中风的急性阶段,维生素D缺乏似乎是患中风后抑郁症的重要危险因素.
- 进一步的研究可能会探索在中风患者中补充维生素D的治疗潜力,以减轻PSD风险.
更多相关视频
10:46A Method of Trigonometric Modelling of Seasonal Variation Demonstrated with Multiple Sclerosis Relapse Data
Published on: December 9, 2015
10.7K
06:55An Unpredictable Chronic Mild Stress Protocol for Instigating Depressive Symptoms, Behavioral Changes and Negative Health Outcomes in Rodents
Published on: December 2, 2015
22.4K
相关概念视频
Role of Vitamins in Maintaining Bone Health
3.2K
The growth and maintenance of bone are regulated by a combination of nutritional factors, including vitamins, such as vitamin A, B12, C, D, and K.
Vitamin A
Vitamin A is involved in the process of bone remodeling. Retinoic acid, the active metabolite of Vitamin A, has nuclear receptors in osteoblasts and osteoclasts, which are involved in bone remodeling.
Vitamin B12
Vitamin B12 acts as a cofactor during the formation of osteoblast-related proteins, such as osteocalcin. Vitamin B12 plays a role...
Vitamin A
Vitamin A is involved in the process of bone remodeling. Retinoic acid, the active metabolite of Vitamin A, has nuclear receptors in osteoblasts and osteoclasts, which are involved in bone remodeling.
Vitamin B12
Vitamin B12 acts as a cofactor during the formation of osteoblast-related proteins, such as osteocalcin. Vitamin B12 plays a role...
3.2K
Role of Skin in Vitamin D Synthesis
5.1K
The skin plays a crucial role in the synthesis of vitamin D, a vital nutrient for various physiological processes in the body. Vitamin D is unique because it can be synthesized in the skin through a series of chemical reactions triggered by exposure to ultraviolet B (UVB) radiation from sunlight.
The solar UV B rays (290-315 nm) are absorbed by the skin, and 7-dehydrocholesterol (provitamin D3) photolyzes it to previtamin D3, which undergoes a rapid transformation to vitamin...
The solar UV B rays (290-315 nm) are absorbed by the skin, and 7-dehydrocholesterol (provitamin D3) photolyzes it to previtamin D3, which undergoes a rapid transformation to vitamin...
5.1K
Depression: Overview
228
Depression is a prevalent mental illness marked by persistent sadness and lack of interest in previously enjoyable activities. It can take several forms, including major depression, persistent depressive disorder, and bipolar I and II disorders. Symptoms range from emotional changes like chronic worry to physical changes like sleep disturbances and suicidal thoughts. From a neurobiological perspective, depression is believed to be triggered by abnormalities in the brain's prefrontal cortex,...
228
Long-term Depression
2.5K
Long-term depression, or LTD, is one of the ways by which synaptic plasticity—changes in the strength of chemical synapses—can occur in the brain. LTD is the process of synaptic weakening that occurs over time between pre and postsynaptic neuronal connections. The synaptic weakening of LTD works in opposition to synaptic strengthening by long-term potentiation (LTP) and together are the main mechanisms that underlie learning and memory.
Calcium Ion Concentration Mechanism
If over...
Calcium Ion Concentration Mechanism
If over...
2.5K
Depressive Disorders: MDD and Dysthymia
71
Depressive disorders are a group of mental health conditions characterized by pervasive feelings of sadness, diminished pleasure in life, and a significant impact on daily functioning. These conditions are most prevalent in individuals during their 30s and affect women at twice the rate of men. Contrary to popular belief, younger individuals are generally more susceptible to these disorders than older adults. Two key types of depressive disorders include Major Depressive Disorder (MDD) and...
71
