在患有精神疾病的患者中,叶酸状况受损
Narvini Rajen1, Hanne Wrengler Velure2, Erik Johnsen2,3,4
1Department of Medical Biochemistry and Pharmacology, Haukeland University Hospital, Bergen, Norway.
Acta neuropsychiatrica
|January 20, 2025
概括
叶酸缺乏症在精神病患者中很常见,与更高的同类半氨酸水平有关. 保持足够的叶酸水平可能会改善心理健康症状.
科学领域:
- 营养精神病学 营养精神病学
- 临床生物化学 临床生物化学
- 心理健康研究 心理健康研究
背景情况:
- 叶酸和可巴胺缺乏与神经精神症状有关.
- 遗传因素可能会影响叶酸和胺代谢.
- 了解营养状况对于管理精神障碍至关重要.
研究的目的:
- 在精神病患者中比较叶酸和胺的状况与初级保健对照.
- 确定心理障碍患者随访的重要因素.
- 调查营养状况和代谢标志物之间的关系.
主要方法:
- 来自精神病急性病房患者 (n=981) 和初级保健对照组 (n=32,201) 的匿名血液样本的回顾性分析.
- 测试了血清叶酸,可巴胺,总同型半氨酸 (tHcy),肌氨酸和淋巴膜过率.
- 数据包括年龄和性别.
主要成果:
- 精神病患者的血清叶酸中位数比对照人群低18%,血清科巴胺中位数比对照人群高11%.
- 叶酸缺乏与精神病患者的THCY水平提高54%有关.
- 叶酸缺乏症的患病率为31%,在精神病科中,胺缺乏症为6%.
结论:
- 叶酸缺乏,而不是胺缺乏,在挪威精神病患者中很普遍.
- 叶酸缺乏症患者的tHcy升高表明叶酸代谢受损,可能是由于MTHFR基因多态.
- 维持血清叶酸>15nmol/L和可巴胺>250pmol/L可能会改善精神障碍症状.
相关概念视频
Depression: Overview
211
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,...
211
Negative and Cognitive Symptoms of Schizophrenia
41
Negative symptoms of schizophrenia indicate a reduction or absence of typical behaviors and emotional responses found in healthy individuals, while positive symptoms reflect an excess or distortion of normal functioning.
Negative Symptoms
Negative symptoms of schizophrenia manifest as deficits in normal emotional and behavioral functioning, profoundly impacting daily life. Individuals with schizophrenia often display a flat affect, characterized by a near-total absence of emotional expression,...
Negative Symptoms
Negative symptoms of schizophrenia manifest as deficits in normal emotional and behavioral functioning, profoundly impacting daily life. Individuals with schizophrenia often display a flat affect, characterized by a near-total absence of emotional expression,...
41
Antidepressant Drugs: MAOIs and Other Agents
186
Atypical antidepressants, including bupropion (Wellbutrin), mirtazapine (Remeron), nefazodone (Serzone), trazodone (Desyrel), and vilazodone (Viibryd), offer unique mechanisms of action. Bupropion weakly inhibits dopamine and norepinephrine reuptake, aiding depression treatment and smoking cessation, with a low risk of sexual dysfunction. Mirtazapine enhances serotonin and norepinephrine neurotransmission, leading to sedation, increased appetite, and weight gain. As a result, it helps treat...
186
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
314
Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
314
Intellectual Disability
38
Intellectual disability (ID) is a neurodevelopmental condition characterized by deficits in intellectual and adaptive functioning that manifest during the developmental period. This condition encompasses challenges in reasoning, memory, problem-solving, and learning, accompanied by impairments in everyday life skills, such as communication, self-care, and social interactions. Intellectual disability affects approximately 1% of the population in the United States, impacting an estimated 5...
38
Stress and Mental Health
71
Chronic stress profoundly affects mental health, significantly influencing mood, behavior, and overall quality of life. Research closely links chronic stress with mental health conditions such as depression, anxiety, and substance use disorders. Ongoing exposure to stress can lead to physiological and psychological changes, initiating a cycle of emotional distress and maladaptive coping mechanisms.
Individuals with depression often experience challenges in both their personal and professional...
Individuals with depression often experience challenges in both their personal and professional...
71


