维生素B摄入量与中风后抑郁:2007-2018年美国国家健康与营养检查调查(NHANES)的结果

IF 1.3 4区 医学 Q4 PSYCHIATRY
Mei Liu, Yanyu Sun, Jin Wu
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引用次数: 0

摘要

目的卒中后抑郁(PSD)是卒中后最常见的精神障碍,约占卒中幸存者的30%。关于饮食中b族维生素摄入量对PSD风险的影响,我们知之甚少。这项分析研究了中风患者饮食中维生素b的摄入量与抑郁之间的关系。方法选取2007-2018年全国健康与营养调查(NHANES)中1080例年龄≥20岁的卒中患者为研究对象。采用9项患者健康问卷(PHQ-9)评估抑郁症状。采用多元logistic回归分析检验膳食B族维生素摄入量与PSD之间的关系。结果在控制潜在混杂因素(性别、年龄、种族、BMI、家庭PIR、文化程度、婚姻状况、疾病史、高血压、高胆固醇血症、糖尿病、吸烟、饮酒和能量)后,膳食维生素B1 (P = 0.002)和B6 (P = 0.002)摄入量与PHQ-9评分呈显著负相关。不健康生活方式因素和炎症相关指标显著改变了这些相关性。结论膳食维生素B1和B6摄入量与PSD风险呈负相关。维生素B1或B6与PSD之间的关系受到不健康生活方式因素和炎症相关指标的影响。未来的前瞻性研究需要确定较高的膳食维生素B1和B6摄入量与较低的PSD风险之间的因果关系。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Vitamin B Intake and Post-stroke Depression: Results From the US National Health and Nutrition Examination Survey (NHANES) 2007-2018.

ObjectivePost-stroke depression (PSD) is the most frequent psychiatric disorder after stroke, occurring in about 30% of stroke survivors. Little is known about the influence of dietary B-vitamin intake on PSD risk. This analysis examined the relationship between dietary B-vitamin intake and depression among stroke patients.MethodsA total of 1080 patients aged ≥20 years and having suffered a stroke participating in the 2007-2018 National Health and Nutritional Examination Surveys (NHANES) were included in this cross-sectional study. Depressive symptoms were evaluated using the 9-item Patient Health Questionnaire (PHQ-9). The association between dietary B vitamins intake and PSD was examined using multiple logistic regression analysis.ResultsAfter controlling for potential confounders (sex, age, race, BMI, family PIR, education level, marital status, history of disease, hypertension, hypercholesterolemia, diabetes, smoking, alcohol use and energy), significant inverse associations were found between dietary vitamin B1 (P = 0.002) and B6 (P = 0.002) intake and PHQ-9 scores. These association were significantly modified by unhealthy lifestyle factors and inflammation-related indicators.ConclusionsDietary vitamin B1 and B6 intake were inversely associated with PSD risk. The association between vitamin B1 or B6 and PSD was modified by unhealthy lifestyle factors and inflammation-related indicators. Future prospective studies are needed to determine the causal relationship between higher dietary vitamin B1 and B6 intake and a lower risk of PSD.

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来源期刊
CiteScore
3.00
自引率
5.00%
发文量
55
审稿时长
6-12 weeks
期刊介绍: The International Journal of Psychiatry in Medicine (IJPM) bridges the gap between clinical psychiatry research and primary care clinical research. Providing a forum for addressing: The relevance of psychobiological, psychological, social, familial, religious, and cultural factors in the development and treatment of illness; the relationship of biomarkers to psychiatric symptoms and syndromes in primary care...
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