Depresyon, dünya üzerinde 300 milyondan fazla kişide görülmekte olan yaygın bir duygudurum bozukluğu olarak bilinmektedir. Depresyonun oluşum sebepleri genetik özellikler veya çevresel özelliklerden kaynaklı olabilir. En önemli çevresel faktörlerden biri ise beslenme durumudur. Sosyoekonomik durum, çeşitli psikolojik etmenler, kronik hastalıklar, gebelik, postpartum, menopoz, stres faktörleri, uyku düzeni gibi birçok etkenin yanı sıra; yetersiz veya dengesiz bir beslenme alışkanlığı, kafein tüketim seviyesi vb. beslenmeye bağlı etmenler depresyon belirtilerinin oluşumunda önemli rol oynar. Öte yandan, vitamin ve mineraller başta olmak üzere belli başlı besin ögesi eksikliklerinin giderilmesi, depresyonun önlenmesini veya oluşumundan sonra tedavisini sağlayabilir. Beslenmeye bağlı etmenler arasında üzerine en fazla araştırılma yapılan konulardan biri mikronütrient eksiklikleridir. Hem vitamin hem de mineral eksiklikleri nörolojik yolakları ve nörolojik fonksiyonları etkileyen en önemli faktörler arasında bulunmaktadır. Bu sebeple, vitamin ve minerallerin depresyonun önlenmesi ve tedavisinde görev alabileceği düşünülmektedir. Bu alanda, özellikle mineraller konusunda oldukça fazla araştırma ve klinik çalışma yapılmış bulunmakta; ancak hâlâ kesin bir kanıya varabilmek için daha fazla veriye ihtiyaç duyulmaktadır. Minerallerin nörolojik fonksiyonlar ve bu seviyede görev alan enzimler üzerindeki önemli etkisi günümüze dek birçok çalışmada ortaya konulmuştur. Bu çalışmada, çeşitli veri tabanları taranmış ve demir, çinko, bakır ve magnezyum elementlerinin depresyonun önlenmesindeki ve depresyon tedavisindeki rollerini araştıran yayınlar incelenmiştir.
Anahtar Kelimeler: Depresyon; demir; çinko; bakır; magnezyum
Depression is a common mood disorder seen in over 300 million people worldwide. Causes of depression may be caused by genetic factors or environmental factors. Nutritional status is one of the most important environmental factors. In addition to many factors such as socioeconomic status, various psychological factors, chronic diseases, pregnancy, postpartum, menopause, stress factors, sleep patterns; nutrition-related factors such as inadequate or unbalanced nutritional habits, caffeine consumption levels and so on, play an important role in the development of depression symptoms. On the other hand, the elimination of certain nutrient deficiencies, especially vitamins and minerals, can prevent the development of or help treating depression. Among the factors related to nutrition, one of the most investigated subjects is micronutrient deficiencies. Both vitamin and mineral deficiencies are among the most important factors affecting neurological pathways and neurological functions. Therefore, it is thought that vitamins and minerals might be involved in the prevention and treatment of depression. Many researches and clinical studies have been done in this area, especially on minerals; however, there is still a need for more data to reach a definitive conclusion. The important effect of minerals on neurological functions and enzymes involved in this level has been demonstrated in many studies. In this review, various databases were scanned and publications investigating the roles of iron, zinc, copper and magnesium elements in the prevention of depression and the treatment of depression are examined.
Keywords: Depression; iron; zinc; copper; magnesium
- Reynolds CF 3rd, Dew MA, Pollock BG, Mulsant BH, Frank E, Miller MD, et al. Maintenance treatment of major depression in old age. N Engl J Med. 2006;354(11):1130-8. [Crossref] [PubMed]
- Wells KB, Hays RD, Burnam MA, Rogers W, Greenfield S, Ware JE Jr. Detection of depressive disorder for patients receiving prepaid or fee-for-service care: results from the Medical Outcomes Study. JAMA. 1989;262(23):3298-302. [Crossref] [PubMed]
- Bromet E, Andrade LH, Hwang I, Sampson NA, Alonso J, de Girolamo G, et al. Cross-national epidemiology of DSM-IV major depressive episode. BMC Med. 2011;9:90. [Crossref] [PubMed] [PMC]
- World Health Organization. Public health round-up. Bull World Health Organ. 2017;95(4):244-5. [Crossref] [PubMed] [PMC]
- Rao TS, Asha MR, Ramesh BN, Rao KS. Understanding nutrition, depression and mental illnesses. Indian J Psychiatry. 2008;50(2):77-82. [Crossref] [PubMed] [PMC]
- Ferrari AJ, Charlson FJ, Norman RE, Patten SB, Freedman G, Murray CJ, et al. Burden of depressive disorders by country, sex, age, and year: findings from the global burden of disease study 2010. PLoS Med. 2013;10(11):e1001547. [Crossref] [PubMed] [PMC]
- Rebar AL, Stanton R, Geard D, Short C, Duncan MJ, Vandelanotte C. A meta-meta-analysis of the effect of physical activity on depression and anxiety in non-clinical adult populations. Health Psychol Rev. 2015;9(3):366-78. [Crossref] [PubMed]
- Li F, Liu X, Zhang D. Fish consumption and risk of depression: a meta-analysis. J Epidemiol Community Health. 2016;70(3):299-304. [Crossref] [PubMed]
- Wang L, Shen X, Wu Y, Zhang D. Coffee and caffeine consumption and depression: a meta-analysis of observational studies. Aust N Z J Psychiatry. 2016;50(3):228-42. [Crossref] [PubMed]
- Yokoyama Y, Kitamura A, Yoshizaki T, Nishi M, Seino S, Taniguchi Y, et al. Score-based and nutrient-derived dietary patterns are associated with depressive symptoms in community-dwellingolder Japanese: a cross-sectional study. J Nutr Health Aging. 2019;23(9):896-903. [Crossref] [PubMed]
- Eby GA 3rd, Eby KL. Magnesium for treatment-resistant depression: a review and hypothesis. Med Hypotheses. 2010;74(4):649-60. [Crossref] [PubMed]
- Fava M, Davidson KG. Definition and epidemiology of treatment-resistant depression. Psychiatr Clin North Am. 1996;19(2):179-200. [Crossref]
- Dusek P, Jankovic J, Le W. Iron dysregulation in movement disorders. Neurobiol Dis. 2012;46(1):1-18. [Crossref] [PubMed]
- Heninger GR, Delgado PL, Charney DS. The revised monoamine theory of depression: a modulatory role for monoamines, based on new findings from monoamine depletion experiments in humans. Pharmacopsychiatry. 1996;29(1):2-11. [Crossref] [PubMed]
- Sobolevskii AI, Khodorov BI. Blocker studies of the functional architecture of the NMDA receptor channel. Neurosci Behav Physiol. 2002;32(2):157-71. [Crossref] [PubMed]
- Khedr E, Hamed SA, Elbeih E, El-Shereef H, Ahmad Y, Ahmed S. Iron states and cognitive abilities in young adults: neuropsychological and neurophysiological assessment. Eur Arch Psychiatry Clin Neurosci. 2008;258(8):489-96. [Crossref] [PubMed]
- Li Z, Li B, Song X, Zhang D. Dietary zinc and iron intake and risk of depression: a meta-analysis. Psychiatry Res. 2017;251:41-7. [Crossref] [PubMed]
- Baune BT, Neuhauser H, Ellert U, Berger K. The role of the inflammatory markers ferritin, transferrin and fibrinogen in the relationship between major depression and cardiovascular disorders-The German Health Interview and Examination Survey. Acta Psychiatr Scand. 2010;121(2):135-42. [Crossref] [PubMed]
- Yi S, Nanri A, Poudel-Tandukar K, Nonaka D, Matsushita Y, Hori A, et al. Association between serum ferritin concentrations and depressive symptoms in Japanese municipal employees. Psychiatry Res. 2011;189(3):368-72. [Crossref] [PubMed]
- Stelzhammer V, Haenisch F, Chan MK, Cooper JD, Steiner J, Steeb H, et al. Proteomic changes in serum of first onset, antidepressant drug-naïve major depression patients. Int J Neuropsychopharmacol. 2014;17(10):1599-608. [Crossref] [PubMed]
- Lever-van Milligen BA, Vogelzangs N, Smit JH, Penninx BW. Hemoglobin levels in persons with depressive and/or anxiety disorders. J Psychosom Res. 2014;76(4):317-21. [Crossref] [PubMed]
- Korkmaz S, Yıldız S, Korucu T, Gundogan B, Sunbul ZE, Korkmaz H, et al. Frequency of anemia in chronic psychiatry patients. Neuropsychiatr Dis Treat. 2015;11:2737-41. [Crossref] [PubMed] [PMC]
- Lomagno KA, Hu F, Riddell LJ, Booth AO, Szymlek-Gay EA, Nowson CA, et al. Increasing iron and zinc in pre-menopausal women and its effects on mood and cognition: a systematic review. Nutrients. 2014;6(11):5117-41. [Crossref] [PubMed] [PMC]
- Kathlen ML, Escott SS. Krause's Food Nutrition and Diet Therapy. 10th ed. Philadelphia: Chapman & Hall; 2004. p.132.
- Shafi M, Taufiq F, Mehmood H, Afsar S, Badar A. Relation between depressive disorder and iron deficiency anemia among adults reporting to a secondary healthcare facility: a hospital-based case control study. J Coll Physicians Surg Pak. 2018;28(6):456-9. [Crossref] [PubMed]
- Pamuk GE, Uyanik MS, Top MS, Tapan U, Ak R, Uyanik V. Gastrointestinal symptoms are closely associated with depression in iron deficiency anemia: a comparative study. Ann Saudi Med. 2015;35(1):31-5. [Crossref] [PubMed] [PMC]
- Murat S, Ali U, Serdal K, Süleyman D, İlknur P, Mehmet S, et al. Assessment of subjective sleep quality in iron deficiency anaemia. Afr Health Sci. 2015;15(2):621-7. [Crossref] [PubMed] [PMC]
- Hidese S, Saito K, Asano S, Kunugi H. Association between iron‐deficiency anemia and depression: a web‐based Japanese investigation. Psychiatry Clin Neurosci. 2018;72(7):513-21. [Crossref] [PubMed]
- Li Z, Wang W, Xin X, Song X, Zhang D. Association of total zinc, iron, copper and selenium intakes with depression in the US adults. J Affect Disord. 2018;228:68-74. [Crossref] [PubMed]
- Dziembowska I, Kwapisz J, Izdebski P, Żekanowska E. Mild iron deficiency may affect female endurance and behavior. Physiol Behav. 2019;205:44-50. [Crossref] [PubMed]
- Joe P, Getz M, Redman S, Petrilli M, Kranz TM, Ahmad S, et al. Serum zinc levels in acute psychiatric patients: a case series. Psychiatry Res. 2018;261:344-50. [Crossref] [PubMed]
- Ghasemi A, Zahediasl S, Hosseini-Esfahani F, Azizi F. Reference values for serum zinc concentration and prevalence of zinc deficiency in adult Iranian subjects. Biol Trace Elem Res. 2012;149(3):307-14. [Crossref] [PubMed]
- Maret W. Zinc biochemistry: from a single zinc enzyme to a key element of life. Adv Nutr. 2013;4(1):82-91. [Crossref] [PubMed] [PMC]
- Bitanihirwe BK, Cunningham MG. Zinc: the brain's dark horse. Synapse. 2009;63(11):1029-49. [Crossref] [PubMed]
- Hambidge M. Human zinc deficiency. J Nutr. 2000;130(5S Suppl):1344S-9S. [Crossref] [PubMed]
- Szewczyk B, Kubera M, Nowak G. The role of zinc in neurodegenerative inflammatory pathways in depression. Prog Neuropsychopharmacol Biol Psychiatry. 2011;35(3):693-701. [Crossref] [PubMed]
- Scheiber I, Dringen R, Mercer JF. Copper: effects of deficiency and overload. In: Sigel A, Sigel H, Sigel RKO, eds. Interrelations Between Essential Metal Ions and Human Diseases. 1st ed. Dordrecht: Springer; 2013. p.359-87. [Crossref]
- Gonoodi K, Moslem A, Ahmadnezhad M, Darroudi S, Mazloum Z, Tayefi M, et al. Relationship of dietary and serum zinc with depression score in Iranian adolescent girls. Biol Trace Elem Res. 2018;186(1):91-7. [Crossref] [PubMed]
- Wang J, Um P, Dickerman B, Liu J. Zinc, magnesium, selenium and depression: a review of the evidence, potential mechanisms and implications. Nutrients. 2018;10(5):584. [Crossref] [PubMed] [PMC]
- Ranjbar E, Kasaei MS, Mohammad-Shirazi M, Nasrollahzadeh J, Rashidkhani B, Shams J, et al. Effects of zinc supplementation in patients with major depression: a randomized clinical trial. Iran J Psychiatry. 2013;8(2):73-9.
- Tahmasebi K, Amani R, Nazari Z, Ahmadi K, Moazzen S, Mostafavi SA. Association of mood disorders with serum zinc concentrations in adolescent female students. Biol Trace Elem Res. 2017;178(2):180-8. [Crossref] [PubMed]
- Swardfager W, Herrmann N, Mazereeuw G, Goldberger K, Harimoto T, Lanctôt KL. Zinc in depression: a meta-analysis. Biol Psychiatry. 2013;74(12):872-8. [Crossref] [PubMed]
- Dickerman B, Liu J. Do the micronutrients zinc and magnesium play a role in adult depression? Top Clin Nutr. 2011;26(3):257-67. [Crossref] [PubMed] [PMC]
- Russo AJ. Analysis of plasma zinc and copper concentration, and perceived symptoms, in individuals with depression, post zinc and anti-oxidant therapy. Nutr Metab Insights. 2011;4:19-27. [Crossref] [PubMed] [PMC]
- Dale E, Bang-Andersen B, Sánchez C. Emerging mechanisms and treatments for depression beyond SSRIs and SNRIs. Biochem Pharmacol. 2015;95(2):81-97. [Crossref] [PubMed]
- Wapnir RA. Copper absorption and bioavailability. Am J Clin Nutr. 1998;67(5 Suppl):1054-60. [Crossref] [PubMed]
- Choi BS, Zheng W. Copper transport to the brain by the blood-brain barrier and blood-CSF barrier. Brain Res. 2009;1248:14-21. [Crossref] [PubMed] [PMC]
- Scheiber IF, Mercer JF, Dringen R. Metabolism and functions of copper in brain. Prog Neurobiol. 2014;116:33-57. [Crossref] [PubMed]
- Collins JF, Prohaska JR, Knutson MD. Metabolic crossroads of iron and copper. Nutr Rev. 2010;68(3):133-47. [Crossref] [PubMed] [PMC]
- Młyniec K, Gaweł M, Doboszewska U, Starowicz G, Pytka K, Davies CL, et al. Essential elements in depression and anxiety. Part II. Pharmacol Rep. 2015;67(2):187-94. [Crossref] [PubMed]
- Ni M, You Y, Chen J, Zhang L. Copper in depressive disorder: a systematic review and meta-analysis of observational studies. Psychiatry Res. 2018;267:506-15. [Crossref] [PubMed]
- Kim TH, Choi JY, Lee HH, Park Y. Associations between dietary pattern and depression in Korean adolescent girls. J Pediatr Adolesc Gynecol. 2015;28(6):533-7. [Crossref] [PubMed]
- Kamath SU, Chaturvedi A, Yerrapragada DB, Kundapura N, Amin N, Devaramane V. Increased levels of acetylcholinesterase, paraoxonase 1, and copper in patients with moderate depression-a preliminary study. Rep Biochem Mol Biol. 2019;7(2):174.
- Gaetke LM, Chow-Johnson HS, Chow CK. Copper: toxicological relevance and mechanisms. Arch Toxicol. 2014;88(11):1929-38. [Crossref] [PubMed] [PMC]
- de Baaij JH, Hoenderop JG, Bindels RJ. Magnesium in man: implications for health and disease. Physiol Rev. 2015;95(1):1-46. [Crossref] [PubMed]
- Serefko A, Szopa A, Wlaź P, Nowak G, Radziwoń-Zaleska M, Skalski M, et al. Magnesium in depression. Pharmacol Rep. 2013;65(3):547-54. [Crossref]
- Murck H. Magnesium and affective disorders. Nutr Neurosci. 2002;5(6):375-89. [Crossref] [PubMed]
- Boyle NB, Lawton C, Dye L. The effects of magnesium supplementation on subjective anxiety and stress-a systematic review. Nutrients. 2017;9(5):429. [Crossref] [PubMed] [PMC]
- Cubała WJ, Landowski J, Dziadziuszko M, Chrzanowska A, Wielgomas B. Magnesium, C-reactive protein, and cortisol in drug-naïve patients with short illness-duration, first episode major depressive disorder: possible immunomodulatory role for magnesium. Magnes Res. 2016;29(4):169-74. [Crossref] [PubMed]
- Howren MB, Lamkin DM, Suls J. Associations of depression with C-reactive protein, IL-1, and IL-6: a meta-analysis. Psychosom Med. 2009;71(2):171-86. [Crossref] [PubMed]
- Ehlert U, Gaab J, Heinrichs M. Psychoneuroendocrinological contributions to the etiology of depression, posttraumatic stress disorder, and stress-related bodily disorders: the role of the hypothalamus-pituitary-adrenal axis. Biol Psychol. 2001;57(1-3):141-52. [Crossref]
- Pochwat B, Sowa-Kucma M, Kotarska K, Misztak P, Nowak G, Szewczyk B. Antidepressant-like activity of magnesium in the olfactory bulbectomy model is associated with the AMPA/BDNF pathway. Psychopharmacology (Berl). 2015;232(2):355-67. [Crossref] [PubMed] [PMC]
- Jacka FN, Overland S, Stewart R, Tell GS, Bjelland I, Mykletun A. Association between magnesium intake and depression and anxiety in community-dwelling adults: the Hordaland Health Study. Aust N Z J Psychiatry. 2009;43(1):45-52. [Crossref] [PubMed]
- Sun C, Wang R, Li Z, Zhang D. Dietary magnesium intake and risk of depression. J Affect Disord. 2019;246:627-32. [Crossref] [PubMed]
- Tarleton EK, Littenberg B, MacLean CD, Kennedy AG, Daley C. Role of magnesium supplementation in the treatment of depression: a randomized clinical trial. PLoS One. 2017;12(6):e0180067. [Crossref] [PubMed] [PMC]
- Martínez-González MÁ, Sánchez-Villegas A. Magnesium intake and depression: the SUN cohort. Magnes Res. 2016;29(3):102-11.
- Yary T, Lehto SM, Tolmunen T, Tuomainen TP, Kauhanen J, Voutilainen S, et al. Dietary magnesium intake and the incidence of depression: a 20-year follow-up study. J Affect Disord. 2016;193:94-8. [Crossref] [PubMed]
- Tarleton EK, Kennedy AG, Rose GL, Crocker A, Littenberg B. The association between serum magnesium levels and depression in an adult primary care population. Nutrients. 2019;11(7):1475. [Crossref] [PubMed] [PMC]
- Nakamura M, Miura A, Nagahata T, Shibata Y, Okada E, Ojima T. Low zinc, copper, and manganese intake is associated with depression and anxiety symptoms in the japanese working population: findings from the eating habit and well-being study. Nutrients. 2019;11(4):847. [Crossref] [PubMed] [PMC]
- Twayej AJ, Al-Hakeim HK, Al-Dujaili AH, Maes M. Lowered zinc and copper levels in drug-naïve patients with major depression: effects of antidepressants, ketoprofen and immune activation. World J Biol Psychiatry. 2019;1-12. [Crossref] [PubMed]
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