Vitamin B complex

复合维生素 B
  • 文章类型: Journal Article
    癌变与表达密切相关,维护,DNA的稳定性。这些过程由单碳代谢(1CM)调节,其中涉及复合维生素B(叶酸,B2、B6和B12),而酒精由于叶酸活性的抑制而破坏了循环。综述了与1CM(所有上述维生素和酒精)相关的营养素在乳腺癌中的关系。还分析了与1CM相关的基因的相互作用。通过考虑高加索人群中的次要等位基因频率和连锁不平衡来选择位于这些基因中的单核苷酸多态性。使用各种工具(FUMA,ShinyGO,和REVIGO)以及诸如京都基因和基因组百科全书(KEGG)和GeneOntology(GO)之类的数据库。这项研究的结果表明,摄入1CM相关的复合维生素B是预防乳腺癌发展和生存的关键。此外,参与1CM的基因在乳腺组织中过度表达,参与多种与癌症相关的生物学现象。此外,这些基因参与导致几种类型肿瘤的改变,包括乳腺癌.因此,这项研究支持单碳代谢B族复合维生素和基因在乳腺癌中的作用;两者的相互作用应在未来的研究中得到解决.
    Carcinogenesis is closely related to the expression, maintenance, and stability of DNA. These processes are regulated by one-carbon metabolism (1CM), which involves several vitamins of the complex B (folate, B2, B6, and B12), whereas alcohol disrupts the cycle due to the inhibition of folate activity. The relationship between nutrients related to 1CM (all aforementioned vitamins and alcohol) in breast cancer has been reviewed. The interplay of genes related to 1CM was also analyzed. Single nucleotide polymorphisms located in those genes were selected by considering the minor allele frequency in the Caucasian population and the linkage disequilibrium. These genes were used to perform several in silico functional analyses (considering corrected p-values < 0.05 as statistically significant) using various tools (FUMA, ShinyGO, and REVIGO) and databases such as the Kyoto Encyclopedia of Genes and Genomes (KEGG) and GeneOntology (GO). The results of this study showed that intake of 1CM-related B-complex vitamins is key to preventing breast cancer development and survival. Also, the genes involved in 1CM are overexpressed in mammary breast tissue and participate in a wide variety of biological phenomena related to cancer. Moreover, these genes are involved in alterations that give rise to several types of neoplasms, including breast cancer. Thus, this study supports the role of one-carbon metabolism B-complex vitamins and genes in breast cancer; the interaction between both should be addressed in future studies.
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  • 文章类型: Journal Article
    背景:已证明,B族维生素通过促进动物体内广泛的代谢途径,作为辅因子改善动物性能。
    目的:本研究旨在探讨母体注射复合维生素B对山羊及其后代生产性能和血浆参数的影响。以及新生儿的粪便状况。
    方法:在这项研究中,将妊娠山羊(3岁)随机分为两组:对照组(不注射复合维生素B)和复合维生素B组(每只动物注射5mL复合维生素B)。在过渡期期间(开玩笑前5周和开玩笑后5周)向动物注射5mLB复合维生素两次。对过渡期的山羊和第10、20和30天的孩子称重。每天记录山羊的饲料摄入量以及孩子的牛奶和发酵剂的摄入量。通过在上周收集粪便和饲料样品5天来测试孩子的干物质消化率。使用AOAC方法测定化学分析。研究期间每天准备孩子们的粪便。山羊和新生儿的血液样本是在开玩笑7天后采集的。然后,B族维生素的水平,以及肝酶的浓度,甲状腺激素和免疫学参数,在山羊及其后代的血浆中测定。此外,在山羊血浆中测量葡萄糖和胰岛素的浓度(Asadi等人。,2024).
    结果:根据结果,山羊及其后代的表演,以及孩子的粪便状况,通过母体B复合维生素注射得到改善(p<0.0001)。钴胺素的水平,吡哆醇,硫胺素,叶酸,烟碱,在过渡期,与对照组相比,复合维生素B组的山羊及其孩子的血浆中泛酸和未结合的蝶啶增加(p<0.0001)。母体维生素B复合维生素的注射提高了三碘甲状腺原氨酸和四碘甲状腺原氨酸的血浆水平,山羊及其后代的免疫球蛋白G和免疫球蛋白M(p<0.0001)。在注射复合维生素B的山羊中确定了较高的葡萄糖水平和较低的胰岛素水平(p<0.0001)。
    结论:这些结果表明,母体需要注射复合维生素B来改善性能,怀孕山羊及其孩子的健康状况和血浆参数。
    BACKGROUND: It is proven that B vitamins through promote a wide range of metabolic pathways in animals as cofactors improve animal performance.
    OBJECTIVE: This study was conducted to investigate the impacts of maternal B complex vitamin injection on performance and plasma parameters in goats and their offspring, as well as the faeces status of newborn kids.
    METHODS: In this research, the pregnant goats (3 years old) were randomly divided into two groups: the control group (without B complex vitamin injection) and the B complex vitamin group (5 mL B complex vitamin injection per animal). The animals were injected with 5 mL B complex vitamin twice during the transition period (5 weeks pre- and 5 weeks post-kidding). The goats during the transition period and kids on days 10, 20 and 30 were weighed. Feed intake by goats and consumption of milk and starter in kids were recorded daily. The dry matter digestibility by kids was tested by collecting samples of faeces and feed for 5 days in the last week. Chemical analysis was determined using the AOAC method. The kids\' faeces were prepared daily during the study. The blood samples of goats and newborn kids were taken 7 days after kidding. Then, levels of B group vitamin, as well as concentrations of liver enzymes, thyroid hormones and immunological parameters, were determined in plasma of goat and their offspring. In addition, concentrations of glucose and insulin were measured in goat plasma (Asadi et al., 2024).
    RESULTS: According to results, the performances of goats and their offspring, as well as kids\' faeces status, were improved by maternal B complex vitamin injection (p < 0.0001). The levels of cobalamin, pyridoxine, thiamine, folic acid, nicotinic, pantothenic and unconjugated pteridine increased in the plasma of goats and their kids in the B complex vitamin group compared with the control group during the transition period (p < 0.0001). Injection of maternal B complex vitamin raised the plasma levels of triiodothyronine and tetraiodothyronine, immunoglobulin G and immunoglobulin M in goats and their offspring (p < 0.0001). Higher levels of glucose and lower levels of insulin were determined in the goats injected with B complex vitamin (p < 0.0001).
    CONCLUSIONS: These results suggest that maternal B complex vitamin injection is required for the improvement of performance, health status and the blood plasma parameters in pregnant goats and their kids.
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  • 文章类型: Journal Article
    关于用叶酸(FA)强制强化食物的政策可能会影响基于叶酸的B族维生素治疗对老年人认知功能的有效性。我们批判性和系统地回顾了文献,以评估食物强化政策是否会影响基于叶酸的B族维生素治疗对老年人认知功能的功效。电子数据库,包括PubMed,WebofScience,和CNKI,搜索“认知功能”,\"叶酸\",和“老年人”。这项研究有具体的纳入标准,具体如下:(1)这些研究最初应该有针对60岁或以上老年人的随机对照试验;(2)这些研究必须评估叶酸状态和认知能力之间的关系;(3)这些研究应该阐明关于FA强化食物的政策.本审查遵循了系统审查和荟萃分析(PRISMA)报告指南的首选报告项目。两名审阅者独立提取了所有数据,任何差异都以协商一致方式解决。收集的所有数据都经过汇编,比较,并进行了批判性分析。随机效应模型用于评估干预措施的效果。系统审查包括51篇文章,涉及42,768名参与者。其中,这23篇文章被纳入荟萃分析.基于叶酸的B族维生素补充剂对认知功能的影响的荟萃分析显示出显着的总体影响(Z=3.84;p=0.0001;SMD,0.18;95%CI,0.09,0.28)。进一步的分析显示,以叶酸为基础的B族维生素补充剂可改善老年人认知障碍的国家未实施FA食品强化政策(Z=3.75;p=0.0002;SMD,0.27;95%CI,0.13,0.40)。然而,FA干预在FA食品强化政策强制性的地区没有显著结果(Z=0.75;p=0.45;SMD,0.03;95%CI,-0.06,0.13)。补充口服叶酸,单独或组合,与老年人认知能力的改善有关。虽然强制性FA强化改善了叶酸状态,额外的基于叶酸的B族维生素补充剂似乎不会影响认知功能。
    The policies regarding the mandatory fortification of food with folic acid (FA) may impact the effectiveness of folate-based B vitamin treatment on cognitive function in older adults. We critically and systematically review the literature to assess whether food fortification policies affect folate-based B vitamin treatment efficacy on cognition function in older adults. Electronic databases, including PubMed, Web of Science, and CNKI, were searched for \"Cognitive Function\", \"Folate\", and \"Older Adults\". The study had specific criteria for inclusion, which were as follows: (1) the studies should initially have randomized controlled trials that were conducted on older adults aged 60 or above; (2) the studies must assess the relationship between folate status and cognitive performance; and (3) the studies should clarify the policies regarding food fortification with FA. This review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) reporting guidelines. Two reviewers independently extracted all the data, and any discrepancies were resolved by consensus. All the data collected were compiled, compared, and analyzed critically. Random effects models were used to assess the effects of interventions. The systematic review included fifty-one articles involving 42,768 participants. Of these, the 23 articles were included in the meta-analysis. The meta-analysis on the effects of folate-based B vitamin supplementation on cognitive function showed a significant overall impact (Z = 3.84; p = 0.0001; SMD, 0.18; 95% CI, 0.09, 0.28). Further analysis revealed that FA food fortification policies were not implemented in countries where folate-based B vitamin supplementation improved cognitive impairment in older adults (Z = 3.75; p = 0.0002; SMD, 0.27; 95% CI, 0.13, 0.40). However, the FA intervention did not have significant outcomes in areas where FA food fortification policies were mandatory (Z = 0.75; p = 0.45; SMD, 0.03; 95% CI, -0.06, 0.13). Supplementing with oral folic acid, alone or in combination, has been linked to improved cognitive performance in older adults. While mandatory FA fortification has the improved folic acid status, additional folate-based B vitamin supplements do not appear to influence cognitive function.
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  • 文章类型: Journal Article
    先前的研究表明,B族维生素和同型半胱氨酸(Hcy)可能与精神障碍有关,但准确的因果关系尚不清楚.本研究旨在通过双样本孟德尔随机(MR)研究,阐明血清B族维生素和Hcy水平与五种常见精神障碍的潜在因果关系。在这个MR分析中,与叶酸相关的50个单核苷酸多态性(SNPs)-13,从大规模全基因组关联研究(GWAS)数据库获得17至维生素B6,8至维生素B12和12至Hcy,并用作工具变量(IV)。MR分析使用逆方差加权(IVW)进行,加权中位数(WM),进一步进行了MR-Egger方法和灵敏度分析以测试稳健性。这项MR研究发现血清维生素B12水平与焦虑症(比值比(OR):1.34,95%置信区间(CI):1.01-1.78,p=0.046)和双相情感障碍之间存在暗示性因果关系(OR:1.85,95%CI:1.16-2.96,p=0.010)。然而,叶酸,维生素B6和Hcy水平可能与精神障碍的风险无因果关系.总之,这项研究表明,血清维生素B12水平升高可能暗示增加焦虑和双相情感障碍的风险,即使水平多效性不能完全消除。我们的结果的潜在影响值得在基于不同人群的更大GWAS中进行验证。
    Previous studies show that B vitamins and homocysteine (Hcy) may be associated with mental disorders, but the accurate causal relationship remains unclear. This study aimed to elucidate the potential causal relationship of serum B vitamins and Hcy levels with five common mental disorders through a two-sample Mendelian randomization (MR) study. In this MR analysis, 50 single-nucleotide polymorphisms (SNPs)-13 related to folate, 17 to vitamin B6, 8 to vitamin B12 and 12 to Hcy-were obtained from a large-scale Genome-Wide Association Studies (GWAS) database and employed as instrumental variables (IVs). The MR analyses were conducted using the inverse variance weighted (IVW), weighted median (WM), MR-Egger methods and sensitivity analyses were further performed to test the robustness. This MR study found a suggestive causal relationships between serum vitamin B12 levels and the risk of anxiety disorders (odds ratio (OR): 1.34, 95% confidence interval (CI): 1.01-1.78, p = 0.046) and bipolar affective disorders (OR: 1.85, 95% CI: 1.16-2.96, p = 0.010). However, folate, vitamin B6 and Hcy levels may not be causally associated with the risk of mental disorders. In conclusion, this study reveals that elevated serum vitamin B12 levels might suggestively increase the risk of anxiety and bipolar affective disorders, even though horizontal pleiotropy cannot be completely eliminated. The potential implications of our results warrant validation in larger GWAS based on diverse populations.
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  • 文章类型: Journal Article
    目的:在这篇综述中,我们旨在总结有关B族维生素与抑郁症的免疫代谢方面的关联及其与肠-脑轴的关系的最新信息。
    B族维生素可能通过多种机制改变抑郁症状,例如减少氧化应激,炎症,肠道通透性,控制表观遗传学,改变微生物组,并刺激它产生许多有益的物质,如短链脂肪酸或神经递质:去甲肾上腺素,多巴胺,血清素,γ-氨基丁酸,还有乙酰胆碱.
    结论:具体来说,维生素B1(硫胺素),B6(吡哆醇),B9(叶酸),和B12(氰钴胺),已经观察到B2(核黄素)影响抑郁症。鉴于益生菌从B组中产生维生素的能力,改变肠道功能,炎症,或代谢功能障碍,它们的补充可能是免疫代谢形式抑郁症的一种可能的治疗方法。因此,摄入某些益生菌菌株同时控制所需的每日B族维生素摄入量可能会对抑郁症的病程产生积极影响。循环B族维生素代谢物水平,尤其是B9,B12和B6也可能是抑郁症的生物标志物.需要进一步调查以找到有关此主题的更有力证据。
    OBJECTIVE: In this review, we aim to summarize recent information about the association of B vitamins with immune-metabolic aspects of depression and their connection with the gut-brain axis.
    UNASSIGNED: B vitamins may alter depressive symptoms by many various mechanisms such as reducing oxidative stress, inflammation, gut permeability, controlling epigenetics, modifying the microbiome, and stimulating it to produce many beneficial substances such as short-chain fatty acids or neurotransmitters: norepinephrine, dopamine, serotonin, gamma-aminobutyric acid, and acetylcholine.
    CONCLUSIONS: Specifically, vitamins B1 (thiamine), B6 (pyridoxine), B9 (folate), and B12 (cyanocobalamin), B2 (riboflavin) have been observed to affect depression. Given probiotic\'s capability to produce vitamins from the B group, and modify intestinal function, inflammation, or metabolic dysfunction, their supplementation might be a possible treatment method for the immunometabolic form of depression. Thus, the intake of certain probiotic bacterial strains simultaneously with controlling the required daily intake of B vitamins may positively affect the course of depression. Circulating B vitamins metabolite levels, especially B9, B12, and B6 may also be biomarkers of depression. Further investigation is needed to find stronger evidence on this topic.
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  • 文章类型: Journal Article
    滴答,像其他强制采血节肢动物一样,依靠内共生细菌来补充血液中缺乏的B族维生素。有人提出,其他代谢物如L-脯氨酸可能参与这种营养共生。但这还有待于测试。这里,我们研究了棕色狗tickrhipicephalussanguineus(Acari:Ixodidae)与其类似柯克氏菌的内共生体(CLE)之间基于代谢产物的相互作用。我们测量了氨基酸滴度,并测试了补充B族维生素和L-脯氨酸对CLE抑制的雌性蜱的适应性的影响,显示低滴度的CLE。我们在未喂食的蜱的共生体宿主器官和充血的全蜱中发现了较高的L-脯氨酸滴度。补充B族维生素可增加CLE抑制的蜱的孵化率;添加L-脯氨酸时,这种作用似乎更强。我们的结果表明,L-脯氨酸是由CLE产生的,我们建议CLE在高代谢需求状态下是必不可少的,这会影响蜱的生殖健康,如卵子发生和胚胎发育。这些发现证明了营养共生体对其宿主的更广泛影响,并可能有助于控制蜱和蜱传播疾病。
    目的:柯西氏菌样内共生体(CLE)对棕色狗蜱血脂症的摄食和繁殖至关重要。这种共生是基于补充血液饮食中缺乏的B族维生素。已经提出了其他代谢物的参与,但是还没有实验证据来证实代谢相互作用。这里,我们发现B族维生素和L-脯氨酸,两者都有助于蜱生殖健康,由CLE生产。这些发现证明了共生体衍生的代谢物对宿主的持久性的重要性,并阐明了复杂的细菌-宿主代谢相互作用。它可以被引导来操纵和控制蜱种群。
    Ticks, like other obligatory blood-feeding arthropods, rely on endosymbiotic bacteria to supplement their diet with B vitamins lacking in blood. It has been suggested that additional metabolites such as L-proline may be involved in this nutritional symbiosis, but this has yet to be tested. Here, we studied the metabolite-based interaction between the brown dog tick Rhipicephalus sanguineus (Acari: Ixodidae) and its Coxiella-like endosymbionts (CLE). We measured amino acid titers and tested the effect of B vitamins and L-proline supplementation on the fitness of CLE-suppressed female ticks, displaying low titers of CLE. We found higher titers of L-proline in the symbiont-hosting organs of unfed ticks and in engorged blood-fed whole ticks. Supplementation of B vitamins increased the hatching rate of CLE-suppressed ticks; this effect appears to be stronger when L-proline is added. Our results indicate that L-proline is produced by CLE, and we suggest that CLE is essential in states of high metabolic demand that affects tick reproductive fitness, such as oogenesis and embryonic development. These findings demonstrate the broader effect of nutritional symbionts on their hosts and may potentially contribute to the control of ticks and tick-borne diseases.
    OBJECTIVE: Coxiella-like endosymbionts (CLE) are essential to the brown dog tick Rhipicephalus sanguineus for feeding and reproduction. This symbiosis is based on the supplementation of B vitamins lacking in the blood diet. The involvement of additional metabolites has been suggested, but no experimental evidence is available as yet to confirm a metabolic interaction. Here, we show that B vitamins and L-proline, both of which contribute to tick reproductive fitness, are produced by CLE. These findings demonstrate the importance of symbiont-derived metabolites for the host\'s persistence and shed light on the complex bacteria-host metabolic interaction, which can be channeled to manipulate and control tick populations.
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  • 文章类型: Letter
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  • 文章类型: Journal Article
    背景:慢性心力衰竭(CHF)一直对人类的生存和健康构成重大威胁。补充硫胺素对CHF患者的疗效尚不确定。
    目的:接受补充硫胺素可能不会给CHF患者带来益处。
    方法:在Cochrane图书馆进行了全面搜索,PubMed,EMBASE,ClinicalTrials.gov,和WebofScience数据库直到2023年5月,以确定研究补充硫胺素对CHF患者的影响的文章。使用预定义的标准来选择有关研究特征和结果的数据。
    结果:七个随机分组,双盲,纳入总共274例患者的对照试验(5项平行试验和2项交叉试验).汇总这些研究的荟萃分析结果未显示与安慰剂相比,硫胺素治疗对左心室射血分数有任何显着影响(WMD=1.653%,95%CI:-1.098至4.405,p=0.239,I2=61.8%),左心室舒张末期容积(WMD=-6.831mL,95%CI:-26.367至12.704,p=0.493,I2=0.0%),6分钟步行试验(WMD=16.526m,95%CI:-36.582至69.634,p=0.542,I2=66.3%),N末端B型利钠肽前体(WMD=258.150pg/mL,95%CI:-236.406至752.707,p=0.306,I2=21.6%),或纽约心脏协会类别(WMD=-0.223,95%CI:-0.781至0.335,p=0.434,I2=87.1%)。然而,它有效地改善了硫胺素缺乏症(TD)的状况。
    结论:我们的荟萃分析表明,补充硫胺素对CHF没有直接治疗作用,除了修正TD。
    BACKGROUND: Chronic heart failure (CHF) has always posed a significant threat to human survival and health. The efficacy of thiamine supplementation in CHF patients remains uncertain.
    OBJECTIVE: Receiving supplementary thiamine may not confer benefits to patients with CHF.
    METHODS: A comprehensive search was conducted across the Cochrane Library, PubMed, EMBASE, ClinicalTrials.gov, and Web of Science databases up until May 2023 to identify articles investigating the effects of thiamine supplementation in CHF patients. Predefined criteria were utilized for selecting data on study characteristics and results.
    RESULTS: Seven randomized, double-blind, controlled trials (five parallel trials and two crossover trials) involving a total of 274 patients were enrolled. The results of the meta-analysis pooling these studies did not reveal any significant effect of thiamine treatment compared with placebo on left ventricular ejection fraction (WMD = 1.653%, 95% CI:  -1.098 to 4.405, p = 0.239, I2 = 61.8%), left ventricular end-diastolic volume (WMD = -6.831 mL, 95% CI:  -26.367 to 12.704, p = 0.493, I2 = 0.0%), 6-min walking test (WMD = 16.526 m, 95% CI:  -36.582 to 69.634, p = 0.542, I2 = 66.3%), N-terminal pro-B type natriuretic peptide (WMD = 258.150 pg/mL, 95% CI:  -236.406 to 752.707, p = 0.306, I2 = 21.6%), or New York Heart Association class (WMD = -0.223, 95% CI:  -0.781 to 0.335, p = 0.434, I2 = 87.1%). However, it effectively improved the status of thiamine deficiency (TD).
    CONCLUSIONS: Our meta-analysis indicates that thiamine supplementation does not have a direct therapeutic effect on CHF, except for correcting TD.
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  • 文章类型: Journal Article
    抑郁症是一个主要的全球健康问题,预计到2030年将恶化。2019年,有2800万人受到抑郁症的影响。饮食和补充维生素对抑郁症显示出总体有利的预防和治疗效果。B族维生素对神经功能和情绪调节至关重要。这些维生素的缺乏与抑郁症有关。对个体B族维生素的研究表明,在改善抑郁症状方面有希望,尤其是硫胺素,核黄素,烟酸,还有叶酸.维生素C缺乏可能加剧抑郁症状,但是它的确切作用还没有完全理解。季节性情感障碍(SAD)与阳光照射不足和维生素D缺乏有关。SAD的维生素D补充剂由于方法学差异而显示出不一致的结果。需要进一步研究以了解维生素在抑郁症治疗中的作用机制。此外,更多关于SAD和光疗法的功效和涉及光感受器的潜在机制的研究,酶,免疫标记是必需的。尽管饮食和补充维生素对抑郁症具有良好的预防和治疗效果,由于不同的研究设计,治疗精神疾病的营养师面临挑战,很难进行直接比较。因此,本文回顾了目前的文献,以评估饮食和补充维生素在预防和治疗抑郁症中的作用。这篇评论发现,尽管有证据支持B族维生素和维生素C和D在预防和治疗抑郁症中的作用,需要进一步研究以阐明其作用机制并确定最有效的干预策略.
    Depression is a major global health concern expected to worsen by 2030. In 2019, 28 million individuals were affected by depressive disorders. Dietary and supplemental vitamins show overall favorable preventative and therapeutic effects on depression. B vitamins are crucial for neurological function and mood regulation. Deficiencies in these vitamins are linked to depression. Studies on individual B vitamins show promise in improving depressive symptoms, particularly thiamin, riboflavin, niacin, and folate. Vitamin C deficiency may heighten depressive symptoms, but its exact role is not fully understood. Seasonal Affective Disorder (SAD) is associated with insufficient sunlight exposure and vitamin D deficiency. Vitamin D supplementation for SAD shows inconsistent results due to methodological variations. Further investigation is needed to understand the mechanisms of vitamins in depression treatment. Moreover, more research on SAD and light therapy\'s efficacy and underlying mechanisms involving photoreceptors, enzymes, and immune markers is needed. Although dietary and supplemental vitamins show overall favorable preventative and therapeutic effects on depression, dietitians treating psychiatric disorders face challenges due to diverse study designs, making direct comparisons difficult. Therefore, this article reviews the current literature to assess the role of dietary and supplemental vitamins in the prevention and treatment of depression. This review found that, although evidence supports the role of B vitamins and vitamins C and D in preventing and treating depression, further research is needed to clarify their mechanisms of action and determine the most effective intervention strategies.
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  • 文章类型: Journal Article
    目的:2型糖尿病(T2D)是一个全球性和复杂的公共卫生挑战,饮食管理被认为是预防疾病的关键。最近的研究强调了微量营养素在T2D病理生理学中的参与;我们的研究旨在评估B族维生素摄入量与T2D风险之间的关系以及炎症的介导作用。
    方法:在前瞻性队列设计中,B族维生素摄入量的数据,包括硫胺素(B1),核黄素(B2),烟酸(B3),吡哆醇(B6),叶酸(B9),和钴胺(B12),是使用经过验证的食物频率问卷(FFQ)获得的,根据标准方案在当地医院对上海郊区成人队列和生物库(SSACB)的44,960名成年人进行基线和血液炎症生物标志物分析。根据医生的诊断或来自电子医疗信息系统的用药记录,确定发生的T2D病例。我们采用logistic和加权分位数和回归模型来探索B族维生素的单一和组合水平与T2D和中介分析的关联,以研究炎症的影响。
    结果:在单次暴露模型中观察到B族维生素和T2D之间的负相关,除了B3。联合暴露(B1,B2,B6,B9和B12)的分析也显示出负相关(OR0.80,95%CI0.71至0.88),其中维生素B6占作用的45.58%。进一步的调解分析表明介导的炎症影响,占关系的6.72%。
    结论:上海居民的饮食摄入B族维生素(B1、B2、B6、B9、B12)与部分由炎症介导的T2D风险降低相关。
    OBJECTIVE: Type 2 diabetes (T2D) is a global and complex public health challenge, and dietary management is acknowledged as critical in its prevention. Recent studies have highlighted the involvement of micronutrients in T2D pathophysiology; our study aims to assess the association between B vitamin intake and T2D risks and the mediating role of inflammation.
    METHODS: In a prospective cohort design, data on B vitamins intake, including thiamine (B1), riboflavin (B2), niacin (B3), pyridoxine (B6), folate (B9), and cobalamin (B12), was obtained using a validated food frequency questionnaire (FFQ), and blood inflammatory biomarkers were analyzed according to standard protocol in the local hospitals at baseline from 44,960 adults in the Shanghai Suburban Adult Cohort and Biobank (SSACB). Incident T2D cases were identified according to a physician\'s diagnosis or medication records from the electronic medical information system. We employed logistic and weighted quantile sum regression models to explore the associations of single and combined levels of B vitamins with T2D and mediation analyses to investigate the effects of inflammation.
    RESULTS: Negative correlations between B vitamins and T2D were observed in the single-exposure models, except for B3. The analyses of joint exposure (B1, B2, B6, B9, and B12) also showed an inverse association (OR 0.80, 95% CI 0.71 to 0.88), with vitamin B6 accounting for 45.58% of the effects. Further mediation analysis indicated a mediating inflammatory impact, accounting for 6.72% of the relationship.
    CONCLUSIONS: Dietary intake of B vitamins (B1, B2, B6, B9, B12) was associated with a reduced T2D risk partially mediated by inflammation in Shanghai residents.
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