Randomised Control Trial Indicates Micronutrient Supplementation May Support a More Robust Maternal Microbiome for Women with Antenatal Depression During Pregnancy
Clinical Nutrition,
Год журнала:
2024,
Номер
43(11), С. 120 - 132
Опубликована: Сен. 18, 2024
Язык: Английский
Broad-Spectrum Micronutrients or Antidepressants for Antenatal Depression
Jessica L. Heaton,
Siobhan A. Campbell,
Hayley A. Bradley
и другие.
Journal of Clinical Psychopharmacology,
Год журнала:
2024,
Номер
unknown
Опубликована: Дек. 2, 2024
Purpose/Background
One-fifth
of
women
experience
antenatal
depression.
Untreated
depression
is
associated
with
increased
risk
adverse
birth
outcomes.
This
study
investigated
the
effect
broad-spectrum
micronutrients
(BSM;
vitamins
and
minerals),
used
to
treat
(NUTRIMUM
trial),
on
Methods/Procedures
Birth
outcomes
129
mother-infant
pairs
were
obtained
from
hospital
medical
records
or
personal
health
for
home
births.
Pairs
NUTRIMUM
exposed
≥8
weeks
BSM
antenatally
(MN;
n
=
55)
compared
antidepressants
(MED;
20)
a
reference
group
(REF;
54)
not
trial
antidepressants.
Findings/Results
Groups
comparable
demographic
variables.
At
entry,
MN
MED
had
scores
in
moderate
range,
statistically
higher
than
REF
(nonclinical
range).
did
differ
significantly
gestational
age,
preterm
births,
infant
size,
resuscitation.
There
lower
rates
postpartum
hemorrhage
relative
(7.7%
vs
30%;
RR
0.26,
95%
CI
[0.08–0.84]).
Gestational
age
at
was
(39.5
weeks)
(38.5
weeks;
d
0.67,
[0.15–1.20],
P
0.03)
as
well
length
(52.2
50.0
cm;
0.77,
[0.21–1.33],
0.02),
resuscitation
(14.5%
45%;
0.33,
[0.15–0.73]).
Days
exposure
positively
weight
(
r
0.32,
0.008)
0.25,
0.04).
Implications/Conclusions
Micronutrients
alleviate
may
mitigate
negative
effects
showed
more
favorable
Язык: Английский
Annual Research Review: Micronutrients and their role in the treatment of paediatric mental illness
Journal of Child Psychology and Psychiatry,
Год журнала:
2024,
Номер
unknown
Опубликована: Дек. 20, 2024
The
aim
of
this
narrative
review
is
to
summarize
evidence
relating
the
importance
nutrient
intake
from
diet
and
supplementation
for
paediatric
mental
health.
We
begin
by
reviewing
several
mechanisms
which
nutrients
maximize
brain
health,
including
enabling
metabolic
reactions
occur,
supporting
mitochondrial
function,
reducing
inflammation
assisting
with
detoxification.
Circumstances
that
may
contribute
an
individual
requiring
additional
beyond
what
are
available
in
diet,
such
as
consumption
nutritionally
depleted
food,
differences
biological
need,
long-term
medication
use
gut-brain
health
needs
then
reviewed.
These
factors
underpin
tackling
deficiencies
relative
requirements
a
broad
spectrum
micronutrients,
opposed
single
approach,
address
personal
and/or
environmentally
induced
depletions.
treating
psychological
symptoms
supplementary
micronutrients
presented,
summarizing
research
using
broad-spectrum
treatment
issues
aggression,
autism
disorder,
attention-deficit/hyperactivity
disorder
emotional
dysregulation,
often
medium
between-group
effect
sizes
compared
placebo,
clinically
meaningful
changes.
breadth
consistency
findings
highlight
receiving
complete
foundation
optimize
health;
however,
small
number
studies
identifies
future
work
replicate
these
preliminary
findings.
Documented
safety
8-week
randomized
controlled
trials
open-label
extensions
up
16
weeks
longer-term
follow-up
1.5-5
years
smaller
samples
provide
reassurance
approach
does
not
result
serious
adverse
events.
recommendations
micronutrient
interventions,
scalable
delivery
models,
effectiveness
implementation
need
investigate
interventions
prevention
management
less-studied
childhood
psychiatric
conditions.
Язык: Английский