Associations of dietary vitamin B1, vitamin B2, vitamin B6, and vitamin B12 with the risk of depression: a systematic review and meta-analysis.

CONTEXT The results from epidemiologic studies on the intake of dietary vitamin B1, B2, B6, and B12 and association with risk of developing depression have been inconsistent. OBJECTIVE The purpose of this systematic review and meta-analysis was to summarize the existing evidence and synthesize the results. DATA SOURCES The databases of Web of Science and PubMed were searched for relevant articles published in English until September 2020. STUDY SELECTION Observational studies that evaluated the associations between depression and dietary vitamin B1, B2, B6, and B12 were included in this study. DATA EXTRACTION The job of data extraction was undertaken by 2 authors, and the pooled relative risks (RRs) and 95% confidence intervals (CIs) were calculated using a fixed-effects model. RESULTS Thirteen articles related to 18 studies were eligible for inclusion in this systematic review and meta-analysis. The pooled RR (95% CI) of depression for the highest vs the lowest category of dietary vitamin B1, B2, B6, and B12 was 0.69 (0.55-0.87), 0.77 (0.67-0.89), 0.81 (0.71-0.93), and 0.86 (0.75-0.99), respectively. The pooled RR (95% CI) of depression for the highest vs the lowest category of dietary vitamin B2 was 0.80 (0.64-0.99) in females and 0.83 (0.67-1.02) in males, for dietary vitamin B6 was 0.71 (0.59-0.86) in females and 0.92 (0.76-1.12) in males, and for dietary vitamin B12 was 0.79 (0.65-0.97) in females and 0.94 (0.77-1.15) in males. CONCLUSION This study suggested that the intake of dietary vitamin B1, B2, B6, and B12 may be inversely associated with the risk of depression; the inverse associations observed between depression and intake of dietary vitamin B2, B6, and B12 were significant in females, but not in males. Further studies are needed to confirm these results.

[1]  Jinquan He,et al.  Comparison of the Efficiency and Safety of Total Ankle Replacement and Ankle Arthrodesis in the Treatment of Osteoarthritis: An Updated Systematic Review and Meta‐analysis , 2020, Orthopaedic surgery.

[2]  R. Milligan,et al.  Risk of depression in pregnant women with low-normal serum Vitamin B12. , 2019, Research in nursing & health.

[3]  H. McNulty,et al.  B-vitamins in Relation to Depression in Older Adults Over 60 Years of Age: The Trinity Ulster Department of Agriculture (TUDA) Cohort Study. , 2019, Journal of the American Medical Directors Association.

[4]  C. Giulivi,et al.  Neurological, Psychiatric, and Biochemical Aspects of Thiamine Deficiency in Children and Adults , 2019, Front. Psychiatry.

[5]  P. C. Joshi,et al.  Association of vitamin B12 mediated hyperhomocysteinemia with depression and anxiety disorder: A cross-sectional study among Bhil indigenous population of India. , 2019, Clinical nutrition ESPEN.

[6]  R. Porter,et al.  Treating depression with adjunctive antipsychotics , 2018, Bipolar disorders.

[7]  Hae-Jeung Lee,et al.  Association between nutrient intakes and prevalence of depressive disorder in Korean adults: 2014 Korean National Health and Nutrition Examination Survey , 2018 .

[8]  M. Martínez-González,et al.  Micronutrient intake adequacy and depression risk in the SUN cohort study , 2018, European Journal of Nutrition.

[9]  Yankai Xia,et al.  Association between Serum Vitamin Levels and Depression in U.S. Adults 20 Years or Older Based on National Health and Nutrition Examination Survey 2005–2006 , 2018, International journal of environmental research and public health.

[10]  B. Larijani,et al.  Fruit and vegetable consumption and risk of depression: accumulative evidence from an updated systematic review and meta-analysis of epidemiological studies , 2018, British Journal of Nutrition.

[11]  H. McNulty,et al.  Diet, nutrition and the ageing brain: current evidence and new directions , 2018, Proceedings of the Nutrition Society.

[12]  Neal M. Kingston,et al.  The association of folate and depression: A meta-analysis. , 2017, Journal of psychiatric research.

[13]  Dongfeng Zhang,et al.  Dietary zinc and iron intake and risk of depression: A meta-analysis , 2017, Psychiatry Research.

[14]  M. Visser,et al.  Vitamin B12, homocysteine and depressive symptoms: a longitudinal study among older adults , 2017, European Journal of Clinical Nutrition.

[15]  Dongfeng Zhang,et al.  Dietary magnesium and calcium intake and risk of depression in the general population: A meta-analysis , 2017, The Australian and New Zealand journal of psychiatry.

[16]  S. Choi-kwon,et al.  Nutrient deficiencies and depression in older adults according to sex: A cross sectional study , 2017, Nursing & health sciences.

[17]  V. Apostolopoulos,et al.  The Effects of Vitamin B in Depression. , 2016, Current medicinal chemistry.

[18]  C. Stefanadis,et al.  Folate and B12 serum levels in association with depression in the aged: a systematic review and meta-analysis , 2016, Aging & mental health.

[19]  E. D. Klonsky,et al.  Suicide, Suicide Attempts, and Suicidal Ideation. , 2016, Annual review of clinical psychology.

[20]  Dongfeng Zhang,et al.  Fruit and vegetable consumption and the risk of depression: A meta-analysis. , 2016, Nutrition.

[21]  H. Payette,et al.  Intakes of folate, vitamin B6 and B12 and risk of depression in community-dwelling older adults: the Quebec Longitudinal Study on Nutrition and Aging , 2016, European Journal of Clinical Nutrition.

[22]  Tae-Hee Kim,et al.  Associations between Dietary Pattern and Depression in Korean Adolescent Girls. , 2015, Journal of pediatric and adolescent gynecology.

[23]  Dongfeng Zhang,et al.  Fish consumption and risk of depression: a meta-analysis , 2015, Journal of Epidemiology & Community Health.

[24]  M. Fenech,et al.  Biomarkers of Nutrition for Development-Folate Review. , 2015, The Journal of nutrition.

[25]  T. Amaral,et al.  UNDERNUTRITION, SERUM VITAMIN B12, FOLIC ACID AND DEPRESSIVE SYMPTOMS IN OLDER ADULTS. , 2015, Nutricion hospitalaria.

[26]  G. Rutten,et al.  Cobalamin status and its relation with depression, cognition and neuropathy in patients with type 2 diabetes mellitus using metformin , 2015, Acta Diabetologica.

[27]  D. Brody,et al.  Depression in the U.S. household population, 2009-2012. , 2014, NCHS data brief.

[28]  N. Rüsch,et al.  What is the impact of mental health-related stigma on help-seeking? A systematic review of quantitative and qualitative studies , 2014, Psychological Medicine.

[29]  A. O'Neil,et al.  The association between diet quality, dietary patterns and depression in adults: a systematic review , 2013, BMC Psychiatry.

[30]  J. Eriksson,et al.  Association between vitamin b12 levels and melancholic depressive symptoms: a Finnish population-based study , 2013, BMC Psychiatry.

[31]  Yi-Ping Chang,et al.  Co-occurrence of Anemia, Marginal Vitamin B6, and Folate Status and Depressive Symptoms in Older Adults , 2012, Journal of geriatric psychiatry and neurology.

[32]  S. Sasaki,et al.  Dietary Folate, Riboflavin, Vitamin B-6, and Vitamin B-12 and Depressive Symptoms in Early Adolescence: The Ryukyus Child Health Study , 2010, Psychosomatic medicine.

[33]  R. de Graaf,et al.  Trajectories of recovery of social and physical functioning in major depression, dysthymic disorder and double depression: a 3-year follow-up. , 2010, Journal of affective disorders.

[34]  C. Holahan,et al.  Depression and vulnerability to incident physical illness across 10 years. , 2010, Journal of affective disorders.

[35]  R. Martorell,et al.  Micronutrient supplementation may reduce symptoms of depression in Guatemalan women. , 2009, Archivos latinoamericanos de nutricion.

[36]  D. Moher,et al.  Preferred reporting items for systematic reviews and meta-analyses: the PRISMA Statement , 2009, BMJ : British Medical Journal.

[37]  E. Kua,et al.  Folate, Vitamin B12, Homocysteine, and Depressive Symptoms in a Population Sample of Older Chinese Adults , 2009, Journal of the American Geriatrics Society.

[38]  M. Martínez‐González,et al.  Association between folate, vitamin B(6) and vitamin B(12) intake and depression in the SUN cohort study. , 2009, Journal of human nutrition and dietetics : the official journal of the British Dietetic Association.

[39]  D. Grobbee,et al.  Dietary intake of B6-9-12 vitamins, serum homocysteine levels and their association with depressive symptoms: the Zutphen Elderly Study , 2008, European Journal of Clinical Nutrition.

[40]  R. Stewart,et al.  Predictive value of folate, vitamin B12 and homocysteine levels in late-life depression , 2008, British Journal of Psychiatry.

[41]  Peter Lee,et al.  Facilitating meta‐analyses by deriving relative effect and precision estimates for alternative comparisons from a set of estimates presented by exposure level or disease category , 2008, Statistics in medicine.

[42]  N. Mishima,et al.  Dietary intake of folate, other B vitamins, and omega-3 polyunsaturated fatty acids in relation to depressive symptoms in Japanese adults. , 2008, Nutrition.

[43]  R. Kessler,et al.  Risk factors for suicidality in Europe: results from the ESEMED study. , 2007, Journal of affective disorders.

[44]  F. Frankenburg The Role of One‐Carbon Metabolism in Schizophrenia and Depression , 2007, Harvard review of psychiatry.

[45]  J. Woo,et al.  Nutrient intake and psychological health in an elderly Chinese population , 2006, International journal of geriatric psychiatry.

[46]  R. Clarke,et al.  Clinical relevance of low serum vitamin B12 concentrations in older people: the Banbury B12 study. , 2006, Age and ageing.

[47]  M. Munafo,et al.  Meta-analysis of genetic association studies. , 2004, Trends in genetics : TIG.

[48]  A. Logan Neurobehavioral aspects of omega-3 fatty acids: possible mechanisms and therapeutic value in major depression. , 2003, Alternative medicine review : a journal of clinical therapeutic.

[49]  J. Salonen,et al.  Dietary folate and depressive symptoms are associated in middle-aged Finnish men. , 2003, The Journal of nutrition.

[50]  D. Altman,et al.  Measuring inconsistency in meta-analyses , 2003, BMJ : British Medical Journal.

[51]  S. Vollset,et al.  Folate, vitamin B12, homocysteine, and the MTHFR 677C->T polymorphism in anxiety and depression: the Hordaland Homocysteine Study. , 2003, Archives of general psychiatry.

[52]  A. Hofman,et al.  Vitamin B12, folate, and homocysteine in depression: the Rotterdam Study. , 2002, The American journal of psychiatry.

[53]  Maurizio Fava,et al.  Role of S-adenosyl-L-methionine in the treatment of depression: a review of the evidence. , 2002, The American journal of clinical nutrition.

[54]  S. Thompson,et al.  Quantifying heterogeneity in a meta‐analysis , 2002, Statistics in medicine.

[55]  L. Ferrucci,et al.  Vitamin B(12) deficiency and depression in physically disabled older women: epidemiologic evidence from the Women's Health and Aging Study. , 2000, The American journal of psychiatry.

[56]  G. Smith,et al.  Bias in meta-analysis detected by a simple, graphical test , 1997, BMJ.

[57]  L. Parnetti,et al.  Role of homocysteine in age-related vascular and non-vascular diseases , 1997, Aging.

[58]  R. Butterworth Neurotransmitter function in thiamine-deficiency encephalopathy , 1982, Neurochemistry International.

[59]  S. Berl,et al.  EFFECT OF THIAMIN DEFICIENCY ON BRAIN NEUROTRANSMITTER SYSTEMS , 1982, Annals of the New York Academy of Sciences.

[60]  P. Tugwell,et al.  The Newcastle-Ottawa Scale (NOS) for Assessing the Quality of Nonrandomised Studies in Meta-Analyses , 2014 .

[61]  Honglei Chen,et al.  Thiamine nutritional status and depressive symptoms are inversely associated among older Chinese adults. , 2013, The Journal of nutrition.

[62]  Hiroko Watanabe,et al.  Impact of dietary folate intake on depressive symptoms in young women of reproductive age. , 2012, Journal of midwifery & women's health.