Dietary Intake of Carotenoids and Risk of Depressive Symptoms: A Systematic Review and Meta-Analysis

Given the important role of oxidative stress in the pathogenesis of depression, the potential role of dietary antioxidant supplementation in the prevention of depression has attracted considerable attention. Most studies suggest that dietary carotenoids may play a role in maintaining depressive symp...

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Main Authors: Qiong Yu, Fengyu Xue, Zhijun Li, Xinwei Li, Lizhe Ai, Mengdi Jin, Mengtong Xie, Yaqin Yu
Format: Article
Language:English
Published: MDPI AG 2022-11-01
Series:Antioxidants
Subjects:
Online Access:https://www.mdpi.com/2076-3921/11/11/2205
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author Qiong Yu
Fengyu Xue
Zhijun Li
Xinwei Li
Lizhe Ai
Mengdi Jin
Mengtong Xie
Yaqin Yu
author_facet Qiong Yu
Fengyu Xue
Zhijun Li
Xinwei Li
Lizhe Ai
Mengdi Jin
Mengtong Xie
Yaqin Yu
author_sort Qiong Yu
collection DOAJ
description Given the important role of oxidative stress in the pathogenesis of depression, the potential role of dietary antioxidant supplementation in the prevention of depression has attracted considerable attention. Most studies suggest that dietary carotenoids may play a role in maintaining depressive symptoms due to their antioxidant activity, but some studies concluded the contrary. This study conducted a meta-analysis of observational studies to test the relationship between carotenoid supplements and depressive symptoms. After a comprehensive search of the Cochrane Library, PubMed, Embase Scopus, and Web of Science databases from their inception to 28 July 2022, 12 publications met the inclusion and exclusion criteria, of which 8 were cross-sectional studies, 3 were case–control studies, and 1 was a cohort study, involving a total of 33,466 participants. Pooled meta-analysis found that intake of total carotenoids (OR = 0.61, 95% CI [0.53, 0.71], <i>p</i> < 0.01), beta-carotene (OR = 0.61, 95% CI [0.52, 0.70], <i>p</i> < 0.01), alpha-carotene (OR = 0.71, 95% CI [0.60, 0.83], <i>p</i> < 0.01), lycopene (OR = 0.71, 95% CI [0.55, 0.90], <i>p</i> < 0.01), lutein, and/or corn xanthin (OR = 0.53, 95% CI [0.43, 0.66], <i>p</i> < 0.01) was significantly inversely associated with depressive symptoms, while beta-cryptoxanthin (OR = 1.07, 95% CI [0.52, 2.21], <i>p</i> = 0.86) had no significance. At the same time, this meta-analysis was free of publication bias and heterogeneity. Although further studies are needed to elucidate the causal relationship between carotenoids and depressive symptoms, and to further reveal the mechanism of their association, the results of our meta-analysis suggest that carotenoids are protective factors for depressive symptoms, and dietary intake may help in reducing the risk of depressive symptoms.
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spelling doaj.art-de3dfd313d5140879561e7e84057e9962023-11-24T03:30:57ZengMDPI AGAntioxidants2076-39212022-11-011111220510.3390/antiox11112205Dietary Intake of Carotenoids and Risk of Depressive Symptoms: A Systematic Review and Meta-AnalysisQiong Yu0Fengyu Xue1Zhijun Li2Xinwei Li3Lizhe Ai4Mengdi Jin5Mengtong Xie6Yaqin Yu7Faculty of Health, Zhuhai College of Science and Technology, Zhuhai 519000, ChinaDepartment of Epidemiology and Biostatistics, School of Public Health, Jilin University, Changchun 130012, ChinaDepartment of Epidemiology and Biostatistics, School of Public Health, Jilin University, Changchun 130012, ChinaDepartment of Epidemiology and Biostatistics, School of Public Health, Jilin University, Changchun 130012, ChinaDepartment of Epidemiology and Biostatistics, School of Public Health, Jilin University, Changchun 130012, ChinaDepartment of Epidemiology and Biostatistics, School of Public Health, Jilin University, Changchun 130012, ChinaDepartment of Epidemiology and Biostatistics, School of Public Health, Jilin University, Changchun 130012, ChinaFaculty of Health, Zhuhai College of Science and Technology, Zhuhai 519000, ChinaGiven the important role of oxidative stress in the pathogenesis of depression, the potential role of dietary antioxidant supplementation in the prevention of depression has attracted considerable attention. Most studies suggest that dietary carotenoids may play a role in maintaining depressive symptoms due to their antioxidant activity, but some studies concluded the contrary. This study conducted a meta-analysis of observational studies to test the relationship between carotenoid supplements and depressive symptoms. After a comprehensive search of the Cochrane Library, PubMed, Embase Scopus, and Web of Science databases from their inception to 28 July 2022, 12 publications met the inclusion and exclusion criteria, of which 8 were cross-sectional studies, 3 were case–control studies, and 1 was a cohort study, involving a total of 33,466 participants. Pooled meta-analysis found that intake of total carotenoids (OR = 0.61, 95% CI [0.53, 0.71], <i>p</i> < 0.01), beta-carotene (OR = 0.61, 95% CI [0.52, 0.70], <i>p</i> < 0.01), alpha-carotene (OR = 0.71, 95% CI [0.60, 0.83], <i>p</i> < 0.01), lycopene (OR = 0.71, 95% CI [0.55, 0.90], <i>p</i> < 0.01), lutein, and/or corn xanthin (OR = 0.53, 95% CI [0.43, 0.66], <i>p</i> < 0.01) was significantly inversely associated with depressive symptoms, while beta-cryptoxanthin (OR = 1.07, 95% CI [0.52, 2.21], <i>p</i> = 0.86) had no significance. At the same time, this meta-analysis was free of publication bias and heterogeneity. Although further studies are needed to elucidate the causal relationship between carotenoids and depressive symptoms, and to further reveal the mechanism of their association, the results of our meta-analysis suggest that carotenoids are protective factors for depressive symptoms, and dietary intake may help in reducing the risk of depressive symptoms.https://www.mdpi.com/2076-3921/11/11/2205depressioncarotenoidsoxidative stressantioxidantsmeta-analysis
spellingShingle Qiong Yu
Fengyu Xue
Zhijun Li
Xinwei Li
Lizhe Ai
Mengdi Jin
Mengtong Xie
Yaqin Yu
Dietary Intake of Carotenoids and Risk of Depressive Symptoms: A Systematic Review and Meta-Analysis
Antioxidants
depression
carotenoids
oxidative stress
antioxidants
meta-analysis
title Dietary Intake of Carotenoids and Risk of Depressive Symptoms: A Systematic Review and Meta-Analysis
title_full Dietary Intake of Carotenoids and Risk of Depressive Symptoms: A Systematic Review and Meta-Analysis
title_fullStr Dietary Intake of Carotenoids and Risk of Depressive Symptoms: A Systematic Review and Meta-Analysis
title_full_unstemmed Dietary Intake of Carotenoids and Risk of Depressive Symptoms: A Systematic Review and Meta-Analysis
title_short Dietary Intake of Carotenoids and Risk of Depressive Symptoms: A Systematic Review and Meta-Analysis
title_sort dietary intake of carotenoids and risk of depressive symptoms a systematic review and meta analysis
topic depression
carotenoids
oxidative stress
antioxidants
meta-analysis
url https://www.mdpi.com/2076-3921/11/11/2205
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