Concentrações séricas de zinco e transtornos mentais comuns: Uma revisão integrativa

Autores

DOI:

https://doi.org/10.33448/rsd-v10i6.15441

Palavras-chave:

Deficiência de zinco; Depressão; Transtornos de ansiedade; Transtornos mentais.

Resumo

Objetivou-se analisar a produção científica acerca das evidências atuais sobre a relação entre as concentrações séricas de zinco e transtornos mentais comuns. Trata-se de uma revisão integrativa da literatura, realizada entre março e julho de 2020, utilizando a estratégia PICOS para selecão dos artigos. As bases de dados foram acessadas por meio da Biblioteca Virtual em Saúde e Portal de Periódicos da Capes, correspondendo às: Science Direct, Springer Science, Medline/Pubmed, ProQuest LLC, AGRIS, Bentham Science Publishers, Cengage Learning, Web of Science, John Wiley & Sons, Scopus, Directory of Open Access Journals, Maney Publishing, e SAGE Publications. Foram analisadas sete publicações que avaliaram indivíduos de ambos os sexos, em diferentes faixas etárias, baseando-se em estudos observacionais analíticos. Os estudos elencados para análise, conduzidos em grupos de diferentes faixas etárias e número amostral, apresentaram resultados semelhantes, demonstrando prevalências de concentrações reduzidas de zinco no sangue de pacientes com depressão e/ou ansiedade. A correlação entre concentrações séricas de zinco e transtornos mentais comuns, na maioria dos resultados, converge para evidências de que a deficiência de zinco sérico está significativamente associada à sintomatologia depressiva e de ansiedade. Baseando-se nos delineamentos das investigações elencadas, os mesmos não podem determinar uma relação de causalidade entre o zinco e os sintomas depressivos e de ansiedade. Porém, é plausível afirmar, com bases nos resultados e mecanismos fisiológicos do zinco, que a baixa concentração periférica deste elemento pode desempenhar um papel na fisiopatologia de algum domínio da função mental.

Referências

Akhondzadeh, S., Mohammadi, M. R., & Khademi, M. (2004). Zinc sulfate as an adjunct to methylphenidate for the treatment of attention deficit hyperactivity disorder in children: a double blind and randomized trial [ISRCTN64132371]. BMC Psychiatry, 4 (9), 1-6. https://bmcpsychiatry.biomedcentral.com/articles/10.1186/1471-244X-4-9.

Amani, R., Saeidi, S., Nazari, Z., & Nematpour, S. (2010). Correlation Between Dietary Zinc Intakes and Its Serum Levels with Depression Scales in Young Female Students. Biol Trace Elem Res, 137 (2), 150-158. https://link.springer.com/article/10.1007/s12011-009-8572-x.

Campo, M. T., Ramon, E., Lupala, C. S., Pérez, J. J., Koch, K., & Garriga, P. (2016). Zinc Is Involved in Depression by Modulating G Protein-Coupled Receptor Heterodimerization. Mol Neurobiol, 53 (3), 2003-2015. https://pubmed.ncbi.nlm.nih.gov/25855059/.

Ciampo, L. A. D., & Ciampo, L. R. S. (2014). The importance of zinc for adolescent health. Adolesc. Saúde, 11 (2), 80-86. https://cdn.publisher.gn1.link/adolescenciaesaude.com/pdf/v11n2a11.pdf.

DiGirolamo, A. M., & Ramirez-Zea, M. (2010). Role of zinc in maternal and child mental health. Am J Clin Nutr, 89 (suppl), 940S-945S. https://academic.oup.com/ajcn/article/89/3/940S/4596790.

Doboszewska, U., Wlaź, P., Nowak, G., Radziwoń-Zaleska, M., Cui, R., & Młyniec, K. (2017). Zinc in the monoaminergic theory of depression: its relationship to neural plasticity. Neural Plast, 1-18. https://www.hindawi.com/journals/np/2017/3682752/.

Gonoodi, K., Moslem, A., Ahmadnezhad, M., Darroudi, S., Mazloum, Z., Tayefi, M., Tabatabaeizadeh, S. A., Eslami, S., Shafiee, M., Khashayarmanesh, Z., Haghighi, H. M., Ferns, G. A., & Ghayour-Mobarhan, M. (2018). Relationship of Dietary and Serum Zinc with Depression Score in Iranian Adolescent Girls. Biological Trace Element Research, 186 (2), 1-7. https://link.springer.com/article/10.1007%2Fs12011-018-1301-6.

Gronli, O., Kvamme, J. M., Friborg, O., & Wynn, R. (2013). Zinc deficiency is common in several psychiatric disorders. PLoS One, 8 (12). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3868572/.

Henriques, R. T. M., Cabana, M. C. F. L., & Montarroyos, U. R. (2018). Prevalence of Common Mental Disorders associated with the burden placed on family caregivers of elderly. Mental, 12 (22), 35-52. http://pepsic.bvsalud.org/scielo.php?script=sci_abstract&pid=S1679-44272018000100004&lng=pt&nrm=iso&tlng=en.

Islam, M. R., Ahmed, M. U., Mitu, S. A., Islam, M. S., Rahman, G. K. M. M., Qusar, M. M. A. S., & Hasnat, A. (2013). Comparative Analysis of Serum Zinc, Copper, Manganese, Iron, Calcium, and Magnesium Level and Complexity of Interelement Relations in Generalized Anxiety Disorder Patients. Biol Trace Elem Res, 154 (1), 21-27. https://link.springer.com/article/10.1007%2Fs12011-013-9723-7.

Joe, P., Getz, M., Redman, S., Petrilli, M., Kranz, T. M., Ahmad, S., & Malaspina, D. (2018). Serum zinc levels in acute psychiatric patients: A case series. Psychiatry Research, 261: 344-350. https://www.sciencedirect.com/science/article/abs/pii/S0165178117313070.

Jung, A., Spira, D., Steinhagen-Thiessen, E., Demuth, I., & Norman, K. (2017). Zinc Deficiency Is associated With Depressive Symptoms-Results from the Berlin Aging Study II. J Gerontol A Biol Sci Med Sci, 72 (8), 1149-1154. https://academic.oup.com/biomedgerontology/article/72/8/1149/2328605.

Kaner, G., Soylu, M., Yüksel, N., Inanç, N., Ongan, D., Başmısırlı, E. (2015). Evaluation of Nutritional Status of Patients with Depression. BioMed Res Int, 1-9. https://pubmed.ncbi.nlm.nih.gov/26413529/.

Li, Z., Li, B., Song, X., & Zhang, D. (2017). Dietary zinc and iron intake and risk of depression: A meta-analysis. Psychiatry Res, 251, 41-47. https://www.sciencedirect.com/science/article/abs/pii/S0165178116317747?via%3Dihub.

Li, Z., Wang, W., Xin, X., Song, X., & Zhang, D. (2018). Association of total zinc, iron, copper and selenium intakes with depression in the US adults. Journal of Affective Disorders. 228, 68-74. https://pubmed.ncbi.nlm.nih.gov/29232566/.

Manosso, L. M. (2016). Investigação de mecanismos de ação envolvidos no efeito tipo-antidepressivo do zinco em camundongos [tese] [internet]. [Florianópolis]: Universidade Federal de Santa Catarina, 254 p. https://repositorio.ufsc.br/handle/123456789/167962.

Manosso, L. M. (2019). O papel do zinco no transtorno depressivo maior. Rev Bras Nut Func, 43 (78), 1-19. https://www.researchgate.net/publication/334177606_O_papel_do_zinco_no_transtorno_depressivo_maior.

Markiewic-Żukowska, R., Gutowska, A., & Borawska, M. H. (2015). Serum Zinc Concentrations Correlate with Mental and Physical Status of Nursing Home Residents. PLoS One, 10 (1). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4311908/.

Mravunac, M., Szymlek-Gay, E. A., Daly, R. M., Roberts, B. R., Formica, M., Gianoudis, J., O’Connell, S. L., Nowson, C. A., & Cardoso, B. R. (2019). Greater Circulating Copper Concentrations and Copper/Zinc Ratios are Associated with Lower Psychological Distress, But Not Cognitive Performance, in a Sample of Australian Older Adults. Nutrients, 11(10). https://www.mdpi.com/2072-6643/11/10/2503.

Młyniec, K., Gaweł, M., & Nowak, G. (2015). Study of antidepressant drugs in GPR39 (zinc receptor−/−) knockout mice, showing no effect of conventional antidepressants, but effectiveness of NMDA antagonists. Behav. Brain Res, 287, 135-138. https://www.sciencedirect.com/science/article/abs/pii/S0166432815002181?via%3Dihub.

Mlyniec, K. (2015). Zinc in the Glutamatergic Theory of Depression. Current Neuropharmacology, 13 (4), 505-513. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4790399/#:~:text=Based%20on%20glutamatergic%20theory%20of,inhibition%20of%20the%20NMDA%20receptor.

Nakamura, M., Miura, A., Nagahata, T., Shibata, Y., Okada, E., & Ojima, T. (2019). 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, 11(4). https://www.mdpi.com/2072-6643/11/4/847#.

Nguyen, T. T. T., Miyagi, S., Tsujiguchi, H., Kambayashi, Y., Hara, A., Nakamura, H., Suzuki, K., Yamada, Y., Shimizu, Y., & Nakamura, H. (2019). Association between Lower Intake of Minerals and Depressive Symptoms among Elderly Japanese Women but Not Men: Findings from Shika Study. Nutrients, 11 (2). https://pubmed.ncbi.nlm.nih.gov/30781841/.

Nowak, G. (2015). Zinc, future mono/adjunctive therapy for depression: mechanisms of antidepressant action. Pharmacol Rep, 67 (3), 659–662. https://link.springer.com/article/10.1016/j.pharep.2015.01.015.

Petrilli, M. A., Kranz, T. M., Kleinhaus, K., Joe, P., Getz, M., Johnson, P., Chao, M. V., & Malaspina, D. (2017). The Emerging Role for Zinc in Depression and Psychosis. Front Pharmacol, 30 (8). https://www.frontiersin.org/articles/10.3389/fphar.2017.00414/full.

Ranjbar, E., Kaseaei, M. S., Mohammad-Shirazi, M., Nasrollahzadeh, J., Rashidkhani, B., Shams, J., Mostafari, S. A., & Mohammadi, M. R. (2013). Effects of zinc supplementation in patients with major depression, a randomized clinical trial. J Psychiatry, 8, 73–79. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3796297/.

Rivas-García, T. E., Marcelo-Pons, M., Martínez-Arnau, F., Serra-Catalá, N., Santamaría-Carrillo, Y., & Cauli, O. (2018). Blood zinc levels and cognitive and functional evaluation in non-demented older patients. Exp Gerontol, 108, 28-34. https://www.sciencedirect.com/science/article/abs/pii/S0531556518300639?via%3Dihub.

Russo, A. J. (2011). Decreased Zinc and Increased copper in Individuals with Anxiety. Nutr Metab Insights, 4, 1-5. https://journals.sagepub.com/doi/10.4137/NMI.S6349.

Salustri, C., Squitti, R., Zappasodi, F., Ventriglia, M., Bevacqua, M. G., Fontana, M., & Tecchio, F. (2011). Oxidative stress and brain glutamate-mediated excitability in depressed patients. J Affect Disord, 127, 321–325. https://www.sciencedirect.com/science/article/abs/pii/S0165032710003976.

Santos, G. B. V., Alves, M. C. G. P., Goldbaum, M., Cesar, C. L. G., & Gianini, R. J. (2019). Prevalência de transtornos mentais comuns

e fatores associados em moradores da área urbana de São Paulo, Brasil. Cad. Saúde Pública, 35 (11). https://www.scielo.br/scielo.php?pid=S0102-311X2019001305008&script=sci_abstract.

Saueressig, C., Silva, V. L., Antunes, L. C., Alba, V. D. (2016). Níveis de zinco sérico em pacientes internados com depressão. J. Bras. Psiquiatr, 65 (3), 239-244. https://www.scielo.br/scielo.php?script=sci_arttext&pid=S0047-20852016000300239#:~:text=Os%20dados%20da%20literatura%20quanto,dentro%20da%20normalidade17%2C18.

Sawada, T., & Yokoi, K. (2010). Effect of zinc supplementation on mood states in young women: a pilot study. European Journal of Clinical Nutrition, 64 (3), 331-333. https://www.nature.com/articles/ejcn2009158.

Swardfager, W., Herrmann, N., Mazereeuw, G., Goldberger, K., Harimito, T., & Lanctôt, K. L. (2013). Zinc in depression: a meta-analysis. Biol. Psychiatry, 74, 872-878. https://www.biologicalpsychiatryjournal.com/article/S0006-3223(13)00451-4/fulltext.

Senicato, C., Azevedo, R. C. S., & Barros, M. B. A. (2018). Common mental disorders in adult women: identifying the most vulnerable segments. Ciênc. Saúde coletiva, 23 (8). https://doi.org/10.1590/1413-81232018238.13652016.

Silva, A. C., Vargas, L. S., Moraes, R. C. C., Lucchese, R., Guimarães, R. A., & Vera, I. (2019). Prevalência e fatores associados ao transtorno mental comum em assentados rurais*. SMAD, Rev. Eletrônica Saúde Mental Álcool Drog, 15(1), 23-31. http://dx.doi.org/10.11606/issn.1806-6976.smad.2019.00037.

Siwek, M., Szewczyk, B., Dudek, D., Styczeñ, K., Sowa-Kuæma, M., Mlyniec, K., Siwek, A., Witkowski, L., Pochwat, B., & Nowak, G. (2013). Zinc as a marker of affective disorders. Pharmacol Rep, 65, 1512–1518. https://www.sciencedirect.com/science/article/abs/pii/S1734114013715123.

Souza, M, T., Silva, M. D., & Carvalho, R. C (2010). Revisão integrativa: o que é e como fazer. Einstei, 8 (1), 102-106. https://www.scielo.br/scielo.php?pid=S1679-45082010000100102&script=sci_arttext&tlng=pt.

Styczeń, K., Sowa-Kućma, M., Siwek, M., Dudek, D., Reczyński, W., Szewczyk, B., Misztak, P., Topór-Madry, R., & Nowak, G. (2016). The serum zinc concentration as a potential biological marker in patients with major depressive disorder. Metab Brain Dis, 32, 97-103. https://link.springer.com/article/10.1007%2Fs11011-016-9888-9.

Tahmasebi, K., Amani, R., Nazari, Z., Ahmadi, K., Moazzen, S., & Mostafavi, S.-A. (2017). Association of Mood Disorders with Serum Zinc Concentrations in Adolescent Female Students. Biol Trace Elem Res, 178 (2), 180-188. https://doi.org/10.1007/s12011-016-0917-7.

Ursi, E. S (2005). Prevenção de lesões de pele no perioperatório: revisão integrativa da literatura. [dissertação] [internet]. Ribeirão Preto: Universidade de São Paulo; 2005. 129 p. https://www.teses.usp.br/teses/disponiveis/22/22132/tde-18072005-095456/pt-br.php.

Vashum, K. P., McEvoy, M., Milton, A. H., McElduff, P., Hure, A., Byles, J., & Attia, J. (2014). Dietary zinc is associated with a lower incidence of depression: findings from two Australian. Journal of Affective Disorders, 166, 249-257. https://www.sciencedirect.com/journal/journal-of-affective-disorders/vol/166/suppl/C.

Youssef, M. M., Underwood, M. D., Huang, Y. Y., Hsiung, S. C., Liu, Y., Simpson, N. R., Bakalian, M. J., Rosoklija, G. B., Dwork, A. J., Arango, V., & Mann, J. J. (2018). Association of BDNF Val66Met Polymorphism and Brain BDNF Levels with Major Depression and Suicide. Int J Neuropsychopharmacol, 21 (6), 528-538. https://academic.oup.com/ijnp/article/21/6/528/4843985.

World Health Organization [WHO] (2015). Compreensão do plano de ação de saúde mental para 2013-2020-2030. Geneva: World Health Organization; 2015. http://www.who.int/mental_health/action_plan_2013/en/

World Health Organization [WHO] (2017). Depression and Other Common Mental Disorders: Global Health Estimates. Geneva: World Health Organization; 2017. https://apps.who.int/iris/handle/10665/254610.

World Health Organization [WHO] (2020a). Fact sheet nº 369: depression. Geneva: World Health Organization; 2020. http://www.who.int/mediacentre/factsheets/fs369/en/.

World Health Organization [WHO] (2020b). Improving the mental and brain health of children and adolescentes. Child and adolescent mental health. Retrieved Oct 13, 2020, from https://www.who.int/mental_health/maternal-child/child_adolescent/en/.

World Health Organization [WHO], Organização Pan-Americana da Saúde [OPAS] (2020). Folha Informativa. Transtornos Mentais. Retrieved Oct 13, 2020, from https://www.paho.org/pt/topicos/transtornos-mentais.

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20/05/2021

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CABRAL, S. de M. R. .; CARVALHO, L. de S. .; SOUSA, A. P. de M. .; SANTOS, M. M. dos . Concentrações séricas de zinco e transtornos mentais comuns: Uma revisão integrativa. Research, Society and Development, [S. l.], v. 10, n. 6, p. e3410615441, 2021. DOI: 10.33448/rsd-v10i6.15441. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/15441. Acesso em: 21 nov. 2024.

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