Skip to main content
Log in

Relationship of Dietary and Serum Zinc with Depression Score in Iranian Adolescent Girls

  • Published:
Biological Trace Element Research Aims and scope Submit manuscript

Abstract

Zinc deficiency, which is common among Iranian populations, is believed to play a crucial role in the onset and progression of mood disorders such as depression in different stages of life. We have therefore investigated the relationship between serum/dietary zinc status and depression scores among adolescent girls living in northeastern Iran. Serum zinc was measured by flame atomic absorption (Varian AA240FS) and the mean zinc intake was assessed using 3-day food record. A validated Persian version of the Beck Depression Inventory (BDI) was used to determine the severity of depressive symptoms for all subjects. Data were analyzed using SPSS 18 software. There was a statistically significant correlation between dietary zinc intake and serum zinc concentration (r = 0.117, p = 0.018). Dietary intake of zinc (7.04 ± 4.28 mg/day) was significantly lower among subjects with mild to severe depression symptoms than those with no or minimal depression symptoms (8.06 ± 3.03 mg/day). Dietary zinc intake was inversely correlated with depression score (r = 0.133, p = 0.008). However, there was no significant difference in serum zinc concentrations among individuals with no or minimal and mild to severe depression symptoms (p = 0.5). Dietary zinc intake, but not serum zinc concentration, was inversely associated with depression symptoms. Therefore, controlled clinical trials are needed to determine the efficacy of zinc supplementation in the treatment of depression disorders.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. 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

    Article  CAS  Google Scholar 

  2. McLoughlin I, Hodge J (1990) Zinc in depressive disorder. Acta Psychiatr Scand 82(6):451–453

    Article  CAS  Google Scholar 

  3. Swardfager W, Herrmann N, Mazereeuw G, Goldberger K, Harimoto T, Lanctôt KL (2013) Zinc in depression: a meta-analysis. Biol Psychiatry 74(12):872–878

    Article  CAS  Google Scholar 

  4. Swardfager W, Herrmann N, McIntyre RS, Mazereeuw G, Goldberger K, Cha DS, Schwartz Y, Lanctôt KL (2013) Potential roles of zinc in the pathophysiology and treatment of major depressive disorder. Neurosci Biobehav Rev 37(5):911–929

    Article  CAS  Google Scholar 

  5. Szewczyk B, Kubera M, Nowak G (2011) The role of zinc in neurodegenerative inflammatory pathways in depression. Prog Neuro-Psychopharmacol Biol Psychiatry 35(3):693–701

    Article  CAS  Google Scholar 

  6. Nowak G, Siwek M, Dudek D, Ziêba A, Pilc A (2003) Effect of zinc supplementation on antidepressant therapy in unipolar depression: a preliminary placebo-controlled study. Pol J Pharmacol 55(6):1143–1148

    CAS  PubMed  Google Scholar 

  7. Szewczyk B, Poleszak E, Sowa-Kućma M, Wróbel A, Słotwiński S, Listos J, Wlaź P, Cichy A, Siwek A, Dybała M (2010) The involvement of NMDA and AMPA receptors in the mechanism of antidepressant-like action of zinc in the forced swim test. Amino Acids 39(1):205–217

    Article  CAS  Google Scholar 

  8. Vergnano AM, Rebola N, Savtchenko LP, Pinheiro PS, Casado M, Kieffer BL, Rusakov DA, Mulle C, Paoletti P (2014) Zinc dynamics and action at excitatory synapses. Neuron 82(5):1101–1114

    Article  CAS  Google Scholar 

  9. Nowak G, Legutko B, Szewczyk B, Papp M, Sanak M, Pilc A (2004) Zinc treatment induces cortical brain-derived neurotrophic factor gene expression. Eur J Pharmacol 492(1):57–59

    Article  CAS  Google Scholar 

  10. Sowa-Kućma M, Legutko B, Szewczyk B, Novak K, Znojek P, Poleszak E, Papp M, Pilc A, Nowak G (2008) Antidepressant-like activity of zinc: further behavioral and molecular evidence. J Neural Transm 115(12):1621–1628

    Article  Google Scholar 

  11. Rosa AO, Lin J, Calixto JB, Santos ARS, Rodrigues ALS (2003) Involvement of NMDA receptors and L-arginine-nitric oxide pathway in the antidepressant-like effects of zinc in mice. Behav Brain Res 144(1):87–93

    Article  CAS  Google Scholar 

  12. Mahmoodi MR, Kimiagar SM (2001) Prevalence of zinc deficiency in junior high school students of Tehran City. Biol Trace Elem Res 81(2):93–103

    Article  CAS  Google Scholar 

  13. Khayyatzadeh SS, Mirmoosavi SJ, Fazeli M, Abasalti Z, Avan A, Javandoost A, Rahmani F, Tayefi M, Hanachi P, Ferns GA (2017) High-dose vitamin D supplementation is associated with an improvement in several cardio-metabolic risk factors in adolescent girls: a nine-week follow-up study. Annals of clinical biochemistry

    Google Scholar 

  14. Trumbo P, Yates AA, Schlicker S, Poos M (2001) Dietary reference intakes: vitamin A, vitamin K, arsenic, boron, chromium, copper, iodine, iron, manganese, molybdenum, nickel, silicon, vanadium, and zinc. J Am Diet Assoc 101(3):294–301

    Article  CAS  Google Scholar 

  15. Dozois DJ, Dobson KS, Ahnberg JL (1998) A psychometric evaluation of the Beck Depression Inventory–II. Psychol Assess 10(2):83–89

    Article  Google Scholar 

  16. Beck AT, Ward CH, Mendelson M, Mock J, ERBAUGH J (1961) An inventory for measuring depression. Arch Gen Psychiatry 4(6):561–571

    Article  CAS  Google Scholar 

  17. Ghassemzadeh H, Mojtabai R, Karamghadiri N, Ebrahimkhani N (2005) Psychometric properties of a Persian-language version of the Beck Depression Inventory-Second edition: BDI-II-PERSIAN. Depression and anxiety 21(4):185–192

    Article  Google Scholar 

  18. Yary T, Aazami S (2012) Dietary intake of zinc was inversely associated with depression. Biol Trace Elem Res 145(3):286–290

    Article  CAS  Google Scholar 

  19. Maserejian NN, Hall SA, McKinlay JB (2012) Low dietary or supplemental zinc is associated with depression symptoms among women, but not men, in a population-based epidemiological survey. J Affect Disord 136(3):781–788

    Article  CAS  Google Scholar 

  20. Vashum KP, McEvoy M, Milton AH, McElduff P, Hure A, Byles J, Attia J (2014) Dietary zinc is associated with a lower incidence of depression: findings from two Australian cohorts. J Affect Disord 166:249–257

    Article  CAS  Google Scholar 

  21. Ranjbar E, Kasaei MS, Mohammad-Shirazi M, Nasrollahzadeh J, Rashidkhani B, Shams J, Mostafavi S-A, Mohammadi MR (2013) Effects of zinc supplementation in patients with major depression: a randomized clinical trial. Iranian journal of psychiatry 8(2):73–79

    PubMed  PubMed Central  Google Scholar 

  22. Ranjbar E, Shams J, Sabetkasaei M, M-Shirazi M, Rashidkhani B, Mostafavi A, Bornak E, Nasrollahzadeh J (2014) Effects of zinc supplementation on efficacy of antidepressant therapy, inflammatory cytokines, and brain-derived neurotrophic factor in patients with major depression. Nutr Neurosci 17(2):65–71

    Article  CAS  Google Scholar 

  23. Siwek M, Dudek D, Paul IA, Sowa-Kućma M, Zięba A, Popik P, Pilc A, Nowak G (2009) Zinc supplementation augments efficacy of imipramine in treatment resistant patients: a double blind, placebo-controlled study. J Affect Disord 118(1):187–195

    Article  CAS  Google Scholar 

  24. 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

    Article  CAS  Google Scholar 

  25. Salimi S, Kianpoor M, Abassi M, Abdani M, Moghaddam E (2008) Lower total serum protein, albumin and zinc in depression in an Iranian population. J Med Sci 8(6):587–590

    Article  CAS  Google Scholar 

  26. Maes M, D'haese P, Scharpé S, D'Hondt P, Cosyns P, De Broe M (1994) Hypozincemia in depression. J Affect Disord 31(2):135–140

    Article  CAS  Google Scholar 

  27. Bonaventura P, Benedetti G, Albarède F, Miossec P (2015) Zinc and its role in immunity and inflammation. Autoimmun Rev 14(4):277–285

    Article  CAS  Google Scholar 

  28. Tayefi M, Shafiee M, Kazemi-Bajestani SMR, Esmaeili H, Darroudi S, Khakpouri S, Mohammadi M, Ghaneifar Z, Azarpajouh MR, Moohebati M (2017) Depression and anxiety both associate with serum level of hs-CRP: a gender-stratified analysis in a population-based study. Psychoneuroendocrinology 81:63–69

    Article  CAS  Google Scholar 

  29. Shafiee M, Tayefi M, Hassanian SM, Ghaneifar Z, Parizadeh MR, Avan A, Rahmani F, Khorasanchi Z, Azarpajouh MR, Safarian H (2017) Depression and anxiety symptoms are associated with white blood cell count and red cell distribution width: a sex-stratified analysis in a population-based study. Psychoneuroendocrinology 84:101–108

    Article  Google Scholar 

  30. Palta P, Samuel LJ, Miller ER 3rd, Szanton SL (2014) Depression and oxidative stress: results from a meta-analysis of observational studies. Psychosom Med 76(1):12–19

    Article  CAS  Google Scholar 

  31. Sarandol A, Sarandol E, Eker SS, Erdinc S, Vatansever E, Kirli S (2007) Major depressive disorder is accompanied with oxidative stress: short-term antidepressant treatment does not alter oxidative–antioxidative systems. Hum Psychopharmacol Clin Exp 22(2):67–73

    Article  CAS  Google Scholar 

  32. Prasad AS, Bao B, Beck FW, Kucuk O, Sarkar FH (2004) Antioxidant effect of zinc in humans. Free Radic Biol Med 37(8):1182–1190

    Article  CAS  Google Scholar 

Download references

Acknowledgements

This study was support by a grant from Mashhad University of Medical Sciences.

Author information

Authors and Affiliations

Authors

Corresponding authors

Correspondence to Gordon A. Ferns or Majid Ghayour-Mobarhan.

Ethics declarations

Conflict of Interest

The authors declare that they have no conflict of interest.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Gonoodi, K., Moslem, A., Ahmadnezhad, M. et al. Relationship of Dietary and Serum Zinc with Depression Score in Iranian Adolescent Girls. Biol Trace Elem Res 186, 91–97 (2018). https://doi.org/10.1007/s12011-018-1301-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12011-018-1301-6

Keywords

Navigation