Sunlight, Vitamin D, and Depressive Disorders: A Literature Review

Naila Cantika Salsabila, Rudi Saputra, Siti Khairiah, Muhammad Khairul Nuryanto, Meiliati Aminyoto, Syaiful Fadilah

Abstract


Gangguan depresi diartikan sebagai gangguan emosi dan psikologis yang mengakibatkan kesedihan dan kehilangan minat terus-menerus. Sebesar 6,1% orang di Indonesia mengalami depresi, tetapi hanya 9% di antaranya yang mendapat pengobatan menurut hasil Riset Kesehatan Dasar tahun 2018. Terjadi penurunan neurotransmiter di otak pada orang yang mengalami gangguan depresi, yaitu pada serotonin, norepinefrin, dan dopamin. Mengekspos kulit ke sinar matahari adalah cara terbaik dalam pembentukan vitamin D. Sekitar 90% dari kebutuhan vitamin D manusia dipenuhi oleh paparan sinar matahari. Pembentukan vitamin D3 di kulit distimulasi oleh ultraviolet B. Vitamin D dalam bentuk 25(OH)D memiliki sifat fungsional dalam pembentukan hormon seks, baik pada perempuan (estrogen dan progesteron) maupun laki-laki (testosteron). Vitamin D juga termasuk dalam kelompok hormon steroid dan mampu melewati sawar darah otak yang berperan dalam regulasi dan modulasi sistem neurotransmitter. Reseptor vitamin D juga terdapat secara luas diseluruh otak dan merangsang pembentukan serotonin dan dopamin. Paparan sinar matahari yang adekuat dapat meningkatkan kadar vitamin D pada manusia. Peningkatan ini merangsang produksi neurotransmitter pada otak yang terlibat dalam gangguan depresi.


Full Text:

PDF

References


(1) Chand SP dan Arif A, “Depression”, https://www.ncbi.nlm.nih.gov/books/NBK430847/, 2022.

(2) Sulistyorini W dan Sabarisman M, “Depresi: Suatu Tinjauan Psikologis”, Sosio Informa, vol. 3, no. 2, pp. 154–155, 2017.

(3) Herawati N dan Deharnita, “Hubungan Karakteristik dengan Kejadian Depresi pada Lansia”, Jurnal Keperawatan Jiwa, vol. 7, no. 2, pp. 183–184, 2019.

(4) Dirgayunita A, “Depresi: Ciri, Penyebab dan Penangannya”, Journal An-Nafs, vol. 1, no. 1, pp. 1–14, 2016.

(5) Kementerian Kesehatan Republik Indonesia (Kemkes RI), Hasil Utama Riset Kesehatan Dasar (Riskesdas) 2018. Jakarta: Kementerian Kesehatan RI, 2018.

(6) Indrayani YA dan Wahyudi T, Situasi Kesehatan Jiwa di Indonesia. Jakarta: Kementerian Kesehatan RI, 2018.

(7) Pilevarzadeh M, Amirshahi M, dan Afsargharehbagh R, “Global Prevalence of Depression Among Breast Cancer Patients: A Systematic Review and Meta‐analysis”, Breast Cancer Res Treat, vol. 176, no. 3, pp. 519–520, 2019.

(8) Guy-Evans O, “Serotonin vs. Dopamine: What Are the Differences?”, https://www.simplypsychology.org/serotonin-vs-dopamine.html, 2021.

(9) Marianne, Depresi dan Penanganannya. Medan: Universitas Sumatera Utara, 2010.

(10) Cawley El, Park S, Rot M, et al., “Dopamine and Light: Dissecting Effects on Mood and Motivational States in Women with Subsyndromal Seasonal Affective Disorder”, Journal Psychiatry et Neuroscience, vol. 38, no. 6, pp. 388–395, 2013.

(11) Sansone RA dan Sansone LA, “Sunshine, Serotonin, and Skin: A Partial Explanation for Seasonal Patterns in Psychopathology?”, Innov Clin Neurosci, vol. 10, no. 7–8, pp. 20–24, 2013.

(12) World Health Organization, Global Health Estimates: Depression and Other Common Mental Disorders. Geneva: WHO, 2017.

(13) Harvard T.H. Chan, “Vitamin D”, https://www.hsph.harvard.edu/nutritionsource/vitamin-d/, 2022.

(14) OrthoInfo, “Vitamin D for Good Bone Health”, https://orthoinfo.aaos.org/en/staying-healthy/vitamin-d-for-good-bone-health/, 2022.

(15) Perhimpunan Reumatologi Indonesia, “Vitamin D, Nutrisi Baru yang Mengagumkan”, https://reumatologi.or.id/vitamin-d-nutrisi-baru-yang-mengagumkan/, 2021.

(16) American Psychiatric Association, Diagnostic and Statistical Manual of Mental Disorders, 5th ed. Arlington: American Psychiatric Publishing, 2013.

(17) World Health Organization, “Depression”, https://www.who.int/news-room/fact-sheets/detail/depression, 2021.

(18) Harista RA dan Lisiswanti R, “Depresi pada Penderita Diabetes Mellitus Tipe 2”, Medical Journal of Lampung University, vol. 4, no. 9, pp. 73–74, 2018.

(19) Kuehner C, “Why is Depression More Common Among Women Than Among Men”, Lancet Psychiatry, vol. 4, no. 2, pp. 148–150, 2017.

(20) Albert PR, “Why is Depression More Prevalent in Women?”, Journal of Psychiatry and Neuroscience, vol. 40, no. 4, pp. 219–220, 2015.

(21) Mayo Clinic, “Depression in Women: Understanding the Gender Gap”, https://www.mayoclinic.org/diseases-conditions/depression/in-depth/depression/art-20047725, 2019.

(22) American Association of Retired Persons (AARP), “Why Are Women More at Risk for Depression? ,” https://www.aarp.org/health/conditions-treatments/info-2021/depression-in-women.html, 2021.

(23) Cleveland Clinic, “Serotonin,” https://my.clevelandclinic.org/health/articles/22572-serotonin, 2022.

(24) NHS, “Vitamin D,” https://www.nhs.uk/conditions/vitamins-and-minerals/vitamin-d/, 2020.

(25) Kementerian Kesehatan Republik Indonesia (Kemkes RI), “Sinar Matahari Bagi Imunitas Tubuh,” https://mediakom.kemkes.go.id/2020/04/sinar-matahari-bagi-imunitas-tubuh/, 2020.

(26) Nagara AJ dan Gonius A, “The Role of Vitamin D in Enhancing Immunity and Its Recommendations”, Cermin Dunia Kedokteran, vol. 48, no. 2, pp. 99–101, 2021.

(27) Kementerian Perhubungan Republik Indonesia (Kemenhub RI), “Yuk, Kita Berjemur……”, https://balaihatpen.dephub.go.id/index.php/public/berita/detail/353/yuk--kita-berjemur------, 2020.

(28) Oregon State University, “Vitamin D”, https://lpi.oregonstate.edu/mic/vitamins/vitamin-D#metabolism-function, 2022.

(29) Nimitphong H dan Holick MF, “Vitamin D Status and Sun Exposure in Southeast Asia”, Dermatoendocrinol, vol. 5, no. 1, pp. 34–37, 2013.

(30) Keane JT, Elangovan H, Stokes RA, dan Gunton JE, “Vitamin D and the Liver-Correlation or Cause?”, Nutrients, vol. 10, no. 4, pp. 1–3, 2018.

(31) Western Australia Health (WA Health), “Vitamin D”, https://www.healthywa.wa.gov.au/Articles/U_Z/Vitamin-D, 2022.

(32) Kementerian Kesehatan Republik Indonesia (Kemkes RI), “Cukup Vitamin D dan Sinar Matahari agar Mencapai Kepadatan Tulang yang Optimal”, http://p2ptm.kemkes.go.id/infographic-p2ptm/penyakit-gangguan-metabolik/cukup-vitamin-d-dan-sinar-matahari-agar-mencapai-kepadatan-tulang-yang-optimal, 2018.

(33) Heckman CJ, Chandler R, Kloss JD, et al., “Minimal Erythema Dose (MED) Testing”, Journal of Visualized Experiments, vol. 75, pp. 1–4, 2013.

(34) Narbutt J, Lesiak A, Sysa-Jedrzejowska A, et al., “Repeated Low-dose Ultraviolet (UV) B Exposures of Humans Induce Limited Photoprotection Against the Immune Effects of Erythemal UVB Radiation”, British Journal of Dermatology, vol. 156, pp. 540–543, 2007.

(35) Jacoeb TNA, Siswati AS, Budiyanto A, et al., Pengaruh Sinar Ultra Violet terhadap Kesehatan Kajian terhadap Berjemur (Sun Exposures). Jakarta : PERDOSKI, 2020.

(36) Ugmsehat, “Sinar Matahari dan Kesehatan”, https://hpu.ugm.ac.id/2020/04/05/sinar-matahari-dan-kesehatan/, 2020.

(37) World Health Organization (WHO), “Radiation: The Ultraviolet (UV) Index”, https://www.who.int/news-room/questions-and-answers/item/radiation-the-ultraviolet-(uv)-index, 2022.

(38) Hong S-H, Lee J-E, An S-M, et al., “Effect of Vitamin D3 on Biosynthesis of Estrogen in Porcine Granulosa Cells via Modulation of Steroidogenic Enzymes”, Toxicol Res, vol. 33, no. 1, pp. 49–53, 2017.

(39) Pilz S, Frisch S, Koertke H, et al., “Effect of Vitamin D Supplementation on Testosterone Levels in Men”, Hormone and Metabolic Research, vol. 43, pp. 224–225, 2011.

(40) Parikh G, Varadinova M, Suwandhi P, et al., “Vitamin D Regulates Steroidogenesis and Insulin-like Growth Factor Binding Protein-1 (IGFBP-1) Production in Human Ovarian Cells”, Hormone and Metabolic Research, vol. 42, pp. 754–757, 2010.

(41) Lerchbaum E dan Obermayer-Pietsch B, “Vitamin D and Fertility: A Systematic Review”, Eur J Endocrinol, vol. 166, no. 5, pp. 766–774, 2012.

(42) Río JPD, Alliende MI, Molina N, et al., “Steroid Hormones and their Action in Women’s Brains: The Importance of Hormonal Balance”, Front Public Health, vol. 6, no. 141, pp. 1–10, 2018.

(43) Lucas DA, Sabir MS, Mallick S, et al., “Vitamin D Stimulates Serotonin Production via Induction of the Tryptophan Hydroxylase 2 Isoform in B14 Rat Medullary Neurons”, The FASEB Journal, vol. 32, no. 51, pp. 155–156, 2018.

(44) Hernández-Hernández OT, Martínez-Mota L, Herrera-Pérez JJ, dan Jiménez-Rubio G, “Role of Estradiol in the Expression of Genes Involved in Serotonin Neurotransmission: Implications for Female Depression”, Curr Neuropharmacol, vol. 16, no. 5, pp. 459–467, 2018.

(45) Thibeault A-AH, Sanderson JT, Vaillancourt C, “Serotonin-estrogen Interactions: What Can We Learn From Pregnancy?”, Biochimie, vol. 161, pp. 89–100, 2019.

(46) Dhaibar HA, Carroll NG, Amatya S, et al., “Glucocorticoid Inhibition of Estrogen Regulation of the Serotonin Receptor 2B in Cardiomyocytes Exacerbates Cell Death in Hypoxia/Reoxygenation Injury”, J Am Heart Assoc, vol. 10, pp. 6–18, 2021.

(47) Johansen AKZ, Dean A, Morecroft I, et al., “The Serotonin Transporter Promotes a Pathological Estrogen Metabolic Pathway in Pulmonary Hypertension via Cytochrome P450 1B1”, Pulm Circ, vol. 6, no. 1, pp. 82–90, 2016.

(48) Zhang Y, Li H, Zhang X, et al., “Estrogen Receptor-A in Medial Preoptic Area Contributes to Sex Difference of Mice in Response to Sevoflurane Anesthesia”, Neurosci Bull, vol. 38, no. 7, pp. 703–715, 2022.

(49) Mukherjee J, Cardarelli RA, Cantaut-Belarif Y, et al., “Estradiol Modulates the Efficacy of Synaptic Inhibition by Decreasing the Dwell Time of GABA A Receptors at Inhibitory Synapses”, Proceedings of the National Academy of Sciences, vol. 114, pp. 11763–11768, 2017.

(50) Ethiraj J, Palpagama TH, Turner C, et al., “The Effect of Age and Sex on the Expression of GABA Signaling Components in the Human Hippocampus and Entorhinal Cortex”, Science Reports, vol. 11, no. 21470, pp. 2–10, 2021.

(51) Chang Y, Hsieh HL, Huang SK, Wang SJ, “Neurosteroid Allopregnanolone Inhibits Glutamate Release From Rat Cerebrocortical Nerve Terminals”, Synaps, vol. 73, no. 3, pp. 3–21, 2021.

(52) Paul SM, Pinna G, Guidotti A, “Allopregnanolone: From Molecular Pathophysiology to Therapeutics. A Historical Perspective”, Neurobiol Stress, vol. 12, pp. 2–3, 2020.

(53) Hall E, Steiner M, “Serotonin and Female Psychopathology”, Women’s Health, vol. 9, no. 1, pp. 85–92, 2013.

(54) Hidalgo-Lopez E, Pletzer B, “Interactive Effects of Dopamine Baseline Levels and Cycle Phase on Executive Functions: The Role of Progesterone”, Front Neurosci, vol. 11, no. 403, pp. 6–11, 2017.

(55) Sun J, Walker AJ, Dean B, et al., “Progesterone: The Neglected Hormone in Schizophrenia? A Focus on Progesterone-dopamine Interactions”, Psychoneuroendocrinology, vol. 74, pp. 127–137, 2016.

(56) Fertility Appreciation Collaborative to Teach the Science (FACTS), “Hormonal Balance and the Female Brain: A Review”, https://www.factsaboutfertility.org/hormonal-balance-and-the-female-brain-a-review/, 2021.

(57) Liu H, He Y, Beck J, et al., “Defining Vitamin D Receptor Expression in the Brain Using a Novel VDRCre Mouse”, Journal of Comparative Neurology, vol. 529, pp. 2366–2373, 2021.

(58) Pertile RAN, Cui X, dan Eyles DW, “Vitamin D Signaling and the Differentiation of Developing Dopamine Systems”, Neuroscience, vol. 333, pp. 6–11, 2016.

(59) Sedhagat K, Yousefian Z, Vafaei AA, et al., “Mesolimbic Dopamine System and Its Modulation by Vitamin D in a Chronic Mild Stress Model of Depression in the Rat”, Behavioural Brain Research, vol. 356, pp. 14–18, 2019.

(60) Seyedi M, Gholami F, Samadi M, et al., “The Effect of Vitamin D3 Supplementation on Serum BDNF, Dopamine, and Serotonin in Children with Attention-Deficit/Hyperactivity Disorder”, CNS Neurological Disorders-Drug Targets, vol. 18, no. 6, pp. 496–501, 2019.

(61) Patrick RP, dan Ames BN, “Vitamin D Hormone Regulates Serotonin Synthesis. Part 1: Relevance for Autism”, The FASEB Journal, vol. 28, no. 6, pp. 2406–2407, 2014.




DOI: http://dx.doi.org/10.30872/j.kes.pasmi.kal.v7i2.9150

Refbacks

  • There are currently no refbacks.


Indexing by :

 https://upload.unmul.ac.id/uploads/e2a1Google-Scholar.pnghttps://upload.unmul.ac.id/uploads/e2a1Garuda.pnghttps://upload.unmul.ac.id/uploads/6e88Ios.pnghttps://upload.unmul.ac.id/uploads/6e88Base.pnghttps://upload.unmul.ac.id/uploads/47e9Sinta.png

slot raffi ahmadgacor4dhttps://jurnal.usk.ac.id/lib/pkp/sbobet88/robopragmalapak cheatturbox1000akun pro jepangsensorgacorscatter hitamhttps://eprints.unpak.ac.id/jslot/

slot resmi

data keluaran sgp

slot gacor

Slot Jepang

slot88

Pandawin

https://www.dinkespolman.com/

https://www.davidsmusings.com/

slot gacor

slot gacor

slot thailand

familyhospitals.com

agen judi bola

slot pulsa

sakti55