The Regulation of Depression by the Mediterranean Dietary Pattern: Targeting the Gut Brain Axis
DOI:
https://doi.org/10.54097/qrenfv02Keywords:
Mediterranean diet, depression, neuroinflammation, brain-gut axis.Abstract
Depression has become one of the leading causes of disability worldwide, affecting approximately 300 million people. Many factors can trigger depression, including social, psychological, and biological factors. The existing treatment methods for depression have certain limitations, and the rise of nutritional psychiatry plays a crucial role in treating mental illnesses. The Mediterranean diet has attracted widespread attention due to its high content of dietary fiber, polyphenols, and omega-3 polyunsaturated fatty acids, as well as its anti-inflammatory, antioxidant, and intestinal barrier-enhancing effects. The substances contained in its grains and olive oil have prebiotic-like effects, which can promote the proliferation of beneficial bacteria and improve the intestinal microbiota. The gut-brain axis is a bidirectional pathway (neural, endocrine, and immune pathways) between the central nervous system and the gastrointestinal tract. Adhering to a Mediterranean diet is associated with a reduced risk of depression. This article focuses on the gut-brain axis and systematically introduces how the Mediterranean diet improves the occurrence of depression by regulating gut microbiota and protecting intestinal function.
Downloads
References
[1] Wang G, Tian S S, Zhang L, Li A N. The key research progress and hot spots of major depressive disorder over the past decade. Chinese Journal of Psychiatry, 2025, 58(2): 94-102.
[2] Zhang Y M, Guo M, Jia H X, Xia Y Q, Zhou H, Wang J. Research progress on microbial therapy for depression. Industrial Microbiology, 2025, 55(2): 132-139.
[3] Barandouzi Z A, Starkweather A R, Henderson W A, Gyamfi A, Cong X S. Altered composition of gut microbiota in depression: a systematic review. Frontiers in Psychiatry, 2020, 11: 536093.
[4] Adan R A, van der Beek E M, Buitelaar J K, Cryan J F, Hebebrand J, Higgs S, Dickson S L. Nutritional psychiatry: towards improving mental health by what you eat. European Neuropsychopharmacology, 2019, 29(12): 1321-1332.
[5] Zhu F, Tu H, Chen T. The microbiota-gut-brain axis in depression: the potential pathophysiological mechanisms and microbiota combined antidepression effect. Nutrients, 2022, 14(10): 2081.
[6] Zhang K, Wu Y, Yi L, Wu Y, Deng Y, Xu X, Zhao G. Adherence to the Mediterranean diet and risk of depression: a cohort study in Chinese community residents. Nutrients, 2025, 17(6): 942.
[7] Liu L, Wang H, Chen X, Zhang Y, Zhang H, Xie P. Gut microbiota and its metabolites in depression: from pathogenesis to treatment. EBioMedicine, 2023, 90.
[8] Radford-Smith D E, Anthony D C. Prebiotic and probiotic modulation of the microbiota-gut-brain axis in depression. Nutrients, 2023, 15(8): 1880.
[9] Barber T M, Kabisch S, Pfeiffer A F, Weickert M O. The effects of the Mediterranean diet on health and gut microbiota. Nutrients, 2023, 15(9): 2150.
[10] Oliván-Blázquez B, Aguilar-Latorre A, Motrico E, et al. The relationship between adherence to the Mediterranean diet, intake of specific foods and depression in an adult population (45-75 years) in primary health care: a cross-sectional descriptive study. Nutrients, 2021, 13(8): 2724.
[11] Altun A, Brown H, Szoeke C, Goodwill A M. The Mediterranean dietary pattern and depression risk: a systematic review. Neurology, Psychiatry and Brain Research, 2019, 33: 1-10.
[12] Kiani A K, Medori M C, Bonetti G, Aquilanti B, Velluti V, Matera G, Bertelli M. Modern vision of the Mediterranean diet. Journal of Preventive Medicine and Hygiene, 2022, 63(2 Suppl 3): E36.
[13] Yin W, Löf M, Chen R, Hultman C M, Fang F, Sandin S. Mediterranean diet and depression: a population-based cohort study. International Journal of Behavioral Nutrition and Physical Activity, 2021, 18(1): 153.
Downloads
Published
Issue
Section
License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

