The role of anti-inflammatory diets and supplementation in metabolic syndrome and symptom remission in adults with schizophrenia: a systematic review

IntroductionImmune dysregulation and chronic inflammation have been hypothesized as potential pathways in metabolic syndrome and schizophrenia. Anti-inflammatory diets have the potential not only to treat metabolic syndrome but also to reduce the symptom burden in schizophrenia. The aim of this syst...

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Main Authors: Elizabeth Suschana, Thea Anderson, Catriona Hong, Arun Narikatte, Jillian Silverberg, Manu Suresh Sharma
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Psychiatry
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Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1506353/full
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author Elizabeth Suschana
Thea Anderson
Catriona Hong
Arun Narikatte
Jillian Silverberg
Manu Suresh Sharma
author_facet Elizabeth Suschana
Thea Anderson
Catriona Hong
Arun Narikatte
Jillian Silverberg
Manu Suresh Sharma
author_sort Elizabeth Suschana
collection DOAJ
description IntroductionImmune dysregulation and chronic inflammation have been hypothesized as potential pathways in metabolic syndrome and schizophrenia. Anti-inflammatory diets have the potential not only to treat metabolic syndrome but also to reduce the symptom burden in schizophrenia. The aim of this systematic review was to investigate the role of anti-inflammatory diets and vitamin supplementation in the management of metabolic syndrome and in symptom remission in people with schizophrenia.MethodsThis systematic review included research articles from PubMed, EMBASE, Scopus, PsycINFO, and the Cochrane Central Register for Controlled Trials. The primary outcomes were markers of metabolic syndrome and symptoms of psychosis.ResultsOur search identified 2,124 potential studies, of which 1,559 were screened based on the title and abstract, resulting in 81 full-text articles assessed for eligibility. A total of 17 studies were included, which demonstrated mixed findings on the impacts of anti-inflammatory diet interventions on metabolic markers and symptom remission in schizophrenia. Prebiotic, probiotic, and fish oil supplementation showed improvements in metabolic markers. Fish oil and vitamin D supplementation demonstrated symptom remission in some trials.ConclusionIt is important to consider that people with schizophrenia may experience common external barriers that hinder adherence to dietary interventions. These findings underscore the need for larger trials with standardized dietary protocols and consistent metabolic and symptom outcome measures in order to better understand the potential role of anti-inflammatory interventions in this population.Systematic review registrationhttps://www.crd.york.ac.uk/prospero/, identifier CRD42024511596.
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spelling doaj-art-81c076257e32470ab9e3bbf785fe13a92025-01-07T06:49:35ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402025-01-011510.3389/fpsyt.2024.15063531506353The role of anti-inflammatory diets and supplementation in metabolic syndrome and symptom remission in adults with schizophrenia: a systematic reviewElizabeth Suschana0Thea Anderson1Catriona Hong2Arun Narikatte3Jillian Silverberg4Manu Suresh Sharma5University of Connecticut School of Medicine, Farmington, CT, United StatesUniversity of Connecticut School of Medicine, Farmington, CT, United StatesUniversity of Connecticut School of Medicine, Farmington, CT, United StatesFrank H. Netter MD School of Medicine, Quinnipiac University, North Haven, CT, United StatesLibrary Services, University of Connecticut School of Medicine, Farmington, CT, United StatesDepartment of Psychiatry, Institute of Living, Hartford, CT, United StatesIntroductionImmune dysregulation and chronic inflammation have been hypothesized as potential pathways in metabolic syndrome and schizophrenia. Anti-inflammatory diets have the potential not only to treat metabolic syndrome but also to reduce the symptom burden in schizophrenia. The aim of this systematic review was to investigate the role of anti-inflammatory diets and vitamin supplementation in the management of metabolic syndrome and in symptom remission in people with schizophrenia.MethodsThis systematic review included research articles from PubMed, EMBASE, Scopus, PsycINFO, and the Cochrane Central Register for Controlled Trials. The primary outcomes were markers of metabolic syndrome and symptoms of psychosis.ResultsOur search identified 2,124 potential studies, of which 1,559 were screened based on the title and abstract, resulting in 81 full-text articles assessed for eligibility. A total of 17 studies were included, which demonstrated mixed findings on the impacts of anti-inflammatory diet interventions on metabolic markers and symptom remission in schizophrenia. Prebiotic, probiotic, and fish oil supplementation showed improvements in metabolic markers. Fish oil and vitamin D supplementation demonstrated symptom remission in some trials.ConclusionIt is important to consider that people with schizophrenia may experience common external barriers that hinder adherence to dietary interventions. These findings underscore the need for larger trials with standardized dietary protocols and consistent metabolic and symptom outcome measures in order to better understand the potential role of anti-inflammatory interventions in this population.Systematic review registrationhttps://www.crd.york.ac.uk/prospero/, identifier CRD42024511596.https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1506353/fullschizophreniaanti-inflammatory dietsinflammationvitaminssupplementsmetabolic syndrome
spellingShingle Elizabeth Suschana
Thea Anderson
Catriona Hong
Arun Narikatte
Jillian Silverberg
Manu Suresh Sharma
The role of anti-inflammatory diets and supplementation in metabolic syndrome and symptom remission in adults with schizophrenia: a systematic review
Frontiers in Psychiatry
schizophrenia
anti-inflammatory diets
inflammation
vitamins
supplements
metabolic syndrome
title The role of anti-inflammatory diets and supplementation in metabolic syndrome and symptom remission in adults with schizophrenia: a systematic review
title_full The role of anti-inflammatory diets and supplementation in metabolic syndrome and symptom remission in adults with schizophrenia: a systematic review
title_fullStr The role of anti-inflammatory diets and supplementation in metabolic syndrome and symptom remission in adults with schizophrenia: a systematic review
title_full_unstemmed The role of anti-inflammatory diets and supplementation in metabolic syndrome and symptom remission in adults with schizophrenia: a systematic review
title_short The role of anti-inflammatory diets and supplementation in metabolic syndrome and symptom remission in adults with schizophrenia: a systematic review
title_sort role of anti inflammatory diets and supplementation in metabolic syndrome and symptom remission in adults with schizophrenia a systematic review
topic schizophrenia
anti-inflammatory diets
inflammation
vitamins
supplements
metabolic syndrome
url https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1506353/full
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