Abstract
Schizophrenia is a chronic and progressive disorder characterized by cognitive, emotional,
and behavioral abnormalities associated with neuronal development and synaptic plasticity alterations.
Genetic and epigenetic abnormalities in cortical parvalbumin-positive GABAergic interneurons and
consequent alterations in glutamate-mediated excitatory neurotransmission during early neurodevelopment
underlie schizophrenia manifestation and progression. Also, epigenetic alterations during
pregnancy or early phases of postnatal life are associated with schizophrenia vulnerability and inflammatory
processes, which are at the basis of brain pathology and a higher risk of comorbidities, including
cardiovascular diseases and metabolic syndrome. In addition, schizophrenia patients adopt an
unhealthy lifestyle and poor nutrition, leading to premature death. Here, I explored the role of functional
nutrition as an integrated intervention for the long-term management of patients with schizophrenia.
Several natural bioactive compounds in plant-based whole foods, including flavonoids, phytonutrients,
vitamins, fatty acids, and minerals, modulate brain functioning by targeting neuroinflammation
and improving cognitive decline. Although further clinical studies are needed, a functional diet
rich in natural bioactive compounds might be effective in synergism with standard treatments to improve
schizophrenia symptoms and reduce the risk of comorbidities.
Graphical Abstract
[52]
Howes, O.D.; McCutcheon, R.; Agid, O.; de Bartolomeis, A.; van Beveren, N.J.M.; Birnbaum, M.L.; Bloomfield, M.A.P.; Bressan, R.A.; Buchanan, R.W.; Carpenter, W.T.; Castle, D.J.; Citrome, L.; Daskalakis, Z.J.; Davidson, M.; Drake, R.J.; Dursun, S.; Ebdrup, B.H.; Elkis, H.; Falkai, P.; Fleischacker, W.W.; Gadelha, A.; Gaughran, F.; Glenthøj, B.Y.; Graff-Guerrero, A.; Hallak, J.E.C.; Honer, W.G.; Kennedy, J.; Kinon, B.J.; Lawrie, S.M.; Lee, J.; Leweke, F.M.; MacCabe, J.H.; McNabb, C.B.; Meltzer, H.; Möller, H.J.; Nakajima, S.; Pantelis, C.; Reis Marques, T.; Remington, G.; Rossell, S.L.; Russell, B.R.; Siu, C.O.; Suzuki, T.; Sommer, I.E.; Taylor, D.; Thomas, N.; Üçok, A.; Umbricht, D.; Walters, J.T.R.; Kane, J.; Correll, C.U. Treatment-resistant schizophrenia: Treatment Response And Resistance In Psychosis (TRRIP) working group consensus guidelines on diagnosis and terminology.
Am. J. Psychiatry, 2017,
174(3), 216-229.
[
http://dx.doi.org/10.1176/appi.ajp.2016.16050503] [PMID:
27919182]
[102]
Madera, P.Z.; Suárez, S.C.; Álvarez, L.G.; García-Portilla, G.M.P.; Fernández, R.J. Eating and nutritional habits in patients with Schizophrenia. Rev. Psiquiatr. Salud. Ment., 2019, S18889891(19), 30098-30099.
[151]
Di Pierro, F.; Bressan, A.; Ranaldi, D.; Rapacioli, G.; Giacomelli, L.; Bertuccioli, A. Potential role of bioavailable curcumin in weight loss and omental adipose tissue decrease: preliminary data of a randomized, controlled trial in overweight people with metabolic syndrome. Preliminary study. Eur. Rev. Med. Pharmacol. Sci., 2015, 19(21), 4195-4202.