Vol. 26 No. 4 (2026): in Progress
Open Access
Peer Reviewed

Micronutrient Deficiencies and Mental Disorders: Exploring the Association

Authors

Syifa'ul Layaliy , I Nyoman Rhino Raditya , Alya Nabila Putri , Safriezal Raditya Wardana , Agustine Mahardika

DOI:

10.29303/jbt.v26i4.13579

Published:

2026-10-14

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Abstract

Micronutrienst play an impportante role in maintaining brain function through ther involvement in neurotransmitter synthesis, neuroplasticity, antioxidant defense, and inflammatory regulation. Deficiencies of micronutrients such as vitamin D, B vitamins, magnesium, zinc, iron, and selenium have been associated with various mental disorders, including depression, anxiety, and cognitive impairment. This review aims to explore the association between micronutrient deficiencies and mental disorders and to describe the potential biological underlying this relationship. The reviewed literature suggests that micronutrient deficiencies may contribute to impaired neurotransmitter function, oxidative stress, neuroinflammation, and dysregulation of the hypothalamic–pituitary–adrenal axis. However, evidence regarding supplementation and its clinical effects remains variable, and causal relationships have not been consistently established. Micronutrient status is an important and potentially modifiable aspect of mental health that may interact with multiple biological pathways involved in psychiatric disorders. Assessment of nutritional status may complement conventional approaches to mental healthcare, particularly in individuals at risk of nutritional deficiencies. Further well-designed longitudinal and clinical studies are needed to clarify causal relationships and determine the effectiveness of targeted nutritional interventions.

Keywords:

Micronutrient deficiencies Mental disorders Mental health Nutritional psychiatry

References

Baik, H. W. (2024). Mental health and micronutrients: A narrative review. Annals of Clinical Nutrition and Metabolism, 16(3), 112–119. https://doi.org/10.15747/acnm.2024.16.3.112

Barbosa, M. L., de Meneses, A.-A. P. M., de Aguiar, R. P. S., de Castro e Sousa, J. M., de Carvalho Melo Cavalcante, A. A., & Maluf, S. W. (2020). Oxidative stress, antioxidant defense and depressive disorders: A systematic review of biochemical and molecular markers. Neurology, Psychiatry and Brain Research, 36, 65–72. https://doi.org/10.1016/j.npbr.2020.02.006

Bertollo, A. G., Santos, C. F., Bagatini, M. D., & Ignácio, Z. M. (2025). Hypothalamus-pituitary-adrenal and gut-brain axis in biological interaction pathway of the depression. Frontiers in Neuroscience, 19, Article 1541075. https://doi.org/10.3389/fnins.2025.1541075

Botturi, A., Ciappolino, V., Delvecchio, G., Boscutti, A., Viscardi, B., Brambilla, P., & colleagues. (2020). The role and the effect of magnesium in mental disorders: A systematic review. Nutrients, 12(6), 1661. https://doi.org/10.3390/nu12061661

Campisi, S. C., Zasowski, C., Shah, S., Shah, A., Bradley-Ridout, G., Korczak, D. J., & Szatmari, P. (2020). Assessing the evidence of micronutrients on depression among children and adolescents: An evidence gap map. Advances in Nutrition, 11(4), 908–927. https://doi.org/10.1093/advances/nmaa021

Cheng, J., Hu, H., Ju, Y., Liu, J., Wang, M., Liu, B., & Zhang, Y. (2024). Gut microbiota-derived short-chain fatty acids and depression: Deep insight into biological mechanisms and potential applications. General Psychiatry, 37, Article e101374. https://doi.org/10.1136/gpsych-2023-101374

Darenskaya, M., Cloete, K. J., Rychkova, L., Kolesnikov, S., Prokhorova, Z., Semenova, N., & Kolesnikova, L. (2025). Oxidative stress, antioxidant cofactor micronutrients, and cognitive outcomes in childhood obesity: Mechanisms, evidence, and therapeutic opportunities. International Journal of Molecular Sciences, 26(24), 12012.

Das, S., Banerjee, P., Jana, S., & Mondal, H. (2025). Unveiling the mechanistic nexus: How micronutrient enrichment shapes brain function and cognitive health. Frontiers in Molecular Biosciences, 12, Article 1623547. https://doi.org/10.3389/fmolb.2025.1623547

De Rossi, P., Harde, E., Dupuis, J. P., Martin, L., Chounlamountri, N., Bardin, M., Watrin, C., Benetollo, C., Pernet-Gallay, K., Luhmann, H. J., Honnorat, J., Malleret, G., Groc, L., Acker-Palmer, A., Salin, P. A., & Meissirel, C. (2016). A critical role for VEGF and VEGFR2 in NMDA receptor synaptic function and fear-related behavior. Molecular Psychiatry, 21(12), 1768–1780. https://doi.org/10.1038/mp.2015.195

Ding, W., Wang, S., Gu, J., & Yu, L. (2023). Selenium and human nervous system. Chinese Chemical Letters, 34, 107862.

Fahim, S., Banerjee, P., Jana, S., & Mondal, H. (2025). Unveiling the mechanistic nexus: How micronutrient enrichment shapes brain function and cognitive health. Frontiers in Molecular Biosciences, 12, 1623547. https://pmc.ncbi.nlm.nih.gov/articles/PMC12500463/

Field, D. T., Cracknell, R. O., Eastwood, J. R., Scarfe, P., Williams, C. M., Zheng, Y., & Tavassoli, T. (2022). High-dose vitamin B6 supplementation reduces anxiety and strengthens visual surround suppression. Human Psychopharmacology: Clinical and Experimental, 37(6), e2852.

Gasmi, A., Nasreen, A., Menzel, A., Gasmi Benahmed, A., Pivina, L., Noor, S., Peana, M., Chirumbolo, S., & Bjørklund, G. (2023). Neurotransmitters regulation and food intake: The role of dietary sources in neurotransmission. Molecules, 28(1), 210. https://doi.org/10.3390/molecules28010210

Julius, S. (2025). Nutritional psychiatry: The impact of diet on mental health. Newport International Journal of Research in Medical Sciences, 6(1), 9–13. https://doi.org/10.59298/NIJRMS/2025/6.1.91300

Kasatkina, L. A., Tarasenko, A. S., Krupko, O. O., Kuchmerovska, T. M., Lisakovska, O. O., & Trikash, I. O. (2020). Vitamin D deficiency induces the excitation/inhibition brain imbalance and the proinflammatory shift. The International Journal of Biochemistry & Cell Biology, 119, 105665. https://doi.org/10.1016/j.biocel.2019.105665

Kowalczyk, A., Pączek, A. J., Dyczek, P., Staniszewska, W., Hofman, J., Lach, S., & Bednarek, I. (2025). Magnesium and mental health: A review of its role in anxiety, sleep disorders and depression. Journal of Education, Health and Sport, 83, 66774. https://doi.org/10.12775/jehs.2025.83.66774

Laird, E., O'Halloran, A. M., Carey, D., Healy, M., O'Connor, D., Moore, P., Moran, P., & Rose, A. (2021). Low vitamin B12 but not folate is associated with incident depressive symptoms in community-dwelling older adults: A 4-year longitudinal study. British Journal of Nutrition, 126(10), 1542–1550.

Lee, P., & Ulatowski, L. M. (2019). Vitamin E: Mechanism of transport and regulation in the CNS. IUBMB Life, 71(4), 424–429. https://doi.org/10.1002/iub.1993

Li, Z., Liu, Y., Wei, R., Yong, V. W., & Xue, M. (2023). The important role of zinc in neurological diseases. Biomolecules, 13(1), 28. https://doi.org/10.3390/biom13010028

López-Sebastiani, V., Quiroz-Cornejo, K. V., Arellano-Salazar, M. P., Monje-Bolivar, F., & Samillan, V. J. (2026). Micronutrient balance and brain function: Neuropsychological, metabolic, and clinical interactions. Frontiers in Molecular Biosciences, 13, 1748487. https://doi.org/10.3389/fmolb.2026.1748487

Mahdavifar, B., Hosseinzadeh, M., Salehi-Abargouei, A., Mirzaei, M., & Vafa, M. (2021). Dietary intake of B vitamins and their association with depression, anxiety, and stress symptoms: A cross-sectional, population-based survey. Journal of Affective Disorders, 288, 92–98.

McKenzie, C. A., Page, V. J., Strain, W. D., Blackwood, B., Ostermann, M., Taylor, D., Spronk, P. E., & McAuley, D. F. (2020). Parenteral thiamine for prevention and treatment of delirium in critically ill adults: A systematic review protocol. Systematic Reviews, 9(1), Article 125. https://doi.org/10.1186/s13643-020-01380-z

Moabedi, M., Aliakbari, M., Erfanian, S., & Milajerdi, A. (2023). Magnesium supplementation beneficially affects depression in adults with depressive disorder: A systematic review and meta-analysis of randomized clinical trials. Frontiers in Psychiatry, 14, 1333261. https://doi.org/10.3389/fpsyt.2023.1333261

Moro, M. Á. (2021). Post-stroke neurogenesis: Friend or foe? Frontiers in Cell and Developmental Biology, 9, 657846. https://doi.org/10.3389/fcell.2021.657846

Musazadeh, V., Keramati, M., Ghalichi, F., Kavyani, Z., Ghoreishi, Z., Alras, K. A., Albadawi, N., Salem, A., Albadawi, M. I., Salem, R., Abu-Zaid, A., Zarezadeh, M., & Mekary, R. A. (2023). Vitamin D protects against depression: Evidence from an umbrella meta-analysis on interventional and observational meta-analyses. Pharmacological Research, 187, 106605. https://doi.org/10.1016/j.phrs.2022.106605

Nagamine, T. (2025). Current state of nutritional psychiatry: A scoping review of randomized controlled trials. World Journal of Methodology, 15(4), 104664. https://doi.org/10.5662/wjm.v15.i4.104664

Onaolapo, O. J., & Onaolapo, A. Y. (2021). Nutrition, nutritional deficiencies, and schizophrenia: An association worthy of constant reassessment. World Journal of Clinical Cases, 9(28), 8295–8311. https://doi.org/10.12998/wjcc.v9.i28.8295

Petrilli, M. A., Kranz, T. M., Kleinhaus, K., Joe, P., Getz, M., Johnson, P., Chao, M. V., & Malaspina, D. (2017). The emerging role for zinc in depression and psychosis. Frontiers in Pharmacology, 8, 414. https://doi.org/10.3389/fphar.2017.00414

Pinzon, R. T., Handayani, T., Wijaya, V. O., & Buana, R. B. (2023). Low vitamin D serum levels as risk factor of Alzheimer's disease: A systematic review and meta-analysis. The Egyptian Journal of Neurology, Psychiatry and Neurosurgery, 59, Article 67. https://doi.org/10.1186/s41983-023-00676-w

Pullar, J. M., Carr, A. C., & Vissers, M. C. M. (2018). The role of vitamin C in stress-related disorders. Nutrients, 10(8), 1018. https://doi.org/10.3390/nu10081018

Qiao, Y., Rong, L., Chen, H., Guo, J., Li, G., Wang, Q., Bi, H., Wei, L., & Gao, T. (2025). Gut microbiota, nutrients, and depression. Frontiers in Nutrition, 12, 1581848. https://doi.org/10.3389/fnut.2025.1581848

Qiu, J., Lian, F., & Fang, X. (2022). Iron status and mental disorders: A Mendelian randomization study. Frontiers in Nutrition, 9, 1084860. https://doi.org/10.3389/fnut.2022.1084860

Quan, Z., Li, H., Quan, Z., & Qing, H. (2023). Appropriate macronutrients or mineral elements are beneficial to improve depression and reduce the risk of depression. International Journal of Molecular Sciences, 24(8), 7098. https://doi.org/10.3390/ijms24087098

Sangle, P., Sandhu, O., Aftab, Z., Anthony, A. T., & Khan, S. (2020). Vitamin B12 supplementation: Preventing onset and improving prognosis of depression. Cureus, 12(10), e11169.

Sultan, S., Alhejin, N., Serafi, R., Abu Alrahi, M., Afifi, G., Al-Adawi, L., Serafi, M., & El Madhoun, N. (2025). Does vitamin D deficiency increase the risk of autism spectrum disorder? Linking evidence with theory—A narrative review. Psychiatry International, 6(1), 22. https://doi.org/10.3390/psychiatryint6010022

Umekar, M., Premchandani, T., Tatode, A., Qutub, M., Raut, N., Taksande, J., & Hussain, U. Md. (2025). Vitamin B12 deficiency and cognitive impairment: A comprehensive review of neurological impact. Brain Disorders, 18, 100220. https://doi.org/10.1016/j.dscb.2025.100220

Varga, P., Lehoczki, A., Fekete, M., Jarecsny, T., Kryczyk-Poprawa, A., Zábó, V., Major, D., Fazekas-Pongor, V., Csípő, T., & Varga, J. T. (2025). The role of magnesium in depression, migraine, Alzheimer’s disease, and cognitive health: A comprehensive review. Nutrients, 17(13), 2216. https://doi.org/10.3390/nu17132216

Visternicu, M., Rarinca, V., Burlui, V., Halitchi, G., Ciobică, A., Singeap, A. M., ... & Trifan, A. (2024). Investigating the impact of nutrition and oxidative stress on attention deficit hyperactivity disorder. Nutrients, 16(18), 3113.

Wang, [inisial]., [penulis lainnya]. (2025). Global burden and trends of major mental disorders in individuals under 24 years of age from 1990 to 2021, with projections to 2050. Frontiers in Public Health. https://doi.org/10.3389/fpubh.2025.1635801

Wen, Z., Bai, L., Wu, S., Chen, J., Jama, H. A., & Sawmadal, J. D. (2024). Association of serum vitamin D with anxiety in US adults: A cross-sectional study. Frontiers in Nutrition, 11, 1371170. https://doi.org/10.3389/fnut.2024.1371170

Wu, J., Jiang, Y., Liang, J., Zhou, Y., Chai, S., Xiong, N., & Wang, Z. (2025). Bidirectional causality between micronutrients and mental illness: Mendelian randomization studies. Journal of Affective Disorders, 369, 718–764. https://doi.org/10.1016/j.jad.2024.09.047

Wu, T., Xing, H., Wu, T., Xie, X., Ji, L., Wang, W., Zhang, X., Zhang, Y., Jiang, C., & Bao, T. (2026). Imbalance of the brain–gut–microbiota axis in major depressive disorder: From pathogenesis to clinical translation. Neuropsychiatric Disease and Treatment. https://doi.org/10.2147/NDT.S591429

Wycik, M., Kondratiuk, G., Kruk, A., Łupińska, M., Stępień, K., Kucińska, J., Chmielewski, H., Wądołowski, A., Przeniosło, J., & Komar, J. (2025). Iron deficiency in depressive disorders: A review of mechanisms, clinical relevance, and treatment perspectives. Quality in Sport, 43, 62357. https://doi.org/10.12775/qs.2025.43.62357

Yosaee, S., Clark, C. C. T., Keshtkaran, Z., Ashourpour, M., Keshani, P., & Soltani, S. (2022). Zinc in depression: From development to treatment: A comparative/dose-response meta-analysis of observational studies and randomized controlled trials. General Hospital Psychiatry, 74, 110–117. https://doi.org/10.1016/j.genhosppsych.2020.08.001

Zielińska, M., Łuszczki, E., & Dereń, K. (2023). Dietary nutrient deficiencies and risk of depression (Review). Nutrients, 15(11), 2433. https://doi.org/10.3390/nu15112433

Author Biographies

Syifa'ul Layaliy, Universitas Mataram

Author Origin : Indonesia

I Nyoman Rhino Raditya, Universitas Mataram

Author Origin : Indonesia

Alya Nabila Putri, Universitas Mataram

Author Origin : Indonesia

Safriezal Raditya Wardana, Universitas Mataram

Author Origin : Indonesia

Agustine Mahardika, Universitas Mataram

Author Origin : Indonesia

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How to Cite

Layaliy, S., Raditya, I. N. R., Putri, A. N., Wardana, S. R., & Mahardika, A. (2026). Micronutrient Deficiencies and Mental Disorders: Exploring the Association. Jurnal Biologi Tropis, 26(4), 566–576. https://doi.org/10.29303/jbt.v26i4.13579