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Geriatrik Yaşta Beyin Sağlığını Korumada Takviye Kullanımı

Yıl 2025, Cilt: 47 Sayı: Beyin Farkındalığı 2025 Özel Sayısı, 24 - 33, 22.08.2025

Öz

In the geriatric population, supplement use for the purpose of preserving brain health and supporting cognitive functions has become increasingly prevalent. The most frequently studied supplements include vitamins, minerals, omega 3 fatty acids, Ginkgo biloba leaf extract, curcumin and resveratrol (as polyphenols), coenzyme Q10, St. John's wort (Hypericum perforatum), melatonin, and probiotics/prebiotics. Although some studies show promising results, there is no definitive and robust evidence at present to recommend the routine use of any supplement specifically for brain health preservation. The fundamental principle remains deficiency-based repletion. Age-related physiological changes, multimorbidity, and polypharmacy increase the risk of drug–nutrient interactions. It is essential to foster awareness of the safe dosage range, potential adverse effects, and drug interactions. Consequently, a comprehensive geriatric assessment should be conducted for every older adult, including a thorough inquiry about supplement use, and a personalized approach to supplementation should be adopted.

Kaynakça

  • 1. Livingston G, Huntley J, Liu KY, Costafreda SG, Selbæk G, Alladi S, et al. Dementia prevention, intervention, and care: 2024 report of the Lancet standing Commission. Lancet. 2024;404(10452):572-628.
  • 2. Berger MM, Shenkin A, Schweinlin A, Amrein K, Augsburger M, Biesalski HK, et al. ESPEN micronutrient guideline. Clin Nutr. 2022;41(6):1357-424.
  • 3. Raggi A, Ferri R. The Role of Vitamins in Neurodegeneration: A Brief Review of Mechanisms, Clinical Evidence, and Therapeutic Perspectives. Psychogeriatrics. 2025;25(4):e70071.
  • 4. Fekete M, Lehoczki A, Tarantini S, Fazekas-Pongor V, Csípő T, Csizmadia Z, et al. Improving Cognitive Function with Nutritional Supplements in Aging: A Comprehensive Narrative Review of Clinical Studies Investigating the Effects of Vitamins, Minerals, Antioxidants, and Other Dietary Supplements. Nutrients. 2023;15(24).
  • 5. Orywal K, Socha K, Iwaniuk P, Kaczyński P, Farhan JA, Zoń W, et al. Vitamins in the Prevention and Support Therapy of Neurodegenerative Diseases. Int J Mol Sci. 2025;26(3).
  • 6. Ji K, Sun M, Li L, Hong Y, Yang S, Wu Y. Association between vitamin B2 intake and cognitive performance among older adults: a cross-sectional study from NHANES. Sci Rep. 2024;14(1):21930.
  • 7. Miller JW, McCaddon A, Yu JT, Hooshmand B, Refsum H, Smith AD. Concerning the debate about homocysteine, B vitamins, and dementia. J Alzheimers Dis. 2025:13872877251350297.
  • 8. McCleery J, Abraham RP, Denton DA, Rutjes AW, Chong LY, Al-Assaf AS, et al. Vitamin and mineral supplementation for preventing dementia or delaying cognitive decline in people with mild cognitive impairment. Cochrane Database Syst Rev. 2018;11(11):Cd011905.
  • 9. Wang Z, Zhu W, Xing Y, Jia J, Tang Y. B vitamins and prevention of cognitive decline and incident dementia: a systematic review and meta-analysis. Nutr Rev. 2022;80(4):931-49.
  • 10. Nguyen SA, Oughli HA, Lavretsky H. Complementary and Integrative Medicine for Neurocognitive Disorders and Caregiver Health. Curr Psychiatry Rep. 2022;24(9):469-80.
  • 11. Frolov A, Wadood A, Kelley BJ. Review of Supplements That Patients Commonly Report Using for Dementia. J Clin Med. 2024;13(24).
  • 12. Demay MB, Pittas AG, Bikle DD, Diab DL, Kiely ME, Lazaretti-Castro M, et al. Vitamin D for the Prevention of Disease: An Endocrine Society Clinical Practice Guideline. J Clin Endocrinol Metab. 2024;109(8):1907-47.
  • 13. Grant WB, Wimalawansa SJ, Pludowski P, Cheng RZ. Vitamin D: Evidence-Based Health Benefits and Recommendations for Population Guidelines. Nutrients. 2025;17(2).
  • 14. Farina N, Llewellyn D, Isaac MG, Tabet N. Vitamin E for Alzheimer's dementia and mild cognitive impairment. Cochrane Database Syst Rev. 2017;1(1):Cd002854.
  • 15. Wang W, Li J, Zhang H, Wang X, Zhang X. Effects of vitamin E supplementation on the risk and progression of AD: a systematic review and meta-analysis. Nutr Neurosci. 2021;24(1):13-22.
  • 16. Hersant H, He S, Maliha P, Grossberg G. Over the Counter Supplements for Memory: A Review of Available Evidence. CNS Drugs. 2023;37(9):797-817.
  • 17. Varga P, Lehoczki A, Fekete M, Jarecsny T, Kryczyk-Poprawa A, Zábó V, et al. The Role of Magnesium in Depression, Migraine, Alzheimer's Disease, and Cognitive Health: A Comprehensive Review. Nutrients. 2025;17(13).
  • 18. Vyas CM, Manson JE, Sesso HD, Cook NR, Rist PM, Weinberg A, et al. Effect of multivitamin-mineral supplementation versus placebo on cognitive function: results from the clinic subcohort of the COcoa Supplement and Multivitamin Outcomes Study (COSMOS) randomized clinical trial and meta-analysis of 3 cognitive studies within COSMOS. Am J Clin Nutr. 2024;119(3):692-701.
  • 19. Fu Q, DeJager J, Gardner EM. Supplementation and Mitigating Cognitive Decline in Older Adults With or Without Mild Cognitive Impairment or Dementia: A Systematic Review. Nutrients. 2024;16(20).
  • 20. Yavari M, Kalupahana NS, Harris BN, Ramalingam L, Zu Y, Kahathuduwa CN, et al. Mechanisms Linking Obesity, Insulin Resistance, and Alzheimer's Disease: Effects of Polyphenols and Omega-3 Polyunsaturated Fatty Acids. Nutrients. 2025;17(7).
  • 21. Bertoni C, Pini C, Mazzocchi A, Agostoni C, Brambilla P. The Role of Alpha-Linolenic Acid and Other Polyunsaturated Fatty Acids in Mental Health: A Narrative Review. Int J Mol Sci. 2024;25(22).
  • 22. Wood AHR, Chappell HF, Zulyniak MA. Dietary and supplemental long-chain omega-3 fatty acids as moderators of cognitive impairment and Alzheimer's disease. Eur J Nutr. 2022;61(2):589-604.
  • 23. Suh SW, Lim E, Burm SY, Lee H, Bae JB, Han JW, et al. The influence of n-3 polyunsaturated fatty acids on cognitive function in individuals without dementia: a systematic review and dose-response meta-analysis. BMC Med. 2024;22(1):109.
  • 24. Volkert D, Beck AM, Faxén-Irving G, Frühwald T, Hooper L, Keller H, et al. ESPEN guideline on nutrition and hydration in dementia - Update 2024. Clin Nutr. 2024;43(6):1599-626.
  • 25. Volkert D, Beck AM, Cederholm T, Cruz-Jentoft A, Hooper L, Kiesswetter E, et al. ESPEN practical guideline: Clinical nutrition and hydration in geriatrics. Clin Nutr. 2022;41(4):958-89.
  • 26. Kalamara TV, Dodos K, Georgakopoulou VE, Fotakopoulos G, Spandidos DA, Kapoukranidou D. Cognitive efficacy of omega‑3 fatty acids in Alzheimer's disease: A systematic review and meta‑analysis. Biomed Rep. 2025;22(4):62.
  • 27. Bhatt DL, Steg PG, Miller M, Brinton EA, Jacobson TA, Ketchum SB, et al. Cardiovascular Risk Reduction with Icosapent Ethyl for Hypertriglyceridemia. N Engl J Med. 2019;380(1):11-22.
  • 28. Huh JH, Jo SH. Omega-3 fatty acids and atrial fibrillation. Korean J Intern Med. 2023;38(3):282-9.
  • 29. DeKosky ST, Fitzpatrick A, Ives DG, Saxton J, Williamson J, Lopez OL, et al. The Ginkgo Evaluation of Memory (GEM) study: Design and baseline data of a randomized trial of Ginkgo biloba extract in prevention of dementia. Contemporary Clinical Trials. 2006;27(3):238-53.
  • 30. Thawabteh AM, Ghanem AW, AbuMadi S, Thaher D, Jaghama W, Karaman D, et al. Promising Natural Remedies for Alzheimer's Disease Therapy. Molecules. 2025;30(4).
  • 31. Jiménez-Jiménez FJ, Alonso-Navarro H, García-Martín E, Agúndez JAG. Coenzyme Q10 and Dementia: A Systematic Review. Antioxidants (Basel). 2023;12(2).
  • 32. Gasmi A, Bjørklund G, Mujawdiya PK, Semenova Y, Piscopo S, Peana M. Coenzyme Q(10) in aging and disease. Crit Rev Food Sci Nutr. 2024;64(12):3907-19.
  • 33. Naik RA, Rajpoot R, Koiri RK, Bhardwaj R, Aldairi AF, Johargy AK, et al. Dietary supplementation and the role of phytochemicals against the Alzheimer's disease: Focus on polyphenolic compounds. J Prev Alzheimers Dis. 2025;12(1):100004.
  • 34. Gualtieri P, Frank G, Cianci R, Ciancarella L, Romano L, Ortoman M, et al. Exploring the Efficacy and Safety of Nutritional Supplements in Alzheimer's Disease. Nutrients. 2025;17(5).
  • 35. Genchi G, Lauria G, Catalano A, Carocci A, Sinicropi MS. Neuroprotective Effects of Curcumin in Neurodegenerative Diseases. Foods. 2024;13(11).
  • 36. Voulgaropoulou SD, van Amelsvoort T, Prickaerts J, Vingerhoets C. The effect of curcumin on cognition in Alzheimer's disease and healthy aging: A systematic review of pre-clinical and clinical studies. Brain Res. 2019;1725:146476.
  • 37. Rainey-Smith SR, Brown BM, Sohrabi HR, Shah T, Goozee KG, Gupta VB, et al. Curcumin and cognition: a randomised, placebo-controlled, double-blind study of community-dwelling older adults. Br J Nutr. 2016;115(12):2106-13.
  • 38. Ren ZQ, Zheng SY, Sun Z, Luo Y, Wang YT, Yi P, et al. Resveratrol: Molecular Mechanisms, Health Benefits, and Potential Adverse Effects. MedComm (2020). 2025;6(6):e70252.
  • 39. Le TT, McGrath SR, Fasinu PS. Herb-drug Interactions in Neuropsychiatric Pharmacotherapy - A Review of Clinically Relevant Findings. Curr Neuropharmacol. 2022;20(9):1736-51.
  • 40. Otero MC, Ceric F, Miranda-Rojas S, Carreño C, Escares R, Escobar MJ, et al. Documentary Analysis of Hypericum perforatum (St. John's Wort) and Its Effect on Depressive Disorders. Pharmaceuticals (Basel). 2024;17(12).
  • 41. Unal O, Akgun-Unal N, Baltaci AK. Unveiling mysteries of aging: the potential of melatonin in preventing neurodegenerative diseases in older adults. Biogerontology. 2025;26(4):125.
  • 42. Jamerlan AM, An SSA, Hulme JP. Microbial diversity and fitness in the gut-brain axis: influences on developmental risk for Alzheimer's disease. Gut Microbes. 2025;17(1):2486518.
  • 43. Petrut SM, Bragaru AM, Munteanu AE, Moldovan AD, Moldovan CA, Rusu E. Gut over Mind: Exploring the Powerful Gut-Brain Axis. Nutrients. 2025;17(5).
  • 44. Fekete M, Lehoczki A, Major D, Fazekas-Pongor V, Csípő T, Tarantini S, et al. Exploring the Influence of Gut-Brain Axis Modulation on Cognitive Health: A Comprehensive Review of Prebiotics, Probiotics, and Symbiotics. Nutrients. 2024;16(6).
  • 45. Dores AR, Peixoto M, Castro M, Sá C, Carvalho IP, Martins A, et al. Knowledge and Beliefs about Herb/Supplement Consumption and Herb/Supplement-Drug Interactions among the General Population, including Healthcare Professionals and Pharmacists: A Systematic Review and Guidelines for a Smart Decision System. Nutrients. 2023;15(10).
  • 46. Choudhury A, Singh PA, Bajwa N, Dash S, Bisht P. Pharmacovigilance of herbal medicines: Concerns and future prospects. J Ethnopharmacol. 2023;309:116383.
  • 47. Naureen Z, Dhuli K, Medori MC, Caruso P, Manganotti P, Chiurazzi P, et al. Dietary supplements in neurological diseases and brain aging. J Prev Med Hyg. 2022;63(2 Suppl 3):E174-e88.
  • 48. Reza-Zaldívar EE, Jacobo-Velázquez DA. Comprehensive Review of Nutraceuticals against Cognitive Decline Associated with Alzheimer's Disease. ACS Omega. 2023;8(39):35499-522.
  • 49. Berger MM, Shenkin A, Dizdar OS, Amrein K, Augsburger M, Biesalski HK, et al. ESPEN practical short micronutrient guideline. Clin Nutr. 2024;43(3):825-57.
  • 50. 2025 Alzheimer's disease facts and figures. Alzheimer's & Dementia. 2025;21(4).
  • 51. Elvir Lazo OL, White PF, Lee C, Cruz Eng H, Matin JM, Lin C, et al. Use of herbal medication in the perioperative period: Potential adverse drug interactions. J Clin Anesth. 2024;95:111473.

Use of Supplements to Preserve Brain Health in Geriatric Age

Yıl 2025, Cilt: 47 Sayı: Beyin Farkındalığı 2025 Özel Sayısı, 24 - 33, 22.08.2025

Öz

In the geriatric population, supplement use for the purpose of preserving brain health and supporting cognitive functions has become increasingly prevalent. The most frequently studied supplements include vitamins, minerals, omega 3 fatty acids, Ginkgo biloba leaf extract, curcumin and resveratrol (as polyphenols), coenzyme Q10, St. John's wort (Hypericum perforatum), melatonin, and probiotics/prebiotics. Although some studies show promising results, there is no definitive and robust evidence at present to recommend the routine use of any supplement specifically for brain health preservation. The fundamental principle remains deficiency-based repletion. Age-related physiological changes, multimorbidity, and polypharmacy increase the risk of drug–nutrient interactions. It is essential to foster awareness of the safe dosage range, potential adverse effects, and drug interactions. Consequently, a comprehensive geriatric assessment should be conducted for every older adult, including a thorough inquiry about supplement use, and a personalized approach to supplementation should be adopted.

Kaynakça

  • 1. Livingston G, Huntley J, Liu KY, Costafreda SG, Selbæk G, Alladi S, et al. Dementia prevention, intervention, and care: 2024 report of the Lancet standing Commission. Lancet. 2024;404(10452):572-628.
  • 2. Berger MM, Shenkin A, Schweinlin A, Amrein K, Augsburger M, Biesalski HK, et al. ESPEN micronutrient guideline. Clin Nutr. 2022;41(6):1357-424.
  • 3. Raggi A, Ferri R. The Role of Vitamins in Neurodegeneration: A Brief Review of Mechanisms, Clinical Evidence, and Therapeutic Perspectives. Psychogeriatrics. 2025;25(4):e70071.
  • 4. Fekete M, Lehoczki A, Tarantini S, Fazekas-Pongor V, Csípő T, Csizmadia Z, et al. Improving Cognitive Function with Nutritional Supplements in Aging: A Comprehensive Narrative Review of Clinical Studies Investigating the Effects of Vitamins, Minerals, Antioxidants, and Other Dietary Supplements. Nutrients. 2023;15(24).
  • 5. Orywal K, Socha K, Iwaniuk P, Kaczyński P, Farhan JA, Zoń W, et al. Vitamins in the Prevention and Support Therapy of Neurodegenerative Diseases. Int J Mol Sci. 2025;26(3).
  • 6. Ji K, Sun M, Li L, Hong Y, Yang S, Wu Y. Association between vitamin B2 intake and cognitive performance among older adults: a cross-sectional study from NHANES. Sci Rep. 2024;14(1):21930.
  • 7. Miller JW, McCaddon A, Yu JT, Hooshmand B, Refsum H, Smith AD. Concerning the debate about homocysteine, B vitamins, and dementia. J Alzheimers Dis. 2025:13872877251350297.
  • 8. McCleery J, Abraham RP, Denton DA, Rutjes AW, Chong LY, Al-Assaf AS, et al. Vitamin and mineral supplementation for preventing dementia or delaying cognitive decline in people with mild cognitive impairment. Cochrane Database Syst Rev. 2018;11(11):Cd011905.
  • 9. Wang Z, Zhu W, Xing Y, Jia J, Tang Y. B vitamins and prevention of cognitive decline and incident dementia: a systematic review and meta-analysis. Nutr Rev. 2022;80(4):931-49.
  • 10. Nguyen SA, Oughli HA, Lavretsky H. Complementary and Integrative Medicine for Neurocognitive Disorders and Caregiver Health. Curr Psychiatry Rep. 2022;24(9):469-80.
  • 11. Frolov A, Wadood A, Kelley BJ. Review of Supplements That Patients Commonly Report Using for Dementia. J Clin Med. 2024;13(24).
  • 12. Demay MB, Pittas AG, Bikle DD, Diab DL, Kiely ME, Lazaretti-Castro M, et al. Vitamin D for the Prevention of Disease: An Endocrine Society Clinical Practice Guideline. J Clin Endocrinol Metab. 2024;109(8):1907-47.
  • 13. Grant WB, Wimalawansa SJ, Pludowski P, Cheng RZ. Vitamin D: Evidence-Based Health Benefits and Recommendations for Population Guidelines. Nutrients. 2025;17(2).
  • 14. Farina N, Llewellyn D, Isaac MG, Tabet N. Vitamin E for Alzheimer's dementia and mild cognitive impairment. Cochrane Database Syst Rev. 2017;1(1):Cd002854.
  • 15. Wang W, Li J, Zhang H, Wang X, Zhang X. Effects of vitamin E supplementation on the risk and progression of AD: a systematic review and meta-analysis. Nutr Neurosci. 2021;24(1):13-22.
  • 16. Hersant H, He S, Maliha P, Grossberg G. Over the Counter Supplements for Memory: A Review of Available Evidence. CNS Drugs. 2023;37(9):797-817.
  • 17. Varga P, Lehoczki A, Fekete M, Jarecsny T, Kryczyk-Poprawa A, Zábó V, et al. The Role of Magnesium in Depression, Migraine, Alzheimer's Disease, and Cognitive Health: A Comprehensive Review. Nutrients. 2025;17(13).
  • 18. Vyas CM, Manson JE, Sesso HD, Cook NR, Rist PM, Weinberg A, et al. Effect of multivitamin-mineral supplementation versus placebo on cognitive function: results from the clinic subcohort of the COcoa Supplement and Multivitamin Outcomes Study (COSMOS) randomized clinical trial and meta-analysis of 3 cognitive studies within COSMOS. Am J Clin Nutr. 2024;119(3):692-701.
  • 19. Fu Q, DeJager J, Gardner EM. Supplementation and Mitigating Cognitive Decline in Older Adults With or Without Mild Cognitive Impairment or Dementia: A Systematic Review. Nutrients. 2024;16(20).
  • 20. Yavari M, Kalupahana NS, Harris BN, Ramalingam L, Zu Y, Kahathuduwa CN, et al. Mechanisms Linking Obesity, Insulin Resistance, and Alzheimer's Disease: Effects of Polyphenols and Omega-3 Polyunsaturated Fatty Acids. Nutrients. 2025;17(7).
  • 21. Bertoni C, Pini C, Mazzocchi A, Agostoni C, Brambilla P. The Role of Alpha-Linolenic Acid and Other Polyunsaturated Fatty Acids in Mental Health: A Narrative Review. Int J Mol Sci. 2024;25(22).
  • 22. Wood AHR, Chappell HF, Zulyniak MA. Dietary and supplemental long-chain omega-3 fatty acids as moderators of cognitive impairment and Alzheimer's disease. Eur J Nutr. 2022;61(2):589-604.
  • 23. Suh SW, Lim E, Burm SY, Lee H, Bae JB, Han JW, et al. The influence of n-3 polyunsaturated fatty acids on cognitive function in individuals without dementia: a systematic review and dose-response meta-analysis. BMC Med. 2024;22(1):109.
  • 24. Volkert D, Beck AM, Faxén-Irving G, Frühwald T, Hooper L, Keller H, et al. ESPEN guideline on nutrition and hydration in dementia - Update 2024. Clin Nutr. 2024;43(6):1599-626.
  • 25. Volkert D, Beck AM, Cederholm T, Cruz-Jentoft A, Hooper L, Kiesswetter E, et al. ESPEN practical guideline: Clinical nutrition and hydration in geriatrics. Clin Nutr. 2022;41(4):958-89.
  • 26. Kalamara TV, Dodos K, Georgakopoulou VE, Fotakopoulos G, Spandidos DA, Kapoukranidou D. Cognitive efficacy of omega‑3 fatty acids in Alzheimer's disease: A systematic review and meta‑analysis. Biomed Rep. 2025;22(4):62.
  • 27. Bhatt DL, Steg PG, Miller M, Brinton EA, Jacobson TA, Ketchum SB, et al. Cardiovascular Risk Reduction with Icosapent Ethyl for Hypertriglyceridemia. N Engl J Med. 2019;380(1):11-22.
  • 28. Huh JH, Jo SH. Omega-3 fatty acids and atrial fibrillation. Korean J Intern Med. 2023;38(3):282-9.
  • 29. DeKosky ST, Fitzpatrick A, Ives DG, Saxton J, Williamson J, Lopez OL, et al. The Ginkgo Evaluation of Memory (GEM) study: Design and baseline data of a randomized trial of Ginkgo biloba extract in prevention of dementia. Contemporary Clinical Trials. 2006;27(3):238-53.
  • 30. Thawabteh AM, Ghanem AW, AbuMadi S, Thaher D, Jaghama W, Karaman D, et al. Promising Natural Remedies for Alzheimer's Disease Therapy. Molecules. 2025;30(4).
  • 31. Jiménez-Jiménez FJ, Alonso-Navarro H, García-Martín E, Agúndez JAG. Coenzyme Q10 and Dementia: A Systematic Review. Antioxidants (Basel). 2023;12(2).
  • 32. Gasmi A, Bjørklund G, Mujawdiya PK, Semenova Y, Piscopo S, Peana M. Coenzyme Q(10) in aging and disease. Crit Rev Food Sci Nutr. 2024;64(12):3907-19.
  • 33. Naik RA, Rajpoot R, Koiri RK, Bhardwaj R, Aldairi AF, Johargy AK, et al. Dietary supplementation and the role of phytochemicals against the Alzheimer's disease: Focus on polyphenolic compounds. J Prev Alzheimers Dis. 2025;12(1):100004.
  • 34. Gualtieri P, Frank G, Cianci R, Ciancarella L, Romano L, Ortoman M, et al. Exploring the Efficacy and Safety of Nutritional Supplements in Alzheimer's Disease. Nutrients. 2025;17(5).
  • 35. Genchi G, Lauria G, Catalano A, Carocci A, Sinicropi MS. Neuroprotective Effects of Curcumin in Neurodegenerative Diseases. Foods. 2024;13(11).
  • 36. Voulgaropoulou SD, van Amelsvoort T, Prickaerts J, Vingerhoets C. The effect of curcumin on cognition in Alzheimer's disease and healthy aging: A systematic review of pre-clinical and clinical studies. Brain Res. 2019;1725:146476.
  • 37. Rainey-Smith SR, Brown BM, Sohrabi HR, Shah T, Goozee KG, Gupta VB, et al. Curcumin and cognition: a randomised, placebo-controlled, double-blind study of community-dwelling older adults. Br J Nutr. 2016;115(12):2106-13.
  • 38. Ren ZQ, Zheng SY, Sun Z, Luo Y, Wang YT, Yi P, et al. Resveratrol: Molecular Mechanisms, Health Benefits, and Potential Adverse Effects. MedComm (2020). 2025;6(6):e70252.
  • 39. Le TT, McGrath SR, Fasinu PS. Herb-drug Interactions in Neuropsychiatric Pharmacotherapy - A Review of Clinically Relevant Findings. Curr Neuropharmacol. 2022;20(9):1736-51.
  • 40. Otero MC, Ceric F, Miranda-Rojas S, Carreño C, Escares R, Escobar MJ, et al. Documentary Analysis of Hypericum perforatum (St. John's Wort) and Its Effect on Depressive Disorders. Pharmaceuticals (Basel). 2024;17(12).
  • 41. Unal O, Akgun-Unal N, Baltaci AK. Unveiling mysteries of aging: the potential of melatonin in preventing neurodegenerative diseases in older adults. Biogerontology. 2025;26(4):125.
  • 42. Jamerlan AM, An SSA, Hulme JP. Microbial diversity and fitness in the gut-brain axis: influences on developmental risk for Alzheimer's disease. Gut Microbes. 2025;17(1):2486518.
  • 43. Petrut SM, Bragaru AM, Munteanu AE, Moldovan AD, Moldovan CA, Rusu E. Gut over Mind: Exploring the Powerful Gut-Brain Axis. Nutrients. 2025;17(5).
  • 44. Fekete M, Lehoczki A, Major D, Fazekas-Pongor V, Csípő T, Tarantini S, et al. Exploring the Influence of Gut-Brain Axis Modulation on Cognitive Health: A Comprehensive Review of Prebiotics, Probiotics, and Symbiotics. Nutrients. 2024;16(6).
  • 45. Dores AR, Peixoto M, Castro M, Sá C, Carvalho IP, Martins A, et al. Knowledge and Beliefs about Herb/Supplement Consumption and Herb/Supplement-Drug Interactions among the General Population, including Healthcare Professionals and Pharmacists: A Systematic Review and Guidelines for a Smart Decision System. Nutrients. 2023;15(10).
  • 46. Choudhury A, Singh PA, Bajwa N, Dash S, Bisht P. Pharmacovigilance of herbal medicines: Concerns and future prospects. J Ethnopharmacol. 2023;309:116383.
  • 47. Naureen Z, Dhuli K, Medori MC, Caruso P, Manganotti P, Chiurazzi P, et al. Dietary supplements in neurological diseases and brain aging. J Prev Med Hyg. 2022;63(2 Suppl 3):E174-e88.
  • 48. Reza-Zaldívar EE, Jacobo-Velázquez DA. Comprehensive Review of Nutraceuticals against Cognitive Decline Associated with Alzheimer's Disease. ACS Omega. 2023;8(39):35499-522.
  • 49. Berger MM, Shenkin A, Dizdar OS, Amrein K, Augsburger M, Biesalski HK, et al. ESPEN practical short micronutrient guideline. Clin Nutr. 2024;43(3):825-57.
  • 50. 2025 Alzheimer's disease facts and figures. Alzheimer's & Dementia. 2025;21(4).
  • 51. Elvir Lazo OL, White PF, Lee C, Cruz Eng H, Matin JM, Lin C, et al. Use of herbal medication in the perioperative period: Potential adverse drug interactions. J Clin Anesth. 2024;95:111473.
Toplam 51 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Koruyucu Sağlık Hizmetleri
Bölüm DERLEMELER / REVIEWS
Yazarlar

Yelda Öztürk 0000-0003-3847-0967

Yayımlanma Tarihi 22 Ağustos 2025
Gönderilme Tarihi 3 Ağustos 2025
Kabul Tarihi 7 Ağustos 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 47 Sayı: Beyin Farkındalığı 2025 Özel Sayısı

Kaynak Göster

Vancouver Öztürk Y. Geriatrik Yaşta Beyin Sağlığını Korumada Takviye Kullanımı. Osmangazi Tıp Dergisi. 2025;47(Beyin Farkındalığı 2025 Özel Sayısı):24-33.


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