Low Serum Vitamin D Status Is Associated with Incident Alzheimer's Dementia in the Oldest Old.


Journal

Nutrients
ISSN: 2072-6643
Titre abrégé: Nutrients
Pays: Switzerland
ID NLM: 101521595

Informations de publication

Date de publication:
23 Dec 2022
Historique:
received: 23 11 2022
revised: 14 12 2022
accepted: 16 12 2022
entrez: 8 1 2023
pubmed: 9 1 2023
medline: 11 1 2023
Statut: epublish

Résumé

Background. Vitamins A, D and E and beta-carotene may have a protective function for cognitive health, due to their antioxidant capacities. Methods. We analyzed data from 1334 non-demented participants (mean age 84 years) from the AgeCoDe study, a prospective multicenter-cohort of elderly general-practitioner patients in Germany, of whom n = 250 developed all-cause dementia and n = 209 developed Alzheimer’s dementia (AD) during 7 years of follow-up. We examined whether concentrations of vitamins A (retinol), D (25-hydroxycholecalciferol) and E (alpha-tocopherol) and beta-carotene, would be associated with incident (AD) dementia. Results. In our sample, 33.7% had optimum vitamin D concentrations (≥50 nmol/L). Higher concentrations of vitamin D were associated with lower incidence of all-cause dementia and AD (HR 0.99 (95%CI 0.98; 0.99); HR0.99 (95%CI 0.98; 0.99), respectively). In particular, subjects with vitamin D deficiency (25.3%, <25 nmol/L) were at increased risk for all-cause dementia and AD (HR1.91 (95%CI 1.30; 2.81); HR2.28 (95%CI 1.47; 3.53), respectively). Vitamins A and E and beta-carotene were unrelated to (AD) dementia. Conclusions. Vitamin D deficiency increased the risk to develop (AD) dementia. Our study supports the advice for monitoring vitamin D status in the elderly and vitamin D supplementation in those with vitamin D deficiency. We observed no relationships between the other vitamins with incident (AD) dementia, which is in line with previous observational studies.

Identifiants

pubmed: 36615719
pii: nu15010061
doi: 10.3390/nu15010061
pmc: PMC9824107
pii:
doi:

Substances chimiques

beta Carotene 01YAE03M7J
Vitamins 0
Vitamin D 1406-16-2
Vitamin A 11103-57-4
Tocopherols R0ZB2556P8

Types de publication

Multicenter Study Journal Article

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : Federal Ministry of Education and Research
ID : 01EA1372D
Organisme : Federal Ministry of Education and Research
ID : 01EA1410C
Organisme : Alzheimer Forschung Initiative
ID : Travel grant

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Auteurs

Debora Melo van Lent (D)

German Center for Neurodegenerative Diseases (DZNE), 53127 Bonn, Germany.
Glenn Biggs Institute for Alzheimer's and Neurodegenerative Diseases, University of Texas Health Science Center, San Antonio, TX 78229, USA.

Sarah Egert (S)

Institute of Nutrition and Food Sciences, Nutritional Physiology, University of Bonn, 53115 Bonn, Germany.

Steffen Wolfsgruber (S)

German Center for Neurodegenerative Diseases (DZNE), 53127 Bonn, Germany.
Department of Neurodegenerative Diseases and Geriatric Psychiatry, University of Bonn, 53105 Bonn, Germany.

Luca Kleineidam (L)

Department of Neurodegenerative Diseases and Geriatric Psychiatry, University of Bonn, 53105 Bonn, Germany.

Leonie Weinhold (L)

Department of Medical Biometry, Informatics and Epidemiology, University Hospital Bonn, 53105 Bonn, Germany.

Holger Wagner-Thelen (H)

Department of Neurodegenerative Diseases and Geriatric Psychiatry, University of Bonn, 53105 Bonn, Germany.
Department of Psychiatry, Medical Faculty, University of Cologne, 50924 Cologne, Germany.

Birgit Stoffel-Wagner (B)

Institute of Clinical Chemistry and Clinical Pharmacology, University of Bonn, 53127 Bonn, Germany.

Horst Bickel (H)

Department of Psychiatry, Technical University of Munich, 81675 Munich, Germany.

Birgitt Wiese (B)

WG Medical Statistics and IT-Infrastructure, Institute of General Practice, Hannover Medical School, 30625 Hannover, Germany.

Siegfried Weyerer (S)

Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, 68159 Mannheim, Germany.

Michael Pentzek (M)

Institute of General Practice, Medical Faculty, Heinrich-Heine-University, 40227 Dusseldorf, Germany.

Frank Jessen (F)

German Center for Neurodegenerative Diseases (DZNE), 53127 Bonn, Germany.
Department of Psychiatry, Medical Faculty, University of Cologne, 50924 Cologne, Germany.

Matthias Schmid (M)

German Center for Neurodegenerative Diseases (DZNE), 53127 Bonn, Germany.
Department of Medical Biometry, Informatics and Epidemiology, University Hospital Bonn, 53105 Bonn, Germany.

Wolfgang Maier (W)

Department of Neurodegenerative Diseases and Geriatric Psychiatry, University of Bonn, 53105 Bonn, Germany.

Martin Scherer (M)

Department of Primary Medical Care, Center for Psychosocial Medicine, University Medical Center Hamburg-Eppendorf, 20246 Hamburg, Germany.

Steffi G Riedel-Heller (SG)

Institute of Social Medicine, Occupational Health and Public Health, University of Leipzig, 01403 Leipzig, Germany.

Alfredo Ramirez (A)

German Center for Neurodegenerative Diseases (DZNE), 53127 Bonn, Germany.
Department of Neurodegenerative Diseases and Geriatric Psychiatry, University of Bonn, 53105 Bonn, Germany.
Department of Psychiatry, Medical Faculty, University of Cologne, 50924 Cologne, Germany.

Michael Wagner (M)

German Center for Neurodegenerative Diseases (DZNE), 53127 Bonn, Germany.
Department of Neurodegenerative Diseases and Geriatric Psychiatry, University of Bonn, 53105 Bonn, Germany.

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