Document Detail

Dietary folate and vitamin B12 intake and cognitive decline among community-dwelling older persons.
MedLine Citation:
PMID:  15824266     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Deficiencies in folate and vitamin B12 have been associated with neurodegenerative disease. OBJECTIVE: To examine the association between rates of age-related cognitive change and dietary intakes of folate and vitamin B12. DESIGN: Prospective study performed from 1993 to 2002. SETTING: Geographically defined biracial community in Chicago, Ill. PARTICIPANTS: A total of 3718 residents, 65 years and older, who completed 2 to 3 cognitive assessments and a food frequency questionnaire. MAIN OUTCOME MEASURE: Change in cognitive function measured at baseline and 3-year and 6-year follow-ups, using the average z score of 4 tests: the East Boston Tests of immediate and delayed recall, the Mini-Mental State Examination, and the Symbol Digit Modalities Test. RESULTS: High folate intake was associated with a faster rate of cognitive decline in mixed models adjusted for multiple risk factors. The rate of cognitive decline among persons in the top fifth of total folate intake (median, 742 microg/d) was more than twice that of those in the lowest fifth of intake (median, 186 microg/d), a statistically significant difference of 0.02 standardized unit per year (P = .002). A faster rate of cognitive decline was also associated with high folate intake from food (P for trend = .04) and with folate vitamin supplementation of more than 400 microg/d compared with nonusers (beta = -.03, P<.001). High total B12 intake was associated with slower cognitive decline only among the oldest participants. CONCLUSIONS: High intake of folate may be associated with cognitive decline in older persons. These unexpected findings call for further study of the cognitive implications of high levels of dietary folate in older populations.
Martha Clare Morris; Denis A Evans; Julia L Bienias; Christine C Tangney; Liesi E Hebert; Paul A Scherr; Julie A Schneider
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Archives of neurology     Volume:  62     ISSN:  0003-9942     ISO Abbreviation:  Arch. Neurol.     Publication Date:  2005 Apr 
Date Detail:
Created Date:  2005-04-12     Completed Date:  2005-05-10     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  0372436     Medline TA:  Arch Neurol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  641-5     Citation Subset:  AIM; IM    
Rush Institute for Healthy Aging, Department of Internal Medicine, Rush University Medical Center, Chicago, Ill 60612, USA.
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MeSH Terms
Age Factors
Chicago / epidemiology
Cognition Disorders / chemically induced*,  epidemiology,  psychology
Data Collection
Dietary Supplements / adverse effects*
Dose-Response Relationship, Drug
Folic Acid / adverse effects*
Food, Fortified / adverse effects*
Models, Statistical
Neuropsychological Tests
Prospective Studies
Vitamin B 12 / adverse effects*
Grant Support
Reg. No./Substance:
59-30-3/Folic Acid; 68-19-9/Vitamin B 12
Comment In:
Arch Neurol. 2005 Nov;62(11):1785-6; author reply 1786   [PMID:  16286561 ]

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