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Modifying Levels of Maternal Dietary Folic Acid or Choline to Study the Impact of Deficiencies on Offspring Health Outcomes
Published on: June 28, 2024
Vitamin B12 and ageing: current issues and interaction with folate
Catherine F Hughes1, Mary Ward, Leane Hoey
1The Northern Ireland Centre for Food and Health, University of Ulster, Coleraine BT52 1SA, Northern Ireland, UK.
Vitamin B12 deficiency is common in older adults due to poor absorption, not just diet. Optimal status is crucial for preventing anemia, nerve damage, and age-related diseases.
Area of Science:
- Gerontology and Nutritional Science
- Biochemistry and Metabolism
Background:
- Vitamin B12 (cobalamin) status is frequently compromised in the elderly population.
- Adequate dietary intake of vitamin B12 is often insufficient to maintain optimal levels due to age-related declines in absorption.
Purpose of the Study:
- To review the challenges in assessing vitamin B12 status in aging individuals.
- To explore the link between vitamin B12, folate, and age-related diseases.
- To address concerns regarding folic acid fortification and its impact on older adults with low vitamin B12.
Main Methods:
- Review of existing literature on vitamin B12 metabolism, assessment, and health implications in aging.
- Analysis of direct and functional indicators for vitamin B12 status.
- Examination of the interplay between vitamin B12 and folate.
Main Results:
- Vitamin B12 absorption significantly diminishes with age, complicating status maintenance.
- No single gold standard assay exists for vitamin B12 measurement; combined indicators are recommended.
- Low vitamin B12 is associated with increased risks of cardiovascular disease, cognitive decline, dementia, and osteoporosis.
Conclusions:
- Maintaining optimal vitamin B12 levels is critical for preventing neurological and hematological issues in the elderly.
- The interaction between vitamin B12 and folic acid, particularly in fortified food environments, requires careful consideration for older adults.
- Further research is needed to refine assessment methods and understand the full spectrum of vitamin B12's role in aging.
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