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Published on: April 23, 2021
Cross-sectional and longitudinal associations between serum 25-hydroxyvitamin D and cognitive functioning
N M van Schoor1, H C Comijs2, D J Llewellyn3
1Department of Epidemiology and Biostatistics,EMGO Institute for Health and Care Research,VU University Medical Center,Amsterdam,the Netherlands.
Low vitamin D levels in older adults are linked to poorer general cognitive function and slower information processing speed. This study identified an optimal serum 25-hydroxyvitamin D (25(OH)D) cut-off of approximately 60 nmol/L.
Area of Science:
- Gerontology
- Nutritional Neuroscience
- Cognitive Epidemiology
Background:
- Vitamin D deficiency is prevalent in the elderly population.
- Understanding the relationship between vitamin D and cognitive health is crucial for aging well.
- Previous research suggests a link, but optimal levels require further investigation.
Purpose of the Study:
- To investigate the cross-sectional and longitudinal associations between serum 25-hydroxyvitamin D (25(OH)D) levels and cognitive performance in older adults.
- To determine the optimal serum 25(OH)D concentration for cognitive function in this demographic.
- To explore the impact of vitamin D on various cognitive domains, including general cognition, reasoning, processing speed, and memory.
Main Methods:
- Utilized data from the Longitudinal Aging Study Amsterdam (LASA) with 1,320 participants.
- Serum 25(OH)D levels were measured in 1995/6.
- Cognitive functioning was assessed using the Mini-Mental State Examination (MMSE), Raven's Colored Progressive Matrices (RCPM), Coding Task (CT), and 15 Words Test (15WT) in 1995/6 and 1998/9.
- Statistical analyses included linear regression and restricted cubic spline functions.
Main Results:
- Mean serum 25(OH)D was 53.7 nmol/L.
- Individuals with serum 25(OH)D below 30 nmol/L exhibited significantly lower general cognitive functioning and slower information processing speed compared to those with levels ≥ 75 nmol/L.
- The optimal cut-off for serum 25(OH)D was identified as approximately 60 nmol/L for both general cognitive functioning and information processing speed.
- No significant associations were found with other cognitive measures or the rate of cognitive decline.
Conclusions:
- Lower serum 25(OH)D levels are significantly associated with diminished general cognitive functioning and reduced information processing speed in older adults.
- The findings suggest a potential threshold of 60 nmol/L for serum 25(OH)D to maintain optimal cognitive performance in this age group.
- Vitamin D status does not appear to influence the rate of cognitive decline in the longitudinal analysis.
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