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Exploring the Association between Vitamin D and Changes in Cognitive Function in Chilean Older Adults: Evidence from the ALEXANDROS Cohort Study
Indexado
WoS WOS:000833622800001
Scopus SCOPUS_ID:85133527390
DOI 10.3390/JPM12071078
Año 2022
Tipo artículo de investigación

Citas Totales

Autores Afiliación Chile

Instituciones Chile

% Participación
Internacional

Autores
Afiliación Extranjera

Instituciones
Extranjeras


Abstract



Background: The increasing aging of the population with the consequent increase of age-associated cognitive disorders pose the challenge of controlling its preventable risk factors, among which vitamin D deficit is a putative factor. Thus, our objective is to explore the association between vitamin D and cognitive performance in a cohort study of community-dwelling Chilean older people. Material and Methods: Cohort study of 955 (69.7% female), community-dwelling older Chileans free of cognitive impairment from the Alexandros cohorts, with 25(OH)D measurement at baseline. Cognitive Function was evaluated with the Mini Mental State Examination (MMSE) short-form questionnaire. Plasma levels of 25(OH)D were classified as Normal > 30 ng/mL Insufficiency 20-29 ng/mL, Deficiency 20-12 ng/mL and Severe Deficiency < 12 ng/mL. Penalized regressions models were made to assess associations. Results: Mean age of the sample was 66.6 + 4.5 years, with 8.5 + 4.7 years of education. After a mean follow-up of 9.6 years, 54 new cases of Mild Cognitive Impairment (MCI)were identified (Incidence density rate = 5.9 per 1000 person/years). Mean vitamin D plasma levels were lower in people with MCI than in the normal cognitive ones (23.0 + 12.75 vs. 28.35 + 15.17 ng/mL, p < 0.01). In the fully adjusted model only severe deficiency of vitamin D was associated with MCI (RR = 2.33; 95% CI: (1.03-5.26). Conclusions: In this longitudinal study, our results confirm that low Vitamin D is a risk factor for MCI, and that people with severe deficiency have more than double the risk of MCI people with normal Vitamin D levels. Considering the high frequency of vitamin D deficiency in older people, and its preventability, these results are very valuable for future public health programmes.

Revista



Revista ISSN
2075-4426

Métricas Externas



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Disciplinas de Investigación



WOS
Medicine, General & Internal
Health Care Sciences & Services
Scopus
Sin Disciplinas
SciELO
Sin Disciplinas

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Publicaciones WoS (Ediciones: ISSHP, ISTP, AHCI, SSCI, SCI), Scopus, SciELO Chile.

Colaboración Institucional



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Autores - Afiliación



Ord. Autor Género Institución - País
1 Marquez, Carlos Hombre Universidad de Chile - Chile
2 ANGEL-BADILLO, BARBARA Mujer Universidad de Chile - Chile
3 LERA-MARQUES, LYDIA DE LA CARIDAD Mujer Universidad de Chile - Chile
Keiser Univ - Estados Unidos
Keiser University - Estados Unidos
4 Bendayan, Rebecca Mujer Kings Coll London - Reino Unido
NHS Fdn Trust - Reino Unido
King's College London - Reino Unido
5 SANCHEZ-REYES, HUGO ALBERTO Hombre Universidad de Chile - Chile
6 ALBALA-BREVIS, CECILIA Mujer Universidad de Chile - Chile

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Financiamiento



Fuente
Fondo Nacional de Desarrollo Científico y Tecnológico
Chilean National Fund for Scientific and Technological Development

Muestra la fuente de financiamiento declarada en la publicación.

Agradecimientos



Agradecimiento
This research was supported by the Chilean National Fund for Scientific and Technological Development (Fondecyt grant 1130947 and ANID Doctoral grant 2016).
Funding: This research was supported by the Chilean National Fund for Scientific and Technological Development (Fondecyt grant 1130947 and ANID Doctoral grant 2016).

Muestra la fuente de financiamiento declarada en la publicación.