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Effects of homocysteine lowering with B vitamins on cognitive aging: meta-analysis of 11 trials with cognitive data on 22,000 individuals12345

Identifieur interne : 003998 ( Main/Exploration ); précédent : 003997; suivant : 003999

Effects of homocysteine lowering with B vitamins on cognitive aging: meta-analysis of 11 trials with cognitive data on 22,000 individuals12345

Auteurs : Robert Clarke ; Derrick Bennett ; Sarah Parish ; Sarah Lewington ; Murray Skeaff ; Simone Jpm Eussen ; Catharina Lewerin ; David J. Stott ; Jane Armitage ; Graeme J. Hankey ; Eva Lonn ; J David Spence ; Pilar Galan ; Lisette C. De Groot ; Jim Halsey ; Alan D. Dangour ; Rory Collins ; Francine Grodstein

Source :

RBID : PMC:4095663

Descripteurs français

English descriptors

Abstract

Background: Elevated plasma homocysteine is a risk factor for Alzheimer disease, but the relevance of homocysteine lowering to slow the rate of cognitive aging is uncertain.

Objective: The aim was to assess the effects of treatment with B vitamins compared with placebo, when administered for several years, on composite domains of cognitive function, global cognitive function, and cognitive aging.

Design: A meta-analysis was conducted by using data combined from 11 large trials in 22,000 participants. Domain-based z scores (for memory, speed, and executive function and a domain-composite score for global cognitive function) were available before and after treatment (mean duration: 2.3 y) in the 4 cognitive-domain trials (1340 individuals); Mini-Mental State Examination (MMSE)–type tests were available at the end of treatment (mean duration: 5 y) in the 7 global cognition trials (20,431 individuals).

Results: The domain-composite and MMSE-type global cognitive function z scores both decreased with age (mean ± SE: −0.054 ± 0.004 and −0.036 ± 0.001/y, respectively). Allocation to B vitamins lowered homocysteine concentrations by 28% in the cognitive-domain trials but had no significant effects on the z score differences from baseline for individual domains or for global cognitive function (z score difference: 0.00; 95% CI: −0.05, 0.06). Likewise, allocation to B vitamins lowered homocysteine by 26% in the global cognition trials but also had no significant effect on end-treatment MMSE-type global cognitive function (z score difference: −0.01; 95% CI: −0.03, 0.02). Overall, the effect of a 25% reduction in homocysteine equated to 0.02 y (95% CI: −0.10, 0.13 y) of cognitive aging per year and excluded reductions of >1 mo per year of treatment.

Conclusion: Homocysteine lowering by using B vitamins had no significant effect on individual cognitive domains or global cognitive function or on cognitive aging.


Url:
DOI: 10.3945/ajcn.113.076349
PubMed: 24965307
PubMed Central: 4095663


Affiliations:


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Le document en format XML

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<title level="j">The American Journal of Clinical Nutrition</title>
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<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Aging</term>
<term>Cognition</term>
<term>Cognitive Dysfunction (etiology)</term>
<term>Cognitive Dysfunction (prevention & control)</term>
<term>Dietary Supplements</term>
<term>Evidence-Based Medicine</term>
<term>Homocysteine (antagonists & inhibitors)</term>
<term>Homocysteine (blood)</term>
<term>Humans</term>
<term>Hyperhomocysteinemia (blood)</term>
<term>Hyperhomocysteinemia (diet therapy)</term>
<term>Hyperhomocysteinemia (physiopathology)</term>
<term>Middle Aged</term>
<term>Randomized Controlled Trials as Topic</term>
<term>Vitamin B Complex (therapeutic use)</term>
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<term>Adulte d'âge moyen</term>
<term>Cognition</term>
<term>Complexe vitaminique B (usage thérapeutique)</term>
<term>Compléments alimentaires</term>
<term>Dysfonctionnement cognitif ()</term>
<term>Dysfonctionnement cognitif (étiologie)</term>
<term>Essais contrôlés randomisés comme sujet</term>
<term>Homocystéine (antagonistes et inhibiteurs)</term>
<term>Homocystéine (sang)</term>
<term>Humains</term>
<term>Hyperhomocystéinémie (diétothérapie)</term>
<term>Hyperhomocystéinémie (physiopathologie)</term>
<term>Hyperhomocystéinémie (sang)</term>
<term>Médecine factuelle</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Vieillissement</term>
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<term>Homocysteine</term>
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<term>Homocysteine</term>
</keywords>
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<term>Homocystéine</term>
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<term>Hyperhomocysteinemia</term>
</keywords>
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<term>Hyperhomocysteinemia</term>
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<term>Hyperhomocystéinémie</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Cognitive Dysfunction</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr">
<term>Hyperhomocystéinémie</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en">
<term>Hyperhomocysteinemia</term>
</keywords>
<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en">
<term>Cognitive Dysfunction</term>
</keywords>
<keywords scheme="MESH" qualifier="sang" xml:lang="fr">
<term>Homocystéine</term>
<term>Hyperhomocystéinémie</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en">
<term>Vitamin B Complex</term>
</keywords>
<keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr">
<term>Complexe vitaminique B</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr">
<term>Dysfonctionnement cognitif</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Aging</term>
<term>Cognition</term>
<term>Dietary Supplements</term>
<term>Evidence-Based Medicine</term>
<term>Humans</term>
<term>Middle Aged</term>
<term>Randomized Controlled Trials as Topic</term>
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<term>Dysfonctionnement cognitif</term>
<term>Essais contrôlés randomisés comme sujet</term>
<term>Humains</term>
<term>Médecine factuelle</term>
<term>Sujet âgé</term>
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<front>
<div type="abstract" xml:lang="en">
<p>
<bold>Background:</bold>
Elevated plasma homocysteine is a risk factor for Alzheimer disease, but the relevance of homocysteine lowering to slow the rate of cognitive aging is uncertain.</p>
<p>
<bold>Objective:</bold>
The aim was to assess the effects of treatment with B vitamins compared with placebo, when administered for several years, on composite domains of cognitive function, global cognitive function, and cognitive aging.</p>
<p>
<bold>Design:</bold>
A meta-analysis was conducted by using data combined from 11 large trials in 22,000 participants. Domain-based
<italic>z</italic>
scores (for memory, speed, and executive function and a domain-composite score for global cognitive function) were available before and after treatment (mean duration: 2.3 y) in the 4 cognitive-domain trials (1340 individuals); Mini-Mental State Examination (MMSE)–type tests were available at the end of treatment (mean duration: 5 y) in the 7 global cognition trials (20,431 individuals).</p>
<p>
<bold>Results</bold>
: The domain-composite and MMSE-type global cognitive function
<italic>z</italic>
scores both decreased with age (mean ± SE: −0.054 ± 0.004 and −0.036 ± 0.001/y, respectively). Allocation to B vitamins lowered homocysteine concentrations by 28% in the cognitive-domain trials but had no significant effects on the
<italic>z</italic>
score differences from baseline for individual domains or for global cognitive function (
<italic>z</italic>
score difference: 0.00; 95% CI: −0.05, 0.06). Likewise, allocation to B vitamins lowered homocysteine by 26% in the global cognition trials but also had no significant effect on end-treatment MMSE-type global cognitive function (
<italic>z</italic>
score difference: −0.01; 95% CI: −0.03, 0.02). Overall, the effect of a 25% reduction in homocysteine equated to 0.02 y (95% CI: −0.10, 0.13 y) of cognitive aging per year and excluded reductions of >1 mo per year of treatment.</p>
<p>
<bold>Conclusion:</bold>
Homocysteine lowering by using B vitamins had no significant effect on individual cognitive domains or global cognitive function or on cognitive aging.</p>
</div>
</front>
<back>
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<name sortKey="Hankey, Graeme J" sort="Hankey, Graeme J" uniqKey="Hankey G" first="Graeme J" last="Hankey">Graeme J. Hankey</name>
<name sortKey="Lewerin, Catharina" sort="Lewerin, Catharina" uniqKey="Lewerin C" first="Catharina" last="Lewerin">Catharina Lewerin</name>
<name sortKey="Lewington, Sarah" sort="Lewington, Sarah" uniqKey="Lewington S" first="Sarah" last="Lewington">Sarah Lewington</name>
<name sortKey="Lonn, Eva" sort="Lonn, Eva" uniqKey="Lonn E" first="Eva" last="Lonn">Eva Lonn</name>
<name sortKey="Parish, Sarah" sort="Parish, Sarah" uniqKey="Parish S" first="Sarah" last="Parish">Sarah Parish</name>
<name sortKey="Skeaff, Murray" sort="Skeaff, Murray" uniqKey="Skeaff M" first="Murray" last="Skeaff">Murray Skeaff</name>
<name sortKey="Spence, J David" sort="Spence, J David" uniqKey="Spence J" first="J David" last="Spence">J David Spence</name>
<name sortKey="Stott, David J" sort="Stott, David J" uniqKey="Stott D" first="David J" last="Stott">David J. Stott</name>
</noCountry>
</tree>
</affiliations>
</record>

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