Evidence map›Paper›PMID 23705786›Full record

ArticleBMC psychiatry2013

Association between vitamin b12 levels and melancholic depressive symptoms: a Finnish population-based study.

Jussi Seppälä, Hannu Koponen, Hannu Kautiainen, Johan G Eriksson, Olli Kampman, Jaana Leiviskä, Satu Männistö, Pekka Mäntyselkä, Heikki Oksa, Yrjö Ovaskainen and 3 more

Abstract read
In one paragraph

Article in BMC psychiatry, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Vitamin BCurrent psychiatry reports · 2024
    Review
  5. Review
  6. Role of Vitamin B in Healthy Ageing and Disease.Sub-cellular biochemistry · 2024
    Review
  7. Review
  8. [Clinical hematological symptoms of vitamin BZeitschrift fur Gerontologie und Geriatrie · 2018
    Review
  9. Article
  10. Article
  11. Vitamin BEuropean journal of clinical nutrition · 2017
    Article
  12. [Vitamin B12 deficiency in the elderly].Zeitschrift fur Gerontologie und Geriatrie · 2015
    Article
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Jussi Seppälä
Hannu Koponen
Hannu Kautiainen
Johan G Eriksson
Olli Kampman
Jaana Leiviskä
Satu Männistö
Pekka Mäntyselkä
Heikki Oksa
Yrjö Ovaskainen
Merja Viikki
Mauno Vanhala
Jussi Seppälä

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAn association between vitamin B12 levels and depressive symptoms (DS) has been reported in several epidemiological studies. The purpose of this study was to evaluate vitamin B12 levels in population-based samples with melancholic or non-melancholic DS as the relationship between vitamin B12 levels and different subtypes of DS has not been evaluated in previous studies.

methodsSubjects without previously known type 2 diabetes, aged 45-74 years were randomly selected from the National Population Register as a part of the Finnish diabetes prevention programme (FIN-D2D). The study population (N = 2806, participation rate 62%) consisted of 1328 men and 1478 women. The health examinations were carried out between October and December 2007 according to the WHO MONICA protocol. The assessment of DS was based on the Beck Depression Inventory (BDI, cut-off ≥10 points). A DSM-IV- criteria based summary score of melancholic items in the BDI was used in dividing the participants with DS (N = 429) into melancholic (N = 138) and non-melancholic DS (N = 291) subgroups. In the statistical analysis we used chi-squared test, t-test, permutation test, analysis of covariance, multivariate logistic regression analysis and multinomial regression model.

resultsThe mean vitamin B12 level was 331±176 pmol/L in those without DS while the subjects with non-melancholic DS had a mean vitamin B12 level of 324 ± 135 pmol/L, and those with melancholic DS had the lowest mean vitamin B12 level of 292±112 pmol/L (p < 0.001 after adjusted for age, sex, use of antidepressive medication and chronic diseases sum index). The adjusted difference of vitamin B12 levels between the non-melancholic and the melancholic group was 33 pmol/L (95%CI 8 to 57, p = 0.008). Melancholic DS and vitamin B12 levels showed an independent linearly inverse association. The relative risk ratio (RRR) for melancholic DS was 2.75 (95%CI 1.66 to 4.56) in the lowest vitamin B12 level tertile versus the highest (p for linearity <0.001) when those without DS formed the reference group. The RRR in the non-melancholic subgroup was nonsignificant.

conclusionsThe vitamin B12 level was associated with melancholic DS but not with non-melancholic DS.

Indexed as

AgedDepressionFemaleFinlandHumansMaleMiddle AgedRegistriesVitamin B 12Vitamin B 12

Identifiers

PMID23705786
PMCPMC3674945

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.