Evidence map›Paper›PMID 26808046›Full record

ArticleExperimental gerontology2016

Serum folate, vitamin B-12 and cognitive function in middle and older age: The HAPIEE study.

Pia Horvat, Julian Gardiner, Ruzena Kubinova, Andrzej Pajak, Abdonas Tamosiunas, Ben Schöttker, Hynek Pikhart, Anne Peasey, Eugene Jansen, Martin Bobak

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in Experimental gerontology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 9% of its field
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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
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  10. Selected vitamins and quality of life in menopausal women.Przeglad menopauzalny = Menopause review · 2018
    Review
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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

10 authors at 7 institutions in 5 countries.

Pia HorvatDepartment of Epidemiology & Public Health, UCL, 1-19 Torrington Place, London WC1E 7HB, UK. Electronic address: pia.horvat.10@ucl.ac.uk.
Julian GardinerDepartment of Education, University of Oxford, 15 Norham Gardens, Oxford OX2 6PY, UK.
Ruzena KubinovaNational Institute of Public Health, Srobarova 48, 10042 Prague, Czech Republic.
Andrzej PajakDepartment of Epidemiology and Population Studies, Jagellonian University Collegium Medicum, Grzegorzecka 20, 31-531 Krakow, Poland.
Abdonas TamosiunasDepartment of Population Studies, Institute of Cardiology, Lithuanian University of Health Sciences, Kaunas LT-50161, Lithuania.
Ben SchöttkerDivision of Clinical Epidemiology and Aging Research, German Cancer Research Center, Im Neuenheimer Feld 581, 69120 Heidelberg, Germany.
Hynek PikhartDepartment of Epidemiology & Public Health, UCL, 1-19 Torrington Place, London WC1E 7HB, UK.
Anne PeaseyDepartment of Epidemiology & Public Health, UCL, 1-19 Torrington Place, London WC1E 7HB, UK.
Eugene JansenCenter for Health Protection, National Institute for Public Health and the Environment, PO Box 1, 3720 BA, Bilthoven, The Netherlands.
Martin BobakDepartment of Epidemiology & Public Health, UCL, 1-19 Torrington Place, London WC1E 7HB, UK.
University College London · GBGerman Cancer Research Center · DELithuanian University of Health Sciences · LTNational Institute for Public Health and the Environment · NLNational Institute of Public Health · CZPublic Health England · GBUniversity of Oxford · GB

Funding

Health disparities and agingin societies in transitionR01AG023522 · NIA · UNIVERSITY COLLEGE LONDON · PI MARMOT, MICHAEL G · 2004 to 2008
$2.2M
NIA NIH HHS R01 AG023522NIA NIH HHS R01 AG23522-01Wellcome Trust 064947Wellcome Trust 081081
6 · The paper itself

Abstract

backgroundNutrient status of B vitamins, particularly folate and vitamin B-12, may be related to cognitive ageing but epidemiological evidence remains inconclusive.

objectiveThe aim of this study was to estimate the association of serum folate and vitamin B-12 concentrations with cognitive function in middle-aged and older adults from three Central and Eastern European populations.

methodsMen and women aged 45-69 at baseline participating in the Health, Alcohol and Psychosocial factors in Eastern Europe (HAPIEE) study were recruited in Krakow (Poland), Kaunas (Lithuania) and six urban centres in the Czech Republic. Tests of immediate and delayed recall, verbal fluency and letter search were administered at baseline and repeated in 2006-2008. Serum concentrations of biomarkers at baseline were measured in a sub-sample of participants. Associations of vitamin quartiles with baseline (n=4166) and follow-up (n=2739) cognitive domain-specific z-scores were estimated using multiple linear regression.

resultsAfter adjusting for confounders, folate was positively associated with letter search and vitamin B-12 with word recall in cross-sectional analyses. In prospective analyses, participants in the highest quartile of folate had higher verbal fluency (p<0.01) and immediate recall (p<0.05) scores compared to those in the bottom quartile. In addition, participants in the highest quartile of vitamin B-12 had significantly higher verbal fluency scores (β=0.12; 95% CI=0.02, 0.21).

conclusionsFolate and vitamin B-12 were positively associated with performance in some but not all cognitive domains in older Central and Eastern Europeans. These findings do not lend unequivocal support to potential importance of folate and vitamin B-12 status for cognitive function in older age. Long-term longitudinal studies and randomised trials are required before drawing conclusions on the role of these vitamins in cognitive decline.

Indexed as

CognitionAgedAge FactorsAgingBiomarkersCross-Sectional StudiesEuropeFemaleFolic AcidGeriatric AssessmentHumansLinear ModelsMaleMemory, Short-TermMiddle AgedNeuropsychological TestsBiomarkersFolic AcidVitamin B 12AgeingBiomarkersCognitive functionEastern EuropeFolateVitamin B-12

Identifiers

PMID26808046
PMCPMC4839985
OpenAlexW2284162455

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.