Evidence map›Paper›PMID 28505973›Full record

ArticleJournal of Alzheimer's disease : JAD2017

Vitamin D Insufficiency and Cognitive Function Trajectories in Older Adults: The Rancho Bernardo Study.

Gail A Laughlin, Donna Kritz-Silverstein, Jaclyn Bergstrom, Emilie T Reas, Simerjot K Jassal, Elizabeth Barrett-Connor, Linda K McEvoy

Abstract read
In one paragraph

Article in Journal of Alzheimer's disease : JAD, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

15 citing papers in PubMed.

  1. Trial
  2. Observational
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Is There a Role of Vitamin D in Alzheimer's Disease?CNS & neurological disorders drug targets · 2024
    Review
  9. Microglia and Brain Disorders: The Role of Vitamin D and Its Receptor.International journal of molecular sciences · 2023
    Review
  10. Article
  11. Article
  12. Article
  13. Prevalence of vitamin D deficiency in the pregnant women: an observational study in Shanghai, China.Archives of public health = Archives belges de sante publique · 2020
    Article
  14. Review
  15. Review
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

7 authors.

Gail A LaughlinDivision of Epidemiology, Department of Family Medicine and Public Health, University of California San Diego, La Jolla, CA, USA.
Donna Kritz-SilversteinDivision of Epidemiology, Department of Family Medicine and Public Health, University of California San Diego, La Jolla, CA, USA.
Jaclyn BergstromDivision of Epidemiology, Department of Family Medicine and Public Health, University of California San Diego, La Jolla, CA, USA.
Emilie T ReasDepartment of Radiology, University of California San Diego, La Jolla, CA, USA.
Simerjot K JassalDivision of General Internal Medicine, Department of Medicine, VA San Diego Healthcare System, University of California San Diego, San Diego, CA, USA.
Elizabeth Barrett-ConnorDivision of Epidemiology, Department of Family Medicine and Public Health, University of California San Diego, La Jolla, CA, USA.
Linda K McEvoyDivision of Epidemiology, Department of Family Medicine and Public Health, University of California San Diego, La Jolla, CA, USA.

Funding

STUDY OF RISK FACTORS FOR OSTEOPOROSIS IN THE ELDERLYR37AG007181 · NIA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI BARRETT-CONNOR, ELIZABETH L · 1987 to 2010
$5.4M
Association of Alcohol and Nutrition with Cognition and Brain Structure in AgingR01AA021187 · NIAAA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI MCEVOY, LINDA KATHLEEN · 2013 to 2017
$2.9M
GENDER DIFFERENCES IN OSTEOPOROSISR01AG007181 · NIA · UNIVERSITY OF CALIFORNIA SAN DIEGO · PI BARRETT-CONNOR, ELIZABETH L · 1999 to 2002
$1.6M
CVD Predictors of Cognitive Function Trajectory over 20 YearsR01AG028507 · NIA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI BARRETT-CONNOR, ELIZABETH L · 2007 to 2010
$1.2M
EPIDEMIOLOGY OF NIDDM AND IGT IN AN ADULT COMMUNITYR01DK031801 · NIDDK · UNIVERSITY OF CALIFORNIA SAN DIEGO · PI BARRETT-CONNOR, ELIZABETH L · 1986 to 2000
$606k
NIAAA NIH HHS R01 AA021187NIA NIH HHS R01 AG007181NIA NIH HHS R01 AG028507NIA NIH HHS R37 AG007181NIDDK NIH HHS R01 DK031801
6 · The paper itself

Abstract

backgroundEvidence of a role for vitamin D (VitD) in cognitive aging is mixed and based primarily on extreme VitD deficiency. We evaluated the association of VitD insufficiency with cognitive function in older, community-dwelling adults living in a temperate climate with year-round sunshine.

methodsA population-based longitudinal study of 1,058 adults (median age 75; 62% women) who had cognitive function assessed and serum levels of 25-hydroxyvitaminD (25OHD) measured in 1997-99 and were followed for up to three additional cognitive function assessments over a 12-year period.

resultsOverall, 14% (n = 145) of participants had VitD insufficiency defined as 25OHD <30 ng/ml. Adjusting for age, sex, education, and season, VitD insufficiency was associated with poorer baseline performance on the Mini-Mental Status Exam (MMSE) (p = 0.013), Trails Making Test B (Trails B) (p = 0.015), Category Fluency (p = 0.006), and Long Term Retrieval (p = 0.019); differences were equivalent to 5 years of age. For those with VitD insufficiency, the odds of mildly impaired performance at baseline were 38% higher for MMSE (p = 0.08), 78% higher for Trails B (p = 0.017), and 2-fold higher for Category Fluency and Long Term Retrieval (both p = 0.001). VitD insufficiency was not related to the rate of cognitive decline on any test or the risk of developing impaired performance during follow-up.

conclusionIn this population with little VitD deficiency, even moderately low VitD was associated with poorer performance on multiple domains of cognitive function. Low VitD did not predict 12-year cognitive decline. Clinical trials are essential to establish a causal link between VitD and cognitive well-being.

Indexed as

CognitionAgedCaliforniaComorbidityCross-Sectional StudiesFemaleFollow-Up StudiesHumansIndependent LivingLogistic ModelsLongitudinal StudiesMaleMental Status and Dementia TestsPrevalenceVitamin DVitamin D DeficiencyVitamin DCognitive agingcognitive functionepidemiologylongitudinal studyvitamin D

Identifiers

PMID28505973
PMCPMC5954988

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.