Evidence map›Paper›PMID 40442330›Full record

ArticleScientific reports2025

Lower water-soluble vitamins and higher homocysteine are associated with neurodegenerative diseases.

Cuiping Zhang, Yao Hu, Xinyi Cao, Yuhang Deng, Yuting Wang, Ming Guan, Xiaoyan Wu, Haoqin Jiang

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

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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

8 citing papers in PubMed.

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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

8 authors.

Cuiping ZhangDepartment of Laboratory Medicine, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, 200040, China.
Yao HuDepartment of Laboratory Medicine, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, 200040, China.
Xinyi CaoDepartment of Laboratory Medicine, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, 200040, China.
Yuhang DengDepartment of Laboratory Medicine, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, 200040, China.
Yuting WangDepartment of Laboratory Medicine, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, 200040, China.
Ming GuanDepartment of Laboratory Medicine, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, 200040, China.
Xiaoyan WuDepartment of Laboratory Medicine, Qingpu District Hospital of Traditional Chinese Medicine, Shanghai, 201700, China. qher@163.com.
Haoqin JiangDepartment of Laboratory Medicine, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, 200040, China. nonyajhq@126.com.

Funding

Foundation of Shanghai Municipal Health Commission 20204Y0426Innovative medical device application demonstration project of Shanghai Municipal Commission of Economy and Information 23SHS06200National Natural Science Foundation of China 8200081939
6 · The paper itself

Abstract

Evidence of the effects of water-soluble vitamins (e.g., B vitamins, vitamin C, and total folate) on cognitive function in patients with neurodegenerative diseases is mixed. Furthermore, the relationships among homocysteine (Hcy) metabolism, water-soluble vitamins, and cognitive impairment remain unclear. Therefore, we aimed to investigate the role of the levels of water-soluble vitamins [e.g., vitamins B1, B2, B3, B5, B6, 5-methyltetrahydrofolate (5mTHF), B12, and C and total folate] and Hcy in dementia progression in patients with neurodegenerative diseases. In this retrospective cohort study, we enrolled 280 healthy controls and 646 patients with a neurodegenerative disease. Patients were classified into a Parkinson's disease (PD) group (n = 312), Alzheimer's disease (AD) group (n = 219), or other dementia group (n = 115) according to pathological features. The other dementia group comprised 25 patients with frontotemporal dementia, 38 with Lewy body dementia, 34 with vascular dementia, and 18 with semantic dementia. Serum vitamins (i.e., B1, B2, B3, B5, VB6, 5mTHF, and C) were measured via liquid chromatography-mass spectrometry/mass spectrometry. Total Hcy, vitamin B12 and total folate levels were measured using commercial electrochemiluminescence immunoassays. The serum levels of vitamins B1, B2, B5, B6, 5mTHF, and C were lower in all patient groups than in the control group. The logistic regression results revealed that lower levels of serum vitamins B2, B6, 5mTHF, and B12 were associated with a higher risk of dementia in PD patients, and higher Hcy levels and lower serum vitamin B6 and 5mTHF levels were associated with a higher risk of AD-related cognitive impairment. In addition, the level of vitamins was positively correlated with neuropsychological assessment scores and negatively correlated with Hcy level and stage of dementia. The levels of several water-soluble vitamins are lower in dementia patients. Moreover, lower levels of water-soluble vitamins and higher levels of Hcy increased odds ratios for having neurodegenerative diseases or cognitive impairment. These findings suggest that estimating water-soluble vitamin levels in older adults may be valuable given that they may help improve cognitive function.

Indexed as

HomocysteineNeurodegenerative DiseasesVitaminsAgedAged, 80 and overCase-Control StudiesFemaleFolic AcidHumansMaleMiddle AgedParkinson DiseaseRetrospective StudiesVitamin B 12Folic AcidHomocysteineVitamin B 12VitaminsHomocysteine, cognitive impairmentNeurodegenerative diseasesOne-carbon metabolismWater-soluble vitamins

Identifiers

PMID40442330
PMCPMC12122920

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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.