Evidence map›Paper›PMID 40742455›Full record

ArticleEuropean journal of nutrition2025

Association between serum lactoferrin concentrations and the prevalence of mild cognitive impairment among Chinese adults: a cross-sectional study.

Qian He, Zhongxiao Wan, Sumei Yuan, Khemayanto Hidayat, Jia-Ying Xu, Li-Qiang Qin

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Article in European journal of nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Qian HeDepartment of Nutrition and Food Hygiene, School of Public Health, Jiangsu Key Laboratory of Preventive and Translational Medicine for Geriatric Diseases, MOE KeyLaboratory of Geriatric Diseases and Immunology, Suzhou Medical College of Soochow University, Suzhou, 215123, China.
Zhongxiao WanDepartment of Nutrition and Food Hygiene, School of Public Health, Jiangsu Key Laboratory of Preventive and Translational Medicine for Geriatric Diseases, MOE KeyLaboratory of Geriatric Diseases and Immunology, Suzhou Medical College of Soochow University, Suzhou, 215123, China.
Sumei YuanDepartment of Nutrition and Food Hygiene, School of Public Health, Jiangsu Key Laboratory of Preventive and Translational Medicine for Geriatric Diseases, MOE KeyLaboratory of Geriatric Diseases and Immunology, Suzhou Medical College of Soochow University, Suzhou, 215123, China.
Khemayanto HidayatDepartment of Nutrition and Food Hygiene, School of Public Health, Jiangsu Key Laboratory of Preventive and Translational Medicine for Geriatric Diseases, MOE KeyLaboratory of Geriatric Diseases and Immunology, Suzhou Medical College of Soochow University, Suzhou, 215123, China.
Jia-Ying XuState Key Laboratory of Radiation Medicine and Protection, School of Radiation Medicine and Protection, Soochow University, 199 Ren'ai Road, Suzhou, 215123, Jiangsu, China.
Li-Qiang QinDepartment of Nutrition and Food Hygiene, School of Public Health, Jiangsu Key Laboratory of Preventive and Translational Medicine for Geriatric Diseases, MOE KeyLaboratory of Geriatric Diseases and Immunology, Suzhou Medical College of Soochow University, Suzhou, 215123, China. 664559993@qq.com.ORCID http://orcid.org/0000-0002-5231-2562

Funding

Priority Academic Program Development of Jiangsu Higher Education Institutions PAPDthe National Natural Science Foundation of China 82073482the National Natural Science Foundation of China 82173502
6 · The paper itself

Abstract

objectiveLactoferrin (Lf) expression is upregulated in the brain of patients with Alzheimer’s disease (AD), and mild cognitive impairment (MCI) is recognized as an early, pre-clinical stage of AD. However, the association between serum Lf and MCI remains unclear.

methodA cross-sectional study was performed to examine the association between serum Lf and the prevalence of MCI in Chinese adults aged ≥ 40 years. Lf concentrations in serum were measured using an enzyme-linked immunosorbent assay. MCI was diagnosed according to the Chinese version of the mini-mental state examination (MMSE). Multivariable-adjusted odds ratios (ORs) and 95% confidence intervals (CIs) of MCI by quartiles of serum Lf concentrations were estimated using logistic regression. A dose-response relationship was analyzed using a restricted cubic spline. Subgroup analyses were performed by age, sex, weight status, and the presence of diabetes or hypertension, with interaction effects tested.

resultsAmong 1,531 participants (mean age of 59.16 ± 6.35 years), 214 (13.98%) had MCI. The participants with MCI exhibited lower serum Lf concentrations than those without MCI (1.19 ± 0.67 µg/mL vs. 1.49 ± 0.75 µg/mL, P < 0.001). The MCI prevalence was decreased across ascending quartiles of serum Lf. Compared with the lowest quartile of serum Lf, the multivariable-adjusted OR (95% CI) for MCI prevalence were 0.83 (0.57–1.21), 0.45 (0.29–0.68), and 0.30 (0.19–0.49) with a significant trend (P for trend < 0.001). The restricted cubic spline regression analysis showed an inverted J-shape curve (p for overall < 0.001, p for nonlinear = 0.003). The inverse association persisted regardless of age, gender, and the presence of diabetes and hypertension (all P for trend ≤ 0.01). By weight status, the inverse association was observed in participants with normal weight and overweight (P for trend = 0.002 and < 0.001), but not in those with obesity (P for trend = 0.602). Test of interaction effects indicated that MCI risk decreased more significantly in participants with diabetes than those without diabetes (P for interaction < 0.001).

conclusionsSerum Lf was inversely associated with the prevalence of MCI. This association was not observed in participants with obesity, and was more pronounced in those with diabetes.

Indexed as

Cognitive DysfunctionLactoferrinAdultAgedChinaCross-Sectional StudiesFemaleHumansHypertensionMaleMiddle AgedPrevalenceRisk FactorsLactoferrinCross-sectional studyDiabetesMild cognitive impairmentObesitySerum lactoferrin

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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.