Queensland Brain Institute, The University of Queensland, St Lucia, Australia.
PLoS One. 2011;6(11):e25966. doi: 10.1371/journal.pone.0025966. Epub 2011 Nov 4.
Epidemiological research links vitamin D status to various brain-related outcomes. However, few trials examine whether supplementation can improve such outcomes and none have examined effects on cognition. This study examined whether Vitamin D supplementation led to improvements in diverse measures of cognitive and emotional functioning, and hypothesised that supplementation would lead to improvements in these outcomes compared to placebo.
METHODS/PRINCIPAL FINDINGS: Healthy young adults were recruited to a parallel-arm, double-blind trial conducted at The University of Queensland. Participants were randomly allocated to receive Vitamin D (one capsule daily, containing 5000 IU cholecalciferol) or identical placebo capsule for six weeks. All participants and outcome assessors were blinded to group assignment. Primary outcome measures assessed at baseline and 6 weeks were working memory, response inhibition and cognitive flexibility. Secondary outcomes were: hallucination-proneness, psychotic-like experiences, and ratings of depression, anxiety and anger. 128 participants were recruited, randomised and included in primary analyses (vitamin D n = 63; placebo n = 65). Despite significant increases in vitamin D status in the active group, no significant changes were observed in working memory (F = 1.09; p = 0.30), response inhibition (F = 0.82; p = 0.37), cognitive flexibility (F = 1.37; p = 0.24) or secondary outcomes. No serious adverse effects were reported.
Our findings indicate that vitamin D supplementation does not influence cognitive or emotional functioning in healthy young adults. Future controlled trials in targeted populations of interest are required to determine whether supplementation can improve functioning in these domains. Australian and New Zealand Clinical Trials Registry; ACTRN12610000318088.
流行病学研究将维生素 D 状况与各种与大脑相关的结果联系起来。然而,很少有试验研究补充剂是否可以改善这些结果,也没有试验研究其对认知的影响。本研究旨在检验维生素 D 补充剂是否能改善认知和情绪功能的多种衡量标准,并假设与安慰剂相比,补充剂会改善这些结果。
方法/主要发现:本研究在昆士兰大学开展了一项平行臂、双盲试验,招募了健康的年轻成年人。参与者被随机分配接受维生素 D(每日一粒,含 5000IU 胆钙化醇)或相同的安慰剂胶囊,为期 6 周。所有参与者和结果评估者均对分组情况不知情。主要结局评估指标在基线和 6 周时进行,包括工作记忆、反应抑制和认知灵活性。次要结局包括:幻觉倾向、类精神病体验,以及抑郁、焦虑和愤怒的评分。共招募了 128 名参与者,进行了随机分组并纳入了主要分析(维生素 D 组 n = 63;安慰剂组 n = 65)。尽管活性组的维生素 D 水平显著升高,但工作记忆(F = 1.09;p = 0.30)、反应抑制(F = 0.82;p = 0.37)、认知灵活性(F = 1.37;p = 0.24)或次要结局均无显著变化。未报告严重不良事件。
我们的研究结果表明,维生素 D 补充剂不会影响健康年轻成年人的认知或情绪功能。需要在有针对性的目标人群中开展对照试验,以确定补充剂是否可以改善这些领域的功能。澳大利亚和新西兰临床试验注册处;ACTRN12610000318088。