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膳食B族维生素与老年人患痴呆症的10年风险

Dietary B Vitamins and a 10-Year Risk of Dementia in Older Persons.

作者信息

Lefèvre-Arbogast Sophie, Féart Catherine, Dartigues Jean-François, Helmer Catherine, Letenneur Luc, Samieri Cécilia

机构信息

University Bordeaux, Institut de Santé Publique d'Epidémiologie et de Développement (ISPED), Centre INSERM U1219-Bordeaux Population Health, Bordeaux 33076, France.

Institut National de la Santé et de la Recherche Médicale (INSERM), Institut de Santé Publique d'Epidémiologie et de Développement (ISPED), Centre INSERM U1219-Bordeaux Population Health, Bordeaux 33076, France.

出版信息

Nutrients. 2016 Nov 26;8(12):761. doi: 10.3390/nu8120761.

Abstract

B vitamins may lower the risk of dementia, yet epidemiological findings, mostly from countries with folic acid fortification, have remained inconsistent. We evaluated in a large French cohort of older persons the associations between dietary B vitamins and long-term incident dementia. We included 1321 participants from the Three-City Study who completed a 24 h dietary recall, were free of dementia at the time of diet assessment, and were followed for an average of 7.4 years. In Cox proportional hazards models adjusted for multiple potential confounders, including overall diet quality, higher intake of folate was inversely associated with the risk of dementia ( for trend = 0.02), with an approximately 50% lower risk for individuals in the highest compared to the lowest quintile of folate (HR = 0.47; 95% CI 0.28; 0.81). No association was found for vitamins B6 and B12. In conclusion, in a large French cohort with a relatively low baseline folate status (average intake = 278 µg/day), higher folate intakes were associated with a decreased risk of dementia.

摘要

B族维生素可能会降低患痴呆症的风险,但大多来自实施叶酸强化的国家的流行病学研究结果一直不一致。我们在一个大型法国老年人群队列中评估了膳食B族维生素与长期发生痴呆症之间的关联。我们纳入了来自三城市研究的1321名参与者,他们完成了24小时膳食回顾,在进行饮食评估时未患痴呆症,并平均随访了7.4年。在针对包括总体饮食质量在内的多个潜在混杂因素进行调整的Cox比例风险模型中,较高的叶酸摄入量与痴呆症风险呈负相关(趋势P值=0.02),叶酸摄入量最高五分位数的个体与最低五分位数的个体相比,风险降低约50%(风险比=0.47;95%置信区间0.28;0.81)。未发现维生素B6和B12与痴呆症有关联。总之,在一个基线叶酸水平相对较低(平均摄入量=278微克/天)的大型法国队列中,较高的叶酸摄入量与痴呆症风险降低有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52d5/5188416/ada8fda95905/nutrients-08-00761-g001.jpg

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