Department of Food Science and Nutrition, College of Life Sciences, Kuwait University, Box 5969, Safat 13060, Kuwait.
Department of Community Medicine and Behavioural Sciences, Faculty of Medicine, Kuwait University, Box 24923, Safat 13110, Kuwait.
Nutrients. 2018 Sep 1;10(9):1197. doi: 10.3390/nu10091197.
Several observational studies have reported an association between low levels of vitamin D (VD) and poor cognition in adults, but there is a paucity of data on such an association in adolescents. We investigated the association between VD and cognitive function or academic achievement among 1370 adolescents, who were selected from public middle schools in Kuwait, using stratified multistage cluster random sampling with probability proportional to size. Plasma 25-hydroxy VD (25-OH-D) was measured using liquid chromatography-tandem mass spectrometry (LC-MS/MS). An age-adjusted standard score (ASC), calculated from Raven's Standard Progressive Matrices test, was used to evaluate cognitive function; academic achievements were extracted from the schools' records. Data on various covariates were collected from the parents through a self-administered questionnaire and from the adolescents using face-to-face interviews. 25-OH-D was weakly correlated positively with ASC (ρ = 0.06; = 0.04). Univariable linear regression analysis showed an association between 25-OH-D categories and ASC after adjusting for gender, but adjusting for parental education was sufficient to explain this association. Multivariable analysis showed no association between 25-OH-D and ASC after adjusting for potential confounders whether 25-OH-D was fitted as a continuous variable ( = 0.73), a variable that is categorized by acceptable cutoff points ( = 0.48), or categorized into quartiles ( = 0.88). Similarly, 25-OH-D was not associated with academic performance. We conclude that 25-OH-D is associated with neither cognitive function nor academic performance in adolescents.
几项观察性研究报告称,维生素 D(VD)水平低与成年人认知能力差有关,但关于青少年中这种关联的数据很少。我们使用分层多阶段聚类随机抽样方法(按大小与概率成比例),从科威特公立中学中选择了 1370 名青少年进行研究,调查了 VD 与认知功能或学业成绩之间的关系。使用液相色谱-串联质谱法(LC-MS/MS)测量血浆 25-羟维生素 D(25-OH-D)。使用瑞文标准渐进矩阵测试计算的年龄调整标准分数(ASC)用于评估认知功能;从学校记录中提取学业成绩。通过家长的自我管理问卷和青少年的面对面访谈收集了各种协变量的数据。25-OH-D 与 ASC 呈弱正相关(ρ=0.06; =0.04)。单变量线性回归分析显示,在校正性别后,25-OH-D 类别与 ASC 之间存在关联,但在校正父母教育程度后,这种关联就足以解释了。多变量分析显示,在校正潜在混杂因素后,25-OH-D 与 ASC 之间没有关联,无论 25-OH-D 是否作为连续变量( = 0.73)、通过可接受的截断值分类的变量( = 0.48)还是分为四分位数( = 0.88)。同样,25-OH-D 与学业成绩无关。我们得出结论,25-OH-D 与青少年的认知功能或学业成绩无关。