Liu Xi-Xi, Wu Peng-Fei, Liu Ying-Zi, Jiang Ya-Ling, Wan Mei-Dan, Xiao Xue-Wen, Yang Qi-Jie, Jiao Bin, Liao Xin-Xin, Wang Jun-Ling, Liu Shao-Hui, Zhang Xuewei, Shen Lu
Department of Neurology, Xiangya Hospital, Central South University, Changsha, China.
Hunan Provincial Key Laboratory of Medical Genetics, School of Life Sciences, Central South University, Changsha, China.
J Alzheimers Dis. 2022;85(2):829-836. doi: 10.3233/JAD-215104.
Alzheimer's disease (AD) is a chronic and fatal neurodegenerative disease; accumulating evidence suggests that vitamin deficiency is associated with the risk of AD. However, studies attempting to elucidate the relationship between vitamins and AD varied widely.
This study aimed to investigate the relationship between serum vitamin levels and AD in a cohort of the Chinese population.
A total of 368 AD patients and 574 healthy controls were recruited in this study; serum vitamin A, B1, B6, B9, B12, C, D, and E were measured in all participants.
Compared with the controls, vitamin B2, B9, B12, D, and E were significantly reduced in AD patients. Lower levels of vitamin B2, B9, B12, D, and E were associated with the risk of AD. After adjusting for age and gender, low levels of vitamin B2, B9, and B12 were still related to the risk of AD. In addition, a negative correlation was determined between vitamin E concentration and Activity of Daily Living Scale score while no significant association was found between serum vitamins and age at onset, disease duration, Mini-Mental State Examination, and Neuropsychiatric Inventory Questionnaire score.
We conclude that lower vitamin B2, B9, B12, D, and E might be associated with the risk of AD, especially vitamin B2, B9, and B12. And lower vitamin E might be related to severe ability impairment of daily activities.
阿尔茨海默病(AD)是一种慢性致命性神经退行性疾病;越来越多的证据表明维生素缺乏与AD风险相关。然而,试图阐明维生素与AD之间关系的研究差异很大。
本研究旨在调查中国人群队列中血清维生素水平与AD之间的关系。
本研究共纳入368例AD患者和574例健康对照;测定了所有参与者的血清维生素A、B1、B6、B9、B12、C、D和E。
与对照组相比,AD患者的维生素B2、B9、B12、D和E显著降低。维生素B2、B9、B12、D和E水平较低与AD风险相关。在调整年龄和性别后,维生素B2、B9和B12水平较低仍与AD风险相关。此外,维生素E浓度与日常生活活动量表评分呈负相关,而血清维生素与发病年龄、病程、简易精神状态检查和神经精神问卷评分之间未发现显著关联。
我们得出结论,维生素B2、B9、B12、D和E水平较低可能与AD风险相关,尤其是维生素B2、B9和B12。维生素E水平较低可能与日常活动能力严重受损有关。