Vitamin D, homocysteine and n-3PUFA status according to physical and cognitive functions in older adults with subjective memory complaint: Results from cross-sectional study of the MAPT trial
机构:[a]Gérontople, Department of Geriatrics, CHU Toulouse, Purpan University Hospital, Toulouse, France[b]Department of Geriatrics, Xuanwu Hospital of Capital Medical University, Beijing, China老年医学科首都医科大学宣武医院[c]INSERM, U1043, Center of Physiopathology of Toulouse Purpan, Université de Toulouse, UPS, Toulouse, France[d]Biochemistry Laboratory, Institut Fédératif de Biologie, CHU Toulouse, Purpan University Hospital, Toulouse, France[e]Department of Epidemiology and Public Health, CHU Toulouse, Toulouse, France[f]INSERM, UMR1027, Université de Toulouse, UPS, Toulouse, France
Objective: The aim of this study was to investigate the nutritional markers (Vitamin D, homocysteine, n - 3PUFA) status of older subjects aged 70 years and older with subjective memory complaint, according to their physical and cognitive function. Main outcome measures: This study is a secondary analysis of the MAPT study. Subjects were classified into four groups: 1) Physical limitation with cognitive impairment (PLCI), 2) cognitive impairment (CI), 3) physical limitation (PL) and 4) no physical or cognitive deficits (NPCD). Baseline nutritional characteristics of the four groups according to Vitamin D (n = 732), Omega-3 polyunsaturated fatty acid (n - 3PUFA) (n = 1537) and plasma total homocysteine (tHcy) (n = 729) status were investigated. Analysis was performed taking continuous and dichotomized value for Vitamin D insufficiency ([25(OH)D] < 30 ng/ml, high homocysteine level (tHcy >= 15 mu mol/L) and low n - 3PUFA (DHA + EPA <= 4.82%) nutritional markers for clinical relevance. Results: PLCI group showed the lowest mean level of Vitamin D and highest level tHcy compared to the other groups. In multivariate analysis, taking continuous nutritional markers, only high Vitamin D was associated with reduced likelihood of PLCI (OR 0.97, 95% CI (0.95 to 0.99) P = 0.011). While taking the dichotomized values the group with low levels of n - 3PUFA showed higher likelihood of PL only (OR 1.55, 95% CI (1.12 to 2.15), P = 0.009). Furthermore, our sensitivity analysis for Vitamin D with cut-off [25(OH)D] < 20 ng/ml,(i.e., Vitamin D deficiency), showed more likelihood of PL (OR 1.62, 95% CI (1.01 to 2.60) P = 0.046), CI (OR 1.90, 95% CI (1.16 to 3.10) P = 0.010), and highest likelihood of PLCI (OR 1.99, 95% CI (1.21 to 3.28) P = 0.006). Conclusion: In older adults with subjective memory complaints, Vitamin D deficiency status may present higher likelihood of functional deficits, including coexisting or separate physical and cognitive decline. While older adults with low level of n - 3PUFA were more likely to demonstrate physical decline only.
基金:
Gerontopole of Toulouse; French Ministry of Health; Pierre Fabre Research Institute; Exhonit Therapeutics SA; Avid Radiopharmaceuticals Inc.; University Hospital Center of Toulouse
第一作者机构:[a]Gérontople, Department of Geriatrics, CHU Toulouse, Purpan University Hospital, Toulouse, France[b]Department of Geriatrics, Xuanwu Hospital of Capital Medical University, Beijing, China[*]Gérontople, Centre Hospitalier Universitaire de Toulouse, 37 Allées Jules Guesde, 31000 Toulouse, France.
通讯作者:
通讯机构:[*]Gérontople, Centre Hospitalier Universitaire de Toulouse, 37 Allées Jules Guesde, 31000 Toulouse, France.
推荐引用方式(GB/T 7714):
J.K. Chhetri,P. de Souto Barreto,G. Soriano,et al.Vitamin D, homocysteine and n-3PUFA status according to physical and cognitive functions in older adults with subjective memory complaint: Results from cross-sectional study of the MAPT trial[J].EXPERIMENTAL GERONTOLOGY.2018,111:71-77.doi:10.1016/j.exger.2018.07.006.
APA:
J.K. Chhetri,P. de Souto Barreto,G. Soriano,I. Gennero,C. Cantet&B. Vellas.(2018).Vitamin D, homocysteine and n-3PUFA status according to physical and cognitive functions in older adults with subjective memory complaint: Results from cross-sectional study of the MAPT trial.EXPERIMENTAL GERONTOLOGY,111,
MLA:
J.K. Chhetri,et al."Vitamin D, homocysteine and n-3PUFA status according to physical and cognitive functions in older adults with subjective memory complaint: Results from cross-sectional study of the MAPT trial".EXPERIMENTAL GERONTOLOGY 111.(2018):71-77