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Dietary folate and vitamin B12 intake and cognitive decline among community-dwelling older persons.

TLDR
High intake of folate may be associated with cognitive decline in older persons, and these unexpected findings call for further study of the cognitive implications of high levels of dietary folate in older populations.
Abstract
Results: High folate intake was associated with a faster rate of cognitive decline in mixed models adjusted for multiple risk factors. The rate of cognitive decline among persons in the top fifth of total folate intake (median, 742 µg/d) was more than twice that of those in the lowest fifth of intake (median, 186 µg/d), a statistically significant difference of 0.02 standardized unit per year (P=.002). A faster rate of cognitive decline was also associated with high folate intake from food (P for trend=.04) and with folate vitamin supplementation of more than 400 µg/d compared with nonusers (=�.03, P.001). High total B12 intake was associated with slower cognitive decline only among the oldest participants. Conclusions: High intake of folate may be associated with cognitive decline in older persons. These unexpected findings call for further study of the cognitive implications of high levels of dietary folate in older populations.

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Citations
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Journal ArticleDOI

Effect of 3-year folic acid supplementation on cognitive function in older adults in the FACIT trial: a randomised, double blind, controlled trial.

TL;DR: Folic acid supplementation for 3 years significantly improved domains of cognitive function that tend to decline with age, particularly in memory and sensorimotor speed.
Journal ArticleDOI

Systematic review: factors associated with risk for and possible prevention of cognitive decline in later life.

TL;DR: Few potentially beneficial factors were identified from the evidence on risk or protective factors associated with cognitive decline, but the overall quality of the evidence was low.
Journal ArticleDOI

Is folic acid good for everyone

TL;DR: Nations considering fortification should be cautious and stimulate further research to identify the effects, good and bad, caused by a high intake of folic acid from fortified food or dietary supplements.
Journal ArticleDOI

Folate and vitamin B-12 status in relation to anemia, macrocytosis, and cognitive impairment in older Americans in the age of folic acid fortification.

TL;DR: In seniors with low vitamin B-12 status, high serum folate was associated with anemia and cognitive impairment when vitamin B -12 status was normal; when it was normal, however, high Serum folatewas associated with protection against cognitive impairment.
References
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Journal ArticleDOI

“Mini-mental state”: A practical method for grading the cognitive state of patients for the clinician

TL;DR: A simplified, scored form of the cognitive mental status examination, the “Mini-Mental State” (MMS) which includes eleven questions, requires only 5-10 min to administer, and is therefore practical to use serially and routinely.

A practical method for grading the cognitive state of patients for the clinician

TL;DR: The Mini-Mental State (MMS) as mentioned in this paper is a simplified version of the standard WAIS with eleven questions and requires only 5-10 min to administer, and is therefore practical to use serially and routinely.
Journal ArticleDOI

Random-effects models for longitudinal data

Nan M. Laird, +1 more
- 01 Dec 1982 - 
TL;DR: In this article, a unified approach to fitting two-stage random-effects models, based on a combination of empirical Bayes and maximum likelihood estimation of model parameters and using the EM algorithm, is discussed.
Journal ArticleDOI

Plasma Homocysteine as a Risk Factor for Dementia and Alzheimer's Disease

TL;DR: Dementia developed in 111 subjects, including 83 given a diagnosis of Alzheimer's disease, over a median follow-up period of eight years, and plasma levels of folate and vitamins B12 and B6 increased.
Journal ArticleDOI

Total energy intake: implications for epidemiologic analyses

TL;DR: While pitfalls in the manipulation and interpretation of energy intake data in epidemiologic studies have been emphasized, these considerations also highlight the usefulness of obtaining a measurement of total caloric intake, which is not accomplished with nutrient density measures of dietary intake.
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