Abstract
Background/Objectives:
Data from human studies that have investigated the association between vitamin D status and cognitive function in elderly adults are conflicting. The objective of this study was to assess vitamin D status (reflected by serum 25-hydroxyvitamin D (25(OH)D)) in older European subjects (n=387; aged 55–87 years) and examine its association with measures of cognitive function.
Subjects/Methods:
Serum 25(OH)D was assessed using enzyme-linked immunosorbent assay, whereas measures of cognitive function were assessed using a comprehensive Cambridge Neuropsychological Testing Automated Battery (CANTAB).
Results:
In all, 12, 36 and 64% of subjects had serum 25(OH)D concentrations <30, <50 and <80 nmol/l, respectively, throughout the year. Serum 25(OH)D was significantly and inversely correlated with four assessments within the spatial working memory (SWM) test parameter (SWM between errors (r=−0.166; P=0.003); SWM between errors 8 boxes (r=−0.134; P=0.038); SWM strategy (r=−0.246; P<0.0001); and SWM total errors (r=−0.174; P<0.003)). When subjects were stratified on the basis of tertiles (T) of serum 25(OH)D (<47.6 (T1); 47.6–85.8 (T2); and >85.8 (T3) nmol/l), fewer errors in SWM test scores occurred in subjects in the third T when compared with the first T (P<0.05–0.084). Stratification by sex showed that these differences between tertiles strengthened (P<0.001–0.043) in the females, but the differences were not significant (P>0.6) in males.
Conclusions:
Vitamin D insufficiency, but not deficiency, is widespread in the older population of several European countries. Low vitamin D status was associated with a reduced capacity for SWM, particularly in women.
This is a preview of subscription content, access via your institution
Access options
Subscribe to this journal
Receive 12 print issues and online access
$259.00 per year
only $21.58 per issue
Buy this article
- Purchase on Springer Link
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
Similar content being viewed by others
References
Andersen R, Mølgaard C, Skovgaard LT, Brot C, Cashman KD, Chabros E et al. (2005). Teenage girls and elderly women living in northern Europe have low winter vitamin D status. Eur J Clin Nutr 59, 533–541.
Annweiler C, Schott AM, Allali G, Bridenbaugh SA, Kressig RW, Allain P et al. (2010). Association of vitamin D deficiency with cognitive impairment in older women: cross-sectional study. Neurology 74, 27–32.
Bischoff-Ferrari HA, Giovannucci E, Willett WC, Dietrich T, Dawson-Hughes B (2006). Estimation of optimal serum concentrations of 25-hydroxyvitamin D for multiple health outcomes. Am J Clin Nutr 84, 18–28.
Buell JS, Dawson-Hughes B (2008). Vitamin D and neurocognitive dysfunction: preventing ‘D’ecline? Mol Aspects Med 29, 415–422.
Buell JS, Scott TM, Dawson-Hughes B, Dallal GE, Rosenberg IH, Folstein MF et al. (2009). Vitamin D is associated with cognitive function in elders receiving home health services. J Gerontol A Biol Sci Med Sci 64, 888–895.
Calvo MS, Whiting SJ, Barton CN (2004). Vitamin D fortification in the United States and Canada: current status and data needs. Am J Clin Nutr 80, 1710S–1716S.
Cashman KD, Hill TR, Cotter AA, Boreham CA, Dubitzky W, Murray L et al. (2008). Low vitamin D status adversely affects bone health parameters in adolescents. Am J Clin Nutr 87, 1039–1044.
Cashman KD, Horigan G, Hill TR, Lucey AJ, Bonham MP, Taylor N et al. (2009). Estimation of the dietary requirement for vitamin D in free-living adults over 64 years of age. Am J Clin Nutr 89, 1–9.
Coudray C, O'Connor JM, Maiani G, Cashman KD, Simpson EE, Secker DL et al. (2005). Introduction to the ZENITH study and summary of baseline results. Eur J Clin Nutr 59, S5–S7.
Coull JT, Frith CD, Frackowiak RS, Grasby PM (1996). A fronto-parietal network for rapid visual information processing: a PET study of sustained attention and working memory. Neuropsychologia 34, 1085–1095.
Elliott R, Sahakian BJ (1995). The neuropsychology of schizophrenia: relations with clinical and neurobiological dimensions. Psychol Med 25, 581–594.
Finch S, Doyle W, Lowe C, Bates CJ, Prentice A, Smithers G et al. (1998). National Diet and Nutrition Survey: people aged 65 years and over. Volume 1: report of the diet and nutrition survey. The Stationery Office: London, UK.
Folstein MF, Folstein SE, McHugh PR (1975). ‘Mini-mental state’. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 12, 189–198.
Geda YE, Roberts RO, Knopman DS, Petersen RC, Christianson TJ, Pankratz VS et al. (2008). Prevalence of neuropsychiatric symptoms in mild cognitive impairment and normal cognitive aging: population-based study. Arch Gen Psychiatry 65, 1193–1198.
Gloth III FM, Gundberg CM, Hollis BW, Haddad Jr JG, Tobin JD (1995). Vitamin D deficiency in homebound elderly persons. JAMA 274, 1683–1686.
Heaney RP, Weaver CM (2004). Calcium and vitamin D. Endocrinol Metab Clin North Am 32, 181–194.
Holick MF (2004). Sunlight and vitamin D for bone health and prevention of autoimmune diseases, cancers and cardiovascular disease. Am J Clin Nutr 80, 1678S–1688S.
Institute of Medicine Food and Nutrition Board (1997). Dietary Reference Intakes: Calcium, Magnesium, Phosphorus, Vitamin D, and Fluoride. National Academy Press: Washington, DC.
Jorde R, Waterloo K, Saleh F, Haug E, Svartberg J (2006). Neuropsychological function in relation to serum parathyroid hormone and serum 25-hydroxyvitamin D levels. The Tromsø study. J Neurol 253, 464–470.
Lips P (2001). Vitamin D deficiency and secondary hyperparathyroidism in the elderly: consequences for bone loss and fractures and therapeutic implications. Endocr Rev 22, 477–501.
Lips P (2004). Which circulating level of 25-hydroxyvitamin D is appropriate? J Steroid Biochem Mol Biol 89, 611–614.
Lips P, Hosking D, Lippuner K, Norquist JM, Wehren L, Maalouf G et al. (2006). The prevalence of vitamin D inadequacy amongst women with osteoporosis: an international epidemiological investigation. J Intern Med 260, 245–254.
Luciana M, Nelson CA (2002). Assessment of neuropsychological function through use of the Cambridge Neuropsychological Testing Automated Battery: performance in 4- to 12-year-old children. Dev Neuropsychol 22, 595–624.
MacLaughlin J, Holick MF (1985). Aging decreases the capacity of human skin to produce vitamin D3. J Clin Invest 76, 1536–1538.
McCann JC, Ames BN (2008). Is there convincing biological or behavioral evidence linking vitamin D deficiency to brain dysfunction? FASEB J 22, 982–1001.
McGrath J, Scragg R, Chant D, Eyles D, Burne T, Obradovic D (2007). No association between serum 25-hydroxyvitamin D3 level and performance on psychometric tests in NHANES III. Neuroepidemiology 29, 49–54.
McKenna MJ (1992). Differences in vitamin D status between countries in young adults and the elderly. Am J Med 93, 69–77.
Ooms ME, Lips P, Roos JC, van der Vijgh WJ, Popp-Snijders C, Bezemer PD et al. (1995). Vitamin D status and sex hormone binding globulin: determinants of bone turnover and bone mineral density in elderly women. J Bone Miner Res 10, 1177–1184.
Owen AM, Morris RG, Sahakian BJ, Polkey CE, Robbins TW (1996). Double dissociations of memory and executive functions in working memory tasks following frontal lobe excisions, temporal lobe excisions or amygdalo-hippocampectomy in man. Brain 119, 1597–1615.
Parfitt AM, Gallagher JC, Heaney RP, Johnston CC, Neer R, Whedon GD (1982). Vitamin D and bone health in the elderly. Am J Clin Nutr 36, 1014–1031.
Polito A, Meunier N, Andriollo-Sanchez M, Catasta G, Azzini E, Simpson EE et al. (2005). Screening and recruitment procedure of late-middle aged and older subjects: the ZENITH study. Eur J Clin Nutr 59, S8–S12.
Przybelski RJ, Binkley NC (2007). Is vitamin D important for preserving cognition? A positive correlation of serum 25-hydroxyvitamin D concentration with cognitive function. Arch Biochem Biophys 460, 202–205.
Robbins TW, James M, Owen AM, Sahakian BJ, McInnes L, Rabbitt P (1994). Cambridge Neuropsychological Test Automated Battery (CANTAB): a factor analytic study of a large sample of normal elderly volunteers. Dementia 5, 266–281.
Simpson EE, Maylor EA, Rae G, Meunier N, Andriollo-Sanchez M, Catasta G et al. (2005). Cognitive function in healthy older European adults: the ZENITH study. Eur J Clin Nutr 59, S26–S30.
Slinin Y, Pudel ML, Taylor BC, Fink HA, Ishani A, Canales MT et al. (2010). 25-Hydroxyvitamin D levels and cognitive performance and decline in elderly men. Neurology 74, 33–41.
UK Department of Health (1998). Nutrition and Bone Health: with particular reference to calcium and vitamin D. Report on Health and Social Subjects (49). The Stationery Office: London, UK.
van der Wielen RP, Löwik MR, van den Berg H, de Groot LC, Haller J, Moreiras O et al. (1995). Serum vitamin D concentrations among elderly people in Europe. Lancet 346, 207–210.
Wilkins CH, Sheline YI, Roe CM, Birge SJ, Morris JC (2006). Vitamin D deficiency is associated with low mood and worse cognitive performance in older adults. Am J Geriatr Psychiatry 14, 1032–1040.
Yesavage JA, Brink TL, Rose TL, Lum O, Huang V, Adey M et al. (1983). Development and validation of a geriatric depression screening scale: a preliminary report. J Psychiatr Res 17, 37–49.
Zittermann A (2003). Vitamin D in preventive medicine: are we ignoring the evidence? Br J Nutr 89, 552–572.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Competing interests
The authors declare no conflict of interest.
Additional information
Contributors: NM, AP, JMO, CC, MAS, IHF, DC, EEAS and KDC were involved in the conception of work and are grant holders. KMS, TRH, LS, MAS, IHF DC, EEAS, JMO and KDC contributed to the execution of this study. TRH and LS contributed to vitamin analysis. All authors contributed to data analysis and writing of this paper.
Rights and permissions
About this article
Cite this article
Seamans, K., Hill, T., Scully, L. et al. Vitamin D status and measures of cognitive function in healthy older European adults. Eur J Clin Nutr 64, 1172–1178 (2010). https://doi.org/10.1038/ejcn.2010.117
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1038/ejcn.2010.117
Keywords
This article is cited by
-
Role of Neural Stem Cells and Vitamin D Receptor (VDR)–Mediated Cellular Signaling in the Mitigation of Neurological Diseases
Molecular Neurobiology (2022)
-
Is calcifediol better than cholecalciferol for vitamin D supplementation?
Osteoporosis International (2018)
-
Evaluation of cognitive subdomains, 25-hydroxyvitamin D, and 1,25-dihydroxyvitamin D in the European Male Ageing Study
European Journal of Nutrition (2017)
-
Serum 25-hydroxyvitamin D is associated with reduced verbal episodic memory in healthy, middle-aged and older adults
European Journal of Nutrition (2016)
-
Beneficial effects of vitamin D on falls and fractures: is cognition rather than bone or muscle behind these benefits?
Osteoporosis International (2015)