Lifestyle and 25-hydroxy-vitamin D among community-dwelling old adults with dementia, mild cognitive impairment, or normal cognitive function

Background Several studies have indicated that older adults with cognitive impairment have a poorer lifestyle than their healthy peers including lower 25-hydroxy-vitamin D levels (25OHD). Aim To investigate the associations between lifestyle and 25OHD depending on cognitive status among old adults....

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Veröffentlicht in:Aging clinical and experimental research 2020-12, Vol.32 (12), p.2649-2656
Hauptverfasser: Eymundsdottir, Hrafnhildur, Chang, M., Geirsdottir, O. G., Gudmundsson, L. S., Jonsson, P. V., Gudnason, V., Launer, L., Jonsdottir, M. K., Ramel, A.
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container_issue 12
container_start_page 2649
container_title Aging clinical and experimental research
container_volume 32
creator Eymundsdottir, Hrafnhildur
Chang, M.
Geirsdottir, O. G.
Gudmundsson, L. S.
Jonsson, P. V.
Gudnason, V.
Launer, L.
Jonsdottir, M. K.
Ramel, A.
description Background Several studies have indicated that older adults with cognitive impairment have a poorer lifestyle than their healthy peers including lower 25-hydroxy-vitamin D levels (25OHD). Aim To investigate the associations between lifestyle and 25OHD depending on cognitive status among old adults. Methods Community-dwelling old adults (65–96 years) participated in this cross-sectional study based on the Age-Gene/Environment-Susceptibility-Reykjavik-Study. The analytical sample included 5162 subjects who were stratified by cognitive status, i.e., dementia ( n  = 307), mild cognitive impairment (MCI, n  = 492), and normal cognitive status (NCS, n  = 4363). Lifestyle variables were assessed and 25OHD was measured. The associations between lifestyle and 25OHD were calculated using linear models correcting for potential confounders. Results According to linear regression models, 25OHD was significantly lower in older people with dementia (53.8 ± 19.6 nmol/L) than in NCS participants (57.6 ± 17.7 nmol/L). Cod liver oil (7.1–9.2 nmol/L, P  
doi_str_mv 10.1007/s40520-020-01531-1
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G. ; Gudmundsson, L. S. ; Jonsson, P. V. ; Gudnason, V. ; Launer, L. ; Jonsdottir, M. K. ; Ramel, A.</creator><creatorcontrib>Eymundsdottir, Hrafnhildur ; Chang, M. ; Geirsdottir, O. G. ; Gudmundsson, L. S. ; Jonsson, P. V. ; Gudnason, V. ; Launer, L. ; Jonsdottir, M. K. ; Ramel, A.</creatorcontrib><description><![CDATA[Background Several studies have indicated that older adults with cognitive impairment have a poorer lifestyle than their healthy peers including lower 25-hydroxy-vitamin D levels (25OHD). Aim To investigate the associations between lifestyle and 25OHD depending on cognitive status among old adults. Methods Community-dwelling old adults (65–96 years) participated in this cross-sectional study based on the Age-Gene/Environment-Susceptibility-Reykjavik-Study. The analytical sample included 5162 subjects who were stratified by cognitive status, i.e., dementia ( n  = 307), mild cognitive impairment (MCI, n  = 492), and normal cognitive status (NCS, n  = 4363). Lifestyle variables were assessed and 25OHD was measured. The associations between lifestyle and 25OHD were calculated using linear models correcting for potential confounders. Results According to linear regression models, 25OHD was significantly lower in older people with dementia (53.8 ± 19.6 nmol/L) than in NCS participants (57.6 ± 17.7 nmol/L). Cod liver oil (7.1–9.2 nmol/L, P  < 0.001) and dietary supplements (4.4–11.5 nmol/L, P  < 0.001) were associated with higher 25OHD in all three groups. However, physical activity ≥ 3 h/week (2.82 nmol/L, P  < 0.001), BMI < 30 kg/m 2 (5.2 nmol/L, P  < 0.001), non-smoking (4.8 nmol/L, P  < 0.001), alcohol consumption (2.7 nmol/L, P  < 0.001), and fatty fish consumption ≥ 3 x /week (2.6 nmol/L, P  < 0.001) were related to higher 25OHD in NCS only, but not in participants with dementia or MCI. Discussion Older people living in Iceland with dementia are at higher risk for 25OHD deficiency when compared to healthy individuals. Physical activity reported among participants with dementia, and MCI is low and is not significantly associated with 25OHD. Conclusions Lifestyle factors among NCS participants are associated with 25OHD levels. Importantly, healthy lifestyle should be promoted among individuals with MCI and dementia.]]></description><identifier>ISSN: 1720-8319</identifier><identifier>ISSN: 1594-0667</identifier><identifier>EISSN: 1720-8319</identifier><identifier>DOI: 10.1007/s40520-020-01531-1</identifier><identifier>PMID: 32248358</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Aged ; Aged, 80 and over ; Cognition ; Cognitive ability ; Cognitive Dysfunction ; Cross-Sectional Studies ; Dementia ; Exercise ; Geriatrics/Gerontology ; Humans ; Independent Living ; Life Style ; Lifestyles ; Medicine ; Medicine &amp; Public Health ; Older people ; Original Article ; Vitamin D ; Vitamin D Deficiency</subject><ispartof>Aging clinical and experimental research, 2020-12, Vol.32 (12), p.2649-2656</ispartof><rights>Springer Nature Switzerland AG 2020</rights><rights>Springer Nature Switzerland AG 2020.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-b336610a1bf3f690a7489a7834dd770cd6c59147953e471ea46297d21f52e0f43</citedby><cites>FETCH-LOGICAL-c474t-b336610a1bf3f690a7489a7834dd770cd6c59147953e471ea46297d21f52e0f43</cites><orcidid>0000-0002-5614-0315</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s40520-020-01531-1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s40520-020-01531-1$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,780,784,885,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32248358$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Eymundsdottir, Hrafnhildur</creatorcontrib><creatorcontrib>Chang, M.</creatorcontrib><creatorcontrib>Geirsdottir, O. G.</creatorcontrib><creatorcontrib>Gudmundsson, L. S.</creatorcontrib><creatorcontrib>Jonsson, P. V.</creatorcontrib><creatorcontrib>Gudnason, V.</creatorcontrib><creatorcontrib>Launer, L.</creatorcontrib><creatorcontrib>Jonsdottir, M. K.</creatorcontrib><creatorcontrib>Ramel, A.</creatorcontrib><title>Lifestyle and 25-hydroxy-vitamin D among community-dwelling old adults with dementia, mild cognitive impairment, or normal cognitive function</title><title>Aging clinical and experimental research</title><addtitle>Aging Clin Exp Res</addtitle><addtitle>Aging Clin Exp Res</addtitle><description><![CDATA[Background Several studies have indicated that older adults with cognitive impairment have a poorer lifestyle than their healthy peers including lower 25-hydroxy-vitamin D levels (25OHD). Aim To investigate the associations between lifestyle and 25OHD depending on cognitive status among old adults. Methods Community-dwelling old adults (65–96 years) participated in this cross-sectional study based on the Age-Gene/Environment-Susceptibility-Reykjavik-Study. The analytical sample included 5162 subjects who were stratified by cognitive status, i.e., dementia ( n  = 307), mild cognitive impairment (MCI, n  = 492), and normal cognitive status (NCS, n  = 4363). Lifestyle variables were assessed and 25OHD was measured. The associations between lifestyle and 25OHD were calculated using linear models correcting for potential confounders. Results According to linear regression models, 25OHD was significantly lower in older people with dementia (53.8 ± 19.6 nmol/L) than in NCS participants (57.6 ± 17.7 nmol/L). Cod liver oil (7.1–9.2 nmol/L, P  < 0.001) and dietary supplements (4.4–11.5 nmol/L, P  < 0.001) were associated with higher 25OHD in all three groups. However, physical activity ≥ 3 h/week (2.82 nmol/L, P  < 0.001), BMI < 30 kg/m 2 (5.2 nmol/L, P  < 0.001), non-smoking (4.8 nmol/L, P  < 0.001), alcohol consumption (2.7 nmol/L, P  < 0.001), and fatty fish consumption ≥ 3 x /week (2.6 nmol/L, P  < 0.001) were related to higher 25OHD in NCS only, but not in participants with dementia or MCI. Discussion Older people living in Iceland with dementia are at higher risk for 25OHD deficiency when compared to healthy individuals. Physical activity reported among participants with dementia, and MCI is low and is not significantly associated with 25OHD. Conclusions Lifestyle factors among NCS participants are associated with 25OHD levels. Importantly, healthy lifestyle should be promoted among individuals with MCI and dementia.]]></description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Cognition</subject><subject>Cognitive ability</subject><subject>Cognitive Dysfunction</subject><subject>Cross-Sectional Studies</subject><subject>Dementia</subject><subject>Exercise</subject><subject>Geriatrics/Gerontology</subject><subject>Humans</subject><subject>Independent Living</subject><subject>Life Style</subject><subject>Lifestyles</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Older people</subject><subject>Original Article</subject><subject>Vitamin D</subject><subject>Vitamin D Deficiency</subject><issn>1720-8319</issn><issn>1594-0667</issn><issn>1720-8319</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9UctO3DAUtRAVr_YHWCBLbFgQ8CtxskFCUFqkkdi0a8tjOzNGsT3YyUA-gn-uo6EwZdGFZV-fc899HACOMbrACPHLxFBJUIGmg0uKC7wDDjDPYU1xs7v13geHKT0ixHAO9sA-JYTVtKwPwOvMtib1Y2eg9BqSsliOOoaXsVjbXjrr4S2ULvgFVMG5wdt-LPSz6Tqbv0KnodRD1yf4bPsl1MYZ31t5Dp3NkAqLzLdrA61bSRsn8ByGCH2ITnZbeDt41dvgv4IvreyS-fZ2H4Hfd99_3fwsZg8_7m-uZ4VinPXFnNKqwkjieUvbqkGSs7qRvKZMa86R0pUqG8x4U1LDODaSVaThmuC2JAa1jB6Bq43uapg7o1VuLMpOrKJ1Mo4iSCv-RbxdikVYi4ZQWlc0C5y9CcTwNOQFCmeTymuR3oQhCZJZjCLCp1qnn6iPYYg-jycI43mSuiY8s8iGpWJIKZr2vRmMxOS22Lgt0HQmtwXOSSfbY7yn_LU3E-iGkDLkFyZ-1P6P7B9ia7d6</recordid><startdate>20201201</startdate><enddate>20201201</enddate><creator>Eymundsdottir, Hrafnhildur</creator><creator>Chang, M.</creator><creator>Geirsdottir, O. 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G.</au><au>Gudmundsson, L. S.</au><au>Jonsson, P. V.</au><au>Gudnason, V.</au><au>Launer, L.</au><au>Jonsdottir, M. K.</au><au>Ramel, A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Lifestyle and 25-hydroxy-vitamin D among community-dwelling old adults with dementia, mild cognitive impairment, or normal cognitive function</atitle><jtitle>Aging clinical and experimental research</jtitle><stitle>Aging Clin Exp Res</stitle><addtitle>Aging Clin Exp Res</addtitle><date>2020-12-01</date><risdate>2020</risdate><volume>32</volume><issue>12</issue><spage>2649</spage><epage>2656</epage><pages>2649-2656</pages><issn>1720-8319</issn><issn>1594-0667</issn><eissn>1720-8319</eissn><abstract><![CDATA[Background Several studies have indicated that older adults with cognitive impairment have a poorer lifestyle than their healthy peers including lower 25-hydroxy-vitamin D levels (25OHD). Aim To investigate the associations between lifestyle and 25OHD depending on cognitive status among old adults. Methods Community-dwelling old adults (65–96 years) participated in this cross-sectional study based on the Age-Gene/Environment-Susceptibility-Reykjavik-Study. The analytical sample included 5162 subjects who were stratified by cognitive status, i.e., dementia ( n  = 307), mild cognitive impairment (MCI, n  = 492), and normal cognitive status (NCS, n  = 4363). Lifestyle variables were assessed and 25OHD was measured. The associations between lifestyle and 25OHD were calculated using linear models correcting for potential confounders. Results According to linear regression models, 25OHD was significantly lower in older people with dementia (53.8 ± 19.6 nmol/L) than in NCS participants (57.6 ± 17.7 nmol/L). Cod liver oil (7.1–9.2 nmol/L, P  < 0.001) and dietary supplements (4.4–11.5 nmol/L, P  < 0.001) were associated with higher 25OHD in all three groups. However, physical activity ≥ 3 h/week (2.82 nmol/L, P  < 0.001), BMI < 30 kg/m 2 (5.2 nmol/L, P  < 0.001), non-smoking (4.8 nmol/L, P  < 0.001), alcohol consumption (2.7 nmol/L, P  < 0.001), and fatty fish consumption ≥ 3 x /week (2.6 nmol/L, P  < 0.001) were related to higher 25OHD in NCS only, but not in participants with dementia or MCI. Discussion Older people living in Iceland with dementia are at higher risk for 25OHD deficiency when compared to healthy individuals. Physical activity reported among participants with dementia, and MCI is low and is not significantly associated with 25OHD. Conclusions Lifestyle factors among NCS participants are associated with 25OHD levels. Importantly, healthy lifestyle should be promoted among individuals with MCI and dementia.]]></abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>32248358</pmid><doi>10.1007/s40520-020-01531-1</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-5614-0315</orcidid><oa>free_for_read</oa></addata></record>
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subjects Aged
Aged, 80 and over
Cognition
Cognitive ability
Cognitive Dysfunction
Cross-Sectional Studies
Dementia
Exercise
Geriatrics/Gerontology
Humans
Independent Living
Life Style
Lifestyles
Medicine
Medicine & Public Health
Older people
Original Article
Vitamin D
Vitamin D Deficiency
title Lifestyle and 25-hydroxy-vitamin D among community-dwelling old adults with dementia, mild cognitive impairment, or normal cognitive function
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