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Journal of Neurology Neurosurgery and Psychiatry 2005;76:291-292
© 2005 BMJ Publishing Group Ltd


LETTER

Vitamin B-12, serum folate, and cognitive change between 11 and 79 years

J M Starr1, A Pattie2, M C Whiteman2, I J Deary2, L J Whalley3

1 Geriatric Medicine unit, Royal Victoria Hospital, Craigleith Road, Edinburgh, EH4 2DN, UK
2 Psychology, School of Philosophy, Psychology and Language Sciences, University of Edinburgh
3 Department of Mental Health, University of Aberdeen, Clinical Research Centre, Cornhill Royal Hospital, Aberdeen, UKDr John M Starr; john.starr@ed.ac.uk

Keywords: cognition; vitamin B12; folic acid

The first 150 words of the full text of this article appear below.

A recent Cochrane review reported that although vitamin B-12 deficiency is known to be associated with cognitive impairment in old age, benefits of supplementation on mental ability are unclear.1 The situation is similar to that for blood pressure, in which hypertension is associated with neuropsychological deficits in adulthood but cognitive outcomes of lowering blood pressure in randomised controlled trials are equivocal. We found that for blood pressure, the limited effect of intervention is partly explained by the relation between childhood IQ and adult blood pressure—children with higher IQs had lower mid-life blood pressures.2 As approximately 50% of the variance in adult IQ is explained by childhood IQ, studies failing to account for "pre-morbid" mental ability are likely to overestimate the association between adult IQ and blood pressure. Previously we reported significant relations between various tests of mental ability in old age and vitamin B-12 and folic acid concentrations in the . . . [Full text of this article]







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