This chapter aims to provide an overview and discussion of
the current state of evidence regarding vitamin D and de- mentia-related
outcomes. A fat-soluble steroid vitamin, vitamin D is essential for healthy
bones. In addition to controlling bone health, it is crucial for the operation
of other systems like the endocrine, cardiovascular, and nervous systems.
Recent data points to its involvement in the decline of amyloid-beta and
phosphorylated tau, two markers of Alzheimer's disease. Numerous preclinical investigations
have bolstered the theory that vitamin D causes behavioral, attentional, and
cognitive deficits. Vitamin D levels are continuously much lower in people with
Alzheimer's disease and cognitive impairment than in healthy persons, according
to cross-sectional research. Longitudinal studies and meta-analysis have also
exhibited an association of low vitamin D with cognitive impairment and
Alzheimer’s disease. A prospective study with two follow-ups, each at 5 years,
conducted to examine the as- sociation of dietary and supplemental vitamin D
intake and cognitive decline showed an association between high intake and a
slower decline in the cognitive domains of verbal fluency. Despite such
evidence, the causal association cannot be sufficiently answered. In contrast
to observational studies, findings from interventional studies have produced
mixed results on the role of vitamin D supplementation in the prevention and
treatment of cognitive impairment and dementia. The largest problem with the
current RCTs is the limited sample size, lack of agreement on the dosage, and
age at which vitamin D supplementation to prevent cognitive impairment should
be started. Large-scale, double-blind, randomized control trials are therefore
required to evaluate the advantages of vitamin D supplementation in the
management and prevention of cognitive impairment.
Author(s) Details:
Sadia Sultan,
College of Applied Medical Sciences, Umm Al-Qura University, Abdiya,
Makkah, Saudi Arabia.
Uzma
Taimuri,
College
of Applied Medical Sciences, Umm Al-Qura University, Abdiya, Makkah, Saudi
Arabia.
Shatha Abdulrzzaq Basnan,
College of Applied Medical Sciences, Umm Al-Qura University, Abdiya,
Makkah, Saudi Arabia.
Waad Khalid Ai-Orabi,
College of Applied Medical Sciences, Umm Al-Qura University, Abdiya,
Makkah, Saudi Arabia.
Afaf Awadallah,
College
of Applied Medical Sciences, Umm Al-Qura University, Abdiya, Makkah, Saudi
Arabia.
Fatimah
Almowald,
College
of Applied Medical Sciences, Umm Al-Qura University, Abdiya, Makkah, Saudi Arabia.
Amira Hazazi,
College of Applied Medical Sciences, Umm Al-Qura University, Abdiya,
Makkah, Saudi Arabia.
Please see the link here: https://stm.bookpi.org/RUDHR-V4/article/view/13752
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