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vitamin D, demensia risiko dikonfirmasi
Kekurangan
vitamin D dikaitkan dengan risiko secara substansial meningkat dari demensia
dan penyakit Alzheimer pada orang tua, menurut studi ....... Sebuah tim internasional menemukan
bahwa peserta studi yang parah kekurangan vitamin D lebih dari dua kali lebih
mungkin untuk mengembangkan demensia dan penyakit Alzheimer..............................
Link between vitamin D, dementia risk confirmed
Date:
August 6,
2014
Source:
University of Exeter
Summary:
Vitamin D deficiency is associated with a
substantially increased risk of dementia and Alzheimer's disease in older
people, according to the most robust study of its kind ever conducted. An
international team found that study participants who were severely vitamin D
deficient were more than twice as likely to develop dementia and Alzheimer's
disease.
..........................
vitamin
D deficiency is associated with a substantially increased risk of dementia and
Alzheimer's disease in older people, according to the most robust study of its
kind ever conducted.
An
international team, led by Dr David Llewellyn at the University of Exeter
Medical School, found that study participants who were severely Vitamin D
deficient were more than twice as likely to develop dementia and Alzheimer's
disease.
The team
studied elderly Americans who took part in the Cardiovascular Health Study.
They discovered that adults in the study who were moderately deficient in
vitamin D had a 53 per cent increased risk of developing dementia of any kind,
and the risk increased to 125 per cent in those who were severely deficient.
Similar
results were recorded for Alzheimer's disease, with the moderately deficient
group 69 per cent more likely to develop this type of dementia, jumping to a
122 per cent increased risk for those severely deficient.
The study
was part-funded by the Alzheimer's Association, and is published in Neurology,
the medical journal of the American Academy of Neurology. It looked at 1,658
adults aged 65 and over, who were able to walk unaided and were free from
dementia, cardiovascular disease and stroke at the start of the study. The
participants were then followed for six years to investigate who went on to
develop Alzheimer's disease and other forms of dementia.
Dr Llewellyn
said: "We expected to find an association between low Vitamin D levels and
the risk of dementia and Alzheimer's disease, but the results were surprising
-- we actually found that the association was twice as strong as we
anticipated.
"Clinical
trials are now needed to establish whether eating foods such as oily fish or
taking vitamin D supplements can delay or even prevent the onset of Alzheimer's
disease and dementia. We need to be cautious at this early stage and our latest
results do not demonstrate that low vitamin D levels cause dementia. That said,
our findings are very encouraging, and even if a small number of people could
benefit, this would have enormous public health implications given the
devastating and costly nature of dementia."
Research
collaborators included experts from Angers University Hospital, Florida
International University, Columbia University, the University of Washington,
the University of Pittsburg and the University of Michigan. The study was
supported by the Alzheimer's Association, the Mary Kinross Charitable Trust,
the James Tudor Foundation, the Halpin Trust, the Age Related Diseases and
Health Trust, the Norman Family Charitable Trust, and the National Institute
for Health Research Collaboration for Leadership in Applied Research and Care
South West Peninsula (NIHR PenCLAHRC).
Dementia is
one of the greatest challenges of our time, with 44 million cases worldwide --
a number expected to triple by 2050 as a result of rapid population aging. A
billion people worldwide are thought to have low vitamin D levels and many
older adults may experience poorer health as a result.
The research
is the first large study to investigate the relationship between vitamin D and
dementia risk where the diagnosis was made by an expert multidisciplinary team,
using a wide range of information including neuroimaging. Previous research
established that people with low vitamin D levels are more likely to go on to
experience cognitive problems, but this study confirms that this translates
into a substantial increase in the risk of Alzheimer's disease and dementia.
Vitamin D
comes from three main sources -- exposure of skin to sunlight, foods such as
oily fish, and supplements. Older people's skin can be less efficient at
converting sunlight into Vitamin D, making them more likely to be deficient and
reliant on other sources. In many countries the amount of UVB radiation in
winter is too low to allow vitamin D production.
The study
also found evidence that there is a threshold level of Vitamin D circulating in
the bloodstream below which the risk of developing dementia and Alzheimer's
disease increases. The team had previously hypothesized that this might lie in
the region of 25-50 nmol/L, and their new findings confirm that vitamin D
levels above 50 nmol/L are most strongly associated with good brain health.
Commenting
on the study, Dr Doug Brown, Director of Research and Development at Alzheimer's
Society said: "Shedding light on risk factors for dementia is one of the
most important tasks facing today's health researchers. While earlier studies
have suggested that a lack of the sunshine vitamin is linked to an increased
risk of Alzheimer's disease, this study found that people with very low vitamin
D levels were more than twice as likely to develop any kind of dementia.
"During
this hottest of summers, hitting the beach for just 15 minutes of sunshine is
enough to boost your vitamin D levels. However, we're not quite ready to say
that sunlight or vitamin D supplements will reduce your risk of dementia. Large
scale clinical trials are needed to determine whether increasing vitamin D
levels in those with deficiencies can help prevent the dementia from
developing."
Story
Source:
The above
story is based on materials provided by University of Exeter. Note: Materials may be edited
for content and length.
Journal
Reference:
- Thomas J. Littlejohns, William E. Henley, Iain A. Lang, Cedric Annweiler, Olivier Beauchet, Paulo H.m. Chaves, Linda Fried, Bryan R. Kestenbaum, Lewis H. Kuller, Kenneth M. Langa, Oscar L. Lopez, Katarina Kos, Maya Soni, and David J. Llewellyn. Vitamin D and the risk of dementia and Alzheimer disease. Neurology, August 2014 DOI: 10.1212/WNL.0000000000000755