Antioxidant vitamin supplement use and risk of dementia or Alzheimer's disease in older adults

Shelly L. Gray, Melissa L. Anderson, Paul K. Crane, John C.S. Breitner, Wayne McCormick, James D. Bowen, Linda Teri, Eric Larson

Research output: Contribution to journalArticle

Abstract

OBJECTIVES: To examine whether use of vitamins C or E alone or in combination was associated with lower incidence of dementia or Alzheimer's disease (AD). DESIGN: Prospective cohort study. SETTING: Group Health Cooperative, Seattle, Washington. PARTICIPANTS: Two thousand nine hundred sixty-nine participants aged 65 and older without cognitive impairment at baseline in the Adult Changes in Thought study. MEASUREMENTS: Participants were followed biennially to identify incident dementia and AD diagnosed according to standard criteria. Participants were considered to be users of vitamins C or E if they self-reported use for at least 1 week during the month before baseline. RESULTS: Over a mean follow-up±standard deviation of 5.5±2.7 years, 405 subjects developed dementia (289 developed AD). The use of vitamin E was not associated with dementia (adjusted hazard ratio (HR)=0.98, 95% confidence interval (CI)=0.77-1.25) or with AD (HR=1.04; 95% CI=0.78-1.39). No association was found between vitamin C alone (dementia: HR=0.90, 95% CI=0.71-1.13; AD: HR=0.95, 95% CI=0.72-1.25) or concurrent use of vitamin C and E (dementia: HR=0.93, 95% CI=0.72-1.20; AD: HR=1.00, 95% CI=0.73-1.35) and either outcome. CONCLUSION: In this study, the use of supplemental vitamin E and C, alone or in combination, did not reduce risk of AD or overall dementia over 5.5 years of follow-up.

Original languageEnglish (US)
Pages (from-to)291-295
Number of pages5
JournalJournal of the American Geriatrics Society
Volume56
Issue number2
DOIs
StatePublished - Feb 2008
Externally publishedYes

Fingerprint

Vitamins
Dementia
Alzheimer Disease
Antioxidants
Vitamin E
Ascorbic Acid
Confidence Intervals
Cohort Studies
Prospective Studies
Incidence
Health

Keywords

  • Alzheimer's disease
  • Antioxidant supplements
  • Pharmacoepidemiology

ASJC Scopus subject areas

  • Geriatrics and Gerontology

Cite this

Antioxidant vitamin supplement use and risk of dementia or Alzheimer's disease in older adults. / Gray, Shelly L.; Anderson, Melissa L.; Crane, Paul K.; Breitner, John C.S.; McCormick, Wayne; Bowen, James D.; Teri, Linda; Larson, Eric.

In: Journal of the American Geriatrics Society, Vol. 56, No. 2, 02.2008, p. 291-295.

Research output: Contribution to journalArticle

Gray, Shelly L. ; Anderson, Melissa L. ; Crane, Paul K. ; Breitner, John C.S. ; McCormick, Wayne ; Bowen, James D. ; Teri, Linda ; Larson, Eric. / Antioxidant vitamin supplement use and risk of dementia or Alzheimer's disease in older adults. In: Journal of the American Geriatrics Society. 2008 ; Vol. 56, No. 2. pp. 291-295.
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abstract = "OBJECTIVES: To examine whether use of vitamins C or E alone or in combination was associated with lower incidence of dementia or Alzheimer's disease (AD). DESIGN: Prospective cohort study. SETTING: Group Health Cooperative, Seattle, Washington. PARTICIPANTS: Two thousand nine hundred sixty-nine participants aged 65 and older without cognitive impairment at baseline in the Adult Changes in Thought study. MEASUREMENTS: Participants were followed biennially to identify incident dementia and AD diagnosed according to standard criteria. Participants were considered to be users of vitamins C or E if they self-reported use for at least 1 week during the month before baseline. RESULTS: Over a mean follow-up±standard deviation of 5.5±2.7 years, 405 subjects developed dementia (289 developed AD). The use of vitamin E was not associated with dementia (adjusted hazard ratio (HR)=0.98, 95{\%} confidence interval (CI)=0.77-1.25) or with AD (HR=1.04; 95{\%} CI=0.78-1.39). No association was found between vitamin C alone (dementia: HR=0.90, 95{\%} CI=0.71-1.13; AD: HR=0.95, 95{\%} CI=0.72-1.25) or concurrent use of vitamin C and E (dementia: HR=0.93, 95{\%} CI=0.72-1.20; AD: HR=1.00, 95{\%} CI=0.73-1.35) and either outcome. CONCLUSION: In this study, the use of supplemental vitamin E and C, alone or in combination, did not reduce risk of AD or overall dementia over 5.5 years of follow-up.",
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AU - Bowen, James D.

AU - Teri, Linda

AU - Larson, Eric

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AB - OBJECTIVES: To examine whether use of vitamins C or E alone or in combination was associated with lower incidence of dementia or Alzheimer's disease (AD). DESIGN: Prospective cohort study. SETTING: Group Health Cooperative, Seattle, Washington. PARTICIPANTS: Two thousand nine hundred sixty-nine participants aged 65 and older without cognitive impairment at baseline in the Adult Changes in Thought study. MEASUREMENTS: Participants were followed biennially to identify incident dementia and AD diagnosed according to standard criteria. Participants were considered to be users of vitamins C or E if they self-reported use for at least 1 week during the month before baseline. RESULTS: Over a mean follow-up±standard deviation of 5.5±2.7 years, 405 subjects developed dementia (289 developed AD). The use of vitamin E was not associated with dementia (adjusted hazard ratio (HR)=0.98, 95% confidence interval (CI)=0.77-1.25) or with AD (HR=1.04; 95% CI=0.78-1.39). No association was found between vitamin C alone (dementia: HR=0.90, 95% CI=0.71-1.13; AD: HR=0.95, 95% CI=0.72-1.25) or concurrent use of vitamin C and E (dementia: HR=0.93, 95% CI=0.72-1.20; AD: HR=1.00, 95% CI=0.73-1.35) and either outcome. CONCLUSION: In this study, the use of supplemental vitamin E and C, alone or in combination, did not reduce risk of AD or overall dementia over 5.5 years of follow-up.

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