Low 25-Hydroxyvitamin D Concentrations and Risk of Incident Cognitive Impairment in Black and White Older Adults: The Health ABC Study

Laurel Kilpatrick, Denise K. Houston, Valerie K. Wilson, James Lovato, Hilsa N. Ayonayon, Jane A. Cauley, Tamara Harris, Eleanor M. Simonsick, Kristine Yaffe, Stephen B. Kritchevsky, Kaycee M. Sink

Research output: Contribution to journalArticle

Abstract

Using data from the Health, Aging, and Body Composition study, we examined whether low 25-hydroxyvitamin D (25[OH]D) concentrations were associated with prevalent or incident cognitive impairment. Serum 25(OH)D concentrations were measured in 2,786 older adults and categorized as <20 ng/mL, 20 to <30 ng/mL, or ≥30 ng/mL. Cognitive impairment was defined as a score >1.5 standard deviations below race and education specific means on either digit symbol substitution test or modified mini-mental state test. Logistic regression determined the odds of cognitive impairment at baseline and year 5 by 25(OH)D category. 25(OH)D concentrations were <30 ng/mL in 57.3% of whites and 84.6% of blacks. After excluding participants with baseline cognitive impairment (n = 340), 13% of whites and 13% of blacks developed cognitive impairment by year 5. In whites, 25(OH)D concentrations <30 ng/mL were not associated with prevalent or incident cognitive impairment. Black participants with 25(OH)D concentrations <20 ng/mL had a higher odds of prevalent, but not incident cognitive impairment (OR (95% CI): 2.05 (1.08–3.91), p = 0.03) compared to participants with 25(OH)D concentrations ≥30 ng/mL. Low 25(OH)D concentrations were associated with twofold higher odds of prevalent cognitive impairment in blacks.

Original languageEnglish (US)
Pages (from-to)1-13
Number of pages13
JournalJournal of Nutrition in Gerontology and Geriatrics
Volume37
Issue number1
DOIs
StatePublished - Jan 2 2018

Keywords

  • Cognitive impairment
  • vitamin D

ASJC Scopus subject areas

  • Nutrition and Dietetics
  • Geriatrics and Gerontology

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    Kilpatrick, L., Houston, D. K., Wilson, V. K., Lovato, J., Ayonayon, H. N., Cauley, J. A., Harris, T., Simonsick, E. M., Yaffe, K., Kritchevsky, S. B., & Sink, K. M. (2018). Low 25-Hydroxyvitamin D Concentrations and Risk of Incident Cognitive Impairment in Black and White Older Adults: The Health ABC Study. Journal of Nutrition in Gerontology and Geriatrics, 37(1), 1-13. https://doi.org/10.1080/21551197.2017.1419899