Influence of vitamin B12 and folic acid on cognitive disorders in the elderly

Authors

DOI:

https://doi.org/10.33448/rsd-v9i1.1553

Keywords:

Aging; Avitaminosis; Cognition.

Abstract

In aging, some level of functional impairment is common as a consequence of health problems inherent to this phase of life. The literature demonstrates the importance of micronutrients for prevention or control of these diseases. In this context, vitamin B12 and folic acid (B9) are noteworthy, as their deficiency is associated with complications that may decrease the quality of life of this population. Therefore, the aim of the present study was to perform a review to describe important aspects related to the association between B12 and B9 in the cognitive health of the elderly. A total of 16 articles were used to compose the review, divided into 3 analysis categories that relate these micronutrients to the occurrence of Alzheimer's disease, loss of cognition and the presence of depression in the elderly. Low levels of B12 and B9 have been observed in Alzheimer's disease. Most articles related reduced vitamin levels with poor performance on cognitive performance, and finally, low concentrations of micronutrients were found in elderly with depression. Based on the above, it can be inferred that B12 and B9 deficiency is associated with increased homocysteine and methylmalonic acid concentrations that cause central nervous system alterations, especially resulting in depression and cognitive impairment, making it important to routinely evaluate the levels of these vitamins. in the elderly as they constitute a group of high vulnerability.

References

Almeida, C. C., Brentani, H. P., Forlenza, O. V., & Diniz, B. S. (2012). Redução dos níveis séricos de ácido fólico em pacientes com a doença de Alzheimer. Rev Psiq Clín. 39 (3): 90-93.

Barnabé, A., Aléssio, A. C., Bittar, L. F., Mazetto, B. M., Bicudo, A. M., De Paula, E. V., Höehr, N. F. & Annichino-Bizzacchi, J. M. (2015). Folate, vitamin b12 and homocysteine status in the post-folic acid fortification era in different subgroups of the brazilian population attended to at a public health care center. Nutrition journal. 19(1):14-19.

Braun, N. M., Carvalho, Z. M. N., Fréz, A. R. & Bertolini, G. R. F. Cianocobalamina como tratamento de doenças neuropsicomotoras em idosos com déficit de vitamina B12: revisão da literatura. Unisanta Health Science. 1, (1): 80-87, 2017.

Brito, A., Hertrampf, E., Olivares, M., Gaitán, D., Sánchez, H., Allen, L. H. & Uauy, R. (2012). Folatos y vitamina B12 en la salud humana. Revista Médica de Chile. 140, 1464-1475.

Brito Noronha, M., Almeida Cunha, N., Agra Araújo, D., Flamínio Abrunhosa, S., Nunes Rocha, A. & Freitas Amaral, T. (2015). Undernutrition, serum vitamin B12, folic acid and depressive symptoms in older adults. Nutrición Hospitalaria. 32, (1): 354-361.

Cardoso, I. L. (2009). Homocisteína e a doença cardiovascular. Revista da Faculdade de Ciências da Saúde. Porto: Edições Universidade Fernando Pessoa. 6, p.198-206.

Castillo-Lancellotti, C., Margozzini, P., Valdivia, G., Padilla, O., Uauy, R., Rozowski, J. & Tur, J. A. (2015) Serum folate, vitamin B12 and cognitive impairment in Chilean older adults. Public Health Nutrition. 18 (14): 2600–2608.

Coussirat, C. (2010) Prevalência de deficiência de vitamina B12 e ácido fólico e sua associação com anemia em idosos atendidos em um hospital universitário. Dissertação de mestrado não publicada. Pontifícia Universidade Católica do Rio Grande do Sul. Porto Alegre, Brasil.

Coussirat, C., Batista, C., Schneider, R. H., Resende, T. L. & Schwanke, C. H. A. (2012). Vitaminas B12, B6, B9 e homocisteína e sua relação com a massa óssea em idosos. Rev. bras. geriatr. gerontol. 15 (3), 577-585.

Dangour, A. D., Allen, E., Clarke, R., Elbourne, D., Fletcher, A. E., Letley, L., et al. (2015) Effects of vitamin B-12 supplementation on neurologic and cognitive function in older people: a randomized controlled Trial. The American Journal of Clinical Nutrition. 102, 639–47.

Devalia, V., Hamilton, M. S. & Molloy, A. M. and the British Committee for Standards in Haematology. (2014). Guidelines for the diagnosis and treatment of cobalamin and folate disorders. British Journal of Haematology, 166 (4): 496–513.

Dimopoulos, N., Piperi, C., Salonicioti, A., Psarra, V., Gazi, F., Papadimitriou, A., et al. (2007) Correlation of folate, vitamin B12 and homocysteine plasma levels with depression in an elderly Greek population. Clinical Biochemistry. 40 (9-10): 604–608.

Doets, E. L., Ueland, P. M., Tell, G. S., Vollset, S. E., Nyga, O. K., Van’t Veer, P. et al. (2014). Interactions between plasma concentrations of folate and markers of vitamin B12 status with cognitive performance in elderly people not exposed to folic acid fortification: the Hordaland Health Study. British Journal of Nutrition. 111: 1085–1095.

Eussen, S.J., de Groot, L.C., Joosten, L.W., Bloo, R.J., Clarke, R., Ueland, P.M. et al. (2006) Effect of oral vitamin B-12 with or without folic acid on cognitive function in older people with mild vitamin B-12 deficiency: a randomized, placebo-controlled trial. Am. J. Clin. Nutr.. 84 (2), 361-370.

Fábregas, B. C., Vitorino, F. D. & Teixeira, A. L. (2011). Deficiência de vitamina B12 e transtorno depressivo refratário. Jornal Brasileiro de Psiquiatria. 60 (2), 141-143.

Failace, R., Fernandes, F. (2015). Hemograma manual de interpretação (6th ed.). Porto Alegre: Artmed.

Goularte, F. H., Guiselli, S. R., Engroff, P., Ely, L. S. & De Carli, G. A. (2013). Deficiência de ácido fólico e vitamina B12 em idosos: uma revisão. Revista Amazonense de Geriatria e Gerontologia. 01: 53-62.

Jesus, B. R. T. de. (2015). Micronutrientes na prevenção da doença no idoso. Dissertação de mestrado não publicada. Centro Hospitalar e Universitário de Coimbra, Portugal.

Jiang, B., Chen, Y., Yao, G., Yao, C., Zhao, H., Jia, X., et al. (2014). Effects of differences in serum total homocysteine, folate, and vitamin B12on cognitive impairment in stroke patients. Neurology, 14 (217).

Kobe, T.; Witte, A. V.; Schnelle, A.; Grittner, U.; Tesky,V. A.; Pantel, J. et al. (2016). Vitamin B-12 concentration, memory performance, and hippocampal structure in patients with mild cognitive impairment. The American Journal of Clinical Nutrition. 103: 1045–54.

Lildballe, D. L., Fedosov, S., Sherliker, P., Hin, H., Clarke, R. & Nexo, E. (2011). Association of Cognitive Impairment with Combinations of Vitamin B12–Related Parameters. Clinical Chemistry. 57 (10): 1436–1443.

Marcioni, D.M.L., Verly-Jr., E., Steluti, J., Cesar, C.L.G. & Fisberg, R.M. (2013). Ingestão de folato nos períodos pré e pósfortificação mandatória: estudo de base populacional em São Paulo, Brasil. Cad. Saúde Pública, 29, (10): 2083-2092.

Martins, J. T., Carvalho-Silva, M. & Streck, E. L. (2017). Efeitos da deficiência de vitamina B12 no cérebro. Revista Inova Saúde, 6 (1), 192-206.

Mendes, K. D. S., Silveira, R. C. C. P. & Galvão, C. M. (2008). Revisão integrativa: método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto contexto – enferm.17 (4): 758-64.

Morris, M. S., Selhub J. & Jacques, P. F. (2012). Vitamin B-12 and Folate Status in Relation to Decline in Scores on the Mini-Mental State Examination in the Framingham Heart Study. J Am Geriatr Soc. 60 (8): 1457–1464.

Okereke, O.I., Cook, N.R., Albert, C.M., Van Denburgh, M., Buring, J.E., Manson, J.E. (2015). Effect of long-term supplementation with folic acid and B vitamins on risk of depression in older women. The British Journal of Psychiatry. 206, 324–331.

Quadri, P., Fragiacomo, C., Pezzati, R., Zanda, E., Forloni, G., Tettamanti, M., Lucca, U. (2004) Homocysteine, folate, and vitamin B-12 in mild cognitive impairment, Alzheimer disease, and vascular dementia. The American Journal of Clinical Nutrition. 80, 114 –22.

Rocha, J. C. G. (2012). Deficiência de Vitamina B12 no pós-operatório de Cirurgia Bariátrica. International Journal of Nutrology. 5 (2), 82-89.

Sánchez, H., Masferrer, D., Lera, L., Arancibia, E., Ángel, B., Albala, C. (2014). Déficit de vitamina B12 asociado con altas dosis de metformina em adultos mayores diabéticos. Nutricion Hospitalaria, 29 (6), 1394–1400.

Skarupski, K. A., Tangney, C., Li, H., Ouyang, B., Evans, D. A., Morris, M. C. (2010). Longitudinal association of vitamin B-6, folate, and vitamin B-12 with depressive symptoms among older adults over time. The American Journal of Clinical Nutrition. 92, 330–5.

Souza, M. T., Silva, M. D., Carvalho, R. (2010) Integrative review: what is it? How to do it? Einstein, 8 (1) 102-6.

Tangney, C. C., Aggarwal, N. T., Li, H., Wilson, R. S., Decarli, C., Evans, D. A., Morris, M. C. (2011). Vitamin B12, cognition, and brain MRI measures. Neurology. 77 (13), 1276–1282.

Tangney, C.C., Tang, Y., Evans, D.A., Morris, M.C. (2009). Biochemical indicators of vitamin B12 and folate insufficiency and cognitive decline. Neurology, 72 (4). 361-367.

Ursi, E.S., Galvão, C.M. (2006). Prevenção de lesões de pele no perioperatório: revisão integrativa da literatura. Rev Latino-Am de Enfermagem. 14 (1), 124-131.

Vannucchi, H., Monteiro, T. H. (2010). Funções Plenamente Reconhecidas de Nutrientes Cobalamina (Vitamina B12). International Life Sciences Institute do Brasil – ILSI: Vol. 13. São Paulo – SP.

Vilaça, C. O., Freitas, M.R.G., Nascimento, O.J.M., Orsini, M., Leite, M.A.A., Souza, J.A., (2015). Metabolismo da homocisteína em doenças neurológicas. Rev Bras Neurol 51 (3), 73-78.

Published

01/01/2020

How to Cite

SOUSA, D. J. M. de; DE ARAÚJO, D. S. C.; SOUSA, L. L. C. de; AIRES, I. O.; OLIVEIRA, I. K. F.; ALENCAR, M. do S. S. Influence of vitamin B12 and folic acid on cognitive disorders in the elderly. Research, Society and Development, [S. l.], v. 9, n. 1, p. e38911553, 2020. DOI: 10.33448/rsd-v9i1.1553. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/1553. Acesso em: 26 dec. 2024.

Issue

Section

Review Article