systematic_review
    2018
    High Quality

    Vitamin and mineral supplementation for maintaining cognitive function in cognitively healthy people in mid and late life

    Rutjes AWS, et al.

    Published in Cochrane Database of Systematic Reviews

    Methodology

    Cochrane systematic review and meta-analysis of randomised controlled trials lasting at least 12 months of vitamin or mineral supplements in cognitively healthy adults aged 40+, with GRADE assessment of cognitive outcomes.

    Key Findings

    Cochrane review of 28 trials (about 83,000 cognitively healthy adults) found no evidence that vitamin or mineral supplementation - including B vitamins, antioxidant vitamins C and E, beta-carotene, selenium, zinc or multivitamins - preserves cognitive function in mid or late life; the only weak signals (beta-carotene and selenium after many years) were of doubtful clinical significance.

    Conclusions

    There is no good evidence that vitamin or mineral supplements protect cognition in well-nourished healthy adults; they should not be recommended for dementia prevention.

    Limitations

    Trials were mainly in well-nourished Western populations, so results may not apply to deficient groups; cognitive outcomes measured with varied instruments and often as secondary endpoints; long latency of cognitive decline may exceed trial durations; certainty of evidence low to moderate.

    Supplements Studied

    giving B vitamin supplements to cognitively healthy adults... probably has little or no effect on global cognitive function at any time point up to 5 years

    Selenium
    Mineral

    Cochrane review of 28 trials (about 83,000 cognitively healthy adults) found no evidence that vitamin or mineral supplementation - including B vitamins, antioxidant vitamins C and E, beta-carotene, selenium, zinc or multivitamins - preserves cognitive function in mid or late life; the only weak signals (beta-carotene and selenium after many years) were of doubtful clinical significance.

    Cochrane review of 28 trials (about 83,000 cognitively healthy adults) found no evidence that vitamin or mineral supplementation - including B vitamins, antioxidant vitamins C and E, beta-carotene, selenium, zinc or multivitamins - preserves cognitive function in mid or late life; the only weak signals (beta-carotene and selenium after many years) were of doubtful clinical significance.

    Outcomes Measured

    Cochrane review of 28 trials (about 83,000 cognitively healthy adults) found no evidence that vitamin or mineral supplementation - including B vitamins, antioxidant vitamins C and E, beta-carotene, selenium, zinc or multivitamins - preserves cognitive function in mid or late life; the only weak signals (beta-carotene and selenium after many years) were of doubtful clinical significance.

    Related Health Concerns

    Study Details

    Year:2018
    Sample Size:83,000
    Quality Score:9/10

    Disclosures

    Funding

    UK National Institute for Health Research / Cochrane Dementia and Cognitive Improvement Group

    This information is for educational purposes only. Always consult a healthcare professional before starting any supplement regimen.