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Causes and consequences of vitamin B...
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Campbell, Alison Karla Lemon.
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Causes and consequences of vitamin B-12 deficiency in Californian Latino elderly.
紀錄類型:
書目-電子資源 : Monograph/item
正題名/作者:
Causes and consequences of vitamin B-12 deficiency in Californian Latino elderly./
作者:
Campbell, Alison Karla Lemon.
面頁冊數:
140 p.
附註:
Source: Dissertation Abstracts International, Volume: 65-02, Section: B, page: 0661.
Contained By:
Dissertation Abstracts International65-02B.
標題:
Health Sciences, Nutrition. -
電子資源:
http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3120968
ISBN:
0496683233
Causes and consequences of vitamin B-12 deficiency in Californian Latino elderly.
Campbell, Alison Karla Lemon.
Causes and consequences of vitamin B-12 deficiency in Californian Latino elderly.
- 140 p.
Source: Dissertation Abstracts International, Volume: 65-02, Section: B, page: 0661.
Thesis (Ph.D.)--University of California, Davis, 2003.
The prevalence of vitamin B-12 deficiency among the elderly is high compared to the prevalence of low intake and pernicious anemia. Vitamin B-12 deficiency has been associated with neurological and cognitive impairment. This research investigated predictors of vitamin B-12 status, the effect of a vitamin B-12 intervention on B-12 status and functional indicators, and vitamin B-12 and folate deficiency as predictors of cognitive impairment in the Sacramento Area Latino Study on Aging (SALSA).
ISBN: 0496683233Subjects--Topical Terms:
1017801
Health Sciences, Nutrition.
Causes and consequences of vitamin B-12 deficiency in Californian Latino elderly.
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Source: Dissertation Abstracts International, Volume: 65-02, Section: B, page: 0661.
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Thesis (Ph.D.)--University of California, Davis, 2003.
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The prevalence of vitamin B-12 deficiency among the elderly is high compared to the prevalence of low intake and pernicious anemia. Vitamin B-12 deficiency has been associated with neurological and cognitive impairment. This research investigated predictors of vitamin B-12 status, the effect of a vitamin B-12 intervention on B-12 status and functional indicators, and vitamin B-12 and folate deficiency as predictors of cognitive impairment in the Sacramento Area Latino Study on Aging (SALSA).
520
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A sub-set of 57 individuals with low plasma B-12 (<148 pmol/L) was compared with 68 who had marginal plasma B-12 (148--221 pmol/L) and 52 with normal plasma 1312 (>221 pmol/L). Elevated serum gastrin was highly prevalent and was a significant predictor of low plasma B-12 and high plasma homocysteine. Median total B-12 intake exceeded recommendations, and was similar among status groups. Crystalline B-12 intake in the normal B-12 group was higher than in the low B-12 group (p < 0.01), and slightly higher than marginal group (p = 0.07). When serum gastrin was elevated, plasma B-12 was predicted by crystalline B-12, but not intake of B-12 from food.
520
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A subset (n = 47) of the SALSA population with marginal vitamin B-12 status (plasma B-12 = 148--221 pmol/L) completed a 1 y double-blind supplementation trial with 1 mg/d B-12 or placebo. B-12 supplementation normalized plasma B-12 and MMA in all subjects and Hcy in 21/22. B-12 supplementation did not improve global cognitive function, delayed recall, depression scores, neuropathy or Activities of Daily Living, but there was indication that B-12 may be protective against cognitive decline.
520
$a
Plasma B-12, erythrocyte folate, MMA, and homocysteine were evaluated as predictors of cognitive function. Low erythrocyte folate was related to dementia and cognitive impairment, but plasma B-12, MMA, Hey and prevalence of abnormal values were not significantly different among the cognitive function classes.
520
$a
We conclude that food-bound B-12 malabsorption is common in this population and could be treated with higher intakes of crystalline B-12. Supplementation with B-12 corrected biochemical abnormalities due to deficiency but did not improve cognitive function. Folate status, but not B-12 status, was a significant predictor of dementia and cognitive impairment in this study.
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