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Ensayo controlado aleatorizado2013

Caffeine and cognitive decline in elderly women at high vascular risk

Vercambre MN, Berr C, Ritchie K, Kang JH

Journal of Alzheimer's disease : JAD · 46 citas

Cómo se estudió

Diseño
Ensayo controlado aleatorizado (indexado por PubMed)
Estudiado en
Personas
Resultado principal
Marcadores de salud y funcionamiento

Quién lo pagó

Financiación
Financiación independiente
Gobierno
National Institute on Aging
Gobierno
National Heart, Lung, and Blood Institute
Gobierno
NIA NIH HHS
Gobierno
NHLBI NIH HHS
Subvenciones
National Institute on Aging (AG15933); National Heart, Lung, and Blood Institute (HL046959); National Institute on Aging (R01AG-015933); National Heart, Lung, and Blood Institute (R01 HL046959)

Según 4 financiadores declarados.

Publicación

Publicado
2013-04-17 · J Alzheimers Dis · vol. 35 · número 2 · págs. 413–421
Editorial
IOS Press
Citado
66 citas · más que el 95% de estudios similares · 4.6× el promedio de su campo
Impacto
Entre el 10 % más citado de su campo
Referencias
44 trabajos
Acceso
Acceso abierto (copia en repositorio)
Áreas de investigación
Coffee research and impacts · Dementia and Cognitive Impairment Research · Nutritional Studies and Diet
Palabras clave
caffeine, cognitive decline
MeSH
humans, cerebrovascular disorders, disease progression, caffeine, vitamins, vitamin b complex, central nervous system stimulants, multivariate analysis, linear models, cohort studies, longitudinal studies, cognition, cognition disorders, neuropsychological tests, aging, dietary supplements, aged, middle aged, female, surveys and questionnaires

4 autores

  • Marie‐Noël Vercambre🇫🇷Fondation MGEN pour la Santé Publique
  • Claudine Berr🇫🇷Inserm; Université Montpellier 1
  • Karen A. Ritchie🇫🇷Inserm; Université Montpellier 1
  • Jae Hee Kang🇺🇸Brigham and Women's Hospital; Harvard University

Resumen

El texto original del estudio, en el idioma en que se publicó.

Background

Persons with vascular disorders are at higher risk of cognitive decline.

Objective

To determine whether caffeine may be associated with cognitive decline reduction in elderly at high vascular risk.

Methods

We included 2,475 women aged 65+ years in the Women's Antioxidant Cardiovascular Study, a randomized trial of antioxidants and B vitamins for cardiovascular disease secondary prevention. We ascertained regular caffeine intake at baseline (1995-1996) using a validated 116 item-food frequency questionnaire. From 1998-2000 to 2005-2006, we administered four telephone cognitive assessments at two-year intervals evaluating global cognition, verbal memory, and category fluency. The primary outcome was the change in global cognitive score, which was the average of the z-scores of all tests. We used generalized linear models for repeated measures that were adjusted for various sociodemographic, health, and lifestyle factors to evaluate the difference in cognitive decline rates across quintiles of caffeine intake.

Results

We observed significantly slower rates of cognitive decline with increasing caffeine intake (p-trend = 0.02). The rate difference between the highest and lowest quintiles of usual caffeine intake (>371 versus <30 mg/day) was equivalent to that observed between those who were 7 years apart in age (p = 0.006). Consumption of caffeinated coffee was significantly related to slower cognitive decline (p-trend = 0.05), but not other caffeinated products (e.g., decaf, tea, cola, chocolate). We conducted interaction analyses and observed stronger associations in women assigned to vitamin B supplementation (p-interaction = 0.02).

Conclusions

Caffeine intake was related to moderately better cognitive maintenance over 5 years in older women with vascular disorders.

Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial.

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