A1 Refereed original research article in a scientific journal

Vitamin D and cognitive function: A Mendelian randomisation study




AuthorsMaddock J, Zhou A, Cavadino A, Kuzma E, Bao YC, Smart MC, Saum KU, Schottker B, Engmann J, Kjaergaard M, Karhunen V, Zhan YQ, Lehtimaki T, Rovio SP, Byberg L, Lahti J, Marques-Vidal P, Sen A, Perna L, Schirmer H, Singh-Manoux A, Auvinen J, Hutri-Kahonen N, Kahonen M, Kilander L, Raikkonen K, Melhus H, Ingelsson E, Guessous I, Petrovic KE, Schmidt H, Schmidt R, Vollenweider P, Lind L, Eriksson JG, Michaelsson K, Raitakari OT, Hagg S, Pedersen NL, Herzig KH, Jarvelin MR, Veijola J, Kivimaki M, Jorde R, Brenner H, Kumari M, Power C, Llewellyn DJ, Hypponen E, Hypponen E

PublisherNATURE PUBLISHING GROUP

Publication year2017

JournalScientific Reports

Journal name in sourceSCIENTIFIC REPORTS

Journal acronymSCI REP-UK

Article numberARTN 13230

Volume7

Number of pages8

ISSN2045-2322

eISSN2045-2322

DOIhttps://doi.org/10.1038/s41598-017-13189-3

Self-archived copy’s web addresshttps://research.utu.fi/converis/portal/detail/Publication/27475842


Abstract
The causal nature of the association between hypovitaminosis D and poor cognitive function in mid-to later-life is uncertain. Using a Mendelian randomisation(MR) approach, we examined the causal relationship between 25(OH)D and cognitive function. Data came from 172,349 participants from 17 cohorts. DHCR7(rs12785878), CYP2R1 rs12794714) and their combined synthesis score were chosen to proxy 25(OH)D. Cognitive tests were standardised into global and memory scores. Analyses were stratified by 25(OH)D tertiles, sex and age. Random effects meta-analyses assessed associations between 25(OH)D and cognitive function. Associations of serum 25(OH)D with global and memoryrelated cognitive function were non-linear (lower cognitive scores for both low and high 25(OH)D, p(curvature) <= 0.006), with much of the curvature attributed to a single study. DHCR7, CYP2R1, and the synthesis score were associated with small reductions in 25(OH)D per vitamin D-decreasing allele. However, coefficients for associations with global or memory-related cognitive function were nonsignificant and in opposing directions for DHCR7 and CYP2R1, with no overall association observed for the synthesis score. Coefficients for the synthesis score and global and memory cognition were similar when stratified by 25(OH)D tertiles, sex and age. We found no evidence for serum 25(OH)D concentration as a causal factor for cognitive performance in mid-to later life.

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