Dietary vitamin D intake and 2-year changes in cognitive function in older adults with overweight or obesity and metabolic syndrome
The protective role of dietary vitamin D intake on cognitive function is of interest, but evidence remains inconsistent. We aimed to evaluate the association between dietary vitamin D intake and 2-year cognitive changes in older adults at risk of cognitive decline. This longitudinal study comprised 5454 individuals (aged 55-75 years in men and 60-75 years in women) who exhibited overweight/obesity and metabolic syndrome. Data on dietary vitamin D intake was assessed using a validated 143-item food frequency questionnaire. Cognitive function was assessed through five composite scores derived from a comprehensive battery of eight neuropsychological tests, encompassing global cognitive function, general cognitive function, attention, executive function, and language domains. Multivariable-adjusted linear regression models were fitted to examine the association between energy-adjusted cumulative average dietary vitamin D intake over time and 2-year changes in cognitive function. After adjusting for multiple covariates, energy-adjusted cumulative average dietary vitamin D intake as a continuous variable was associated with greater 2-year improvements in global cognitive function (β 1.18 × 10<sup>-2</sup>; 95% CI 0.19 × 10<sup>-2</sup> to 2.17 × 10<sup>-2</sup>), executive function (β 1.12 × 10<sup>-2</sup>; 95% CI 0.03 × 10<sup>-2</sup> to 2.21 × 10<sup>-2</sup>), and language (β 1.61 × 10<sup>-2</sup>; 95% CI 0.43 × 10<sup>-2</sup> to 2.78 × 10<sup>-2</sup>). Additionally, the higher cumulative average dietary vitamin D intake quartile was associated with an increase in global cognitive function (β 7.10 × 10<sup>-2</sup>; 95% CI 0.59 × 10<sup>-2</sup> to 13.6 × 10<sup>-2</sup>), language (β 7.07 × 10<sup>-2</sup>; 95% CI - 0.52 × 10<sup>-2</sup> to 14.7 × 10<sup>-2</sup>), and a lower decline in attention (β 9.58 × 10<sup>-2</sup>; 95% CI 1.60 × 10<sup>-2</sup> to 17.5 × 10<sup>-2</sup>). A higher dietary vitamin D intake was associated with modest favorable changes in cognitive function and a reduced cognitive decline over a 2-year period. These findings highlight the need for further research to explore the potential benefits of boosting dietary vitamin D intake for cognitive health in older adults.
Authors
- Fernando Fernández‐Aranda (ORCID: https://orcid.org/0000-0002-2968-9898)
- Teresa Rognoni (ORCID: https://orcid.org/0000-0001-5430-3830)
- Lidia Daimiel (ORCID: https://orcid.org/0000-0001-9898-6629)
- Jordi Salas‐Salvadó (ORCID: https://orcid.org/0000-0003-2700-7459)
- Antonio P. Arenas-Larriva
- J. Alfredo Martínez
- Montserrat Fitó (ORCID: https://orcid.org/0000-0002-1817-483X)
- Josép Vidal (ORCID: https://orcid.org/0000-0002-4564-4518)
- Marta Fanlo‐Maresma (ORCID: https://orcid.org/0000-0002-5666-8726)
- Dolores Corella (ORCID: https://orcid.org/0000-0002-2366-4104)
- José López‐Miranda (ORCID: https://orcid.org/0000-0002-8844-0718)
- Jiaqi Ni (ORCID: https://orcid.org/0000-0001-5625-0373)
- Amira Bouzalmate-Hajjaj (ORCID: https://orcid.org/0000-0001-9590-5678)
- Rosa Casas (ORCID: https://orcid.org/0000-0002-0211-9166)
- Karla Alejandra Pérez‐Vega (ORCID: https://orcid.org/0000-0002-7524-2034)
- Laura Compañ‐Gabucio (ORCID: https://orcid.org/0000-0001-5324-1535)
- Lucas Tojal‐Sierra (ORCID: https://orcid.org/0000-0001-5338-9601)
- Raquel Cueto-Galán (ORCID: https://orcid.org/0000-0001-5846-5685)
- Héctor Vázquez‐Lorente (ORCID: https://orcid.org/0000-0003-0183-6902)
- Ángel M. Alonso‐Gómez (ORCID: https://orcid.org/0000-0003-2945-7509)
- José Lapetra (ORCID: https://orcid.org/0000-0002-3873-5737)
- M. Ángeles Zulet (ORCID: https://orcid.org/0000-0002-3926-0892)
- Jesús Vioqué (ORCID: https://orcid.org/0000-0002-2284-148X)
- Clotilde Vázquez (ORCID: https://orcid.org/0000-0003-1629-2143)
- Estefanía Toledo (ORCID: https://orcid.org/0000-0002-6263-4434)
- José Vicente Sorlí (ORCID: https://orcid.org/0000-0002-0130-2006)
- María Dolores Zomeño (ORCID: https://orcid.org/0000-0003-1280-7680)
- Julia Wärnberǵ (ORCID: https://orcid.org/0000-0002-8408-316X)
- Dora Romaguera (ORCID: https://orcid.org/0000-0002-5762-8558)
- Indira Paz‐Graniel (ORCID: https://orcid.org/0000-0002-3204-6877)
- Francisco José Tinahones (ORCID: https://orcid.org/0000-0001-6871-4403)
- Nuria Goñi
- Miguel Delgado‐Rodríguez (ORCID: https://orcid.org/0000-0002-3838-2548)
- Javier Basterra-Gortari
- Emilio Ros (ORCID: https://orcid.org/0000-0002-2573-1294)
- Antonio García‐Ríos (ORCID: https://orcid.org/0000-0003-2101-616X)
- Ana Barabash (ORCID: https://orcid.org/0000-0003-2383-1563)
- Nancy Babió (ORCID: https://orcid.org/0000-0003-3527-5277)
- Naomi Cano‐Ibáñez (ORCID: https://orcid.org/0000-0002-3640-5486)
- Lluís Serra‐Majem (ORCID: https://orcid.org/0000-0002-9658-9061)
- Olga Castañer (ORCID: https://orcid.org/0000-0003-3169-997X)
- Mar Nafría
- Eva M. Asensio
- Josep A. Tur
- Ramón Estruch
- Ana María Gómez-Pérez
- R.M. Micó Pérez
- Pedro Jiménez-Sellés
Institutions
- Madrid Institute for Advanced Studies (ES)
- Universidad de Valladolid (ES)
- Universitat de Miguel Hernández d'Elx (ES)
- Universidad San Pablo CEU (ES)
- Universidad de Las Palmas de Gran Canaria (ES)
- Universidad Complutense de Madrid (ES)
- Harvard University (US)
- Universitat de València (ES)
- University of the Basque Country (ES)
- Universidad de Granada (ES)
- Universidad de Jaén (ES)
- Hospital Universitario Insular de Gran Canaria (ES)
- Instituto de Salud Carlos III (ES)
- Bellvitge University Hospital (ES)
- Hospital Clínico San Carlos (ES)
- Institut d'Investigació Biomédica de Bellvitge (ES)
- Servicio Navarro de Salud (ES)
- Centro de Investigación Biomédica en Red Diabetes y Enfermedades Metabólicas Asociadas (ES)
- Instituto Maimónides de Investigación Biomédica de Córdoba (ES)
- Technological Center of Nutrition and Health (ES)
- Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (ES)
- Institut de Recerca Biomèdica Catalunya Sud (ES)
- Sociedad Española de Medicina de Familia y Comunitaria (ES)
- Hospital Universitario Araba (ES)
- Navarre Institute of Health Research (ES)
- Instituto de Investigación Biosanitaria de Granada (ES)
- Centro de Investigación Biomédica en Red (ES)
- Navarrabiomed (ES)
- Health Research Institute of the Balearic Islands (ES)
- Hospital Universitario Fundación Jiménez Díaz (ES)
- Hospital Del Mar (ES)
- Primary Health Care (QA)
- Clinica Universidad de Navarra (ES)
- IMDEA Food (ES)
- Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (ES)
- Consorci Institut D'Investigacions Biomediques August Pi I Sunyer (ES)
- Instituto de Investigación Biomédica de Málaga (ES)
- Agencia de Evaluación de Tecnologías Sanitarias (ES)
- Instituto de Investigación Sanitaria y Biomédica de Alicante (ISABIAL) (ES)
- Universitat de les Illes Balears (ES)
- University of Córdoba (ES)
- Universitat Rovira i Virgili (ES)
- Universidad Autónoma de Madrid (ES)
- Universitat de Barcelona (ES)
- Universidad de Málaga (ES)
- Universidad de Navarra (ES)
Publication Details
- Journal
- GeroScience
- Published
- 2025-05-05
- DOI
- https://doi.org/10.1007/s11357-025-01670-1
- Citations
- 4
- Primary Topic
- Nutritional Studies and Diet
- Type
- article
- Field-Weighted Citation Impact
- 7.51
Funders
- Ministerio de Ciencia e Innovación
- Universitat Rovira i Virgili
- Centro de Investigación Biomédica en Red-Fisiopatología de la Obesidad y Nutrición
- Centro de Investigación Biomédica en Red Diabetes y Enfermedades Metabólicas Asociadas
- HORIZON EUROPE Framework Programme
- Agència de Gestió d'Ajuts Universitaris i de Recerca
- Instituto de Salud Carlos III
- H2020 European Research Council