Hostname: page-component-848d4c4894-m9kch Total loading time: 0 Render date: 2024-04-30T20:24:36.329Z Has data issue: false hasContentIssue false

Serum levels of folate, vitamin B6, and vitamin B12 are associated with cognitive impairments in depression patients

Published online by Cambridge University Press:  29 August 2023

Lei Zhao
Affiliation:
Pharmacy Department, Qingdao Mental Health Center, Qingdao, Shandong, China
Lili Guan
Affiliation:
Pharmacy Department, Qingdao Mental Health Center, Qingdao, Shandong, China
Jinyan Sun
Affiliation:
Pharmacy Department, Qingdao Mental Health Center, Qingdao, Shandong, China
Xiaoming Li*
Affiliation:
Pharmacy Department, Qingdao Mental Health Center, Qingdao, Shandong, China
*
Corresponding author: Xiaoming Li; Email: xiaoming875174839@126.com

Abstract

Introduction:

Depression is a common mental disorder that endangers physical and mental health. In our study, we aimed to explore whether B vitamins are associated with depression and cognitive dysfunction.

Methods:

We enrolled a total of 220 patients with depression and selected 100 controls at the same time. We determined depression and cognitive impairment by assessments. We recorded the basic parameters of the participants and collected blood samples. In addition, we measured serum levels of B vitamins and brain-derived neurotrophic factor (BDNF).

Results:

We found significant differences in the duration of depression, education, and Hamilton Depression Rating Scale scores between the D-NCI and D-CI groups. We also identified the independent risk factors for patients with depression and cognitive dysfunction. Compared with the healthy controls, serum folate, vitamin B6, and vitamin B12 positively correlated with cognitive dysfunction. The patients with depression and cognitive dysfunction had the lowest levels of B vitamins compared with the other two groups. Our results also showed that the levels of serum folate, vitamin B6, and vitamin B12 in the patients with depression had a positive correlation with each other.

Conclusion:

Our results indicate that vitamin B is associated with depression and cognitive dysfunction and is positively associated with cognitive dysfunction.

Type
Original Article
Copyright
© The Author(s), 2023. Published by Cambridge University Press on behalf of Scandinavian College of Neuropsychopharmacology

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

An, Y, Feng, L, Zhang, X, Wang, Y, Wang, Y, Tao, L, Qin, Z and Xiao, R (2019) Dietary intakes and biomarker patterns of folate, vitamin B(6), and vitamin B(12) can be associated with cognitive impairment by hypermethylation of redox-related genes NUDT15 and TXNRD1. Clinical Epigenetics 11(1), 139.CrossRefGoogle Scholar
Barua, CC, Haloi, P, Saikia, B, Sulakhiya, K, Pathak, DC, Tamuli, S, Rizavi, H and Ren, X (2018) Zanthoxylum alatum abrogates lipopolysaccharide-induced depression-like behaviours in mice by modulating neuroinflammation and monoamine neurotransmitters in the hippocampus. Pharmaceutical Biology 56(1), 245252.CrossRefGoogle ScholarPubMed
Birmaher, B, Brent, D, Bernet, W, Bukstein, O, Walter, H, Benson, RS, Chrisman, A, Farchione, T, Greenhill, L, Hamilton, J, Keable, H, Kinlan, J, Schoettle, U, Stock, S, Ptakowski, K and Medicus, J (2007) Practice parameter for the assessment and treatment of children and adolescents with depressive disorders. Journal of the American Academy of Child and Adolescent Psychiatry 46(11), 15031526.CrossRefGoogle ScholarPubMed
Chen, X, Yang, J, Zhang, H, Huang, Y, Cao, Y, Yan, S, Zong, G, Zheng, Y, Wang, X and Yuan, C (2022) Plasma folate levels in relation to cognitive impairment: a community-based cohort of older adults in China. European Journal of Nutrition 61(5), 28372845.CrossRefGoogle ScholarPubMed
Clarke, R, Grimley Evans, J, Schneede, J, Nexo, E, Bates, C, Fletcher, A, Prentice, A, Johnston, C, Ueland, PM, Refsum, H, Sherliker, P, Birks, J, Whitlock, G, Breeze, E and Scott, JM (2004) Vitamin B12 and folate deficiency in later life. Age and Ageing 33(1), 3441.CrossRefGoogle ScholarPubMed
Clarke, R, Refsum, H, Birks, J, Evans, JG, Johnston, C, Sherliker, P, Ueland, PM, Schneede, J, McPartlin, J, Nexo, E and Scott, JM (2003) Screening for vitamin B-12 and folate deficiency in older persons. American Journal of Clinical Nutrition 77(5), 12411247.CrossRefGoogle ScholarPubMed
Gilbody, S, Lightfoot, T and Sheldon, T (2007) Is low folate a risk factor for depression? A meta-analysis and exploration of heterogeneity. Journal of Epidemiology and Community Health 61(7), 631637.CrossRefGoogle ScholarPubMed
Hamilton, M (1960) A rating scale for depression. Journal of Neurology, Neurosurgery and Psychiatry 23(1), 5662.CrossRefGoogle ScholarPubMed
Hvas, AM, Juul, S, Bech, P and Nexo, E (2004) Vitamin B6 level is associated with symptoms of depression. Psychotherapy and Psychosomatics 73(6), 340343.CrossRefGoogle ScholarPubMed
Lyon, P, Strippoli, V, Fang, B and Cimmino, L (2020) B vitamins and one-carbon metabolism: implications in human health and disease. Nutrients 12(9), 2867.CrossRefGoogle ScholarPubMed
Mikkelsen, K, Stojanovska, L and Apostolopoulos, V (2016) The effects of vitamin B in depression. Current Medicinal Chemistry 23(38), 43174337.CrossRefGoogle ScholarPubMed
Mitchell, ES, Conus, N and Kaput, J (2014) B vitamin polymorphisms and behavior: evidence of associations with neurodevelopment, depression, schizophrenia, bipolar disorder and cognitive decline. Neuroscience & Biobehavioral Reviews 47, 307320.CrossRefGoogle ScholarPubMed
Miyake, Y, Sasaki, S, Tanaka, K, Yokoyama, T, Ohya, Y, Fukushima, W, Saito, K, Ohfuji, S, Kiyohara, C, Hirota, Y (2006) Dietary folate and vitamins B12, B6, and B2 intake and the risk of postpartum depression in Japan: the Osaka Maternal and Child Health Study. Journal of Affective Disorders 96(1-2), 133138.CrossRefGoogle ScholarPubMed
Muller, MJ and Dragicevic, A (2003) Standardized rater training for the Hamilton Depression Rating Scale (HAMD-17) in psychiatric novices. Journal of Affective Disorders 77(1), 6569.CrossRefGoogle ScholarPubMed
Murawska-Cialowicz, E, Wiatr, M, Cialowicz, M, de Assis, GG, Borowicz, W, Rocha-Rodrigues, S, Paprocka-Borowicz, M and Marques, A (2021) BDNF impact on biological markers of depression-role of physical exercise and training. International Journal of Environmental Research and Public Health 18(14), 7553.CrossRefGoogle ScholarPubMed
Nasreddine, ZS, Phillips, NA, Bedirian, V, Charbonneau, S, Whitehead, V, Collin, I, Cummings, JL and Chertkow, H (2005) The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment. Journal of the American Geriatrics Society 53, 695699.CrossRefGoogle Scholar
Selhub, J (2002) Folate, vitamin B12 and vitamin B6 and one carbon metabolism. The Journal of Nutrition, Health & Aging 6, 3942.Google ScholarPubMed
Semmes, BJ (2005) Depression: a role for omega-3 fish oils and B vitamins? Evidence-based Integrative Medicine 2, 229237.CrossRefGoogle Scholar
Seppala, J, Koponen, H, Kautiainen, H, Eriksson, JG, Kampman, O, Leiviska, J, Mannisto, S, Mantyselka, P, Oksa, H, Ovaskainen, Y, Viikki, M, Vanhala, M and Seppala, J (2013) Association between vitamin b12 levels and melancholic depressive symptoms: a Finnish population-based study. BMC Psychiatry 13, 145.CrossRefGoogle ScholarPubMed
Srisurapanont, M, Mok, YM, Yang, YK, Chan, HN, Della, CD, Zainal, NZ, Jambunathan, S, Amir, N and Kalita, P (2018) Cognitive complaints and predictors of perceived cognitive dysfunction in adults with major depressive disorder: findings from the Cognitive Dysfunction in Asians with Depression (CogDAD) study. Journal of Affective Disorders 232, 237242.CrossRefGoogle ScholarPubMed
Walker, JG, Batterham, PJ, Mackinnon, AJ, Jorm, AF, Hickie, I, Fenech, M, Kljakovic, M, Crisp, D and Christensen, H (2012) Oral folic acid and vitamin B-12 supplementation to prevent cognitive decline in community-dwelling older adults with depressive symptoms--the Beyond Ageing Project: a randomized controlled trial. American Journal of Clinical Nutrition 95(1), 194203.CrossRefGoogle ScholarPubMed
World Health Organization (1992).The ICD-10 classification of mental and behavioural disorders: clinical descriptions and diagnostic guidelines. Geneva: World Health Organization.Google Scholar
Zhang, YP, Wang, HY, Zhang, C, Liu, BP, Peng, ZL, Li, YY, Liu, FM and Song, C (2018) Mifepristone attenuates depression-like changes induced by chronic central administration of interleukin-1beta in rats. Behavioural Brain Research 347, 436445.CrossRefGoogle ScholarPubMed