The effect of micronutrients supplement on geriatric cognitive function: The latest research progresses

Q. Ren
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Abstract

Geriatric ability to live independently will be severely impaired when mild cognitive impairments(MCI)eventually develop into dementia.Patients with dementia usually suffer from micronutrients deficiencies(MNDs). In turn, MNDs may accelerate cognitive decline based on disruption of one carbon metabolism, DNA damage repair, mitochondrial function and glucose, lipid and phospholipids metabolism which lead to the damage of neurotransmitter synthesis, myelination and synaptogenesis.Clinical evidences show that the oral supplementation of B-group vitamins(vitamin B6 10-25 mg/d, vitamin B120.025-0.500 mg/d and folate 0.4-2.0 mg/d)and specific micronutrients compounds for at least 3 months may improve overall cognitive function and short-term memory ability of the elderly.More double-blind, placebo-controlled, randomized human intervention studies are still needed to evaluate effects of micronutrients supplementation on geriatric cognitive function and to determine the requirements, dosage and time of intervention. Key words: Micronutrient; Cognitive function
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微量营养素补充剂对老年人认知功能的影响:最新研究进展
当轻度认知障碍(MCI)最终发展为痴呆时,老年人独立生活的能力将严重受损。痴呆症患者通常患有微量营养素缺乏症。反过来,MND可能会基于单碳代谢、DNA损伤修复、线粒体功能以及葡萄糖、脂质和磷脂代谢的破坏而加速认知能力下降,从而导致神经递质合成、髓鞘形成和突触发生的损伤。临床证据表明,口服补充B族维生素(维生素B6 10-25 mg/d、维生素B120.025-0.500 mg/d和叶酸0.4-2.0 mg/d)和特定微量营养素化合物至少3个月,可以改善老年人的整体认知功能和短期记忆能力。仍然需要更多的双盲、安慰剂对照、随机的人类干预研究来评估补充微量营养素对老年人认知功能的影响,并确定干预的要求、剂量和时间。关键词:微量营养素;认知功能
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