Table 1.
Studies on vitamin K concentration and cognitive performances.
References | Participants | Design | Vitamin K determination | Cognitive evaluation | Main results | Strenghts | Limitations |
---|---|---|---|---|---|---|---|
Sato et al. (61) | 100 demented women (mean age 81), 100 cognitively normal female controls (mean age 81) | Cross Sectional | Standardized HPLCa procedures | MMSEb | Patients with severe dementia found to have a lower Vitamin K serum concentration | Reliable methodology for serum levels of vitamin K | No follow-up, relatively small sample size |
Presse et al. (62) | 31 ADc patients and 31 healthy controls (mean age 78) | Cross Sectional | Vitamin K intake measured using 3- or 4-days diet records | MMSEb | 9 patients with ADc found to have a lower intake of vitamin K | Accuracy of food records ensured with a dietitian and the help of caregivers | Dietary intake data of limited value for assessing vitamin K status, small sample size, potential over selection of patients |
Presse et al. (63) | 320 elderly (mean age 76) from Québec Longitudinal NuAge Study | Cross Sectional | Standardized HPLCa procedures | MMMSEd, 6 tests covering 4 cognitive domains | Positive association between higher vitamin K intake and verbal episodic memory | Comprehensive cognitive battery assessing 4 cognitive domains, large sample size, reliable methodology for serum levels of vitamin K | No follow-up, potential confounders (such as ApoE genotype) potential over selection of patients |
Van der Heuvel et al. (60) | 599 participants (mean age 60) from the Longitudinal Aging Study Amsterdam | Prospective (follow up: 6 years) | dp-ucMGPe | Alphabet coding task, Auditory verbal learning test, Raven's colored progressive matrices | No association found between dp-ucMPGe and cognitive functions | Inclusion of a range of cognitive tests sensitive to aging measured over 6 years follow-up | Indirect measure of vitamin K status (dp-ucMGPe), only a single measurement of Vitamin K status was available |
Chouet et al. (64) | 192 patients (mean age 83) recruited from the Cognition and LIPophilic vitamins study | Cross Sectional | FFQf | MMSEb, FBRSg | Positive association between vitamin K intake and MMSEb and FBRSg scores | Assessment of the dietary vitamin K intake over 12 months, assessment of both cognitive and behavioral outcomes | FFQg validated on Canadian population (tends to overestimate intakes), poor estimation of Vitamin K intake in patients with cognitive disorders |
Soutif-Veillon et al. (65) | 160 patients (mean age 82) recruited from the Cognition and LIPophilic vitamins study | Cross Sectional | FFQf | MAC-Qh | Positive association between vitamin K intake and memory complaint questionnaire score | Assessment of the dietary phylloquinone intake over 12 months | Use of MAC-Qh tool may have overestimated the prevalence of subjective memory complaint, poor estimation of vitamin K dietary intake in patients with cognitive disorders |
Kiely et al. (66) | 156 elderly (mean age 78) from ELDERMET cohort | Cross Sectional | FFQf and HPLCa | MMSEb | Serum and dietary phylloquinone were significant and independent predictors of good cognitive function | Simultaneous measurement of both dietary and serum phylloquinone | Self-selected, motivated cohort, with potentially better diet, education, and lifestyle than general population |
High Performance Liquid Cromatography.
Mini-Mental State Examination.
Alzheimer's Disease.
Modified Mini-Mental State Examination.
Desphospho-uncarboxylated matrix Gla protein.
Food Frequency Questionnaire.
Frontotemporal Behavioral Rating Scale.
Memory Complaint Questionnaire.