TY - JOUR
T1 - Relationship between mean corpuscular volume and cognitive performance in older adults
AU - Gamaldo, Alyssa A.
AU - Ferrucci, Luigi
AU - Rifkind, Joseph
AU - Longo, Dan L.
AU - Zonderman, Alan B.
PY - 2013/1
Y1 - 2013/1
N2 - Objectives: To examine the relationship between erythrocyte mean corpuscular volume (MCV) and cognitive performance over time. Design: Longitudinal. Setting: Sample from the Baltimore Longitudinal Study of Aging (BLSA). Participants: Eight hundred twenty-seven participants from the BLSA (mean age 67, range 50-96). Measurements: Mean corpuscular volume and several other blood indices were measured, including hemoglobin, iron, ferritin, vitamin B12, folate, white blood cell count, albumin, and erythrocyte sedimentation rate. Cognitive performance was examined using neuropsychological measures of visual memory, verbal memory, language, attention, executive function, and global mental status. Results: High MCV levels were significantly associated with lower global mental status even after adjusting for potential confounders. High MCV levels were also significantly associated with high rates of decline on tasks of global mental status, long delay memory, and attention, even after adjusting for potential confounders. Conclusion: The findings confirm a previous observation that larger erythrocytes in older adults are associated with poorer cognitive function. Anemia and inflammation do not appear to explain the relationship between MCV and cognition. Further research is needed to clarify the mechanisms behind this association.
AB - Objectives: To examine the relationship between erythrocyte mean corpuscular volume (MCV) and cognitive performance over time. Design: Longitudinal. Setting: Sample from the Baltimore Longitudinal Study of Aging (BLSA). Participants: Eight hundred twenty-seven participants from the BLSA (mean age 67, range 50-96). Measurements: Mean corpuscular volume and several other blood indices were measured, including hemoglobin, iron, ferritin, vitamin B12, folate, white blood cell count, albumin, and erythrocyte sedimentation rate. Cognitive performance was examined using neuropsychological measures of visual memory, verbal memory, language, attention, executive function, and global mental status. Results: High MCV levels were significantly associated with lower global mental status even after adjusting for potential confounders. High MCV levels were also significantly associated with high rates of decline on tasks of global mental status, long delay memory, and attention, even after adjusting for potential confounders. Conclusion: The findings confirm a previous observation that larger erythrocytes in older adults are associated with poorer cognitive function. Anemia and inflammation do not appear to explain the relationship between MCV and cognition. Further research is needed to clarify the mechanisms behind this association.
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U2 - 10.1111/jgs.12066
DO - 10.1111/jgs.12066
M3 - Article
C2 - 23301873
AN - SCOPUS:84872264671
SN - 0002-8614
VL - 61
SP - 84
EP - 89
JO - Journal of the American Geriatrics Society
JF - Journal of the American Geriatrics Society
IS - 1
ER -