Effects of a Combined Vitamin D3 and Docosahexaenoic Acid Intervention on Cognitive Function and Blood Pyroptotic Biomarkers in Older Adults with Mild Cognitive Impairment: A 12-Month Randomized, Double-Blind, Placebo-Controlled Trial
随机对照试验Machine-checked 2026年9月21日AI-assisted draft
Yuan J et al. Effects of a Combined Vitamin D3 and Docosahexaenoic Acid Intervention on Cognitive Function and Blood Pyroptotic Biomarkers in Older Adults with Mild Cognitive Impairment: A 12-Month Randomized, Double-Blind, Placebo-Controlled Trial. Nutrients, 2026. PubMed 42738950 · DOI
- Design
- Randomized, double-blind, placebo-controlled trial with four parallel arms over 12 months. Linear mixed-effects models assessed cognitive and biomarker changes; structural equation modeling assessed mediation of biomarkers on cognitive improvement.
- Population
- 360 older adults with mild cognitive impairment (MCI) were enrolled; 355 completed the trial.
- Intervention
- Participants received vitamin D3 alone, DHA alone, vitamin D3 plus DHA combined, or placebo.
- Dose as studied
- Vitamin D3 800 IU/day; DHA 1 g/day; combined arm received both at these doses.
- Comparator
- Placebo.
- Duration
- 12 months, with assessments at baseline, 6 months, and 12 months.
Outcomes, as reported
- Cognitive function (WAIS-RC: full-scale, performance, verbal IQ and subtests) All intervention groups showed significant improvements vs placebo (p<0.05); combined VD3+DHA showed superior improvements vs each single intervention in FIQ, PIQ, VIQ and several subtests.
- Blood pyroptotic biomarkers (IL-1β, IL-18, NLRP3, GSDMD, cleaved caspase-1) All intervention groups showed significant reductions vs placebo (p<0.05); combined intervention reduced all five biomarkers significantly more than single interventions (p<0.05).
- Mediation of cognitive improvement Path analysis showed longitudinal GSDMD reduction mediated improvement in full-scale IQ (FIQ).
Not stated in the abstract.
Not stated in the abstract.