Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Original Article
  • Published:

Intakes of folate, vitamin B6 and B12 and risk of depression in community-dwelling older adults: the Quebec Longitudinal Study on Nutrition and Aging

Abstract

Background/Objectives:

Depression can decrease quality of life and affect health outcomes in older population. We investigated whether different intake levels of folate, vitamin B6 and B12 were associated with a 3-year depression incidence among generally healthy, community-dwelling older men and women.

Subjects/Methods:

Participants in the Québec Longitudinal Study on Nutrition and Aging (NuAge), free of depression (that is, 30-item Geriatric Depression Scale (GDS) <11) at baseline (N=1368; 74±4 years old; 50.5% women), were screened annually for incident depression (GDS 11) or antidepressant medication. Tertiles of intakes (food only and food+supplements) were obtained from the mean of three non-consecutive 24-h recalls at baseline. Sex-stratified multiple logistic regression models were adjusted for age, physical activity, physical functioning, stressful life events and total energy intake.

Results:

Over 3 years, 170 participants were identified as depressed. Women in the highest tertile of B6 intake from food were 43% less likely to become depressed when adjusting for demographic and health factors (multivariate odds ratio (OR) 0.57, 95% confidence interval (CI) 0.39–0.96), but adjustment for energy intake attenuated the effect. Men in the highest tertile of dietary B12 intake had decreased risk of depression (energy-adjusted multivariate OR 0.42, 95% CI 0.20–0.90). No other association was observed.

Conclusions:

This study provides some evidence of decreased depression risk among women with higher intakes of vitamin B6 from food, which was dependent on total energy intake, and among men with higher intakes of B12 from food, independently of energy intake.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Figure 1

Similar content being viewed by others

References

  1. Roberts SH, Bedson E, Tranter R . Half-baked? B vitamins and depression. Am J Clin Nutr 2010; 92: 269–270.

    Article  CAS  Google Scholar 

  2. Reynolds EH . Vitamin B12, folic acid, and the nervous system. Lancet Neurol 2006; 5: 949–960.

    Article  CAS  Google Scholar 

  3. Folstein M, Liu T, Peter I, Buell J, Arsenault L, Scott T et al. The homocysteine hypothesis of depression. Am J Psychiatry 2007; 164: 861–867.

    Article  Google Scholar 

  4. McGarel C, Pentieva K, Strain JJ, McNulty H . Emerging roles for folate and related B-vitamins in brain health across the lifecycle. Proc Nutr Soc 2015; 74: 46–55.

    Article  CAS  Google Scholar 

  5. Alpert JE, Mischoulon D, Nierenberg AA, Fava M . Nutrition and depression: focus on folate. Nutrition 2000; 16: 544–546.

    Article  CAS  Google Scholar 

  6. Tolmunen T, Hintikka J, Ruusunen A, Voutilainen S, Tanskanen A, Valkonen VP et al. Dietary folate and the risk of depression in Finnish middle-aged men. A prospective follow-up study. Psychother Psychosom 2004; 73: 334–339.

    Article  Google Scholar 

  7. Astorg P, Couthouis A, de Courcy GP, Bertrais S, Arnault N, Meneton P et al. Association of folate intake with the occurrence of depressive episodes in middle-aged French men and women. Br J Nutr 2008; 100: 183–187.

    Article  CAS  Google Scholar 

  8. Beydoun MA, Shroff MR, Beydoun HA, Zonderman AB . Serum folate, vitamin B-12, and homocysteine and their association with depressive symptoms among US adults. Psychosom Med 2010; 72: 862–873.

    Article  CAS  Google Scholar 

  9. Sachdev PS, Parslow RA, Lux O, Salonikas C, Wen W, Naidoo D et al. Relationship of homocysteine, folic acid and vitamin B12 with depression in a middle-aged community sample. Psychol Med 2005; 35: 529–538.

    Article  Google Scholar 

  10. Sanchez-Villegas A, Doreste J, Schlatter J, Pla J, Bes-Rastrollo M, Martinez-Gonzalez MA . Association between folate, vitamin B(6) and vitamin B(12) intake and depression in the SUN cohort study. J Hum Nutr Diet 2009; 22: 122–133.

    Article  CAS  Google Scholar 

  11. Dimopoulos N, Piperi C, Salonicioti A, Psarra V, Gazi F, Papadimitriou A et al. Correlation of folate, vitamin B12 and homocysteine plasma levels with depression in an elderly Greek population. Clin Biochem 2007; 40: 604–608.

    Article  CAS  Google Scholar 

  12. Merete C, Falcon LM, Tucker KL . Vitamin B6 is associated with depressive symptomatology in Massachusetts elders. J Am Coll Nutr 2008; 27: 421–427.

    Article  CAS  Google Scholar 

  13. Ng TP, Feng L, Niti M, Kua EH, Yap KB . Folate, vitamin B12, homocysteine, and depressive symptoms in a population sample of older Chinese adults. J Am Geriatr Soc 2009; 57: 871–876.

    Article  Google Scholar 

  14. Robinson DJ, O'Luanaigh C, Tehee E, O'Connell H, Hamilton F, Chin AV et al. Associations between holotranscobalamin, vitamin B12, homocysteine and depressive symptoms in community-dwelling elders. Int J Geriatr Psychiatry 2011; 26: 307–313.

    Article  CAS  Google Scholar 

  15. Tiemeier H, van Tuijl HR, Hofman A, Meijer J, Kiliaan AJ, Breteler MMB . Vitamin B12, folate, and homocysteine in depression: the Rotterdam Study. Am J Psychiatry 2002; 159: 2099–2101.

    Article  Google Scholar 

  16. Gilbody S, Lightfoot T, Sheldon T . Is low folate a risk factor for depression? A meta-analysis and exploration of heterogeneity. J Epidemiol Community Health 2007; 61: 631–637.

    Article  Google Scholar 

  17. Skarupski KA, Tangney C, Li H, Ouyang B, Evans DA, Morris MC . Longitudinal association of vitamin B-6, folate, and vitamin B-12 with depressive symptoms among older adults over time. Am J Clin Nutr 2010; 92: 330–335.

    Article  CAS  Google Scholar 

  18. Bryan J, Calvaresi E, Hughes D . Short-term folate, vitamin B-12 or vitamin B-6 supplementation slightly affects memory performance but not mood in women of various ages. J Nutr 2002; 132: 1345–1356.

    Article  CAS  Google Scholar 

  19. Christensen H, Aiken A, Batterham PJ, Walker J, Mackinnon AJ, Fenech M et al. No clear potentiation of antidepressant medication effects by folic acid+vitamin B(12) in a large community sample. J Affect Disord 2011; 130: 37–45.

    Article  CAS  Google Scholar 

  20. Ford AH, Flicker L, Thomas J, Norman P, Jamrozik K, Almeida OP . Vitamins B12, B6, and folic acid for onset of depressive symptoms in older men: results from a 2-year placebo-controlled randomized trial. J Clin Psychiatry 2008; 69: 1203–1209.

    Article  CAS  Google Scholar 

  21. Walker JG, Mackinnon AJ, Batterham PJ, Jorm AF, Hickie IB, McCarthy A et al. Mental health literacy, folic acid and vitamin B12, and physical activity for the prevention of depression in older adults: randomised controlled trial. Br J Psychiatry 2010; 197: 45–54.

    Article  Google Scholar 

  22. Okereke OI, Cook NR, Albert CM, Van Denburgh M, Buring JE, Manson JE . Effect of long-term supplementation with folic acid and B vitamins on risk of depression in older women. Br J Psychiatry 2015; 206: 324–331.

    Article  Google Scholar 

  23. Gaudreau P, Morais JA, Shatenstein B, Gray-Donald K, Khalil A, Dionne I et al. Nutrition as a determinant of successful aging: description of the Quebec longitudinal study Nuage and results from cross-sectional pilot studies. Rejuvenation Res 2007; 10: 377–386.

    Article  CAS  Google Scholar 

  24. Palaniappan U, Cue RI, Payette H, Gray-Donald K . Implications of day-to-day variability on measurements of usual food and nutrient intakes. J Nutr 2003; 133: 232–235.

    Article  CAS  Google Scholar 

  25. Health Canada. Canadian nutrient file. 2007 [cited 18 February 2008]; Version 2007b: [Available from: http://www.hc-sc.gc.ca/fn-an/nutrition/fiche-nutri-data/index_e.html.

  26. Yesavage JA, Brink TL, Rose TL, Lum O, Huang V, Adey M et al. Development and validation of a geriatric depression screening scale: a preliminary report. J Psychiatr Res 1983; 17: 37–49.

    Article  CAS  Google Scholar 

  27. McDowell I . Measuring Health: A Guide to Rating Scales and Questionnaires. 3rd edn. Oxford University Press: New York, 2006; p 748.

    Book  Google Scholar 

  28. Voyer P, Cappeliez P, Pérodeau G, Préville M . Mental health for older adults and benzodiazpine use. J Community Health Nurs 2005; 22: 213–229.

    Article  Google Scholar 

  29. Washburn RA, Smith KW, Jette AM, Janney CA . The Physical Activity Scale for the Elderly (PASE): development and evaluation. J Clin Epidemiol 1993; 46: 153–162.

    Article  CAS  Google Scholar 

  30. Desrosiers J, Bravo G, Hébert R, Dubuc N . Reliability of the Revised Functional Autonomy Measurement System (SMAF) for epidemiological research. Age Ageing 1995; 24: 402–406.

    Article  CAS  Google Scholar 

  31. Payette H, Guigoz Y, Vellas BJ . Study design for nutritional assessments in the elderly. In: Yu BP ed. Methods in Aging Research. CRC Press LLC: Boca Raton, 1999, pp 301–320.

    Google Scholar 

  32. Otten JJ, Hellwig JP, Meyers LD (eds). Institute of Medicine Dietary Reference Intakes: The Essential Guide to Nutrient Requirements. The National Academies Press: Washington, DC, USA, 2006; p 543.

    Google Scholar 

  33. Bjelland I, Tell GS, Vollset SE, Refsum H, Ueland PM . Folate, vitamin B12, homocysteine, and the MTHFR 677C-&gt;T polymorphism in anxiety and depression: the Hordaland Homocysteine Study. Arch Gen Psychiatry 2003; 60: 618–626.

    Article  CAS  Google Scholar 

  34. Lee S, Wing YK, Fong S . A controlled study of folate levels in Chinese inpatients with major depression in Hong Kong. J Affect Disord 1998; 49: 73–77.

    Article  CAS  Google Scholar 

  35. Lindeman RD, Romero LJ, Koehler KM, Liang HC, LaRue A, Baumgartner RN et al. Serum vitamin B12, C and folate concentrations in the New Mexico elder health survey: correlations with cognitive and affective functions. J Am Coll Nutr 2000; 19: 68–76.

    Article  CAS  Google Scholar 

  36. Ramos MI, Allen LH, Haan MN, Green R, Miller JW . Plasma folate concentrations are associated with depressive symptoms in elderly Latina women despite folic acid fortification. Am J Clin Nutr 2004; 80: 1024–1028.

    Article  CAS  Google Scholar 

  37. Murakami K, Mizoue T, Sasaki S, Ohta M, Sato M, Matsushita Y et al. Dietary intake of folate, other B vitamins, and omega-3 polyunsaturated fatty acids in relation to depressive symptoms in Japanese adults. Nutrition 2008; 24: 140–147.

    Article  CAS  Google Scholar 

  38. Penninx BW, Guralnik JM, Ferrucci L, Fried LP, Allen RH, Stabler SP . Vitamin B12 deficiency and depression in physically disabled older women: epidemiologic evidence from the Women's Health and Aging Study. Am J Psychiatry 2000; 157: 715–721.

    Article  CAS  Google Scholar 

  39. Tolmunen T, Voutilainen S, Hintikka J, Rissanen T, Tanskanen A, Viinamaki H et al. Dietary folate and depressive symptoms are associated in middle-aged Finnish men. J Nutr 2003; 133: 3233–3236.

    Article  CAS  Google Scholar 

  40. Nanri A, Mizoue T, Matsushita Y, Sasaki S, Ohta M, Sato M et al. Serum folate and homocysteine and depressive symptoms among Japanese men and women. Eur J Clin Nutr 2010; 64: 289–296.

    Article  CAS  Google Scholar 

  41. Ng TP, Niti M, Zaw MH, Kua EH . Depressive symptoms and incident cognitive impairment in cognitively well-functioning older men and women. J Am Geriatr Soc 2009; 57: 1058–1063.

    Article  Google Scholar 

  42. Sanchez-Villegas A, Henriquez P, Bes-Rastrollo M, Doreste J . Mediterranean diet and depression. Public Health Nutr 2006; 9: 1104–1109.

    Article  CAS  Google Scholar 

  43. Almeida OP, Marsh K, Alfonso H, Flicker L, Davis TME, Hankey GJ . B-vitamins reduce the long-term risk of depression after stroke: the VITATOPS-DEP trial. Ann Neurol 2010; 68: 503–510.

    Article  CAS  Google Scholar 

  44. Gougeon L, Payette H, Morais J, Gaudreau P, Shatenstein B, Gray-Donald K . Dietary patterns and incidence of depression in a cohort of community-dwelling older Canadians. J Nutr Health Aging 2015; 19: 431–436.

    Article  CAS  Google Scholar 

  45. Payette H, Shatenstein B . Determinants of healthy eating in community-dwelling elderly people. Can J Public Health 2005; 96: S27–S31. S0-5.

    PubMed  Google Scholar 

  46. Almeida OP, Pirkis J, Kerse N, Sim M, Flicker L, Snowdon J et al. Socioeconomic disadvantage increases risk of prevalent and persistent depression in later life. J Affect Disord 2012; 138: 322–331.

    Article  Google Scholar 

  47. Wolfe AR, Arroyo C, Tedders SH, Li Y, Dai Q, Zhang J . Dietary protein and protein-rich food in relation to severely depressed mood: a 10-year follow-up of a national cohort. Prog Neuropsychopharmacol Biol Psychiatry 2011; 35: 232–238.

    Article  CAS  Google Scholar 

Download references

Acknowledgements

We thank the men and women of the NuAge cohort for their generous participation in the study and the research personnel for their highly professional and devoted work. The NuAge study was supported by the Canadian Institute of Health Research (CIHR), grant no. MOP-62842, the Fonds de la Recherche en Santé du Québec (FRSQ) and the Québec Network for Research on Aging.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to L Gougeon.

Ethics declarations

Competing interests

The authors declare no conflict of interest.

Additional information

This work was presented in part, as a poster, at the 42nd Canadian Association on Gerontology’s Annual Meeting, 17–19 October 2013, Halifax, NS, Canada.

Supplementary Information accompanies this paper on European Journal of Clinical Nutrition website

Supplementary information

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Gougeon, L., Payette, H., Morais, J. et al. Intakes of folate, vitamin B6 and B12 and risk of depression in community-dwelling older adults: the Quebec Longitudinal Study on Nutrition and Aging. Eur J Clin Nutr 70, 380–385 (2016). https://doi.org/10.1038/ejcn.2015.202

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/ejcn.2015.202

This article is cited by

Search

Quick links