Vitamin D deficiency linked to depression in older people

Credit: Knowridge Science Report

In a new study, researchers found that a deficiency in vitamin D was linked to a substantially increased risk of depression (+75%) over a four-year follow-up period.

The stud was conducted by researchers at Trinity College Dublin. It is the largest representative study of its kind.

Later life depression can significantly reduce the quality of life and is a potent risk factor for functional decline, admission to residential care and early death.

Given the complex nature of depression, including the fact that the majority of older adults are undiagnosed, prevention is a priority and the identification of important risk factors is crucial.

Vitamin D or the ‘sunshine vitamin’ is essential for bone health and deficiency, and has recently been linked with other non-bone health outcomes such as inflammation and diabetes.

Small studies have found links between vitamin D and depression but few have followed up with the same affected people over time, while others have not taken into account other factors that can also affect depression.

These findings are important as the TILDA team has previously reported that 1 in 8 older Irish adults are deficient in vitamin D.

The current study investigated the links between vitamin D and depression in older Irish adults and then re-examined the participants four years later to see if vitamin D status affected the risk of developing depression.

The authors found that vitamin D deficiency was associated with a 75% increase in the risk of developing depression by 4 years.

This finding remained robust after controlling for a wide range of relevant factors including depressive symptoms, chronic disease burden, physical activity, and cardiovascular disease.

Furthermore, excluding participants taking anti-depressant medication and vitamin D supplementation from the analyses did not alter the findings.

The authors suggest that the findings could be due to the potential direct effect of vitamin D on the brain.

Given the structural and functional brain changes seen in late-life depression, vitamin D may have a protective effect in attenuating these changes.

Similarly, other studies have shown that vitamin D status has also been linked with neurodegenerative conditions such as dementia, Parkinson’s disease, and Multiple Sclerosis.

These findings are important as vitamin D status is relatively easy and inexpensive to modify through supplementation or fortification.

However, In Ireland, fortification of food products with vitamin D is voluntary and few manufacturers do this. This is compounded by the lack of any vitamin D guidelines from Government.

The findings will provide useful information to help inform public health policy—particularly regarding the proposition of the usefulness of vitamin D treatment/supplementation for depression.

Given that vitamin D is safe in the recommended intakes and is relatively cheap, this study adds to the growing evidence on the benefits of vitamin D for health.

It also helps to continue to impress the need on our public health bodies to develop Irish vitamin D recommendations for the general public. Up to this point, these are severely lacking.”

The findings are published in the prestigious journal, The Journal of Post-Acute and Long-Term Care Medicine (JAMDA).

Copyright © 2018 Knowridge Science Report. All rights reserved.

Source: JAMDA.