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 Nun Study: Folic Acid May Slow Degeneration of the Brain in Alzheimer’s Disease

Contact Vikki Franklin


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More information on the Nun Study may be obtained at www.coa.uky.edu/nunnet 

See related stories in the May 17, 1999, issues of the Lexington Herald-Leader and the Louisville Courier-Journal.

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LEXINGTON, KY (May 17, 1999) – Folic acid or folate – a common nutrient found in multivitamins, leafy green vegetables and bread – may retard the destruction of the brain in Alzheimer’s disease, according to new findings from the internationally-known Nun Study at the University of Kentucky Sanders-Brown Center on Aging.

David Snowdon, Ph.D., lead author of the new study, will release the findings at a presentation May 18 at the National Institutes of Health in Bethesda, Md. Snowdon is one of four presenters of lectures in honor of the 100th birthday of Florence Mahoney, a founding member of the National Advisory Council on Aging.

Folic acid has a well-established role in preventing congenital nervous system abnormalities, such as spina bifida and mental retardation in children. "Folate is important in the development of the human nervous system during pregnancy, and also may play a role in the maintenance of the integrity of the brain in late life," Snowdon said.

Recent findings from other studies suggest folate also may be important in preventing coronary heart disease, stroke, and breast and colon cancers.

The Nun Study is a longitudinal study of aging and Alzheimer’s disease in 678 elderly School Sisters of Notre Dame who have lived in convents throughout the Midwestern, Eastern, and Southern regions of the United States. Each participant agrees to yearly examinations and to brain donation at death.

The nutritional findings were based on nuns who lived in the Mankato, Minn., convent, ate from the same kitchen, and had comparable environments and lifestyles. Blood levels of folate and other nutrients were assessed in 1993. Since then, 30 of those women died and donated their brains for the study.

Low serum folate was associated strongly with shrinkage of the neocortex in these women. The neocortex is the primary region of the brain affected in Alzheimer’s disease. It is responsible for thinking, planning, communicating, and creativity, among other functions.

"Slowing the destruction of the neocortex of the brain is a promising method of preventing, or at least delaying, the symptoms, of Alzheimer’s disease," Snowdon said.

In the study, low blood levels of folate correlated with the severity of atrophy of the neocortex. The correlation particularly was strong among 15 participants with significant numbers of Alzheimer’s disease lesions in the brain. None of 18 other nutrients and nutritional markers had significant negative correlations with atrophy.

These findings are consistent with recent findings from Oxford, England, reported in Archives of Neurology in November 1998 which also suggest that folate may minimize the neurodegeneration of the brain in Alzheimer’s disease.

The National Institute on Aging, part of the NIH, has funded the Nun Study for the past eight years. In addition to Snowdon, who is an associate professor in the Department of Preventive Medicine and Environmental Health, authors of the new findings are: William Markesbery, M.D., director of the Sanders-Brown Center on Aging; Kathryn Riley, Ph.D., associate professor, Department of Preventive Medicine and Environmental Health; Charles Smith, M.D., associate professor, Department of Neurology; and Christine Tully, M.D., director of extended health care, Veterans Affairs Medical Center, Columbia, S.C.

 

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