Vitamin B12 관련 영양 결핍성 인지 장애
A 근거 여러 대규모 임상 시험이 일관되게 유의미한 효과를 보여줍니다.A study of 202 people with cognitive impairment and low B12 levels found supplementation improved cognition in 84% of patients and memory/attention scores in 78%. Subclinical low-normal B12 is associated with increased risk of neurodegenerative conditions.
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A
결론
A study of 202 people with cognitive impairment and low B12 levels found supplementation improved cognition in 84% of patients and memory/attention scores in 78%. Subclinical low-normal B12 is associated with increased risk of neurodegenerative conditions.
Key Study Findings
Observational Study
n=2582
Relationship Between Serum Vitamins and Cognitive Impairment in the Elderly: A Study Based on the …
Dose: None
vs: None
Outcome: Cognitive impairment risk
효과: OR=0.695 (Vit D); OR=0.777 (FA)
p=0.003 (Vit D); p=0.034 (FA)
대상 집단: Elderly participants aged 60+ from NHANES 2011-2014
Meta-Analysis
Associations between Diet and Cognitive Function in Stroke Survivors: A Systematic Review and Meta-analysis.
Dose: None
vs: Standard care or placebo
Outcome: Global cognition in stroke survivors
효과: SMD=0.62 (energy-protein); SMD=-0.40 (B-vitamins)
0.009 (protein); 0.02 (B-vit)
대상 집단: Adult stroke survivors (20 trials + 14 observational)
Review
Vitamin B12 Deficiency: Common Questions and Answers.
Dose: None
vs: None
Outcome: None
효과: None
None
대상 집단: Adults with vitamin B12 deficiency
Review
B-vitamins and one-carbon metabolism during pregnancy: health impacts and challenges.
Dose: None
vs: None
Outcome: Pregnancy outcomes and offspring neurodevelopment
효과: None
None
대상 집단: Pregnant women (review)
Randomized Controlled Trial
Double-blind
Relationships of B12 and Homocysteine with Outcomes in the SURE-PD, SURE-PD3, and STEADY-PDIII Trials.
Dose: Vitamin B12 (measured, not supplemented)
vs: Within-trial comparison
Outcome: B12/homocysteine association with PD outcomes
효과: None
None
대상 집단: Early Parkinson's disease patients
Review
Excess Folic Acid and Vitamin B12 Deficiency: Clinical Implications?
Dose: >5 mg/day
vs: None
Outcome: B12 deficiency exacerbation by excess folic acid
효과: None
None
대상 집단: Older adults and at-risk B12 deficient individuals
Key Statistics
25
연구
3500
참여자
↑
Positive
A
등급
Referenced Papers
Brain and behavior
2026
The Proceedings of …
2025
5 인용
Associations between Diet and Cognitive Function in Stroke Survivors: A Systematic Review and Meta-analysis.
Meta-Analysis
Advances in nutrition …
2025
1 인용
American family physician
2025
Food and nutrition …
2024
19 인용
European journal of …
2024
16 인용
Journal of Parkinson's …
2024
1 인용
Nutrients
2023
9 인용
Clinical nutrition ESPEN
2023
5 인용
Nutrients
2021
76 인용
The Pan African …
2021
20 인용
The Senior care …
2021
2 인용
Systematic reviews
2020
29 인용
Journal of Alzheimer's …
2018
281 인용
The journal of …
2017
75 인용
Nutrition research (New …
2016
131 인용
Ginekologia polska
2015
7 인용
[Vitamins and nutritional supplements in older persons: How to diagnose and when to substitute?].
Review
Der Internist
2015
3 인용
Ontario health technology …
2013
European journal of …
2012
225 인용
Vitamin B6, B12, and folic acid supplementation and cognitive function: a systematic review of randomized trials.
Systematic Review
Archives of internal …
2007
222 인용
Evidence report/technology assessment
2006
Folic acid with or without vitamin B12 for cognition and dementia.
Systematic Review
The Cochrane database …
2003
263 인용
Current opinion in …
1998
30 인용
Dosage & Usage
mg = milligrams · mcg = micrograms (1,000× smaller) · IU = International Units
일반적으로 사용되는 용량
- general:
- 2.4 mcg/day (RDA)
- deficiency:
- 1,000-2,000 mcg/day
- cognitivesupport:
- 500-1,000 mcg/day
상한량: No established UL (water-soluble, low toxicity)
연구에서 사용된 용량
| 용량 | 기간 | 효과 | N |
|---|---|---|---|
| None | -- | Positive | 2582 |
| None | -- | Mixed | -- |
| None | -- | Mixed | -- |
| None | -- | Positive | -- |
| Vitamin B12 (measured, not supplemented) | -- | Positive | -- |
| >5 mg/day | -- | Negative | -- |
| None | -- | Positive | -- |
| None | -- | Positive | -- |
권장 복용 시간: Morning, on empty stomach for better absorption (sublingual)
Safety & Side Effects
보고된 부작용
- ⚠ Generally very well-tolerated
- ⚠ Rare: acne-like eruptions at high doses
- ⚠ Injection site reactions (injectable form)
알려진 상호작용
- ● Metformin (reduces B12 absorption)
- ● Proton pump inhibitors (reduce B12 absorption)
- ● Colchicine (reduces B12 absorption)
일일 최대 섭취 허용량: No established UL (water-soluble, low toxicity)
건강기능식품을 복용하기 전에 반드시 의료 전문가와 상담하십시오.
Frequently Asked Questions
Does Vitamin B12 help with 영양 결핍성 인지 장애?
Based on 25 studies with 3,500 participants, there is strong evidence from multiple clinical trials that Vitamin B12 may support 영양 결핍성 인지 장애 management. Our evidence grade is A (Strong Evidence).
How much Vitamin B12 should I take for 영양 결핍성 인지 장애?
Studies have used various dosages. A commonly studied range is 2.4 mcg/day (RDA). Always consult your healthcare provider before starting any supplement regimen.
Are there side effects of Vitamin B12?
Reported side effects may include Generally very well-tolerated, Rare: acne-like eruptions at high doses, Injection site reactions (injectable form). Most side effects are mild and dose-dependent. Consult your doctor if you experience any adverse reactions.
How strong is the evidence for Vitamin B12 and 영양 결핍성 인지 장애?
We rate the evidence as Grade A (Strong Evidence). This rating is based on 25 peer-reviewed studies with 3,500 total participants. The overall direction of effect is positive.
Related Evidence
관련 다른 성분: 영양 결핍성 인지 장애
Vitamin B12 다른 건강 상태에 대한 근거
References
- [1] Jiarui Miao et al.. Brain Behav. 2026. Relationship Between Serum Vitamins and Cognitive Impairment in the Elderly: A Study Based on the NHANES Database. doi:10.1002/brb3.71181 PubMed
- [2] Kristina Pentieva et al.. Proc Nutr Soc. 2025. B-vitamins and one-carbon metabolism during pregnancy: health impacts and challenges. doi:10.1017/S0029665124004865 PubMed
- [3] Sasan Amanat et al.. Adv Nutr. 2025. Associations between Diet and Cognitive Function in Stroke Survivors: A Systematic Review and Meta-analysis. doi:10.1016/j.advnut.2025.100440 PubMed
- [4] Hiten Patel et al.. Am Fam Physician. 2025. Vitamin B12 Deficiency: Common Questions and Answers. PubMed
- [5] Joshua W Miller et al.. Food Nutr Bull. 2024. Excess Folic Acid and Vitamin B12 Deficiency: Clinical Implications? doi:10.1177/03795721241229503 PubMed
- [6] Jing Chang et al.. Eur J Nutr. 2024. Effects of vitamins and polyunsaturated fatty acids on cognitive function in older adults with mild cognitive impairment: a meta-analysis of … doi:10.1007/s00394-024-03324-y PubMed
- [7] Chadwick W Christine et al.. J Parkinsons Dis. 2024. Relationships of B12 and Homocysteine with Outcomes in the SURE-PD, SURE-PD3, and STEADY-PDIII Trials. doi:10.3233/JPD-240035 PubMed
- [8] Sapna Virdi et al.. Nutrients. 2023. The Role of One-Carbon Metabolism in Healthy Brain Aging. doi:10.3390/nu15183891 PubMed
- [9] Cecília Zanin Palchetti et al.. Clin Nutr ESPEN. 2023. Dietary folate intake and its association with longitudinal changes in cognition function. doi:10.1016/j.clnesp.2023.04.013 PubMed
- [10] Stefan Markun et al.. Nutrients. 2021. Effects of Vitamin B12 Supplementation on Cognitive Function, Depressive Symptoms, and Fatigue: A Systematic Review, Meta-Analysis, and Meta-Regression. doi:10.3390/nu13030923 PubMed
- [11] Brahim El Hasbaoui et al.. Pan Afr Med J. 2021. Vitamin B12 deficiency: case report and review of literature. doi:10.11604/pamj.2021.38.237.20967 PubMed
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- [13] Annika Behrens et al.. Syst Rev. 2020. Vitamin B-Can it prevent cognitive decline? A systematic review and meta-analysis. doi:10.1186/s13643-020-01378-7 PubMed
- [14] A David Smith et al.. J Alzheimers Dis. 2018. Homocysteine and Dementia: An International Consensus Statement. doi:10.3233/JAD-171042 PubMed
- [15] G Iolascon et al.. J Nutr Health Aging. 2017. Are Dietary Supplements and Nutraceuticals Effective for Musculoskeletal Health and Cognitive Function? A Scoping Review. doi:10.1007/s12603-016-0823-x PubMed
- [16] J David Spence. Nutr Res. 2016. Metabolic vitamin B12 deficiency: a missed opportunity to prevent dementia and stroke. doi:10.1016/j.nutres.2015.10.003 PubMed
- [17] Krzysztof Drews. Ginekol Pol. 2015. [Folate metabolism--epigenetic role of choline and vitamin B12 during pregnancy]. doi:10.17772/gp/60561 PubMed
- [18] D Polivka et al.. Internist (Berl). 2015. [Vitamins and nutritional supplements in older persons: How to diagnose and when to substitute?]. doi:10.1007/s00108-015-3778-9 PubMed
- [19] Health Quality Ontario. Ont Health Technol Assess Ser. 2013. Vitamin B12 and cognitive function: an evidence-based analysis. PubMed
- [20] Nils Hovdenak et al.. Eur J Obstet Gynecol Reprod Biol. 2012. Influence of mineral and vitamin supplements on pregnancy outcome. doi:10.1016/j.ejogrb.2012.06.020 PubMed
- [21] Ethan M Balk et al.. Arch Intern Med. 2007. Vitamin B6, B12, and folic acid supplementation and cognitive function: a systematic review of randomized trials. doi:10.1001/archinte.167.1.21 PubMed
- [22] Han-Yo Huang et al.. Evid Rep Technol Assess (Full Rep). 2006. Multivitamin/mineral supplements and prevention of chronic disease. PubMed
- [23] M Malouf et al.. Cochrane Database Syst Rev. 2003. Folic acid with or without vitamin B12 for cognition and dementia. doi:10.1002/14651858.CD004514 PubMed
- [24] W J Riedel et al.. Curr Opin Clin Nutr Metab Care. 1998. Nutrients, age and cognitive function. doi:10.1097/00075197-199811000-00017 PubMed
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