TY - JOUR
TI - Systematic review with dose-response meta-analyses between vitamin B-12 intake and European Micronutrient Recommendations Aligned's prioritized biomarkers of vitamin B-12 including randomized controlled trials and observational studies in adults and elderly persons
AU - Dullemeijer, C.
AU - Souverein, O.W.
AU - Doets, E.L.
AU - Van Der Voet, H.
AU - Van Wijngaarden, J.P.
AU - De Boer, W.J.
AU - Plada, M.
AU - Dhonukshe-Rutten, R.A.M.
AU - In't Veld, P.H.
AU - Cavelaars, A.E.J.M.
AU - De Groot, L.C.P.G.M.
AU - Van't Veer, P.
JO - AMERICAN JOURNAL OF CLINICAL NUTRITION
PY - 2013
VL - 97
TODO - 2
SP - 390-402
PB - 
SN - 0002-9165
TODO - 10.3945/ajcn.112.033951
TODO - cyanocobalamin;  multivitamin;  trace element, evidence based medicine;  human;  meta analysis;  milk;  nutritional requirement;  observational study;  randomized controlled trial (topic);  review;  vitamin intake, Adult;  Aged;  Aging;  Biological Markers;  European Union;  Evidence-Based Medicine;  Humans;  Methylmalonic Acid;  Nutrition Policy;  Nutritional Requirements;  Transcobalamins;  Vitamin B 12;  Vitamin B 12 Deficiency
TODO - Background: Many randomized controlled trials (RCTs) and observational studies have provided information on the association between vitamin B-12 intake and biomarkers. The use of these data to estimate dose-response relations provides a useful means to summarize the body of evidence. Objective: We systematically reviewed studies that investigated vitamin B-12 intake and biomarkers of vitamin B-12 status and estimated dose-response relations with the use of a meta-analysis. Design: This systematic review included all RCTs, prospective cohort studies, nested case-control studies, and cross-sectional studies in healthy adult populations published through January 2010 that supplied or measured dietary vitamin B-12 intake and measured vitamin B-12 status as serum or plasma vitamin B-12, methylmalonic acid (MMA), or holotranscobalamin. We calculated an intake-status regression coefficient (β) for each individual study and calculated the overall pooled β and SE (β) by using random-effects meta-analysis on a double-log scale. Results: The meta-analysis of observational studies showed a weaker slope of dose-response relations than the meta-analysis of RCTs. The pooled dose-response relation of all studies between vitamin B-12 intake and status indicated that a doubling of the vitamin B-12 intake increased vitamin B-12 concentrations by 11% (95% CI: 9.4%, 12.5%). This increase was larger for studies in elderly persons (13%) than in studies in adults (8%). The dose-response relation between vitamin B-12 intake and MMA concentrations indicated a decrease in MMA of 7% (95% CI: -210%, -24%) for every doubling of the vitamin B-12 intake. The assessment of risk of bias within individual studies and across studies indicated risk that was unlikely to seriously alter these results. Conclusion: The obtained dose-response estimate between vitamin B-12 intake and status provides complementary evidence to underpin recommendations for a vitamin B-12 intake of populations. © 2013 American Society for Nutrition.
ER -