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These studies suggest that vitamin B12 may help reduce the risk of ischemic stroke, improve sperm parameters and fertility, and lower homocysteine levels in men, but it does not improve cognitive function, reduce depression, or significantly affect bone mineral density.
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Research has investigated the impact of vitamin B12 supplementation on cognitive function in older men. A study involving 299 hypertensive men aged 75 and older found that daily supplementation with vitamins B12, B6, and folic acid over two years did not significantly improve cognitive function or reduce the risk of cognitive impairment and dementia. This suggests that while vitamin B12 is essential for neurological health, supplementation may not provide cognitive benefits in older men already receiving adequate nutrition.
The relationship between vitamin B12 and depression has also been explored. A two-year placebo-controlled trial with 299 men aged 75 and older showed that supplementation with vitamins B12, B6, and folic acid did not significantly reduce the severity of depressive symptoms or the incidence of clinically significant depression. However, a systematic review and meta-analysis indicated that higher dietary intake of vitamin B12 might be inversely associated with the risk of depression, particularly in females. This suggests that while supplementation may not be effective in older men, adequate dietary intake of vitamin B12 could play a role in mental health maintenance.
A cross-sectional study highlighted that men are more susceptible to vitamin B12 deficiency compared to women, with a deficiency prevalence of 25.5% in men versus 18.9% in women. This increased susceptibility in men could be due to genetic variations rather than dietary habits or hormonal differences. The study underscores the importance of monitoring vitamin B12 levels, especially in men, to prevent associated health issues.
Elevated homocysteine levels are a known risk factor for cardiovascular diseases. Research has shown that B vitamin supplementation, including B12, can significantly lower homocysteine levels, particularly in individuals with B12 deficiency or hyperhomocysteinemia. This suggests that men with these conditions may benefit the most from B vitamin supplementation to reduce cardiovascular risk.
Low plasma vitamin B12 levels have been associated with lower bone mineral density (BMD) in men. A study from the Framingham Osteoporosis Study found that men with plasma B12 levels below 148 pM had significantly lower BMD at the hip. This indicates that maintaining adequate vitamin B12 levels is crucial for bone health in men, potentially reducing the risk of osteoporosis and fractures.
A genome-wide association study identified several genetic loci associated with serum vitamin B12 levels in Chinese men, including MS4A3, CLYBL, FUT6, and a region on 5q32. These findings provide insights into the genetic factors that influence vitamin B12 levels and highlight the importance of personalized nutrition and genetic screening in managing vitamin B12 status.
Vitamin B12 plays a critical role in various aspects of men's health, including cognitive function, mental health, cardiovascular health, bone density, and genetic factors. While supplementation may not significantly improve cognitive function or reduce depression in older men, maintaining adequate dietary intake and monitoring vitamin B12 levels are essential for overall health. Men, particularly those with genetic predispositions or existing deficiencies, should ensure they receive sufficient vitamin B12 to mitigate associated health risks.
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