Background/Aims: The impact of vitamin B status on cognitive functioning in Alzheimer’s disease (AD) is disputed. Using a population-based sample, we examined the associations of vitamin B12 and folate with cognitive functioning in clinical (n = 44) and preclinical (n = 39) AD. Methods: The groups were subdivided in terms of low (<200 pmol/l) versus normal levels of B12 and low (<13 nmol/l) versus normal folate levels. Participants were administered tests of verbal and nonverbal episodic memory, visuospatial abilities and verbal fluency. Results: As expected, the preclinical AD group performed better than the AD group across most cognitive tests. More interestingly, the effects of low vitamin B12 and folate levels were negligible across all cognitive tests in clinical and preclinical AD. Conclusion: These findings suggest that the influence of vitamin B deficiency on cognitive functioning is overshadowed by the neurodegenerative processes associated with AD.
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