Seasonal Variations in Vitamin D Levels and the Incident Dementia Among Older Adults Aged ≥60 Years in the UK Biobank1

Background: Limited knowledge exists regarding the association between dementia incidence and vitamin D insufficiency/deficiency across seasons.Objective: This study aimed to evaluate the impact of seasonal serum vitamin D (25(OH)D) levels on dementia and its subtypes, considering potential modifiers.Methods: We analyzed 193,003 individuals aged 60–73 at baseline (2006–2010) from the UK Biobank cohort, with follow-up until 2018. 25(OH)D were measured at baseline, and incident dementia cases were identified through hospital records, death certificates, and self-reports.Results: Out of 1,874 documented all-cause dementia cases, the median follow-up duration was 8.9 years. Linear and nonlinear associations between 25(OH)D and dementia incidence across seasons were observed. In multivariable-adjusted analysis, 25(OH)D deficiency was associated with a 1.5-fold (95% CIs: 1.2–2.0), 2.2-fold (1.5–3.0), 2.0-fold (1.5–2.7), and 1.7-fold (1.3–2.3) increased incidence of all-cause dementia in spring, summer, autumn, and winter, respectively. Adjusting for seasonal variations, 25(OH)D insufficiency and deficiency were associated with a 1.3-fold (1.1–1.4) and 1.8-fold (1.6–2.2) increased dementia incidence, respectively. This association remained significant across subgroups, including baseline age, gender, and education levels. Furthermore, 25(OH)D deficiency was associated with a 1.4-fold (1.1–1.8) and 1.5-fold (1.1–2.0) higher incidence of Alzheimer’s disease and vascular dementia, respectively. These associations remained significant across all subgroups.Conclusions: 25(OH)D deficiency is associated with an increased incidence of dementia and its subtypes throughout the year.