The Study
Beneficial Interactions Between B Vitamins and Omega‐3 Fatty Acids in the Prevention of Brain Atrophy and of Cognitive Decline in Early Stage Alzheimer's Disease
This study found that for older people with mild memory problems, taking B vitamins helped their memory only if they already had a lot of omega-3s in their blood. It didn't help everyone — just those with good omega-3 levels. So it's not a magic pill for everyone.
Analysis score
Maximum 90 for a randomized controlled trial.
Where the score came from
B vitamins can help slow memory loss in older adults, but only if they already have enough omega-3 fats in their blood — like having the right fuel for a car to work.
Where does this study sit?
Reviews of RCTs (Meta-analyses)
Max 100Randomized Trials
Max 90Reviews of Cohort Studies
Max 85Cohort Studies
Max 72Reviews of Case-Control Studies
Max 63Case-Control Studies
Max 58Cross-Sectional & Case Series
Max 50Expert Opinion
Max 560 / 100
Quality score
Participants are randomly assigned to treatment or control groups, minimizing bias. The gold standard for testing whether an intervention causes an effect.
Key takeaways
Summary
Based on the study abstract and findings.
- 1Yes — nearly twice as many people on placebo got worse, meaning B vitamins helped nearly half the people with good omega-3 levels avoid decline.
- 2In people with high omega-3 levels, 33% of those taking B vitamins got worse over 2 years, compared to 59% of those taking a placebo.
Score breakdown, methodology, conflicts of interest, evidence analysis & raw study data
Publication
Journal
The FASEB Journal
Year
2016
Authors
David Smith, H. Refsum, A. Oulhaj, C. Jager, F. Jernerén
Related Content
Claims (6)
Taking B vitamins might help protect your brain from shrinking, but only if you already have enough omega-3s in your body—like from fish or supplements.
If you're an older adult with mild memory problems, having more DHA (a type of omega-3 found in fish) in your blood might make B vitamins work better to help your brain, and DHA seems to help more than another omega-3 called EPA.
Some scientists think that taking B vitamins and omega-3s together might help slow memory loss in people with early memory problems, because B vitamins help turn one type of fat in the brain into another that’s full of omega-3s and helps brain cells communicate better.
For older people with early memory problems, taking B vitamins for two years might help slow memory loss and delay Alzheimer’s — but only if their blood already has high levels of omega-3 fats. In that group, fewer people on B vitamins got worse compared to those on a placebo.
Taking B vitamins won't help your memory or thinking if you don't already have enough omega-3s in your body — it's like trying to start a car with no gas, even if you turn the key.
Taking B vitamins and omega-3s together might slow down early Alzheimer’s disease, but only if you already have enough omega-3 in your body when you start.
Not medical advice. For informational purposes only. Always consult a qualified healthcare professional before making health decisions.