Evidence map›Paper›PMID 42268794›Full record

ArticlePloS one2026

Plasma vitamin C levels are associated with brain structural networks on MRI: A large cohort study.

Haruka Nagaya, Keita Watanabe, Tomohiro Shintaku, Miho Sasaki, Jusei Kudo, Sera Kasai, Yuka Ishimoto, Kana Saito, Shuichi Matsuhashi, Taiki Koshiishi and 12 more

Abstract read
In one paragraph

Article in PloS one, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

22 authors.

Haruka NagayaDepartment of Radiology, Graduate School of Medicine, Hirosaki University, Hirosaki, Japan.
Keita WatanabeDepartment of Radiology, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Tomohiro ShintakuDepartment of Radiology, Graduate School of Medicine, Hirosaki University, Hirosaki, Japan.ORCID https://orcid.org/0009-0009-8804-3585
Miho SasakiDepartment of Radiology, Graduate School of Medicine, Hirosaki University, Hirosaki, Japan.
Jusei KudoDepartment of Radiology, Graduate School of Medicine, Hirosaki University, Hirosaki, Japan.ORCID https://orcid.org/0009-0002-8930-1936
Sera KasaiDepartment of Radiology, Graduate School of Medicine, Hirosaki University, Hirosaki, Japan.
Yuka IshimotoDepartment of Radiology, Graduate School of Medicine, Hirosaki University, Hirosaki, Japan.
Kana SaitoDepartment of Radiology, Graduate School of Medicine, Hirosaki University, Hirosaki, Japan.
Shuichi MatsuhashiDepartment of Radiology, Graduate School of Medicine, Hirosaki University, Hirosaki, Japan.
Taiki KoshiishiDepartment of Radiology, Graduate School of Medicine, Hirosaki University, Hirosaki, Japan.
Mizuki ImuraDepartment of Radiology, Graduate School of Medicine, Hirosaki University, Hirosaki, Japan.
Amo OzawaDepartment of Radiology, Graduate School of Medicine, Hirosaki University, Hirosaki, Japan.
Saaya MoriDepartment of Radiology, Graduate School of Medicine, Hirosaki University, Hirosaki, Japan.
Daisuke WatanabeDepartment of Radiology, Graduate School of Medicine, Hirosaki University, Hirosaki, Japan.
Shin ShukunobeDepartment of Radiology, Graduate School of Medicine, Hirosaki University, Hirosaki, Japan.
Tatsuro SasakiDepartment of Radiology, Graduate School of Medicine, Hirosaki University, Hirosaki, Japan.
Soichiro TatsuoDepartment of Radiology, Graduate School of Medicine, Hirosaki University, Hirosaki, Japan.
Shinya KakehataDepartment of Radiology, Graduate School of Medicine, Hirosaki University, Hirosaki, Japan.
Tatsuya MikamiInnovation Center for Health Promotion, Hirosaki University, Hirosaki, Japan.
Daichi KokubuDiet & Well-being Research Institute, KAGOME CO., LTD., Nasushiobara, Japan.
Yusuke UshidaDiet & Well-being Research Institute, KAGOME CO., LTD., Nasushiobara, Japan.
Shingo KakedaDepartment of Radiology, Graduate School of Medicine, Hirosaki University, Hirosaki, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNeurodegenerative diseases significantly impact brain health in older adults, and although dietary vitamin C intake has been associated with a reduced risk of cognitive impairment, it remains unclear whether plasma vitamin C levels independently affect brain structure and neural connectivity. This study aimed to investigate whether plasma vitamin C levels were independently associated with brain volume and default mode network (DMN) connectivity in older adults.

methodsAll participants underwent 3T magnetic resonance imaging (MRI). Total intracranial volume (ICV), gray matter volume (GMV), and white matter volume (WMV) were calculated using CAT 12 in SPM 12. DMN connectivity was assessed using independent component analysis, based on shared GMV variance across voxels, and quantified by the loading coefficients. Multiple regression analysis was used to investigate the associations among brain volume, DMN connectivity measurements, and plasma vitamin C levels. These analyses were adjusted for potential confounders (age, sex, Mini-Mental State Examination score, diabetes, hypertension, hyperlipidemia, and education levels), and lifestyle factors (smoking history, drinking history, and physical activity). GMV/ICV ratio and WMV/ICV ratio were calculated to adjust for individual differences in head size.

resultsThis cross-sectional study included 2,044 participants (median age, 69 years; females, 61.1%). Low plasma vitamin C levels were significantly and independently associated with the GMV/ICV ratio (p < 0.001) and DMN connectivity (p < 0.001).

conclusionsIn conclusion, our findings demonstrate that plasma vitamin C levels are positively associated with the structural integrity of the gray matter and DMN connectivity, generating the hypothesis that vitamin C may play a role in brain health.

Indexed as

Ascorbic AcidBrainMagnetic Resonance ImagingAgedCohort StudiesCross-Sectional StudiesFemaleGray MatterHumansMaleMiddle AgedWhite MatterAscorbic Acid

Identifiers

PMID42268794
PMCPMC13252722

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.