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What is the impact of thiamine deficiency on cognitive function in patients with alcohol use disorder? - a systematic review

dc.contributor.authorTeixeira, Joana
dc.contributor.authorPereira, Inês
dc.contributor.authorCastanho, Miguel
dc.contributor.authorCouto, Frederico Simões do
dc.date.accessioned2025-03-05T14:07:06Z
dc.date.available2025-03-05T14:07:06Z
dc.date.issued2025-04-01
dc.description.abstractCognitive impairments are frequently observed in patients with Alcohol Use Disorder (AUD). Thiamine deficiency is often found in AUD patients and has been suggested as a possible cause of cognitive impairments. While thiamine deficiency is not consistently present in all AUD patients with cognitive deficits, thiamine is traditionally prescribed to patients with AUD to treat or prevent cognitive impairment. To better understand the relationship between thiamine levels and cognitive impairments in AUD patients, we conducted a systematic literature review following the Cochrane guidelines and adhering to the PRISMA-P framework. Additionally, this review is registered in PROSPERO under the reference CRD42024522058. Our research question was: “what is the impact of thiamine deficiency on cognitive function in patients with AUD?”. The studies included in this review assessed thiamine levels in AUD patients and found values at or above the threshold for many measures of thiamine deficiency. Despite baseline thiamine levels being above the cutoff for deficiency in these studies, many still identified a correlation between thiamine levels and cognitive function with lower thiamine levels associated with cognitive impairments in AUD patients. This review indicates that there is a relationship between thiamine levels and cognitive function in AUD patients, even in the absence of thiamine deficit. The cognitive domains particularly affected are visuospatial/executive ability, abstraction, attention, verbal fluency, and memory scores, notably delayed memory. Additionally, studies have demonstrated that thiamine supplementation in AUD patients, even in the absence of thiamine deficit, leads to improvements in cognitive function.pt_PT
dc.description.versioninfo:eu-repo/semantics/acceptedVersionpt_PT
dc.identifier.doi10.1016/j.ejim.2025.01.008pt_PT
dc.identifier.eid85215254345
dc.identifier.issn0953-6205
dc.identifier.pmid39818490
dc.identifier.urihttp://hdl.handle.net/10400.14/48426
dc.identifier.wos001460657500001
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectAlcohol use disorderpt_PT
dc.subjectCognitionpt_PT
dc.subjectCognitive functionpt_PT
dc.subjectThiaminept_PT
dc.subjectThiamine deficiencypt_PT
dc.titleWhat is the impact of thiamine deficiency on cognitive function in patients with alcohol use disorder? - a systematic reviewpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage65
oaire.citation.startPage59
oaire.citation.titleEuropean Journal of Internal Medicinept_PT
oaire.citation.volume134
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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