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Source study found

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WebMD -- Error 404 (opens in a new tab)

webmd.com · 2023-02-14

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Supported.

The story matches what the study reports.

  • 2 supported

Checked against the study summary. The full text wasn't available, so some details couldn't be settled either way.

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Supported

Every claim holds up. All two claims match what the study reports.

  • 2 supported
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The source study

Effect of multivitamin-mineral supplementation versus placebo on cognitive function: results from the clinic subcohort of the COcoa Supplement and Multivitamin Outcomes Study (COSMOS) randomized clinical trial and meta-analysis of 3 cognitive studies within COSMOS.

The American Journal of Clinical Nutrition · 2024
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What the story left out

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  • The paper includes a COSMOS-Clinic randomized clinical trial subcohort analysis of daily multivitamin-mineral supplementation versus placebo in adults aged 60 years or older, with in-person neuropsychological testing over 2 years.

    The story mentions daily multivitamins and older adults but, according to the presentation, does not identify the randomized trial design, COSMOS-Clinic, the placebo comparison, the sample size, or the in-person neuropsychological assessment methods.

    From 2×2 factorial randomized clinical trial (MVM vs placebo comparison within COSMOS-Clinic)

  • COSMOS-Clinic results were mixed by cognitive domain: modest global cognition benefit with a confidence interval narrowly including zero, statistically significant episodic memory benefit, and no significant executive function/attention effect.

    The supplied story presentation does not mention the domain-specific pattern or the null executive function/attention finding, which materially qualifies a broad claim about slowing cognitive aging.

    From 2×2 factorial randomized clinical trial (MVM vs placebo comparison within COSMOS-Clinic)

2 things the story did carry across
  • The paper’s pooled estimate comes from an internal meta-analysis of three nonoverlapping COSMOS cognitive substudies: COSMOS-Clinic, COSMOS-Mind, and COSMOS-Web.
  • The pooled meta-analysis found small statistically significant benefits on global cognition and episodic memory, reported in standardized effect-size units, with the approximately 2-year cognitive-aging interpretation tied to global cognition.
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study summary

Lead result

human in vivo

1Lead resulthuman in vivoTest whether daily multivitamin-mineral (MVM) supplementation versus placebo affects 2-year change in cognitive function using in-person, detailed neuropsychological assessments in the COSMOS-Clinic subcohort.2×2 factorial randomized clinical trial (MVM vs placebo comparison within COSMOS-Clinic)Expand

In plain English

In the COSMOS-Clinic randomized 2×2 factorial substudy (n=573), daily multivitamin-mineral (MVM) supplementation versus placebo was tested for effects on 2-year change in cognition using in-person, detailed neuropsychological assessments; authors report a modest, nondefinitive benefit on global cognition, a statistically significant benefit on episodic memory, and no significant effect on executive function/attention.

Key findings

  • MVM vs placebo yielded a mean difference in global cognition of 0.06 SD units over 2 years (95% CI: -0.003 to 0.13), described by authors as a modest benefit.0.06 SD units (95% CI: -0.003 to 0.13)
  • MVM vs placebo yielded a mean difference in episodic memory of 0.12 SD units over 2 years (95% CI: 0.002 to 0.23), a statistically significant improvement.0.12 SD units (95% CI: 0.002 to 0.23)
“COSMOS is a 2 × 2 factorial trial of cocoa extract (500 mg flavanols/d) and/or a daily MVM supplement”
2secondary dataProvide a more robust estimate of MVM effects on cognition by conducting an internal meta-analysis across three COSMOS cognitive substudies (COSMOS-Clinic, COSMOS-Mind, COSMOS-Web) with nonoverlapping participants.meta-analysis (within-COSMOS cognitive substudies)Expand

In plain English

Internal meta-analysis pooling nonoverlapping participants from three COSMOS cognitive substudies (COSMOS-Clinic, COSMOS-Mind, COSMOS-Web) found small but statistically significant benefits of daily multivitamin-mineral (MVM) supplementation versus placebo on pooled global cognition and episodic memory, reported in SD units.

Key findings

  • Pooled analysis across three COSMOS cognitive substudies showed a small but statistically significant benefit of daily MVM supplementation versus placebo on global cognition.0.07 SD units (95% CI 0.03 to 0.11); P = 0.0009
  • Pooled analysis across three COSMOS cognitive substudies showed a small but statistically significant benefit of daily MVM supplementation versus placebo on episodic memory.0.06 SD units (95% CI 0.03 to 0.10); P = 0.0007
“conduct a meta-analysis within COSMOS (COcoa Supplement and Multivitamin Outcomes Study) cognitive substudies”
What this piece can’t prove
  • Abstract provides limited methodological detail on the meta-analysis (e.g., fixed- vs random-effects model, weights, heterogeneity assessment).
  • Analysis is an internal meta-analysis confined to COSMOS substudies and may not generalize beyond the trial program or participant characteristics reported in COSMOS.

2 further details could not be confirmed from the summary.

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Open the paper in Tessa

Effect of multivitamin-mineral supplementation versus placebo on cognitive function: results from the clinic subcohort of the COcoa Supplement and Multivitamin Outcomes Study (COSMOS) randomized clinical trial and meta-analysis of 3 cognitive studies within COSMOS.

The American journal of clinical nutrition · 2024

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Papers considered

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PubMed, Europe PMC, Crossref · 15 candidate papers

Selected

Effect of multivitamin-mineral supplementation versus placebo on cognitive function: results from the clinic subcohort of the COcoa Supplement and Multivitamin Outcomes Study (COSMOS) randomized clinical trial and meta-analysis of 3 cognitive studies within COSMOS.

The American Journal of Clinical Nutrition · 2024 · PubMed

And 9 more candidates considered.