Zhang et al. 2025 — taurine and dementia risk in Malmö

TL;DR

Across 27,786 middle-aged adults followed for a median 24.9 years, neither estimated dietary taurine nor plasma taurine predicted all-cause dementia, Alzheimer’s disease, or vascular dementia after adjustment. This large prospective null weakens the earlier suggestive Framingham metabolomic signal, but does not test high-dose supplementation.

Design

  • Malmö Diet and Cancer prospective cohort, baseline 1991–1996.
  • Dietary analysis n=27,786; plasma taurine subset n=3,693.
  • 3,224 incident dementia cases over median 24.9 years.
  • Registry diagnoses validated through memory-clinic review; Cox models adjusted for APOE ε4, lifestyle factors, and comorbidities.

Key results

No significant association was found between dietary taurine or plasma taurine and all-cause dementia, Alzheimer’s disease, or vascular dementia. Plasma taurine correlated only weakly with estimated dietary intake, consistent with substantial endogenous and homeostatic control.

Limitations

  • Observational baseline exposure; residual confounding and exposure change over 25 years remain possible.
  • Food-level intake does not test pharmacological-dose supplementation.
  • The plasma subset was much smaller than the dietary cohort.

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