To test the hypothesis that vitamin C protects against cognitive impai
rment, the authors conducted a cohort study (n = 117) in a retirement
community in Sydney, Australia. Vitamin C intake was assessed at basel
ine (1991) with a semiquantitative food frequency questionnaire, and c
ognitive function was assessed 4 years later (1995). After adjustment
for age, sex, smoking, education, total energy intake, and use of psyc
hotropic medications, consumption of vitamin C supplements was associa
ted with a lower prevalence of more severe cognitive impairment (based
on scores on the Mini-Mental State Examination; adjusted odds ratio =
0.39, 95% confidence interval 0.18-0.84). There were no associations
between vitamin C intake and scores on tests of verbal and category fl
uency. This study suggests that vitamin C might protect against cognit
ive impairment.