Efektifitas Citicoline dalam Meningkatkan Fungsi Kognitif

Analisis

Penulis

  • Bagus Dermawan Program Pendidikan Dokter Spesialis Neurologi, Fakultas Kedokteran Universitas Diponegoro, Semarang, Indonesia
  • Rahmi Ardhini Program Pendidikan Dokter Spesialis Neurologi, Fakultas Kedokteran Universitas Diponegoro, Semarang, Indonesia
  • Arinta Puspita Wati Program Pendidikan Dokter Spesialis Neurologi, Fakultas Kedokteran Universitas Diponegoro, Semarang, Indonesia

DOI:

https://doi.org/10.55175/cdk.v52i4.1458

Kata Kunci:

Citicoline, fungsi kognitif, stroke iskemik

Abstrak

Latar belakang: Kejadian gangguan kognitif meningkat seiring dengan pertambahan usia ataupun karena gangguan organik otak. Citicoline diduga dapat memperbaiki fungsi kognitif. Tulisan ini meninjau efektivitas citicoline dalam meningkatkan fungsi kognitif. Metode: Pencarian sistematis pada 3 database, yaitu PubMed, Scopus, dan EBSCO, sesuai kriteria inklusi dan eksklusi. Artikel yang terpilih ditelaah kritis dan dianalisis lebih lanjut. Hasil: Dalam analisis terakhir, didapatkan 2 artikel untuk telaah kritis. Satu studi populasi sehat menunjukkan perbaikan fungsi kognitif terutama pada domain memori setelah pemberian citicoline 500 mg/hari selama 3 bulan, 1 studi lain pada populasi pasca-stroke iskemik menunjukkan perbaikan fungsi kognitif terutama pada domain atensi, eksekutif. dan orientasi temporal setelah pemberian citicoline 1.000 mg/hari selama 12 bulan. Simpulan: Pemberian citicoline dapat memperbaiki fungsi kognitif, baik pada populasi sehat maupun populasi pasca-stroke iskemik.

Unduhan

Data unduhan belum tersedia.

Referensi

WHO. Global Health Estimates: Life expectancy and leading causes of death and disability [Internet]. Vol. 109, Nature. 2019. p. 691. Available from: https://www.who.int/data/gho/data/themes/mortality-and-global-health-estimates/ghe-life-expectancy-and-healthy-life-expectancy.

United Nations. World population prospects 2019 Futuribles 1990 Mar:(141):49-78. PMID: 12283219.

Mooldijk SS, Yaqub A, Wolters FJ, Licher S, Koudstaal PJ, Ikram MK, et al. Life expectancy with and without dementia in persons with mild cognitive impairment in the community. J Am Geriatr Soc. 2022;70(2):481–9. DOI: 10.1111/jgs.17520.

Patel MD, Coshall C, Rudd AG, Wolfe CDA. Cognitive impairment after stroke: Clinical determinants and its associations with long-term stroke outcomes. J Am Geriatr Soc. 2002;50(4):700–6. DOI: 10.1046/j.1532-5415.2002.50165.x.

Barnes LL, Dhana K, Liu X, Carey VJ, Ventrelle J, Johnson K, et al. Trial of the MIND diet for prevention of cognitive decline in older persons. N Engl J Med. 2023;389(7):602–11. DOI: 10.1056/NEJMoa2302368.

Fioravanti M, Buckley AE. Citicoline (cognizin) in the treatment of cognitive impairment. Clin Interv Aging. 2006;1(3):247–51. DOI: 10.2147/ciia.2006.1.3.247.

Gareri P, Castagna A, Cotroneo AM, Putignano S, De Sarro G, Bruni AC. The role of citicoline in cognitive impairment: Pharmacological characteristics, possible advantages, and doubts for an old drug with new perspectives. Clin Interv Aging. 2015;10:1421–9. DOI: 10.2147/CIA.S87886.

Zeisel SH. Choline: Critical role during fetal development and dietary requirements in adults. 2006;(26):229–50. DOI: 10.1146/annurev.nutr.26.061505.111156.

Kleindorfer DO, Towfighi A, Chaturvedi S, Cockroft KM, Gutierrez J, Lombardi-Hill D, et al. 2021 Guideline for the prevention of stroke in patients with stroke and transient ischemic attack; A guideline from the American Heart Association/American Stroke Association. Stroke. 2021:364–467. DOI: 10.1161/STR.0000000000000375.

Cohen BM. Decreased brain choline uptake in older adults. JAMA 1995;274(11):902. PMID: 7674505.

Prince M, Albanese E, Guerchet M, Prina M. World alzheimer report 2014 dementia and risk reduction an analysis of protective and modifiable factors executive summary dr Maelenn Guerchet dr Matthew prina [Internet]. 2014. Available from: https://www.alzint.org/u/WorldAlzheimerReport2014.pdf.

Nurk E, Refsum H, Bjelland I, Drevon CA, Tell GS, Ueland PM, et al. Plasma free choline, betaine and cognitive performance: The Hordaland Health Study. Br J Nutr. 2013;109(3):511–9. DOI: 10.1017/S0007114512001249.

Howick J, Chalmers I, Lind J. OCEBM levels of evidence — centre for evidence-based medicine (CEBM), University of Oxford [Internet]. 2011. Available from: https://www.cebm.ox.ac.uk/resources/levels-of-evidence/ocebm-levels-of-evidence.

Nakazaki E, Mah E, Sanoshy K, Citrolo D, Watanabe F. Citicoline and memory function in healthy older adults: A randomized, double-blind, placebocontrolled clinical trial. J Nutr. 2021;151(8):2153–60. DOI: 10.1093/jn/nxab119.

Alvarez-Sabin J, Ortega G, Jacas C, Santamarina E, Maisterra O, Ribo M, et al. Long-term treatment with citicoline may improve poststroke vascular cognitive impairment. Cerebrovasc Dis. 2013;35(2):146–54. DOI: 10.1159/000346602.

Carlier PG, Bertoldi D, Baligand C, Wary C, Fromes Y. Citicoline enhances frontal lobe bioenergetics as measured by phosphorus magnetic resonance spectroscopy. NMR Biomed. 2006;(September):954–67. DOI: 10.1002/nbm.1281.

Grieve SM, Williams LM, Paul RH, Clark CR, Gordon E. Cognitive aging, executive function, and fractional anisotropy: A diffusion tensor MR imaging study. Imaging 2007;28(2):226–35. PMID: 17296985.

Agut J, G-Coviella IL, Ortiz JA, Wurtman RJ. Oral cytidine 5'-diphosphate choline administration to rats increases brain phospholipid levels. Ann NY Acad Sci. 1993;695(1):318–20. DOI: 10.1111/j.1749-6632.1993.tb23075.x.

Lopez-Coviella I, Agut J, Savci V, Ortiz JA, Wurtman RJ. Evidence that 5'-cytidinediphosphocholine can affect brain phospholipid composition by increasing choline and cytidine plasma levels. J Neurochem. 1995;65(2):889–94. DOI: 10.1046/j.1471-4159.1995.65020889.x.

Jasielski P, Piędel F, Piwek M, Rocka A, Petit V, Rejdak K. Application of citicoline in neurological disorders: A systematic review. Nutrients 2020;12(10):1–20. DOI: 10.3390/nu12103113.

Hurtado O, Lizasoain I, Moro MA. Neuroprotection and recovery: Recent data at the bench on citicoline. Stroke 2011;42(Suppl. 1). DOI: 10.1161/STROKEAHA.110.597435.

Mallah K, Couch C, Borucki DM, Toutonji A, Alshareef M, Tomlinson S. Anti-inflammatory and neuroprotective agents in clinical trials for CNS disease and injury: Where do we go from here? Front Immunol. 2020;11:1–26. DOI: 10.3389/fimmu.2020.02021.

Unduhan

Diterbitkan

2025-04-07

Cara Mengutip

Dermawan, B., Ardhini, R., & Puspita Wati, A. (2025). Efektifitas Citicoline dalam Meningkatkan Fungsi Kognitif: Analisis. Cermin Dunia Kedokteran, 52(4), 267–271. https://doi.org/10.55175/cdk.v52i4.1458

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