Our objective was to determine whether dietary vitamin K intake was associated with cognition and behavior among older adults. 192 consecutive participants ≥65 years, recruited in the cross-sectional CLIP (Cognition and LIPophilic vitamins) study, were separated into two groups according to the tertiles of dietary phylloquinone intake (i.e.
, lowest third below 207 µg/day versus
the other two thirds combined). Daily dietary phylloquinone intake was estimated from 50-item interviewer-administered food frequency questionnaire. Cognition was assessed with Mini-Mental State Examination (MMSE); behaviour with Frontotemporal Behavioral Rating Scale (FBRS). Age, gender, social problems, education, body mass index (BMI), comorbidities, history of stroke, use vitamin K antagonists, inadequate fatty fish intake, serum thyroid-stimulating hormone (TSH), vitamin B12, albumin, and estimated glomerular filtration rate were used as confounders. Compared to participants in the lowest third of dietary phylloquinone intake (n
= 64), those with higher intake had higher (i.e.
, better) mean MMSE score (22.0 ± 5.7 versus
19.9 ± 6.2, p
= 0.024) and lower (i.e.
, better) FBRS score (1.5 ± 1.2 versus
1.9 ± 1.3, p
= 0.042). In multivariate linear regressions, log dietary phylloquinone intake was positively associated with MMSE score (adjusted β = 1.66, p
= 0.013) and inversely associated with FBRS score (adjusted β = −0.33, p
= 0.037). Specifically, log dietary phylloquinone intake correlated negatively with FBRS subscore of physical neglect (r
= −0.24, p
= 0.001). Higher dietary phylloquinone intake was associated with better cognition and behavior among older adults.