Short-term effects of carbohydrates differing in glycemic index (GI) consumed at lunch on children's cognitive function in a randomized crossover study.


Journal

European journal of clinical nutrition
ISSN: 1476-5640
Titre abrégé: Eur J Clin Nutr
Pays: England
ID NLM: 8804070

Informations de publication

Date de publication:
05 2020
Historique:
received: 09 10 2019
accepted: 26 02 2020
revised: 21 02 2020
pubmed: 24 3 2020
medline: 9 6 2021
entrez: 24 3 2020
Statut: ppublish

Résumé

Intervention studies suggest an influence of breakfast dietary glycemic index (GI) on children's cognition. The Cognition Intervention Study Dortmund-GI-I study examined whether lunch dietary GI might have short-term effects on selected cognitive parameters. A randomized crossover study was performed at a comprehensive school on 2 test days. One hundred and eighty-nine participants (5th and 6th grade) were randomly assigned to one of the two sequences, medium-high GI (m-hGI) or high-medium GI (h-mGI), following block randomization. In the first period, one group received a dish containing hGI rice (GI: 86) ad libitum, the other mGI rice (GI: 62)-1 week later, in the second period, vice versa. Tonic alertness, task switching, and working memory updating were tested with a computerized test battery 45 min after beginning of lunch break. Treatment effects were estimated using the t test for normally distributed data or the Wilcoxon rank-sum test for non-normally distributed data. The crossover approach revealed no effects of lunch dietary GI on the tested cognitive parameters in the early afternoon. However, we determined carryover effects for two parameters, and therefore analyzed only data of the first period. The reaction time of the two-back task (working memory updating) was faster (p = 0.001) and the count of commission errors in the alertness task was lower (p = 0.04) in the hGI group. No evidence of short-term effects of lunch dietary GI on cognition of schoolchildren was found. Potential positive effects on single parameters of working memory updating and tonic alertness favoring hGI rice need to be verified.

Sections du résumé

BACKGROUND
Intervention studies suggest an influence of breakfast dietary glycemic index (GI) on children's cognition. The Cognition Intervention Study Dortmund-GI-I study examined whether lunch dietary GI might have short-term effects on selected cognitive parameters.
METHODS
A randomized crossover study was performed at a comprehensive school on 2 test days. One hundred and eighty-nine participants (5th and 6th grade) were randomly assigned to one of the two sequences, medium-high GI (m-hGI) or high-medium GI (h-mGI), following block randomization. In the first period, one group received a dish containing hGI rice (GI: 86) ad libitum, the other mGI rice (GI: 62)-1 week later, in the second period, vice versa. Tonic alertness, task switching, and working memory updating were tested with a computerized test battery 45 min after beginning of lunch break. Treatment effects were estimated using the t test for normally distributed data or the Wilcoxon rank-sum test for non-normally distributed data.
RESULTS
The crossover approach revealed no effects of lunch dietary GI on the tested cognitive parameters in the early afternoon. However, we determined carryover effects for two parameters, and therefore analyzed only data of the first period. The reaction time of the two-back task (working memory updating) was faster (p = 0.001) and the count of commission errors in the alertness task was lower (p = 0.04) in the hGI group.
CONCLUSION
No evidence of short-term effects of lunch dietary GI on cognition of schoolchildren was found. Potential positive effects on single parameters of working memory updating and tonic alertness favoring hGI rice need to be verified.

Identifiants

pubmed: 32203229
doi: 10.1038/s41430-020-0600-0
pii: 10.1038/s41430-020-0600-0
pmc: PMC8626315
doi:

Substances chimiques

Dietary Carbohydrates 0

Types de publication

Journal Article Randomized Controlled Trial Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

757-764

Commentaires et corrections

Type : ErratumIn

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Auteurs

Kathrin Jansen (K)

Research Department of Child Nutrition, University Children's Hospital, Ruhr University, Bochum, Germany. kathrin.jansen@ruhr-uni-bochum.de.

Jana Tempes (J)

University of Education, Freiburg, Germany.

Alina Drozdowska (A)

Research Department of Child Nutrition, University Children's Hospital, Ruhr University, Bochum, Germany.

Maike Gutmann (M)

Research Department of Child Nutrition, University Children's Hospital, Ruhr University, Bochum, Germany.
Maria-Montessori-Allee 10, 53229, Bonn, Germany.

Michael Falkenstein (M)

Institute for Work, Learning and Ageing (ALA), Bochum, Germany.

Anette E Buyken (AE)

Public Health Nutrition, Institute of Nutrition, Consumption and Health, Paderborn University, Paderborn, Germany.

Lars Libuda (L)

Department of Child and Adolescent Psychiatry, University Hospital Essen, University of Duisburg-Essen, Essen, Germany.

Henrik Rudolf (H)

Department of Medical Informatics, Biometry and Epidemiology, Ruhr-University Bochum, Bochum, Germany.

Thomas Lücke (T)

Research Department of Child Nutrition, University Children's Hospital, Ruhr University, Bochum, Germany.

Mathilde Kersting (M)

Research Department of Child Nutrition, University Children's Hospital, Ruhr University, Bochum, Germany.

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