Effects of Nutrition on Cognitive Function in Adults with or without Cognitive Impairment: A Systematic Review of Randomized Controlled Clinical Trials.


Journal

Nutrients
ISSN: 2072-6643
Titre abrégé: Nutrients
Pays: Switzerland
ID NLM: 101521595

Informations de publication

Date de publication:
22 Oct 2021
Historique:
received: 23 09 2021
revised: 13 10 2021
accepted: 19 10 2021
entrez: 27 11 2021
pubmed: 28 11 2021
medline: 15 12 2021
Statut: epublish

Résumé

New dietary approaches for the prevention of cognitive impairment are being investigated. However, evidence from dietary interventions is mainly from food and nutrient supplement interventions, with inconsistent results and high heterogeneity between trials. We conducted a comprehensive systematic search of randomized controlled trials (RCTs) published in MEDLINE-PubMed, from January 2018 to July 2021, investigating the impact of dietary counseling, as well as food-based and dietary supplement interventions on cognitive function in adults with or without cognitive impairment. Based on the search strategy, 197 eligible publications were used for data abstraction. Finally, 61 articles were included in the analysis. There was reasonable evidence that dietary patterns, as well as food and dietary supplements improved cognitive domains or measures of brain integrity. The Mediterranean diet showed promising results, whereas the role of the DASH diet was not clear. Healthy food consumption improved cognitive function, although the quality of these studies was relatively low. The role of dietary supplements was mixed, with strong evidence of the benefits of polyphenols and combinations of nutrients, but with low evidence for PUFAs, vitamin D, specific protein, amino acids, and other types of supplements. Further well-designed RCTs are needed to guide the development of dietary approaches for the prevention of cognitive impairment.

Identifiants

pubmed: 34835984
pii: nu13113728
doi: 10.3390/nu13113728
pmc: PMC8621754
pii:
doi:

Substances chimiques

Fatty Acids, Unsaturated 0
Polyphenols 0
Vitamins 0

Types de publication

Journal Article Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : Government of Catalonia
ID : SLT/3501/2020
Organisme : Government of Catalonia
ID : 2021 FI_B 00657
Organisme : Instituto de Salud Carlos III
ID : CP 19/00189

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Auteurs

Laia Gutierrez (L)

Nutrition and Metabolic Disorders Research Group, Department of Biochemistry and Biotechnology, Rovira i Virgili University, 43201 Reus, Spain.
Nutrition and Metabolic Disorders Research Group, Institute of Health Pere Virgili-IISPV, 43204 Reus, Spain.

Alexandre Folch (A)

Nutrition and Metabolic Disorders Research Group, Department of Biochemistry and Biotechnology, Rovira i Virgili University, 43201 Reus, Spain.
Nutrition and Metabolic Disorders Research Group, Institute of Health Pere Virgili-IISPV, 43204 Reus, Spain.

Melina Rojas (M)

Nutrition and Metabolic Disorders Research Group, Department of Biochemistry and Biotechnology, Rovira i Virgili University, 43201 Reus, Spain.
Nutrition and Metabolic Disorders Research Group, Institute of Health Pere Virgili-IISPV, 43204 Reus, Spain.

José Luis Cantero (JL)

Laboratory of Functional Neuroscience, Pablo de Olavide University, 41013 Seville, Spain.
CIBERNED, Network Center for Biomedical Research in Neurodegenerative Diseases, 28031 Madrid, Spain.

Mercedes Atienza (M)

Laboratory of Functional Neuroscience, Pablo de Olavide University, 41013 Seville, Spain.
CIBERNED, Network Center for Biomedical Research in Neurodegenerative Diseases, 28031 Madrid, Spain.

Jaume Folch (J)

Nutrition and Metabolic Disorders Research Group, Department of Biochemistry and Biotechnology, Rovira i Virgili University, 43201 Reus, Spain.
Nutrition and Metabolic Disorders Research Group, Institute of Health Pere Virgili-IISPV, 43204 Reus, Spain.
CIBERNED, Network Center for Biomedical Research in Neurodegenerative Diseases, 28031 Madrid, Spain.

Antoni Camins (A)

CIBERNED, Network Center for Biomedical Research in Neurodegenerative Diseases, 28031 Madrid, Spain.
Department of Pharmacology, Toxicology & Therapeutic Chemistry, Faculty of Pharmacy & Food Sciences, University of Barcelona, 08028 Barcelona, Spain.
Institut de Neurociències (UBNeuro), University of Barcelona, 08035 Barcelona, Spain.

Agustín Ruiz (A)

CIBERNED, Network Center for Biomedical Research in Neurodegenerative Diseases, 28031 Madrid, Spain.
ACE Alzheimer Center Barcelona, Universitat Internacional de Catalunya (UIC), 08028 Barcelona, Spain.

Christopher Papandreou (C)

Nutrition and Metabolic Disorders Research Group, Institute of Health Pere Virgili-IISPV, 43204 Reus, Spain.
CIBER Physiology of Obesity and Nutrition (CIBEROBN), Carlos III Health Institute, 28029 Madrid, Spain.

Mònica Bulló (M)

Nutrition and Metabolic Disorders Research Group, Department of Biochemistry and Biotechnology, Rovira i Virgili University, 43201 Reus, Spain.
Nutrition and Metabolic Disorders Research Group, Institute of Health Pere Virgili-IISPV, 43204 Reus, Spain.
CIBER Physiology of Obesity and Nutrition (CIBEROBN), Carlos III Health Institute, 28029 Madrid, Spain.

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Classifications MeSH