The effect of whole-diet interventions on memory and cognitive function in healthy older adults - a systematic review.

cognitive decline diet elderly memory nutrition prevention

Journal

Advances in nutrition (Bethesda, Md.)
ISSN: 2156-5376
Titre abrégé: Adv Nutr
Pays: United States
ID NLM: 101540874

Informations de publication

Date de publication:
16 Aug 2024
Historique:
received: 24 01 2024
revised: 22 07 2024
accepted: 12 08 2024
medline: 19 8 2024
pubmed: 19 8 2024
entrez: 18 8 2024
Statut: aheadofprint

Résumé

An increasing number of cross-sectional studies suggests that diet may impact memory and cognition in healthy older adults. However, randomized, controlled trials investigating the effects of whole-diet interventions on memory and cognition in healthy older adults are rather rare and conflicting results are often reported. Therefore, a systematic review was conducted to compile the current evidence regarding the potential effects of whole-diet interventions on 1) memory and, 2) other cognitive outcomes in older adults. Studies that reported on randomized, controlled trials with dietary interventions in healthy older adults (60 yrs. and older) were included. Studies utilizing supplements, single food items or trials in specific patient groups (ie neurodegenerative diagnoses) were excluded. For the 23 included articles, the main outcomes examined fell into one or more of the following categories: cognitive task-based outcomes related to memory, other cognitive task-based outcomes, and additional outcomes related to cognitive function or disease risk. Three of the studies that investigated dietary interventions alone and two multi-domain study showed positive effects on memory function, whereas five multi-domain interventions and one intervention that focused on diet alone showed positive effects on other cognitive outcomes. The effect of randomized, controlled whole-diet interventions on memory and cognitive function in healthy older adults is modest and inconclusive, highlighting the need for more well-designed, sufficiently powered studies. Furthermore, the potential mechanisms by which diet impacts cognition in healthy aging need to be elucidated. REGISTRY AND REGISTRY NUMBER FOR SYSTEMATIC REVIEWS OR META-ANALYSES: This systematic review is registered in PROSPERO under ID CRD42022329759.

Sections du résumé

BACKGROUND BACKGROUND
An increasing number of cross-sectional studies suggests that diet may impact memory and cognition in healthy older adults. However, randomized, controlled trials investigating the effects of whole-diet interventions on memory and cognition in healthy older adults are rather rare and conflicting results are often reported.
OBJECTIVE OBJECTIVE
Therefore, a systematic review was conducted to compile the current evidence regarding the potential effects of whole-diet interventions on 1) memory and, 2) other cognitive outcomes in older adults.
METHODS METHODS
Studies that reported on randomized, controlled trials with dietary interventions in healthy older adults (60 yrs. and older) were included. Studies utilizing supplements, single food items or trials in specific patient groups (ie neurodegenerative diagnoses) were excluded.
RESULTS RESULTS
For the 23 included articles, the main outcomes examined fell into one or more of the following categories: cognitive task-based outcomes related to memory, other cognitive task-based outcomes, and additional outcomes related to cognitive function or disease risk. Three of the studies that investigated dietary interventions alone and two multi-domain study showed positive effects on memory function, whereas five multi-domain interventions and one intervention that focused on diet alone showed positive effects on other cognitive outcomes.
CONCLUSIONS CONCLUSIONS
The effect of randomized, controlled whole-diet interventions on memory and cognitive function in healthy older adults is modest and inconclusive, highlighting the need for more well-designed, sufficiently powered studies. Furthermore, the potential mechanisms by which diet impacts cognition in healthy aging need to be elucidated. REGISTRY AND REGISTRY NUMBER FOR SYSTEMATIC REVIEWS OR META-ANALYSES: This systematic review is registered in PROSPERO under ID CRD42022329759.

Identifiants

pubmed: 39154864
pii: S2161-8313(24)00125-X
doi: 10.1016/j.advnut.2024.100291
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

100291

Informations de copyright

Copyright © 2024. Published by Elsevier Inc.

Déclaration de conflit d'intérêts

Declaration of Competing Interest ☒ The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. The authors have no conflicts of interest to declare.

Auteurs

Lina Tingö (L)

Nutrition-Gut-Brain Interactions Research Center, School of Medical Sciences, Örebro University, 70362 Örebro, Sweden; Department of Biomedical and Clinical Sciences, Division of Inflammation and Infection, Linköping University, 50183 Linköping, Sweden; Food and Health Program, Örebro University, 70362 Örebro, Sweden.

Cecilia Bergh (C)

Clinical Epidemiology and Biostatistics, Faculty of Medicine and Health, Örebro University, 70362 Örebro, Sweden.

Julia Rode (J)

Nutrition-Gut-Brain Interactions Research Center, School of Medical Sciences, Örebro University, 70362 Örebro, Sweden; School of Health Sciences, Faculty of Medicine and Health, Örebro University, 70182 Örebro, Sweden.

Maria Fernanda Roca Rubio (MF)

Nutrition-Gut-Brain Interactions Research Center, School of Medical Sciences, Örebro University, 70362 Örebro, Sweden.

Jonas Persson (J)

School of Behavioral, Legal, and Social Sciences, Örebro University, 70362 Örebro, Sweden; Aging Research Center (ARC), Karolinska Institute and Stockholm University.

Linnea Brengesjö Johnson (LB)

Nutrition-Gut-Brain Interactions Research Center, School of Medical Sciences, Örebro University, 70362 Örebro, Sweden.

Lotte H Smit (LH)

Nutrition-Gut-Brain Interactions Research Center, School of Medical Sciences, Örebro University, 70362 Örebro, Sweden.

Ashley N Hutchinson (AN)

Nutrition-Gut-Brain Interactions Research Center, School of Medical Sciences, Örebro University, 70362 Örebro, Sweden. Electronic address: ashley.hutchinson@oru.se.

Classifications MeSH