The Effect of Whole-Diet Interventions on Memory and Cognitive Function in Healthy Older Adults – A Systematic Review

IF 8 1区 医学 Q1 NUTRITION & DIETETICS Advances in Nutrition Pub Date : 2024-09-01 DOI:10.1016/j.advnut.2024.100291
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Abstract

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 y) were included. Studies utilizing supplements, single food items, or trials in specific patient groups (i.e., neurodegenerative diagnoses) were excluded. For the 23 included articles, the main outcomes examined fell into 1 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 2 multidomain studies showed positive effects on memory function, whereas 5 multidomain interventions and 1 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.

This systematic review is registered in PROSPERO as CRD42022329759.

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全膳食干预对健康老年人记忆力和认知功能的影响--系统综述。
背景:越来越多的横断面研究表明,饮食可能会影响健康老年人的记忆力和认知能力。然而,调查全膳食干预对健康老年人记忆和认知影响的随机对照试验却相当罕见,而且报告的结果往往相互矛盾:因此,我们进行了一项系统性综述,以汇编有关全膳食干预对 1) 老年人记忆力和 2) 其他认知结果的潜在影响的现有证据:方法:纳入对健康老年人(60 岁及以上)进行饮食干预的随机对照试验的研究报告。不包括使用补充剂、单一食品或对特定患者群体(即神经退行性疾病诊断)进行试验的研究:在纳入的 23 篇文章中,主要研究结果分为以下一个或多个类别:与记忆有关的认知任务结果、其他认知任务结果以及与认知功能或疾病风险有关的其他结果。其中三项单独调查饮食干预的研究和两项多领域研究显示了对记忆功能的积极影响,而五项多领域干预和一项单独关注饮食的干预则显示了对其他认知结果的积极影响:结论:随机对照的全膳食干预对健康老年人的记忆和认知功能的影响不大,尚无定论,这突出表明需要进行更多设计合理、有充分证据支持的研究。此外,饮食影响健康老年人认知能力的潜在机制也有待阐明。系统综述或荟萃分析的注册表和注册号:本系统综述已在 PROSPERO 注册,注册号为 CRD42022329759。
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来源期刊
Advances in Nutrition
Advances in Nutrition 医学-营养学
CiteScore
17.40
自引率
2.20%
发文量
117
审稿时长
56 days
期刊介绍: Advances in Nutrition (AN/Adv Nutr) publishes focused reviews on pivotal findings and recent research across all domains relevant to nutritional scientists and biomedical researchers. This encompasses nutrition-related research spanning biochemical, molecular, and genetic studies using experimental animal models, domestic animals, and human subjects. The journal also emphasizes clinical nutrition, epidemiology and public health, and nutrition education. Review articles concentrate on recent progress rather than broad historical developments. In addition to review articles, AN includes Perspectives, Letters to the Editor, and supplements. Supplement proposals require pre-approval by the editor before submission. The journal features reports and position papers from the American Society for Nutrition, summaries of major government and foundation reports, and Nutrient Information briefs providing crucial details about dietary requirements, food sources, deficiencies, and other essential nutrient information. All submissions with scientific content undergo peer review by the Editors or their designees prior to acceptance for publication.
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