Sonja Beers, Lisette C. P. G. M. de Groot, Mark R. van Loenen, Lianne B. Remie, Mechteld Grootte Bromhaar, Andrea Anesi, Urska Vrhovsek, Joukje M. Oosterman, Esther Aarts, Mara P. H. van Trijp, Yannick Vermeiren
Tryptophan (TRP) metabolism is emerging as a focus of investigation in Alzheimer's disease research. In addition, diet might impact TRP's metabolic fate. The aim of this study was to explore the association between adherence to the Dutch Mediterranean-Dietary Approaches to Stop Hypertension (DASH) Intervention for Neurodegenerative Delay (MIND-NL) diet and systemic TRP metabolite levels and their related ratios in older adults at risk of cognitive decline. Data of the HELI multidomain lifestyle intervention study (n = 82) were used. Dietary intake data (FFQ) and fasted plasma levels were collected at baseline and 26 weeks follow-up. Bivariate Latent Change Score Models (LCSMs) were applied to assess both level-level and change-change associations, adjusted for lifestyle factors. Changes in MIND-NL diet adherence were significantly inversely associated with changes in the kynurenine:large neutral amino acids ratio (path coefficient −0.457, SE:0.206, p = 0.03) and kynurenine:tryptophan ratio (path coefficient −0.558 SE:0.235, p = 0.02). In addition, MIND-NL diet adherence was associated with lower levels of the neurotoxic metabolite quinolinic acid (path coefficient −0.186, SE:0.0700, p = 0.008), but within the crude model only. Our findings suggest that greater adherence to the MIND-NL diet may contribute to decreased activation of the kynurenine pathway.
色氨酸(TRP)代谢是阿尔茨海默病研究的热点。此外,饮食可能会影响TRP的代谢命运。本研究的目的是探讨荷兰地中海饮食方法停止高血压(DASH)干预神经退行性延迟(MIND-NL)饮食与系统性TRP代谢物水平及其相关比率在认知能力下降风险的老年人中的关系。采用HELI多领域生活方式干预研究(n = 82)的数据。在基线和26周随访时收集饮食摄入数据(FFQ)和空腹血浆水平。采用双变量潜在变化评分模型(lcsm)评估水平-水平和变化-变化相关性,并根据生活方式因素进行调整。MIND-NL饮食依从性的变化与犬尿氨酸:大中性氨基酸比值(通径系数-0.457,SE:0.206, p = 0.03)和犬尿氨酸:色氨酸比值(通径系数-0.558 SE:0.235, p = 0.02)的变化呈显著负相关。此外,MIND-NL饮食依从性与较低水平的神经毒性代谢物喹啉酸相关(通道系数-0.186,SE:0.0700, p = 0.008),但仅在粗模型内。我们的研究结果表明,坚持MIND-NL饮食可能有助于减少犬尿氨酸途径的激活。
{"title":"Association Between the Dutch Mediterranean-Dietary Approaches to Stop Hypertension Intervention for Neurodegenerative Delay (MIND-NL) Diet Adherence and Systemic Tryptophan Metabolites in Older Adults at Risk of Cognitive Decline: An Exploratory Study","authors":"Sonja Beers, Lisette C. P. G. M. de Groot, Mark R. van Loenen, Lianne B. Remie, Mechteld Grootte Bromhaar, Andrea Anesi, Urska Vrhovsek, Joukje M. Oosterman, Esther Aarts, Mara P. H. van Trijp, Yannick Vermeiren","doi":"10.1002/mnfr.70377","DOIUrl":"10.1002/mnfr.70377","url":null,"abstract":"<p>Tryptophan (TRP) metabolism is emerging as a focus of investigation in Alzheimer's disease research. In addition, diet might impact TRP's metabolic fate. The aim of this study was to explore the association between adherence to the Dutch Mediterranean-Dietary Approaches to Stop Hypertension (DASH) Intervention for Neurodegenerative Delay (MIND-NL) diet and systemic TRP metabolite levels and their related ratios in older adults at risk of cognitive decline. Data of the HELI multidomain lifestyle intervention study (<i>n</i> = 82) were used. Dietary intake data (FFQ) and fasted plasma levels were collected at baseline and 26 weeks follow-up. Bivariate Latent Change Score Models (LCSMs) were applied to assess both level-level and change-change associations, adjusted for lifestyle factors. Changes in MIND-NL diet adherence were significantly inversely associated with changes in the kynurenine:large neutral amino acids ratio (path coefficient −0.457, SE:0.206, <i>p</i> = 0.03) and kynurenine:tryptophan ratio (path coefficient −0.558 SE:0.235, <i>p</i> = 0.02). In addition, MIND-NL diet adherence was associated with lower levels of the neurotoxic metabolite quinolinic acid (path coefficient −0.186, SE:0.0700, <i>p</i> = 0.008), but within the crude model only. Our findings suggest that greater adherence to the MIND-NL diet may contribute to decreased activation of the kynurenine pathway.</p>","PeriodicalId":212,"journal":{"name":"Molecular Nutrition & Food Research","volume":"70 1","pages":""},"PeriodicalIF":4.2,"publicationDate":"2026-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12810439/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145987584","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}