针对老龄化大脑的 MIND 饮食:系统回顾。

IF 8 1区 医学 Q1 NUTRITION & DIETETICS Advances in Nutrition Pub Date : 2024-03-01 DOI:10.1016/j.advnut.2024.100184
Annick PM van Soest , Sonja Beers , Ondine van de Rest, Lisette CPGM de Groot
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引用次数: 0

摘要

地中海饮食法治疗收缩性高血压饮食干预神经退行性延迟(MIND)饮食似乎是在老龄化过程中保护大脑功能的一种很有前景的方法。之前的系统性综述已经证明了 MIND 饮食对认知和痴呆症的益处,但仍需更新。此外,与脑老化相关的其他结果也未得到总结。因此,本系统性综述旨在对 MIND 膳食与年龄≥40 岁成年人脑老化结果相关的人类研究进行最新、最全面的概述。截至 2023 年 7 月 25 日,对 Ovid Medline、Web of Science core collection 和 Scopus 进行了检索。研究质量采用纽卡斯尔-渥太华量表和 Cochrane 偏倚风险工具进行评估。我们共纳入了 40 篇文章,其中 32 篇为独特的队列研究。在 10 项队列研究中,有 7 项研究表明,较高的 MIND 饮食依从性对痴呆症具有保护作用。此外,在 4 个队列中的 3 个队列的整体认知和 6 个队列中的 4 个队列的外显记忆中,都显示出了正相关性。MIND 膳食对认知能力下降的保护作用并不明显,在 7 个纵向队列中,只有 2 个队列对整体认知能力下降呈正相关,6 个队列中只有 1 个队列对表观记忆力下降呈正相关。至于其他脑部结果(特定领域认知、认知障碍、帕金森病、脑容量和病理学),结果不一,或仅进行了少数研究。许多显示出保护性关联的队列来自北美,这就提出了一个问题,即最有利于大脑健康老化的饮食是否取决于人口。总之,本系统综述提供的观察证据表明,MIND 饮食与整体认知能力和痴呆症风险之间存在保护性关联,但与其他脑部结果有关的证据仍然参差不齐和/或有限。在北美人群中,MIND 饮食可能是大脑健康老化的首选饮食,但其他人群的证据似乎不那么确凿。注册和注册号:本综述已在 PROSPERO 注册(CRD42022254625,https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42022254625)。
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The Mediterranean-Dietary Approaches to Stop Hypertension Intervention for Neurodegenerative Delay (MIND) Diet for the Aging Brain: A Systematic Review

The Mediterranean-Dietary Approaches to Stop Hypertension Intervention for Neurodegenerative Delay (MIND) diet seems a promising approach to preserve brain function during aging. Previous systematic reviews have demonstrated benefits of the MIND diet for cognition and dementia, though an update is needed. Additionally, other outcomes relevant to brain aging have not been summarized. Therefore, this systematic review aims to give an up-to-date and complete overview on human studies that examined the MIND diet in relation to brain aging outcomes in adults aged ≥40 y. Ovid Medline, Web of Science core collection, and Scopus were searched up to July 25, 2023. Study quality was assessed using the Newcastle–Ottawa Scale and the Cochrane Risk-of-Bias tool. We included 40 articles, of which 32 were unique cohorts. Higher MIND diet adherence was protective of dementia in 7 of 10 cohorts. Additionally, positive associations were demonstrated in 3 of 4 cohorts for global cognition and 4 of 6 cohorts for episodic memory. The protective effects of the MIND diet on cognitive decline are less apparent, with only 2 of 7 longitudinal cohorts demonstrating positive associations for global decline and 1 of 6 for episodic memory decline. For other brain outcomes (domain-specific cognition, cognitive impairments, Parkinson’s disease, brain volume, and pathology), results were mixed or only few studies had been performed. Many of the cohorts demonstrating protective associations were of North American origin, raising the question if the most favorable diet for healthy brain aging is population-dependent. In conclusion, this systematic review provides observational evidence for protective associations between the MIND diet and global cognition and dementia risk, but evidence for other brain outcomes remains mixed and/or limited. The MIND diet may be the preferred diet for healthy brain aging in North American populations, though evidence for other populations seems less conclusive.

This review was registered at PROSPERO as CRD42022254625.

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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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