van der Zwaluw Nikita L, van de Rest Ondine, Kessels Roy P C, de Groot Lisette C P G M
a Division of Human Nutrition , Wageningen University , Wageningen , the Netherlands.
J Clin Exp Neuropsychol. 2014;36(5):517-27. doi: 10.1080/13803395.2014.912613. Epub 2014 May 19.
In this study we determined the short-term effects of a glucose drink and a sucrose drink compared to a placebo on cognitive performance and mood in elderly people with subjective, mild memory complaints using a randomized crossover study design. In total, 43 nondiabetic older adults with self-reported memory complaints were included. Drinks consisted of 250 ml with dissolved glucose (50 g), sucrose (100 g), or a mixture of artificial sweeteners (placebo). Multiple neuropsychological tests were performed and were combined by means of z scores into four cognitive domains: episodic memory, working memory, attention and information (processing speed), and executive functioning. Mood was assessed with the short Profile of Mood Status (s-POMS) questionnaire. Blood glucose concentrations were measured at five time points to divide participants into those with a better or poorer blood glucose recovery. Performance on the domain of attention and information processing speed was significantly better after consuming the sucrose drink (domain score of 0.06, SD = 0.91) than after the placebo drink (-0.08, SD = 0.92, p = .04). Sucrose had no effect on the other three domains, and glucose had no effect on any of the domains compared to the placebo. When dividing participants into poorer or better glucose recoverers, the beneficial effect of sucrose on attention and information processing speed was only seen in participants with a poorer recovery. After sucrose consumption, depressive feelings and tension were slightly higher than after the placebo. To conclude, 100 g sucrose, but not 50 g glucose, optimized attention and information processing speed in the short term in this study in elderly people with subjective, mild memory complaints.
在本研究中,我们采用随机交叉研究设计,比较了葡萄糖饮料、蔗糖饮料与安慰剂对有主观轻度记忆障碍的老年人认知能力和情绪的短期影响。总共纳入了43名自我报告有记忆障碍的非糖尿病老年人。饮料为250毫升,分别含有溶解的葡萄糖(50克)、蔗糖(100克)或人工甜味剂混合物(安慰剂)。进行了多项神经心理学测试,并通过z分数将其合并为四个认知领域:情景记忆、工作记忆、注意力与信息(处理速度)以及执行功能。使用简版情绪状态量表(s-POMS)问卷评估情绪。在五个时间点测量血糖浓度,以将参与者分为血糖恢复较好或较差的两组。饮用蔗糖饮料后,注意力与信息处理速度领域的表现(领域分数为0.06,标准差=0.91)显著优于饮用安慰剂饮料后(-0.08,标准差=0.92,p=0.04)。蔗糖对其他三个领域没有影响,与安慰剂相比,葡萄糖对任何领域均无影响。将参与者分为血糖恢复较差或较好的两组后,蔗糖对注意力与信息处理速度的有益影响仅在恢复较差的参与者中可见。饮用蔗糖饮料后,抑郁情绪和紧张感略高于饮用安慰剂后。总之,在本研究中,100克蔗糖而非50克葡萄糖能在短期内优化有主观轻度记忆障碍老年人的注意力与信息处理速度。