Klimova Blanka, Dziuba Szymon, Cierniak-Emerych Anna
Department of Applied Linguistics, Faculty of Informatics and Management, University of Hradec Králové, Hradec Králové, Czechia.
Faculty of Engineering and Economics, Wrocław University of Economics, Wrocław, Poland.
Front Hum Neurosci. 2020 Aug 11;14:325. doi: 10.3389/fnhum.2020.00325. eCollection 2020.
At present, a healthy diet appears to be one of the suitable strategies in slowing down cognitive decline in the process of aging. A number of evidence-based studies confirm its efficacy, safety, and cost-effectiveness. The aim of this mini review is to evaluate and describe recent randomized clinical and cohort studies exploring the effect of healthy diet on cognitive performance among healthy seniors, as well as to update the existing information on this research issue. For these reasons, the authors reviewed full-text, peer-reviewed journal articles written in English and available in Web of Science and PubMed between September 2017 and February 2020. Altogether nine original studies were detected. The results indicate that healthy diet and healthy diet components generally have a positive impact on the enhancement of cognitive functions. Furthermore, the findings reveal that dietary patterns, as well as single nutrients might have a significant effect on specific cognitive domains, such as memory in general, episodic memory, or processing speed. It also seems that a strict adherence to the dietary patterns and a higher diet variety have a more significant effect on the improvement of cognitive functions. Nevertheless, there seem to be gender differences in dietary behavior. More recently, personalized dietary interventions started to be used in delaying cognitive decline among healthy seniors. Therefore, more randomized control trials or N-of-1 trials should be performed in this research area in order to detect the most suitable dietary pattern or nutrients, which would, together with other modifiable lifestyle factors, contribute to the improvement of quality of life of the aging population.
目前,健康饮食似乎是减缓衰老过程中认知衰退的合适策略之一。一些基于证据的研究证实了其有效性、安全性和成本效益。本综述的目的是评估和描述近期探索健康饮食对健康老年人认知表现影响的随机临床研究和队列研究,并更新关于这一研究问题的现有信息。出于这些原因,作者检索了2017年9月至2020年2月期间发表在《科学引文索引》和《医学期刊数据库》上的英文全文、经同行评审的期刊文章。共检索到9项原创研究。结果表明,健康饮食及其组成部分通常对增强认知功能有积极影响。此外,研究结果还显示,饮食模式以及单一营养素可能对特定认知领域有显著影响,如一般记忆、情景记忆或处理速度。严格遵循饮食模式和更高的饮食多样性似乎对改善认知功能有更显著的影响。然而,饮食行为似乎存在性别差异。最近,个性化饮食干预开始用于延缓健康老年人的认知衰退。因此,在这一研究领域应开展更多的随机对照试验或单病例试验,以确定最适合的饮食模式或营养素,这些饮食模式或营养素与其他可改变的生活方式因素一起,有助于提高老年人群的生活质量。