Jiwani Rozmin, Robbins Ronna, Neri Alfonso, Renero Jose, Lopez Emme, Serra Monica C
School of Nursing, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, San Antonio, TX, 78229, USA.
Geriatric Research, Education & Clinical Center (GRECC), South Texas Veterans Health Care System, San Antonio, TX, USA.
Curr Nutr Rep. 2022 Jun;11(2):146-160. doi: 10.1007/s13668-022-00412-5. Epub 2022 Mar 25.
This review evaluated recent randomized controlled trials (RCTs) examining the chronic intake of whole foods associated with the Mediterranean, Dietary Approaches to Stop Hypertension (DASH), Mediterranean-DASH Intervention for Neurogenerative Delay (MIND), and ketogenic (KETO) diets on cognitive function.
We identified RCTs related to olive oil (N = 3), nuts (N = 7), fatty fish (N = 1), lean meats (N = 4), fruits and vegetables (N = 9), legumes (N = 1), and low-fat dairy (N = 4), with 26/29 reporting positive results on at least one measure of cognition. We also identified 6 RCTs related to whole food-induced KETO diets, with half reporting positive effects on cognition. Variations in study design (i.e., generally the studies are < 6 months and include middle-aged and older, cognitively intact participants) and small sample sizes make it difficult to draw conclusions across studies; however, the current evidence from RCTs generally supports individual component intakes of these dietary patterns as an effective, nonpharmacological approach to improve cognitive health in adults.
本综述评估了近期的随机对照试验(RCT),这些试验研究了长期摄入与地中海饮食、得舒饮食(DASH)、地中海-得舒神经退行性延迟干预饮食(MIND)和生酮饮食(KETO)相关的全食物对认知功能的影响。
我们确定了与橄榄油(N = 3)、坚果(N = 7)、富含脂肪的鱼类(N = 1)、瘦肉(N = 4)、水果和蔬菜(N = 9)、豆类(N = 1)以及低脂乳制品(N = 4)相关的随机对照试验,其中26/29项试验至少在一项认知指标上报告了阳性结果。我们还确定了6项与全食物诱导的生酮饮食相关的随机对照试验,其中一半报告了对认知有积极影响。研究设计的差异(即一般研究时长<6个月,包括认知功能正常的中年及老年参与者)和小样本量使得难以在各项研究之间得出结论;然而,目前随机对照试验的证据总体上支持这些饮食模式中各成分的摄入量作为一种有效、非药物的方法来改善成年人的认知健康。