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EAT-柳叶刀参考饮食与整个生命历程中的认知功能。

The EAT-Lancet reference diet and cognitive function across the life course.

机构信息

Translational Research Center for Gastrointestinal Disorders, Department of Chronic Diseases and Metabolism, KU Leuven, Leuven, Belgium.

Department of Basic and Clinical Neuroscience, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.

出版信息

Lancet Planet Health. 2022 Sep;6(9):e749-e759. doi: 10.1016/S2542-5196(22)00123-1.

Abstract

The EAT-Lancet Commission devised a sustainable reference diet with the aim of reducing the incidence of non-communicable diseases and mortality globally while improving food system sustainability. The extent to which the reference diet supports cognitive function across the life course, however, has not yet been evaluated. This Review assesses the evidence for diet supporting cognitive function from childhood into old age. A comprehensive but non-exhaustive literature search was done, synthesising studies that investigated the effect of whole foods on cognition in healthy, community-dwelling human participants. We found that the current evidence base is weak with mixed conclusions and multiple methodological caveats, which precludes strong conclusions pertaining to the suitability of dietary recommendations for each food group per age group. Long-term intervention and prospective cohort studies are needed to reduce this knowledge deficit. Revising dietary recommendations with the aim of maintaining an adequate nutrient intake to sustain healthy cognitive function across the life course could be worthwhile. This Review outlines recommendations for future work to help improve the current knowledge deficit regarding dietary intake and cognitive function across the life course and its implications for dietary guidelines such as the EAT-Lancet Commission.

摘要

EAT 柳叶刀委员会制定了一种可持续的参考饮食,旨在减少全球范围内非传染性疾病的发病率和死亡率,同时提高食品系统的可持续性。然而,这种参考饮食在多大程度上支持整个生命周期的认知功能,尚未得到评估。本综述评估了饮食支持认知功能的证据,从儿童期到老年期。进行了全面但非详尽的文献检索,综合了研究,调查了整个食物对健康、社区居住的人类参与者认知的影响。我们发现,目前的证据基础薄弱,结论不一,存在多种方法学上的缺陷,因此不能就每个年龄组的每种食物组的饮食建议的适宜性得出强有力的结论。需要长期干预和前瞻性队列研究来减少这一知识差距。修订饮食建议的目的是为了维持足够的营养摄入,以维持整个生命周期的健康认知功能,这可能是值得的。本综述概述了未来工作的建议,以帮助改善目前关于整个生命周期的饮食摄入和认知功能的知识差距,以及对 EAT 柳叶刀委员会等饮食指南的影响。

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