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葡萄干补充剂对健康老年人认知表现、生活质量和功能活动的影响——随机临床试验。

Effects of a Raisin Supplement on Cognitive Performance, Quality of Life, and Functional Activities in Healthy Older Adults-Randomized Clinical Trial.

机构信息

Grupo de Investigación de Polifenoles (GIP-USAL), Universidad de Salamanca, E-37007 Salamanca, Spain.

Facultad de Enfermería y Fisioterapia, Universidad de Salamanca, E-37007 Salamanca, Spain.

出版信息

Nutrients. 2023 Jun 20;15(12):2811. doi: 10.3390/nu15122811.

Abstract

The objective of this study was to evaluate the effects of consuming 50 g of raisins on cognitive performance, quality of life, and functional activities in healthy older adults. This is a parallel randomized controlled clinical trial, in which 80 subjects over 70 years of age participated. For 6 months, the intervention group (IG; = 40) consumed 50 g of raisins per day added to their usual diet, whereas the control group (CG; = 40) received no supplement. All variables were measured at baseline and at 6 months. Cognitive performance assessed with the Montreal Cognitive Assessment (MOCA) test shows a difference of 3.27 points (95% CI 1.59 to 4.96), ≤ 0.001, favorable to the IG, after the intervention. Among the cognitive performances, an improvement is observed in the IG in orientation, assessed both with the MOCA test 0.49 (95% CI 0.10 to 0.87), = 0.014, and with the Mini-Mental State Examination (MMSE) test, 0.36 (95% CI 0.02 to 0.70), = 0.038. In visuospatial/executive capacity and in language, improvements were also observed in the IG, 1.36 (95% CI 0.77 to 1.95), = 0.001, and 0.54 points (95% CI 0.12 to 0.96), = 0.014, respectively. Immediate and delayed recall, assessed with the Rey Auditory Verbal Learning Test, improved in the IG. In addition, the IG showed a better quality of life and greater autonomy in instrumental activities of daily living after 6 months. No significant changes were observed in the rest of the variables analyzed. Therefore, the consumption of 50 g of raisins produces a slight improvement in cognitive performance, quality of life, and functional activities in the elderly.

摘要

本研究旨在评估每天食用 50 克葡萄干对健康老年人认知表现、生活质量和日常功能活动的影响。这是一项平行随机对照临床试验,共有 80 名 70 岁以上的受试者参与。在 6 个月的时间里,干预组(IG;n=40)在日常饮食中额外摄入 50 克葡萄干,而对照组(CG;n=40)则不补充任何营养素。所有变量均在基线和 6 个月时进行测量。使用蒙特利尔认知评估(MoCA)测试评估认知表现,结果显示干预后 IG 的得分提高了 3.27 分(95%置信区间 1.59 至 4.96),差异具有统计学意义(p≤0.001)。在认知表现方面,IG 的定向能力得到了改善,在 MoCA 测试中提高了 0.49 分(95%置信区间 0.10 至 0.87),p=0.014,在简易精神状态检查(MMSE)测试中提高了 0.36 分(95%置信区间 0.02 至 0.70),p=0.038。IG 的视空间/执行能力和语言能力也有所提高,分别提高了 1.36 分(95%置信区间 0.77 至 1.95),p=0.001 和 0.54 分(95%置信区间 0.12 至 0.96),p=0.014。IG 的即时和延迟回忆能力也有所提高,使用 Rey 听觉言语学习测试进行评估。此外,IG 在 6 个月后生活质量和日常生活自理能力的工具性活动方面表现更好。其余分析的变量均无明显变化。因此,每天食用 50 克葡萄干可略微改善老年人的认知表现、生活质量和日常功能活动。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4142/10301980/15f020696f45/nutrients-15-02811-g001.jpg

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