Effect of the NU-AGE diet on cognitive functioning in older adults: A randomized controlled trial

Marseglia, Anna, Xu, Weili, Fratiglioni, Laura, Fabbri, Cristina, Berendsen, Agnes A. M., Bialecka-Debek, Agata, Jennings, Amy, Gillings, Rachel, Meunier, Nathalie, Caumon, Elodie, Fairweather-Tait, Susan ORCID: https://orcid.org/0000-0002-1413-5569, Pietruszka, Barbara, de Groot, Lisette C. P. G. M., Santoro, Aurelia and Franceschi, Claudio (2018) Effect of the NU-AGE diet on cognitive functioning in older adults: A randomized controlled trial. Frontiers in Physiology, 9. ISSN 1664-042X

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Abstract

Background: Findings from animal and epidemiological research support the potential neuroprotective benefits from healthy diets. However, to establish diet-neuroprotective causal relations, evidence from dietary intervention studies is needed. NU-AGE is the first multicenter intervention assessing whether a diet targeting health in aging can counteract the age-related physiological changes in different organs, including the brain. In this study, we specifically investigated the effects of NU-AGE's dietary intervention on age-related cognitive decline. Materials and Methods: NU-AGE randomized trial (NCT01754012, clinicaltrials.gov) included 1279 relatively healthy older-adults, aged 65–79 years, from five European centers. Participants were randomly allocated into two groups: “control” (n = 638), following a habitual diet; and, “intervention” (n = 641), given individually tailored dietary advice (NU-AGE diet). Adherence to the NU-AGE diet was measured over follow-up, and categorized into tertiles (low, moderate, high). Cognitive function was ascertained at baseline and at 1-year follow-up with the Consortium to Establish a Registry for Alzheimer's Disease (CERAD)-Neuropsychological Battery and five additional domain-specific single cognitive tests. The raw scores from the CERAD subtests [excluding the Mini-Mental State Examination (MMSE)] and the single tests were standardized into Z-scores. Global cognition (measured with MMSE and CERAD-total score), and five cognitive domains (perceptual speed, executive function, episodic memory, verbal abilities, and constructional praxis) were created. Cognitive changes as a function of the intervention were analyzed with multivariable mixed-effects models. Results: After the 1-year follow-up, 571 (89.1%) controls and 573 (89.8%) from the intervention group participated in the post-intervention assessment. Both control and intervention groups showed improvements in global cognition and in all cognitive domains after 1 year, but differences in cognitive changes between the two groups were not statistically significant. However, participants with higher adherence to the NU-AGE diet showed statistically significant improvements in global cognition [β 0.20 (95%CI 0.004, 0.39), p-value = 0.046] and episodic memory [β 0.15 (95%CI 0.02, 0.28), p-value = 0.025] after 1 year, compared to those adults with lower adherence. Discussion: High adherence to the culturally adapted, individually tailored, NU-AGE diet could slow down age-related cognitive decline, helping to prevent cognitive impairment and dementia.

Item Type:	Article
Uncontrolled Keywords:	randomized controlled trial,dietary intervention,cognitive decline,multicenter,neuroprotective,episodic memory,healthy diet
Faculty \ School:	Faculty of Medicine and Health Sciences > Norwich Medical School
UEA Research Groups:	Faculty of Medicine and Health Sciences > Research Groups > Nutrition and Preventive Medicine Faculty of Medicine and Health Sciences > Research Groups > Musculoskeletal Medicine Faculty of Medicine and Health Sciences > Research Centres > Lifespan Health
Depositing User:	Pure Connector
Date Deposited:	04 Apr 2018 09:36
Last Modified:	19 Oct 2023 02:10
URI:	https://ueaeprints.uea.ac.uk/id/eprint/66651
DOI:	10.3389/fphys.2018.00349

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