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http://dx.doi.org/10.7318/KJFC/2020.35.6.553

Association between Intake of Food and Cognitive Impairment: A Systematic Review and Meta-analysis  

Kim, Yoo-Gyeong (Department of Food and nutrition, Duksung Women's university)
Kim, Kyung-Hee (Department of Food and nutrition, Duksung Women's university)
Publication Information
Journal of the Korean Society of Food Culture / v.35, no.6, 2020 , pp. 553-568 More about this Journal
Abstract
This systematic review and meta-analysis aimed to determine whether food intake is effective in preventing diseases related to cognitive impairment. We searched English databases namely MEDLINE, PubMed and ScienceDirect from 2000 to May 2020, and Korean databases namely RISS, KISS, and DBPIA from 1990 to May 2020. We divided the data into 15 groups using the food group classification of the Korean Nutrition Society (KNS). The effect size (Cohen's d) was estimated using a random-effect model, and a 95% confidence interval was calculated for each study. We included 17 cross-sectional studies and 7 cohort studies which involved 45,115 participants. As a result of analyzing the subgroups in the Asian population of both sexes, it was observed that grain intake has a protective effect against cognitive impairment. For females, pulses and fish also have a protective role against cognitive impairment. In the case of seaweed, a negative relationship was found with a moderate protective effect against cognitive impairment (Cohen's d:-0.533, 95% CI: -0.939, -0.126; p=0.010) in Korean studies. Dairy products are associated with an increased risk of cognitive impairment in the American and European population but drinking alcohol is associated with a lower impairment risk. These results provide a basis for formulating the dietary guidelines for preventing dementia for each country.
Keywords
Food; cognitive impairment; meta-analysis; systematic review;
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1 Bae MA, Lee YW, Kim HS, You JS, Chang KJ. 2019. Comparison of the cognitive function and nutrient intakes of elderly women with dementia in a long-term care facility and a day-time care facility in Incheon. J. Korean Soc. Food Cult., 34(4):389-400.   DOI
2 Borenstein M, Hedges LV, Higgins JP, Rothstein HR. 2000. Introduction to Meta-Analysis. John Wiley & Sons Ltd, United Kingdom, pp 17-186.
3 Chuang SY, Lo YL, Wu SY, Wang PN, Pan WH. 2019. Dietary patterns and foods associated with cognitive function in Taiwanese older adults: The cross-sectional and longitudinal studies. J Am Med Dir Assoc, 20(5):544-550.   DOI
4 Cooper C, Sommerlad A, Lyketsos CG, Livingston G. 2015. Modifiable predictors of dementia in mild cognitive impairment: a systematic review and meta-analysis. Am. J. Psychiatry, 172(4):323-334.   DOI
5 Cornish ML, Critchley AT, Mouritsen OG. 2017. Consumption of seaweeds and the human brain. J. Appl. Phycol., 29:2377­2398.
6 Rahman A, Sawyer Baker P, Allman RM, Zamrini E. 2007. Dietary factors and cognitive impairment in communitydwelling elderly. J Nutr Health Aging, 11(1):49-54.
7 Roberts RO, Cerhan JR, Geda YE, Knopman DS, Cha RH, Christianson TJ, Pankratz VS, Ivnik RJ, O'Connor HM, Petersen RC. 2010a. Polyunsaturated fatty acids and reduced odds of MCI: the Mayo clinic study of aging. Int J Alzheimers Dis, 21(3):853-865.   DOI
8 Roberts RO, Geda YE, Cerhan JR, Knopman DS, Cha RH, Christianson TJ, Pankratz VS, Ivnik RJ, Boeve BF, O'Connor HM, Petersen RC. 2010b. Vegetables, unsaturated fats, moderate alcohol intake, and mild cognitive impairment. Dement Geriatr Cogn Disord, 29(5):413-423.   DOI
9 Wu L, Sun D. 2016. Meta-analysis of milk consumption and the risk of cognitive disorders. Nutrients, 8(12):824.   DOI
10 Wu L, Sun D. 2017. Adherence to Mediterranean diet and risk of developing cognitive disorders: An updated systematic review and meta-analysis of prospective cohort studies. Sci. Rep., 7:41317.   DOI
11 Wu MS, Lan TH, Chen CM, Chiu HC, Lan TY. 2011. Sociodemographic and health-related factors associated with cognitive impairment in the elderly in Taiwan. BMC Public Health, 11:22.   DOI
12 Yun Jh, Seol KH, Yoo J, Oh MH, Ham JS. 2020. Usability and preventive effect of milk & milk products- and milk-derived isolates for dementia and age-related cognitive impairment: A review. J. Diary Sci. Biotechnol., 38(1):27-36.   DOI
13 Zhang Y, Chen J, Qiu J, Li Y, Wang J, Jiao J. 2016. Intakes of fish and polyunsaturated fatty acids and mild-to-severe cognitive impairment risks: a dose-response metaanalysis of 21 cohort studies. Am. J. Clin. Nutr., 103(2):330-40.   DOI
14 Central Dementia Center. 2018. Dementia prevalence status. Available from: https://www.nid.or.kr/, [accessed 2020. 05.28.]
15 Korean Dementia Association. 2020. Definition of dementia. Available from: https://www.dementia.or.kr/, [accessed 2020.10.08.]
16 Korean Nutrition Society. 2016. Classification of food code. Available from: http://www.kns.or.kr/, [accessed 2020. 11.10]
17 National Institutes of Health. 2014. Quality assessment tool for observational cohort and cross-sectional studies. Available from: https://www.nhlbi.nih.gov/health-topics/study-qualityassessment-tools, [accessed 2020.10.10.].
18 World Health Organization. 2020. Dementia. Available from: https://www.who.int/news-room/fact-sheets/detail/dementia, [accessed 2020.11.07.].
19 Lee L, Kang SA, Lee HO, Lee BH, Park JS, Kim JH, Jung IK, Park YJ, Lee JE. 2001. Relationships between dietary intake and cognitive function level in Korean elderly people. Public Health, 115(2):133-138.   DOI
20 Lee GH, Kim SJ, Yu HJ. 2020. Parental factors associated with smartphone overuse in preschoolers: A systematic review and meta-Analysis. J Korean Acad Nurs., 50(3):349-368.   DOI
21 Pastor-Valero M, Furlan-Viebig R, Menezes PR, da Silva SA, Vallada H, Scazufca M. 2014. Education and WHO recommendations for fruit and vegetable intake are associated with better cognitive function in a disadvantaged Brazilian elderly population: a population-based crosssectional study. PLoS One, 9(4):e94042.   DOI
22 Lowette K, Roosen L, Tack J, Vanden Berghe P. 2015. Effects of high-fructose diets on central appetite signaling and cognitive function. Front. Nutr., 2(5):1-5.
23 Morris MC, Evans DA, Bienias JL, Tangney CC, Bennett DA, Wilson RS, Aggarwal N, Schneider J. 2003. Consumption of fish and n-3 fatty acids and risk of incident Alzheimer disease. Arch. Neurol., 60(7):940-946.   DOI
24 Nurk E, Drevon CA, Refsum H, Solvoll K, Vollset SE, Nygrd O, Nygaard HA, Engedal K, Tell GS, Smith AD. 2007. Cognitive performance among the elderly and dietary fish intake: the Hordaland health study. Am. J. Clin. Nutr., 86(5):1470-1478.   DOI
25 Petersen RC, Doody R, Kurz A, Mohs RC, Morris JC, Rabins PV, Ritchie K, Rossor M, Thal L, Winblad B. 2001. Current concepts in mild cognitive impairment. Arch. Neurol., 58(12):1985-1992.   DOI
26 Pistollato F, Iglesias RC, Ruiz R, Aparicio S, Crespo J, Lopez LD, Manna PP, Giampieri F, Battino M. 2018. Nutritional patterns associated with the maintenance of neurocognitive functions and the risk of dementia and Alzheimer's disease: A focus on human studies. Pharmacol. Res., 131:32-43.   DOI
27 Qin B, Plassman BL, Edwards LJ, Popkin BM, Adair LS, Mendez MA. 2014. Fish intake is associated with slower cognitive impairment in Chinese older adults. J. Nutr., 144(10):1579-1585.   DOI
28 Rafnsson SB, Dilis V, Trichopoulou A. 2013. Antioxidant nutrients and age-related cognitive impairment: a systematic review of population-based cohort studies. Eur J Nutr, 52(6):1553-1567.   DOI
29 Eskelinen MH, Ngandu T, Tuomilehto J, Soininen H, Kivipelto M. 2009. Midlife coffee and tea drinking and the risk of late-life dementia: a population-based CAIDE study. Int J Alzheimers Dis, 16(1):85-91.   DOI
30 Cui C, Birru RL, Snitz BE, Ihara M, Kakuta C, Lopresti BJ, Aizenstein HJ, Lopez OL, Mathis CA, Miyamoto Y, Kuller LH, Sekikawa A. 2020. Effects of soy isoflavones on cognitive function: a systematic review and meta-analysis of randomized controlled trials. Nutr Res Rev, 78(2):134-144.   DOI
31 Gonzlez-Muoz MJ, Pea A, Meseguer I. 2008. Role of beer as a possible protective factor in preventing Alzheimer's disease. Food Chem. Toxicol., 46(1):49-56.   DOI
32 Ha SK, Kim KY, Yun JM. 2019. Association between cognitive function and food intake of hospitalized patients over aged 50 years in Gwangju. Nutr Res Pract, 48(12):1421-1430.
33 Hogervorst E, Sadjimim T, Yesufu A, Kreager P, Rahardjo TB. 2008. High tofu intake is associated with worse memory in elderly Indonesian men and women. Dement Geriatr Cogn Disord, 26(1):50-57.   DOI
34 Hu N, Yu JT, Tan L, Wang YL, Sun L, Tan L. 2013. Nutrition and the risk of Alzheimer's disease. Biomed Res. Int., 2013:524820.
35 Huang TC, Lu KT, Wo YY, Wu YJ, Yang YL. 2011. Resveratrol protects rats from a β-induced neurotoxicity by the reduction of iNOS expression and lipid peroxidation. PLoS One, 6(12):e29102.   DOI
36 Jiang X, Huang J, Song D, Deng R, Wei1 J, Zhang Z. 2017. Increased consumption of fruit and vegetables is related to a reduced risk of cognitive impairment and dementia: Meta-analysis. Front. Aging Neurosci., 9(18):1-11.
37 Karuppagounder SS, Pinto JT, Xu H, Chen HL, Beal MF, Gibson GE. 2009. Dietary supplementation with resveratrol reduces plaque pathology in a transgenic model of Alzheimer's disease. Neurochem. Int., 54(2):111-8.   DOI
38 Kim JH, Kang SA, Choi BY, Jung IK, Lee LH. 1998. Relationship between cognitive function and dietary patterns in Korean elderly women. J. Nutr. Health, 31(9):1457-1467.
39 Kim HL, Kim DK, Kang SW, Park YK. 2018. Association of nutrient intakes with cognitive function in Koreans aged 50 years and older. Clin Nutr, 7(3):199-212.
40 Kim HY, Lee JS, Youn JC, Chang MJ. 2016. Food and nutrient intake status of Korean elderly by degree of cognitive function. J. Nutr. Health, 49(5):313-322.   DOI
41 Kim JH, Lee Y, Han G. 2004. Association of dietary factors with cognitive impairment in older women. J Prev Med Public Health, 37(2):174-181.
42 Kim KY, Yun JM. 2018. Association between diets and mild cognitive impairment in adults aged 50 years or older. Nutr Res Pract, 12(5):415-425.   DOI
43 Lee ATC, Richards M, Chan WC, Chiu HFK, Lee RSY, Lam LCW. 2017. Lower risk of incident dementia among Chinese older adults having three servings of vegetables and two servings of fruits a day. Age Ageing, 46(5):773-779.   DOI
44 Solfrizzi V, Custodero C, Lozupone M, Imbimbo BP, Valiani V, Agosti P, Schilardi A, D'Introno A, La Montagna M, Calvani M, Guerra V, Sardone R, Abbrescia DI, Bellomo A, Greco A, Daniele A, Seripa D, Logroscino G, Sabb C, Panza F. 2017. Relationships of dietary patterns, foods, and micro- and macronutrients with Alzheimer's disease and late-life cognitive disorders: A systematic review. Int J Alzheimers Dis, 59(3):815-849.   DOI
45 Stanhope KL. 2016. Sugar consumption, metabolic disease and obesity: The state of the controversy. Crit Rev Clin Lab Sci, 53(1):52-67.   DOI
46 Wang Z, Dong B, Zeng G, Li J, Wang W, Wang B, Yuan Q. 2010. Is there an association between mild cognitive impairment and dietary pattern in Chinese elderly? Results from a cross-sectional population study. BMC Public Health, 10:595.   DOI
47 Stroup DF, Berlin JA, Morton SC, Olkin I, Williamson GD, Rennie D, Moher D, Becker BJ, Sipe TA, Thacker SB. 2000. Meta-analysis of observational studies in epidemiology: a proposal for reporting. Meta-analysis of Observational Studies in Epidemiology (MOOSE) group. JAMA, 283(15): 2008-2012.   DOI
48 Trichopoulou A, Kyrozis A, Rossi M, Katsoulis M, Trichopoulos D, La Vecchia C, Lagiou P. 2015. Mediterranean diet and cognitive impairment over time in an elderly Mediterranean population. Eur J Nutr, 54(8):1311-1321.   DOI
49 Vercambre MN, Boutron-Ruault MC, Ritchie K, ClavelChapelon F, Berr C. 2009. Long-term association of food and nutrient intakes with cognitive and functional decline: a 13-year follow-up study of elderly French women. Br. J. Nutr., 102(3):419-427.   DOI
50 Wei CJ, Cheng Y, Zhang Y, Sun F, Zhang WS, Zhang MY. 2014. Risk factors for dementia in highly educated elderly people in Tianjin, China. Clin Neurol Neurosurg, 122:4-8.   DOI
51 Shakersain B, Rizzuto D, Larsson SC, Faxn-Irving G, Fratiglioni L, Xu WL. 2018. The Nordic prudent diet reduces risk of cognitive impairment in the Swedish older adults: A population-based cohort study. Nutrients, 10(2):229.   DOI
52 Anastasiou CA, Yannakoulia M, Kosmidis MH, Dardiotis E, Hadjigeorgiou GM, Sakka P, Arampatzi X, Bougea A, Labropoulos I, Scarmeas N. 2017. Mediterranean diet and cognitive health: Initial results from the Hellenic longitudinal investigation of ageing and diet. PLoS One, 12(8):e0182048.   DOI