Meat Consumption, Cognitive Function and Disorders: A Systematic Review with Narrative Synthesis and Meta-Analysis

Cognitive impairment, Alzheimer’s disease, and other forms of dementia are increasing in prevalence worldwide, while global dietary patterns are transitioning to a ‘western type’ with increasing meat consumption. Studies which have explored the associations between cognitive function and meat intakes have produced inconsistent findings. The aim of this systematic review was to explore the evidence linking meat intake with cognitive disorders. Twenty-nine studies were retrieved, including twelve cohort, three case-control, thirteen cross-sectional studies, and one intervention study. The majority (21/29) showed that meat consumption was not significantly associated with cognitive function or disorders. Meta-analysis of five studies showed no significant differences in meat consumption between cases with cognitive disorders and controls (standardized mean difference = −0.32, 95% CI: −1.01, 0.36); however, there was considerable heterogeneity. In contrast, a meta-analysis of five studies showed reduced odds of cognitive disorders by consuming meat weekly or more (OR = 0.73, 95% CI: 0.57, 0.88); however, potential publication bias was noted in relation to this finding. Overall, there was no strong association between meat intake and cognitive disorders. However, the evidence base was limited, requiring more studies of high quality to isolate the specific effect of meat consumption from dietary patterns to confirm these associations.

[1]  V. Welch,et al.  Synthesis without meta-analysis (SWiM) in systematic reviews: reporting guideline , 2020, BMJ.

[2]  E. Feskens,et al.  Higher Mediterranean Diet scores are not cross-sectionally associated with better cognitive scores in 20- to 70-year-old Dutch adults: The NQplus study. , 2018, Nutrition research.

[3]  X. Shu,et al.  A Prospective Investigation of Dietary Intake and Functional Impairments Among the Elderly , 2018, American journal of epidemiology.

[4]  Joan Blanco-Blanco,et al.  Study of community-living Alzheimer’s patients’ adherence to the Mediterranean diet and risks of malnutrition at different disease stages , 2018, PeerJ.

[5]  F. Jessen,et al.  Prospective Associations between Single Foods, Alzheimer’s Dementia and Memory Decline in the Elderly , 2018, Nutrients.

[6]  C. Jack,et al.  Mediterranean Diet, Its Components, and Amyloid Imaging Biomarkers. , 2018, Journal of Alzheimer's disease : JAD.

[7]  D. Harvey,et al.  Brain Volume Change and Cognitive Trajectories in Aging , 2018, Neuropsychology.

[8]  O. Wright,et al.  The Association between the Mediterranean Dietary Pattern and Cognitive Health: A Systematic Review , 2017, Nutrients.

[9]  Clifford R. Jack,et al.  Mediterranean diet, micronutrients and macronutrients, and MRI measures of cortical thickness , 2017, Alzheimer's & Dementia.

[10]  L. Weyandt,et al.  Alzheimer's disease and diet: a systematic review , 2017, The International journal of neuroscience.

[11]  Joanna M. Wardlaw,et al.  Mediterranean-type diet and brain structural change from 73 to 76 years in a Scottish cohort , 2017, Neurology.

[12]  E. Philippou,et al.  Mediterranean Diet, Cognitive Function, and Dementia: A Systematic Review of the Evidence. , 2016, Advances in nutrition.

[13]  W. Grant,et al.  Using Multicountry Ecological and Observational Studies to Determine Dietary Risk Factors for Alzheimer's Disease , 2016, Journal of the American College of Nutrition.

[14]  S. Roodenrys,et al.  Pork and Chicken Meals Similarly Impact on Cognitive Function and Strength in Community-Living Older Adults: A Pilot Study , 2016, Journal of nutrition in gerontology and geriatrics.

[15]  Li Dong,et al.  Diet, lifestyle and cognitive function in old Chinese adults. , 2016, Archives of gerontology and geriatrics.

[16]  E. d’Orsi,et al.  Cognition and Indicators of Dietary Habits in Older Adults from Southern Brazil , 2016, PloS one.

[17]  D. Panagiotakos,et al.  Red meat consumption and healthy ageing: A review. , 2016, Maturitas.

[18]  T. Kirkwood,et al.  Dietary Patterns High in Red Meat, Potato, Gravy, and Butter Are Associated with Poor Cognitive Functioning but Not with Rate of Cognitive Decline in Very Old Adults1234 , 2016, The Journal of nutrition.

[19]  M. Katsoulis,et al.  Mediterranean diet and cognitive decline over time in an elderly Mediterranean population , 2015, European Journal of Nutrition.

[20]  Yaakov Stern,et al.  Mediterranean diet and brain structure in a multiethnic elderly cohort , 2015, Neurology.

[21]  Joanna M. Wardlaw,et al.  Brain volumetric changes and cognitive ageing during the eighth decade of life , 2015, Human brain mapping.

[22]  F. Hu,et al.  Red and processed meat consumption and mortality: dose–response meta-analysis of prospective cohort studies , 2015, Public Health Nutrition.

[23]  Annemien Haveman-Nies,et al.  Dietary patterns, cognitive decline, and dementia: a systematic review. , 2015, Advances in nutrition.

[24]  A. Alkerwi,et al.  Higher Cognitive Performance Is Prospectively Associated with Healthy Dietary Choices: The Maine Syracuse Longitudinal Study. , 2015, The journal of prevention of Alzheimer's disease.

[25]  K. Anstey,et al.  Role of Dietary Pattern Analysis in Determining Cognitive Status in Elderly Australian Adults , 2015, Nutrients.

[26]  L. Feng,et al.  Association of dietary intake and lifestyle pattern with mild cognitive impairment in the elderly , 2015, The journal of nutrition, health & aging.

[27]  Li Zhang,et al.  Heme, an Essential Nutrient from Dietary Proteins, Critically Impacts Diverse Physiological and Pathological Processes , 2014, Nutrients.

[28]  Helgi B. Schiöth,et al.  Mediterranean diet habits in older individuals: Associations with cognitive functioning and brain volumes , 2013, Experimental Gerontology.

[29]  W. Grant,et al.  Trends in diet and Alzheimer's disease during the nutrition transition in Japan and developing countries. , 2013, Journal of Alzheimer's disease : JAD.

[30]  J. Bryan,et al.  Mediterranean diet adherence and self-reported psychological functioning in an Australian sample , 2013, Appetite.

[31]  Adele Cutler,et al.  Prospective study of Dietary Approaches to Stop Hypertension- and Mediterranean-style dietary patterns and age-related cognitive change: the Cache County Study on Memory, Health and Aging. , 2013, The American journal of clinical nutrition.

[32]  L. Groot,et al.  Literature review on the role of dietary protein and amino acids in cognitive functioning and cognitive decline , 2013, Amino Acids.

[33]  JoAnn E. Manson,et al.  Mediterranean Diet and Cognitive Function in Older Age , 2013, Epidemiology.

[34]  D. Panagiotakos,et al.  Cognitive impairment and dietary habits among elders: the Velestino Study. , 2013, Journal of medicinal food.

[35]  Yueqin Huang,et al.  Lower intake of vegetables and legumes associated with cognitive decline among illiterate elderly Chinese: A 3-year cohort study , 2012, The journal of nutrition, health & aging.

[36]  Anne Corbett,et al.  Alzheimer's disease , 2011, The Lancet.

[37]  B. Dong,et al.  Is there an association between mild cognitive impairment and dietary pattern in chinese elderly? Results from a cross-sectional population study , 2010, BMC public health.

[38]  R. Ortega,et al.  Association between food and nutrient intakes and cognitive capacity in a group of institutionalized elderly people , 2010, European journal of nutrition.

[39]  T. Lam,et al.  Is childhood meat eating associated with better later adulthood cognition in a developing population? , 2010, European Journal of Epidemiology.

[40]  Q. Niu,et al.  Benzo[a]pyrene-induced neurobehavioral function and neurotransmitter alterations in coke oven workers , 2009, Occupational and Environmental Medicine.

[41]  J. Ioannidis,et al.  The PRISMA Statement for Reporting Systematic Reviews and Meta-Analyses of Studies That Evaluate Health Care Interventions: Explanation and Elaboration , 2009, Annals of Internal Medicine [serial online].

[42]  R. Uauy,et al.  Dietary fish and meat intake and dementia in Latin America, China, and India: a 10/66 Dementia Research Group population-based study , 2009, The American journal of clinical nutrition.

[43]  Karen Ritchie,et al.  Long-term association of food and nutrient intakes with cognitive and functional decline: a 13-year follow-up study of elderly French women , 2009, British Journal of Nutrition.

[44]  Steve Iliffe,et al.  Alzheimer’s disease , 2009, BMJ : British Medical Journal.

[45]  P. Barberger-Gateau,et al.  Dietary patterns and risk of dementia , 2007, Neurology.

[46]  D. Altman,et al.  Measuring inconsistency in meta-analyses , 2003, BMJ : British Medical Journal.

[47]  R. Ortega,et al.  Influence of nutrition on cognitive function in a group of elderly, independently living people , 2003, European Journal of Clinical Nutrition.

[48]  Jean-François Dartigues,et al.  Fish, meat, and risk of dementia: cohort study , 2002, BMJ : British Medical Journal.

[49]  J. E. Lee,et al.  Relationships between dietary intake and cognitive function level in Korean elderly people. , 2001, Public health.

[50]  I. Olkin,et al.  Meta-analysis of observational studies in epidemiology - A proposal for reporting , 2000 .

[51]  K Kontula,et al.  Apolipoprotein E, dementia, and cortical deposition of beta-amyloid protein. , 1995, The New England journal of medicine.

[52]  C. Travis,et al.  Benzo-a-Pyrene: Environmental Partitioning and Human Exposure , 1991, Toxicology and industrial health.

[53]  L. Fratiglioni,et al.  Risk factors for clinically diagnosed Alzheimer's disease , 1986, Neurology.

[54]  H. Brodaty,et al.  Dietary Patterns and Cognitive Health in Older Adults: A Systematic Review. , 2019, Journal of Alzheimer's disease : JAD.

[55]  Vivian Francielle França,et al.  Diet, Epidemiological Factors and Cognitive Impairment: A Cross-Sectional Study in the Elderly Population , 2018 .

[56]  F. Panza,et al.  Dietary patterns, foods, and food groups: Relation to late-life cognitive disorders , 2018 .

[57]  G. Logroscino,et al.  Relationships of Dietary Patterns, Foods, and Micro- and Macronutrients with Alzheimer's Disease and Late-Life Cognitive Disorders: A Systematic Review. , 2017, Journal of Alzheimer's disease : JAD.

[58]  A. Suwalska,et al.  Eating patterns are associated with cognitive function in the elderly at risk of metabolic syndrome from rural areas. , 2014, European review for medical and pharmacological sciences.

[59]  D. Selkoe Alzheimer's disease. , 2011, Cold Spring Harbor perspectives in biology.

[60]  R. Allman,et al.  Dietary factors and cognitive impairment in community-dwelling elderly. , 2007, The journal of nutrition, health & aging.

[61]  E. Ernst Diet and Dementia, is there a Link? A Systematic Review. , 1999, Nutritional neuroscience.