Current evidence linking nutrition with brain health in ageing

Cognitive dysfunction and depression are significant problems of ageing with major health and socio-economic impacts; therefore, preventing or delaying the onset of these disorders should be a public health priority. In particular, there is a need to identify modifiable factors that could be targeted to promote better brain health in ageing. Epidemiological studies indicate a protective role for certain dietary patterns, in particular the Mediterranean diet, and for specific nutrients, including n-3 polyunsaturated fatty acids, polyphenols and B vitamins. Although, the evidence to date from randomised controlled trials is generally inconsistent, there is clearer evidence to support a role for folate and related B vitamins in slowing the progression of cognitive decline and possibly reducing the risk of depression in ageing. Future studies incorporating new technologies offer much promise for the development of effective nutrition strategies that could reduce the risk of cognitive and mental disorders and improve quality of life in our ageing population.

[1]  N. Veronese,et al.  Adherence to the Mediterranean diet is associated with better quality of life: data from the Osteoarthritis Initiative. , 2016, The American journal of clinical nutrition.

[2]  J. Sangiovanni,et al.  Efficacy of omega-3 highly unsaturated fatty acids in the treatment of depression , 2016, British Journal of Psychiatry.

[3]  A. Smith,et al.  Homocysteine, B Vitamins, and Cognitive Impairment. , 2016, Annual review of nutrition.

[4]  G. Pasinetti,et al.  Recommendations for Development of Botanical Polyphenols as “Natural Drugs” for Promotion of Resilience Against Stress-Induced Depression and Cognitive Impairment , 2016, NeuroMolecular Medicine.

[5]  R. O. Oude Voshaar,et al.  Vitamin D deficiency, depression course and mortality: Longitudinal results from the Netherlands Study on Depression in Older persons (NESDO). , 2016, Journal of psychosomatic research.

[6]  M. Fukuda,et al.  Magnetoencephalography study of the effect of attention modulation on somatosensory processing in patients with major depressive disorder , 2016, Psychiatry and clinical neurosciences.

[7]  D. Kennedy B Vitamins and the Brain: Mechanisms, Dose and Efficacy—A Review , 2016, Nutrients.

[8]  A. Kiss,et al.  Depressive symptoms and cognitive decline: A longitudinal analysis of potentially modifiable risk factors in community dwelling older adults. , 2016, Journal of affective disorders.

[9]  K. Rechenberg Nutritional Interventions in Clinical Depression , 2016 .

[10]  C. Gazzaruso,et al.  Individuals with Metabolically Healthy Overweight/Obesity Have Higher Fat Utilization than Metabolically Unhealthy Individuals , 2016, Nutrients.

[11]  S. Regan,et al.  Public engagement in outcomes development - three degrees of separation , 2015, Trials.

[12]  Rachel Churchill,et al.  Omega-3 fatty acids for depression in adults. , 2015, The Cochrane database of systematic reviews.

[13]  K. Ellis,et al.  The effects of a protein enriched diet with lean red meat combined with a multi-modal exercise program on muscle and cognitive health and function in older adults: study protocol for a randomised controlled trial , 2015, Trials.

[14]  G. Mrudula,et al.  Emerging Roles for Folate and Related B-Vitamins in Brain Health across the Lifecycle , 2015 .

[15]  A. Uitterlinden,et al.  Low vitamin D status is associated with more depressive symptoms in Dutch older adults , 2015, European Journal of Nutrition.

[16]  R. Rossom,et al.  High glycemic index diet as a risk factor for depression: analyses from the Women's Health Initiative. , 2015, The American journal of clinical nutrition.

[17]  S. Rubin,et al.  Low 25-hydroxyvitamin D concentrations predict incident depression in well-functioning older adults: the health, aging, and body composition study. , 2015, The journals of gerontology. Series A, Biological sciences and medical sciences.

[18]  R. P. Ross,et al.  Dietary glycaemic load associated with cognitive performance in elderly subjects , 2015, European Journal of Nutrition.

[19]  L. Flicker,et al.  Systematic review and meta-analysis of randomized placebo-controlled trials of folate and vitamin B12 for depression , 2015, International Psychogeriatrics.

[20]  P. Garrard,et al.  B-vitamin trials meta-analysis: less than meets the eye. , 2015, The American journal of clinical nutrition.

[21]  I. Rosenberg,et al.  Homocysteine lowering, B vitamins, and cognitive aging. , 2015, The American journal of clinical nutrition.

[22]  L. Flicker,et al.  B vitamins to enhance treatment response to antidepressants in middle-aged and older adults: results from the B-VITAGE randomised, double-blind, placebo-controlled trial. , 2014, The British journal of psychiatry : the journal of mental science.

[23]  Wendy Suzuki,et al.  Enhancing dentate gyrus function with dietary flavanols improves cognition in older adults , 2014, Nature Neuroscience.

[24]  Martin Knapp,et al.  Dementia UK: Second Edition - Overview , 2014 .

[25]  P. Sterzer,et al.  White matter lesions and depression: a systematic review and meta-analysis. , 2014, Journal of psychiatric research.

[26]  R. Collins,et al.  Effects of homocysteine lowering with B vitamins on cognitive aging: meta-analysis of 11 trials with cognitive data on 22,000 individuals12345 , 2014, The American journal of clinical nutrition.

[27]  G. Grosso,et al.  Role of Omega-3 Fatty Acids in the Treatment of Depressive Disorders: A Comprehensive Meta-Analysis of Randomized Clinical Trials , 2014, PloS one.

[28]  C. Reynolds,et al.  Coaching in healthy dietary practices in at-risk older adults: a case of indicated depression prevention. , 2014, The American journal of psychiatry.

[29]  G. Grosso,et al.  Omega-3 Fatty Acids and Depression: Scientific Evidence and Biological Mechanisms , 2014, Oxidative medicine and cellular longevity.

[30]  L. Thabane,et al.  Efficacy of vitamin D supplementation in depression in adults: a systematic review. , 2014, The Journal of clinical endocrinology and metabolism.

[31]  P. Passmore,et al.  Souvenaid®: A new approach to management of early Alzheimer’s disease , 2014, The journal of nutrition, health & aging.

[32]  D. Panagiotakos,et al.  Mediterranean diet, stroke, cognitive impairment, and depression: A meta‐analysis , 2013, Annals of neurology.

[33]  C. Babiloni,et al.  Brain imaging and human nutrition: which measures to use in intervention studies? , 2013, Advances in nutrition.

[34]  A. Dhir,et al.  Natural polyphenols in the management of major depression , 2013, Expert opinion on investigational drugs.

[35]  Thomas E. Nichols,et al.  Preventing Alzheimer’s disease-related gray matter atrophy by B-vitamin treatment , 2013, Proceedings of the National Academy of Sciences.

[36]  R. Ortega,et al.  Dietary glycaemic load and odds of depression in a group of institutionalized elderly people without antidepressant treatment , 2013, European Journal of Nutrition.

[37]  B. Vellas,et al.  Nutrition and neurodegeneration: epidemiological evidence and challenges for future research. , 2013, British journal of clinical pharmacology.

[38]  A. Scholey,et al.  Cocoa polyphenols enhance positive mood states but not cognitive performance: a randomized, placebo-controlled trial , 2013, Journal of psychopharmacology.

[39]  J. Manson,et al.  Calcium and Vitamin D Supplementation and Cognitive Impairment in the Women's Health Initiative , 2012, Journal of the American Geriatrics Society.

[40]  I. Rosenberg,et al.  Status of vitamins B-12 and B-6 but not of folate, homocysteine, and the methylenetetrahydrofolate reductase C677T polymorphism are associated with impaired cognition and depression in adults. , 2012, The Journal of nutrition.

[41]  Sarah A. Chau,et al.  Effects of omega-3 fatty acids on cognitive performance: a meta-analysis , 2012, Neurobiology of Aging.

[42]  S. Schaffer,et al.  Effects of Polyphenols on Brain Ageing and Alzheimer’s Disease: Focus on Mitochondria , 2012, Molecular Neurobiology.

[43]  A. Smith,et al.  Cognitive and clinical outcomes of homocysteine‐lowering B‐vitamin treatment in mild cognitive impairment: a randomized controlled trial , 2012, International journal of geriatric psychiatry.

[44]  C. Annweiler,et al.  Higher vitamin D dietary intake is associated with lower risk of alzheimer's disease: a 7-year follow-up. , 2012, The journals of gerontology. Series A, Biological sciences and medical sciences.

[45]  Cornelis J. Stam,et al.  Disrupted modular brain dynamics reflect cognitive dysfunction in Alzheimer's disease , 2012, NeuroImage.

[46]  Chia-Hsiung Cheng,et al.  Inadequate inhibition of redundant auditory inputs in Alzheimer's disease: An MEG study , 2012, Biological Psychology.

[47]  R. Kawashima,et al.  Nutritional Quality of Breakfast Affects Cognitive Function: An fMRI Study , 2011 .

[48]  M. Folstein,et al.  Depression and glycemic intake in the homebound elderly. , 2011, Journal of affective disorders.

[49]  T. Hamid,et al.  Carbohydrates for improving the cognitive performance of independent-living older adults with normal cognition or mild cognitive impairment. , 2011, The Cochrane database of systematic reviews.

[50]  D. Steffens,et al.  Fruit, vegetable, and antioxidant intakes are lower in older adults with depression. , 2012, Journal of the Academy of Nutrition and Dietetics.

[51]  H. O’connell,et al.  Associations between holotranscobalamin, vitamin B12, homocysteine and depressive symptoms in community‐dwelling elders , 2011, International journal of geriatric psychiatry.

[52]  Michael Weiner,et al.  Docosahexaenoic acid supplementation and cognitive decline in Alzheimer disease: a randomized trial. , 2010, JAMA.

[53]  C. D. de Jager,et al.  Summary and discussion: Methodologies to assess long-term effects of nutrition on brain function. , 2010, Nutrition reviews.

[54]  A. Blackwell,et al.  Beneficial effects of docosahexaenoic acid on cognition in age-related cognitive decline , 2010, Alzheimer's & Dementia.

[55]  G. Hankey,et al.  B‐vitamins reduce the long‐term risk of depression after stroke: The VITATOPS‐DEP trial , 2010, Annals of neurology.

[56]  P. Gorelick Role of inflammation in cognitive impairment: results of observational epidemiological studies and clinical trials , 2010, Annals of the New York Academy of Sciences.

[57]  Abderrahim Oulhaj,et al.  Homocysteine-Lowering by B Vitamins Slows the Rate of Accelerated Brain Atrophy in Mild Cognitive Impairment: A Randomized Controlled Trial , 2010, PloS one.

[58]  J. Ellis,et al.  Cognitive tests used in chronic adult human randomised controlled trial micronutrient and phytochemical intervention studies , 2010, Nutrition Research Reviews.

[59]  Michael Fenech,et al.  Mental health literacy, folic acid and vitamin B12, and physical activity for the prevention of depression in older adults: randomised controlled trial , 2010, British Journal of Psychiatry.

[60]  A. Hofman,et al.  Dietary antioxidants and long-term risk of dementia. , 2010, Archives of neurology.

[61]  Seth Love,et al.  Genetic Evidence Implicates the Immune System and Cholesterol Metabolism in the Aetiology of Alzheimer's Disease , 2010, PloS one.

[62]  E. Barrett-Connor,et al.  HIgh dietary and plasma levels of the omega-3 fatty acid docosahexaenoic acid are associated with decreased dementia risk: the rancho bernardo study , 2010, The journal of nutrition, health & aging.

[63]  B. Yankner,et al.  Neural mechanisms of ageing and cognitive decline , 2010, Nature.

[64]  G. Jicha,et al.  Omega-3 fatty acids: potential role in the management of early Alzheimer’s disease , 2010, Clinical interventions in aging.

[65]  D. Inzitari,et al.  Metabolic syndrome and the risk of vascular dementia: the Italian Longitudinal Study on Ageing , 2009, Journal of Neurology, Neurosurgery & Psychiatry.

[66]  E. Kua,et al.  Folate, Vitamin B12, Homocysteine, and Depressive Symptoms in a Population Sample of Older Chinese Adults , 2009, Journal of the American Geriatrics Society.

[67]  M. Martínez‐González,et al.  Association between folate, vitamin B(6) and vitamin B(12) intake and depression in the SUN cohort study. , 2009, Journal of human nutrition and dietetics : the official journal of the British Dietetic Association.

[68]  P. Campo,et al.  Increased biomagnetic activity in the ventral pathway in mild cognitive impairment , 2008, Clinical Neurophysiology.

[69]  A. Smith The Worldwide Challenge of the Dementias: A Role for B Vitamins and Homocysteine? , 2008, Food and nutrition bulletin.

[70]  R. Stewart,et al.  Predictive value of folate, vitamin B12 and homocysteine levels in late-life depression , 2008, British Journal of Psychiatry.

[71]  S. Aldana,et al.  Coronary Health Improvement Project (CHIP) is associated with improved nutrient intake and decreased depression. , 2008, Nutrition.

[72]  F. Panza,et al.  Lifestyle-related factors in predementia and dementia syndromes , 2008, Expert review of neurotherapeutics.

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

[74]  P. Barberger‐Gateau,et al.  Flavonoid intake and cognitive decline over a 10-year period. , 2007, American journal of epidemiology.

[75]  T. Sheldon,et al.  Is low folate a risk factor for depression? A meta-analysis and exploration of heterogeneity , 2007, Journal of Epidemiology and Community Health.

[76]  Petra Verhoef,et al.  Effect of 3-year folic acid supplementation on cognitive function in older adults in the FACIT trial: a randomised, double blind, controlled trial , 2007, The Lancet.

[77]  Edward Reynolds,et al.  Vitamin B12, folic acid, and the nervous system , 2006, The Lancet Neurology.

[78]  Rhoda Au,et al.  Plasma phosphatidylcholine docosahexaenoic acid content and risk of dementia and Alzheimer disease: the Framingham Heart Study. , 2006, Archives of neurology.

[79]  Lars-Olof Wahlund,et al.  Omega-3 fatty acid treatment in 174 patients with mild to moderate Alzheimer disease: OmegAD study: a randomized double-blind trial. , 2006, Archives of neurology.

[80]  J. Mann,et al.  A controlled trial of homocysteine lowering and cognitive performance. , 2006, The New England journal of medicine.

[81]  Yaakov Stern,et al.  Mediterranean diet and risk for Alzheimer's disease , 2006, Annals of neurology.

[82]  P. Whitehouse,et al.  Mild cognitive impairment , 2006, Lancet.

[83]  Francine Grodstein,et al.  Fruit and vegetable consumption and cognitive decline in aging women , 2005, Annals of neurology.

[84]  G. Goodwin,et al.  Folate for Depressive Disorders: Systematic Review and Meta-Analysis of Randomized Controlled Trials , 2004, Journal of psychopharmacology.

[85]  D. Foley,et al.  Midlife dietary intake of antioxidants and risk of late-life incident dementia: the Honolulu-Asia Aging Study. , 2004, American journal of epidemiology.

[86]  R. Mayeux,et al.  Antioxidant vitamin intake and risk of Alzheimer disease. , 2003, Archives of neurology.

[87]  A. Hofman,et al.  Dietary Intake of Antioxidants and Risk of Alzheimer Disease , 2002 .

[88]  G. Block,et al.  Dietary intake, dietary patterns, and changes with age: an epidemiological perspective. , 2001, The journals of gerontology. Series A, Biological sciences and medical sciences.

[89]  A. Coppen,et al.  Enhancement of the antidepressant action of fluoxetine by folic acid: a randomised, placebo controlled trial. , 2000, Journal of affective disorders.

[90]  D. Commenges,et al.  Intake of flavonoids and risk of dementia , 2000, European Journal of Epidemiology.

[91]  M N Rossor,et al.  Correlation between rates of brain atrophy and cognitive decline in AD , 1999, Neurology.

[92]  H. Braak,et al.  Frequency of Stages of Alzheimer-Related Lesions in Different Age Categories , 1997, Neurobiology of Aging.

[93]  D. Gelb Introduction to Clinical Neurology , 1995 .

[94]  R. Rice Mediterranean diet , 1994, The Lancet.

[95]  D. Greco,et al.  Chemoprophylaxis in the surgical ward: Results of a national survey in Italy , 1988, European Journal of Epidemiology.

[96]  J. Goodwin,et al.  Association between nutritional status and cognitive functioning in a healthy elderly population , 1983 .

[97]  Ronald C Petersen,et al.  Association of mediterranean diet with mild cognitive impairment and Alzheimer's disease: a systematic review and meta-analysis. , 2014, Journal of Alzheimer's disease : JAD.

[98]  C. Annweiler,et al.  Low serum vitamin D concentrations in Alzheimer's disease: a systematic review and meta-analysis. , 2013, Journal of Alzheimer's disease : JAD.

[99]  M. Carrillo,et al.  The Global Impact of Alzheimer’s Disease , 2012 .

[100]  M. Touvier,et al.  Total and specific polyphenol intakes in midlife are associated with cognitive function measured 13 years later. , 2012, The Journal of nutrition.

[101]  V. Pankratz,et al.  Relative intake of macronutrients impacts risk of mild cognitive impairment or dementia. , 2012, Journal of Alzheimer's disease : JAD.

[102]  M. Hamer,et al.  Depression, physical function, and risk of mortality: National Diet and Nutrition Survey in adults older than 65 years. , 2011, The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry.

[103]  D. Nutt,et al.  Vitamin C, Mood and Cognitive Functioning in the Elderly. , 1999, Nutritional neuroscience.

[104]  E. Reynolds Vitamin B 12 , folic acid , and the nervous system , 1999 .

[105]  K. Haaland,et al.  Nutritional status and cognitive functioning in a normally aging sample: a 6-y reassessment. , 1997, The American journal of clinical nutrition.