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Relationships of Dietary Patterns, Foods, and Micro- and Macronutrients with Alzheimer's Disease and Late-Life Cognitive Disorders: A Systematic Review.
J Alzheimers Dis 2017; 59(3):815-849JA

Abstract

In the last decade, the association between diet and cognitive function or dementia has been largely investigated. In the present article, we systematically reviewed observational studies published in the last three years (2014-2016) on the relationship among dietary factors and late-life cognitive disorders at different levels of investigation (i.e., dietary patterns, foods and food-groups, and dietary micro- and macronutrients), and possible underlying mechanisms of the proposed associations. From the reviewed evidence, the National Institute on Aging-Alzheimer's Association guidelines for Alzheimer's disease (AD) and cognitive decline due to AD pathology introduced some evidence suggesting a direct relation between diet and changes in the brain structure and activity. There was also accumulating evidence that combinations of foods and nutrients into certain patterns may act synergistically to provide stronger health effects than those conferred by their individual dietary components. In particular, higher adherence to a Mediterranean-type diet was associated with decreased cognitive decline. Moreover, also other emerging healthy dietary patterns such as the Dietary Approach to Stop Hypertension (DASH) and the Mediterranean-DASH diet Intervention for Neurodegenerative Delay (MIND) diets were associated with slower rates of cognitive decline and significant reduction of AD rate. Furthermore, some foods or food groups traditionally considered harmful such as eggs and red meat have been partially rehabilitated, while there is still a negative correlation of cognitive functions with saturated fatty acids and a protective effect against cognitive decline of elevated fish consumption, high intake of monounsaturated fatty acids and polyunsaturated fatty acids (PUFA), particularly n-3 PUFA.

Authors+Show Affiliations

Geriatric Medicine-Memory Unit and Rare Disease Centre, University of Bari Aldo Moro, Bari, Italy.Geriatric Medicine-Memory Unit and Rare Disease Centre, University of Bari Aldo Moro, Bari, Italy.Neurodegenerative Disease Unit, Department of Basic Medicine, Neuroscience, and Sense Organs, University of Bari Aldo Moro, Bari, Italy.Department of Research and Development, Chiesi Farmaceutici, Parma, Italy.Geriatric Medicine-Memory Unit and Rare Disease Centre, University of Bari Aldo Moro, Bari, Italy.Geriatric Medicine-Memory Unit and Rare Disease Centre, University of Bari Aldo Moro, Bari, Italy.Geriatric Medicine-Memory Unit and Rare Disease Centre, University of Bari Aldo Moro, Bari, Italy.Geriatric Medicine-Memory Unit and Rare Disease Centre, University of Bari Aldo Moro, Bari, Italy.Department of Clinical and Experimental Medicine, Psychiatric Unit, University of Foggia, Foggia, Italy.Neurodegenerative Disease Unit, Department of Basic Medicine, Neuroscience, and Sense Organs, University of Bari Aldo Moro, Bari, Italy.National Institute for Digestive Diseases, IRCCS "Saverio de Bellis", Castellana, Bari, Italy.National Institute for Digestive Diseases, IRCCS "Saverio de Bellis", Castellana, Bari, Italy.National Institute for Digestive Diseases, IRCCS "Saverio de Bellis", Castellana, Bari, Italy.Department of Clinical and Experimental Medicine, Psychiatric Unit, University of Foggia, Foggia, Italy.Geriatric Unit and Laboratory of Gerontology and Geriatrics, Department of Medical Sciences, IRCCS "Casa Sollievo della Sofferenza", San Giovanni Rotondo, Foggia, Italy.Institute of Neurology, Catholic University of Sacred Heart, Rome, Italy.Geriatric Unit and Laboratory of Gerontology and Geriatrics, Department of Medical Sciences, IRCCS "Casa Sollievo della Sofferenza", San Giovanni Rotondo, Foggia, Italy.Neurodegenerative Disease Unit, Department of Basic Medicine, Neuroscience, and Sense Organs, University of Bari Aldo Moro, Bari, Italy. Department of Clinical Research in Neurology, University of Bari Aldo Moro, "Pia Fondazione Cardinale G. Panico", Tricase, Lecce, Italy.Geriatric Medicine-Memory Unit and Rare Disease Centre, University of Bari Aldo Moro, Bari, Italy.Neurodegenerative Disease Unit, Department of Basic Medicine, Neuroscience, and Sense Organs, University of Bari Aldo Moro, Bari, Italy. Geriatric Unit and Laboratory of Gerontology and Geriatrics, Department of Medical Sciences, IRCCS "Casa Sollievo della Sofferenza", San Giovanni Rotondo, Foggia, Italy. Department of Clinical Research in Neurology, University of Bari Aldo Moro, "Pia Fondazione Cardinale G. Panico", Tricase, Lecce, Italy.

Pub Type(s)

Journal Article
Meta-Analysis
Review
Systematic Review

Language

eng

PubMed ID

28697569

Citation

Solfrizzi, Vincenzo, et al. "Relationships of Dietary Patterns, Foods, and Micro- and Macronutrients With Alzheimer's Disease and Late-Life Cognitive Disorders: a Systematic Review." Journal of Alzheimer's Disease : JAD, vol. 59, no. 3, 2017, pp. 815-849.
Solfrizzi V, Custodero C, Lozupone M, et al. Relationships of Dietary Patterns, Foods, and Micro- and Macronutrients with Alzheimer's Disease and Late-Life Cognitive Disorders: A Systematic Review. J Alzheimers Dis. 2017;59(3):815-849.
Solfrizzi, V., Custodero, C., Lozupone, M., Imbimbo, B. P., Valiani, V., Agosti, P., ... Panza, F. (2017). Relationships of Dietary Patterns, Foods, and Micro- and Macronutrients with Alzheimer's Disease and Late-Life Cognitive Disorders: A Systematic Review. Journal of Alzheimer's Disease : JAD, 59(3), pp. 815-849. doi:10.3233/JAD-170248.
Solfrizzi V, et al. Relationships of Dietary Patterns, Foods, and Micro- and Macronutrients With Alzheimer's Disease and Late-Life Cognitive Disorders: a Systematic Review. J Alzheimers Dis. 2017;59(3):815-849. PubMed PMID: 28697569.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Relationships of Dietary Patterns, Foods, and Micro- and Macronutrients with Alzheimer's Disease and Late-Life Cognitive Disorders: A Systematic Review. AU - Solfrizzi,Vincenzo, AU - Custodero,Carlo, AU - Lozupone,Madia, AU - Imbimbo,Bruno P, AU - Valiani,Vincenzo, AU - Agosti,Pasquale, AU - Schilardi,Andrea, AU - D'Introno,Alessia, AU - La Montagna,Maddalena, AU - Calvani,Mariapaola, AU - Guerra,Vito, AU - Sardone,Rodolfo, AU - Abbrescia,Daniela I, AU - Bellomo,Antonello, AU - Greco,Antonio, AU - Daniele,Antonio, AU - Seripa,Davide, AU - Logroscino,Giancarlo, AU - Sabbá,Carlo, AU - Panza,Francesco, PY - 2017/7/13/pubmed PY - 2018/4/11/medline PY - 2017/7/13/entrez KW - Alzheimer’s disease KW - Mediterranean diet KW - dementia KW - dietary pattern KW - food groups KW - foods KW - healthy diet KW - macronutrients KW - micronutrients KW - mild cognitive impairment SP - 815 EP - 849 JF - Journal of Alzheimer's disease : JAD JO - J. Alzheimers Dis. VL - 59 IS - 3 N2 - In the last decade, the association between diet and cognitive function or dementia has been largely investigated. In the present article, we systematically reviewed observational studies published in the last three years (2014-2016) on the relationship among dietary factors and late-life cognitive disorders at different levels of investigation (i.e., dietary patterns, foods and food-groups, and dietary micro- and macronutrients), and possible underlying mechanisms of the proposed associations. From the reviewed evidence, the National Institute on Aging-Alzheimer's Association guidelines for Alzheimer's disease (AD) and cognitive decline due to AD pathology introduced some evidence suggesting a direct relation between diet and changes in the brain structure and activity. There was also accumulating evidence that combinations of foods and nutrients into certain patterns may act synergistically to provide stronger health effects than those conferred by their individual dietary components. In particular, higher adherence to a Mediterranean-type diet was associated with decreased cognitive decline. Moreover, also other emerging healthy dietary patterns such as the Dietary Approach to Stop Hypertension (DASH) and the Mediterranean-DASH diet Intervention for Neurodegenerative Delay (MIND) diets were associated with slower rates of cognitive decline and significant reduction of AD rate. Furthermore, some foods or food groups traditionally considered harmful such as eggs and red meat have been partially rehabilitated, while there is still a negative correlation of cognitive functions with saturated fatty acids and a protective effect against cognitive decline of elevated fish consumption, high intake of monounsaturated fatty acids and polyunsaturated fatty acids (PUFA), particularly n-3 PUFA. SN - 1875-8908 UR - https://www.unboundmedicine.com/medline/citation/28697569/Relationships_of_Dietary_Patterns_Foods_and_Micro__and_Macronutrients_with_Alzheimer's_Disease_and_Late_Life_Cognitive_Disorders:_A_Systematic_Review_ L2 - https://content.iospress.com/openurl?genre=article&id=doi:10.3233/JAD-170248 DB - PRIME DP - Unbound Medicine ER -