The role of diet in cognitive decline

被引:175
作者
Solfrizzi, V [1 ]
Panza, F [1 ]
Capurso, A [1 ]
机构
[1] Univ Bari Polyclin, Dept Geriatr, Ctr Aging Brain, Bari, Italy
关键词
MUFA; diet; antioxidants; age-related cognitive decline; dementia; aluminium; Mediterranean diet; Alzheimer's disease; vascular dementia; mild cognitive impairment;
D O I
10.1007/s00702-002-0766-8
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Recent findings suggest a possible role of diet in age-related cognitive decline, and cognitive impairment of both degenerative (Alzheimer's disease, AD) or vascular origin. In particular, in an older population of Southern Italy with a typical Mediterranean diet, high monounsaturated fatty acids energy intake appeared to be associated with a high protection against cognitive decline. In addition, dietary fat and energy in older people seem to be risk factors, while fish consumption and cereals are found to reduce the prevalence of AD in the European and North American countries. Moreover, foods with large amounts of aluminium-containing additives or aluminium from drinking water may affect the risk of developing AD. Vitamin deficiencies, especially vitamin B6, B12 and folates, and antioxidant deficiencies (vitamins E and C) could also influence the memory capabilities and have an effect on cognitive decline. Dietary anti-oxidants and supplements and specific macronutrients of the diet may act synergistically with other protective factors opening new possibilities of intervention for cognitive decline.
引用
收藏
页码:95 / 110
页数:16
相关论文
共 79 条
[21]   Atherosclerosis, apolipoprotein E, and prevalence of dementia and Alzheimer's disease in the Rotterdam Study [J].
Hofman, A ;
Ott, A ;
Breteler, MMB ;
Bots, ML ;
Slooter, AJC ;
vanHarskamp, F ;
vanDuijn, CN ;
Van Broeckhoven, C ;
Grobbee, DE .
LANCET, 1997, 349 (9046) :151-154
[22]   The brain insulin signal transduction system and sporadic (type II) Alzheimer disease: an update [J].
Hoyer, S .
JOURNAL OF NEURAL TRANSMISSION, 2002, 109 (03) :341-360
[23]   Is sporadic Alzheimer disease the brain type of non-insulin dependent diabetes mellitus? A challenging hypothesis [J].
Hoyer, S .
JOURNAL OF NEURAL TRANSMISSION, 1998, 105 (4-5) :415-422
[24]  
HUIJBREGTS PPCW, 1995, EUR J CLIN NUTR, V49, P852
[25]   Dietary patterns and cognitive function in elderly men in Finland, Italy and the Netherlands [J].
Huijbregts, PPCW ;
Feskens, EJM ;
Rasanen, L ;
Fidanza, F ;
Alberti-Fidanza, A ;
Nissinen, A ;
Giampaoli, S ;
Kromhout, D .
EUROPEAN JOURNAL OF CLINICAL NUTRITION, 1998, 52 (11) :826-831
[26]  
Jama JW, 1996, AM J EPIDEMIOL, V144, P275, DOI 10.1093/oxfordjournals.aje.a008922
[27]   DOES CAFFEINE INTAKE ENHANCE ABSOLUTE LEVELS OF COGNITIVE PERFORMANCE [J].
JARVIS, MJ .
PSYCHOPHARMACOLOGY, 1993, 110 (1-2) :45-52
[28]   Evidence for the involvement of docosahexaenoic acid in cholinergic stimulated signal transduction at the synapse [J].
Jones, CR ;
Arai, T ;
Rapoport, SI .
NEUROCHEMICAL RESEARCH, 1997, 22 (06) :663-670
[29]   PSYCHIATRIC HISTORY AND RELATED EXPOSURES AS RISK-FACTORS FOR ALZHEIMERS-DISEASE - A COLLABORATIVE REANALYSIS OF CASE-CONTROL STUDIES [J].
JORM, AF ;
VANDUIJN, CM ;
CHANDRA, V ;
FRATIGLIONI, L ;
GRAVES, AB ;
HEYMAN, A ;
KOKMEN, E ;
KONDO, K ;
MORTIMER, JA ;
ROCCA, WA ;
SHALAT, SL ;
SOININEN, H ;
HOFMAN, A .
INTERNATIONAL JOURNAL OF EPIDEMIOLOGY, 1991, 20 :S43-S47
[30]   Is depression a risk factor for dementia or cognitive decline? A review [J].
Jorm, AF .
GERONTOLOGY, 2000, 46 (04) :219-227