在中风幸存者中饮食和认知功能之间的关联:系统性审查和元分析
Sasan Amanat1, Aimee L Dordevic2, Amy Brodtmann3
1Department of Nutrition, Dietetics and Food, Monash University, Victoria, Australia.
Advances in nutrition (Bethesda, Md.)
|May 12, 2025
概括
饮食干预措施对中风后的认知功能有希望. 能量蛋白质补充剂可能会改善认知能力,而B族维生素补充剂没有显示任何益处. 对于其他饮食策略还需要进一步的研究.
科学领域:
- 神经学 神经学
- 营养科学 营养科学
- 公共卫生 公共卫生
背景情况:
- 脑卒中后认知能力下降是导致残疾的重要原因之一.
- 饮食干预措施正在探索认知健康,但它们对中风幸存者的影响尚未得到充分证实.
研究的目的:
- 审查有关成人中风幸存者的饮食和认知功能的证据.
- 评估各种营养暴露和干预对认知表现和痴呆风险的影响.
主要方法:
- 观察性和干预性研究的系统审查和元分析.
- 在MEDLINE,Embase,Scopus和CINHAL数据库中搜索到2024年12月16日.
- 包括20项临床试验和14项观察性研究.
主要成果:
- 能量蛋白补充对全球认知有积极影响 (SMD:0.62).
- 补充维生素B与认知结果的负相关性 (SMD: -0.40).
- 地中海-DASH,植物性饮食,水果,牛奶,咖啡,维生素E和与更好的认知有关;黄油,糖和与负面结果有关.
结论:
- 能量蛋白质补充可能有利于中风后的认知.
- 补充维生素B似乎没有改善中风后的认知功能.
- 研究中的异质性限制了对其他饮食策略的最终结论.
相关概念视频
Cognitive Development During Adulthood
72
Cognitive development continues throughout adulthood, undergoing significant shifts across early, middle, and late stages. Individual transition occurs from adolescent idealism to pragmatic and adaptable thinking in early adulthood. During this period, individuals learn to integrate personal beliefs with the recognition that other perspectives are equally valid. Exposure to the complexities of modern society, diverse experiences, and higher education contribute to this adaptive thought process,...
72
Dementia
108
Dementia is a collective term for cognitive disorders primarily affecting memory, thinking, and reasoning. It is not a specific disease but a syndrome, with Alzheimer's disease being the most common cause, accounting for approximately 60-80% of cases. Other types include vascular dementia, Lewy body dementia, and frontotemporal dementia. Dementia affects millions worldwide, particularly older adults, though it is not a normal part of aging.
The progression of dementia is generally gradual....
The progression of dementia is generally gradual....
108
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
331
Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
331


