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44 Dietary Nitrate Intake in Older Adults Associated with Increased Cognition and Reduced Depression
- Matthew M Hollander, Abigail Overstreet, Ban Hougaard, Vennisia Mo, Christopher Calzada, Carl St Goar, Brandon Jennings, Ayushi Agrawal, Jas Chok, Rowena Gomez
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- Journal:
- Journal of the International Neuropsychological Society / Volume 29 / Issue s1 / November 2023
- Published online by Cambridge University Press:
- 21 December 2023, pp. 352-353
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Objective:
Individuals with major depressive disorder (MDD) are observed to have reduced plasma nitrate levels and plasma nitric oxide (NO) metabolites (Chrapko et al., 2004; Garcia et al., 2011). Endothelial cell dependent dilation of vascular smooth muscle function has been observed to be blunted in adults with Major Depressive Disorder (MDD) and mediated by NO-dependent dilation (Greaney et al., 2019). Certain vegetables and fruits are particularly high in dietary nitrates, which is reduced to nitric oxide in the stomach, entering intravascular circulation, and acting as a potent dilator, blood pressure reducing, and vasoprotective substance (Webb et al., 2008). In older adults, dietary nitrates which are found in certain vegetables and fruits (e.g., green leafy vegetables) is shown to increase cerebral blood perfusion in frontal lobe white matter between the dorsolateral prefrontal and anterior cingulate cortex, regions particularly implicated in cognitive functioning (Presley et al., 2011). Recently, Morris et al. (2018) observed that in older adults from the Memory and Aging Project (MAP), the highest quintile of dietary nitrate intake was associated with slower cognitive decline than that of the lowest quintile of nitrate intake. Although viewing the extremes of dietary nitrate intake reveals valuable information, the present study investigated the association of all levels of dietary nitrate intake with cognition and depression among older adults in the same MAP dataset.
Participants and Methods:The sample included 461 community dwelling older adults (Mage=80; Medu =14.9, 74% female) from the MAP study (Bennett et al., 2012). The measures used for the present study include: the Center for Epidemiological Studies Depression Scale (CESD, depression), a neuropsychological battery (global cognition, perceptual organization and semantic memory), and a dietary nutrient analysis of the food frequency questionnaire (FFQ, nitrate).
Results:Using Pearson correlations we observed that increased dietary nitrate intake was associated with increased global cognition (r(458) = .100, p = .031), perceptual organization (r(448) = .095, p = .04) and semantic memory (r(453) = .142, p = .002). Furthermore, we observed that dietary nitrate intake was associated with lower depression severity (r(459) = -.132, p = .004).
Conclusions:The present study’s results revealed that in a sample of community dwelling older adults, eating more nitrate rich foods is not only associated with improved cognition similar to findings of Morris et al. (2018), it is also associated with lower levels of depression. This further extends the Morris et al. (2018) study by suggesting that it is not only those older adults who eat the highest quantity of nitrate rich foods that can benefit from higher levels of nitrate intake. Overall, this study reveals that older adults who increase their dietary nitrate intake may improve their mood and thinking ability.
Contributors
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- By Michael H. Allen, Leora Amira, Victoria Arango, David W. Ayer, Helene Bach, Christopher R. Bailey, Ross J. Baldessarini, Kelsey Ball, Alan L. Berman, Marian E. Betz, Emily A. Biggs, R. Warwick Blood, Kathleen T. Brady, David A. Brent, Jeffrey A. Bridge, Gregory K. Brown, Anat Brunstein Klomek, A. Jacqueline Buchanan, Michelle J. Chandley, Tim Coffey, Jessica Coker, Yeates Conwell, Scott J. Crow, Collin L. Davidson, Yogesh Dwivedi, Stacey Espaillat, Jan Fawcett, Steven J. Garlow, Robert D. Gibbons, Catherine R. Glenn, Deborah Goebert, Erica Goldstein, Tina R. Goldstein, Madelyn S. Gould, Kelly L. Green, Alison M. Greene, Philip D. Harvey, Robert M. A. Hirschfeld, Donna Holland Barnes, Andres M. Kanner, Gary J. Kennedy, Stephen H. Koslow, Benoit Labonté, Alison M. Lake, William B. Lawson, Steve Leifman, Adam Lesser, Timothy W. Lineberry, Amanda L. McMillan, Herbert Y. Meltzer, Michael Craig Miller, Michael J. Miller, James A. Naifeh, Katharine J. Nelson, Charles B. Nemeroff, Alexander Neumeister, Matthew K. Nock, Jennifer H. Olson-Madden, Gregory A. Ordway, Michael W. Otto, Ghanshyam N. Pandey, Giampaolo Perna, Jane Pirkis, Kelly Posner, Anne Rohs, Pedro Ruiz, Molly Ryan, Alan F. Schatzberg, S. Charles Schulz, M. Katherine Shear, Morton M. Silverman, April R. Smith, Marcus Sokolowski, Barbara Stanley, Zachary N. Stowe, Sarah A. Struthers, Leonardo Tondo, Gustavo Turecki, Robert J. Ursano, Kimberly Van Orden, Anne C. Ward, Danuta Wasserman, Jerzy Wasserman, Melinda K. Westlund, Tracy K. Witte, Kseniya Yershova, Alexandra Zagoloff, Sidney Zisook
- Edited by Stephen H. Koslow, University of Miami, Pedro Ruiz, University of Miami, Charles B. Nemeroff, University of Miami
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- Book:
- A Concise Guide to Understanding Suicide
- Published online:
- 05 October 2014
- Print publication:
- 18 September 2014, pp vii-x
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Change in anxiety following successful and unsuccessful attempts at smoking cessation: cohort study
- Máirtín S. McDermott, Theresa M. Marteau, Gareth J. Hollands, Matthew Hankins, Paul Aveyard
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- Journal:
- The British Journal of Psychiatry / Volume 202 / Issue 1 / January 2013
- Published online by Cambridge University Press:
- 02 January 2018, pp. 62-67
- Print publication:
- January 2013
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Background
Despite a lack of empirical evidence, many smokers and health professionals believe that tobacco smoking reduces anxiety, which may deter smoking cessation.
AimsThe study aim was to assess whether successful smoking cessation or relapse to smoking after a quit attempt are associated with changes in anxiety.
MethodA total of 491 smokers attending National Health Service smoking cessation clinics in England were followed up 6 months after enrolment in a trial of pharmacogenetic tailoring of nicotine replacement therapy (ISRCTN14352545).
ResultsThere was a points difference of 11.8 (95% CI 7.7-16.0) in anxiety score 6 months after cessation between people who relapsed to smoking and people who attained abstinence. This reflected a three-point increase in anxiety from baseline for participants who relapsed and a nine-point decrease for participants who abstained. The increase in anxiety in those who relapsed was largest for those with a current diagnosis of psychiatric disorder and whose main reason for smoking was to cope with stress. The decrease in anxiety on abstinence was larger for these groups also.
ConclusionsPeople who achieve abstinence experience a marked reduction in anxiety whereas those who fail to quit experience a modest increase in the long term. These data contradict the assumption that smoking is a stress reliever, but suggest that failure of a quit attempt may generate anxiety.
Contributors
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- By Katherine J. Aitchison, Louis Appleby, John Bancroft, Aaron T. Beck, Sidney Bloch, Marc B. J. Blom, Roger Bloor, Anne Buist, Alistair Burns, E. Jane Byrne, Paul Carey, David J. Castle, Alex Cohen, Michael Craig, Ilana B. Crome, Kimberlie Dean, Tom Fahy, Anne E. Farmer, Michael Farrell, Alan J. Flisher, Glen O. Gabbard, Ragy R. Girgis, Sir David Goldberg, Ian M. Goodyer, Wayne Hall, Edwin Harari, Anthony Holland, Matthew Hotopf, Assen Jablensky, Navneet Kapur, Shitij Kapur, Kenneth S. Kendler, Sean Lennon, Jeffrey A. Lieberman, David Mamo, Peter McGuffin, Paul E. Mullen, Robin Murray, David Ndegwa, Jessica R. Nittler, Vikram Patel, Perminder Sachdev, Ulrike Schmidt, Scott A. Schobel, Jan Scott, Pak C. Sham, Dan J. Stein, Ezra Susser, Michele Tansella, Graham Thornicroft, Janet Treasure, Evangelia M. Tsapakis, André Tylee, Peter Tyrer, Jim van Os, Elizabeth Walsh, Paul Walters, Myrna M. Weissman, Simon Wessely, Marieke Wichers, Kimberly Yonkers
- Edited by Robin M. Murray, King's College London, Kenneth S. Kendler, Virginia Commonwealth University, Peter McGuffin, University of Wales College of Medicine, Simon Wessely, Institute of Psychiatry, London, David J. Castle, University of Melbourne
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- Book:
- Essential Psychiatry
- Published online:
- 22 August 2009
- Print publication:
- 18 September 2008, pp vii-xi
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