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Lewy body dementia (LBD), including Parkinson’s disease dementia (PDD) and dementia with Lewy bodies (DLB), is common but under-recognised and poorly supported in the Irish healthcare system. This study evaluates the ‘Mind and Movement Clinic’ at St James’s Hospital, Dublin, developed to address the needs of this population.
Objectives:
To analyse the demographic, cognitive, and neuropsychiatric profiles of 99 consecutive referrals and to map the care pathway for individuals with Parkinson’s disease (PD), PD with mild cognitive impairment (PD-MCI), PDD, and DLB.
Methods:
A cohort study of the first 99 referrals to the clinic was conducted, including clinical, demographic, cognitive, motor, and neuropsychiatric data.
Results:
The sample included 36 individuals with PD-MCI, 9 with PD, and 48 with LBD (11 PDD, 37 DLB). Main referral reasons were cognitive impairment (64.65%), psychotic symptoms (30.30%), and affective symptoms (44.44%). LBD patients had significantly higher rates of hallucinations (75% vs. 26.7%) and delusions (31.25% vs. 4.44%) compared to those without dementia (p < 0.001). Medication interventions included cholinesterase inhibitors, antidepressants, and adjustments to dopaminergic therapy. Significant service needs were reflected in referrals to 16 different services.
Conclusions:
Patients with LBD have complex care requirements, supporting the need for a specialised service integrating memory and movement disorder care. Development of a core outcome set for LBD and an integrated care pathway, including post-diagnostic support, is recommended in the Irish context.
Understanding chicken cognition is essential for improving welfare in production systems, as it reveals how animals perceive and respond to their environment. Barren housing can compromise welfare, including negative affective states and cognitive deficits, but previous research mostly focused on effects of barren environments on young animals. Here, we investigated whether hens moved to battery cages once adults show lower cognitive performance than those kept cage-free. Because stable inter-individual differences (personality traits) can modulate how animals respond to environmental changes, we also explored whether personality modulates this effect. Sixty hens were reared in enriched aviary pens; at 18 weeks, half were transferred to battery cages (456 cm² per hen) and the rest remained cage-free (5,333 cm² per hen) for 64 days before testing. Personality was assessed through four standardised tests, and spatial memory was evaluated with a modified hole-board task. Working memory (WM), general working memory (GWM), and reference memory (RM) were calculated from visit ratios. Behaviours after birds consumed all baited rewards were recorded to assess responses to reward omission (e.g. extinction learning). Battery hens outperformed cage-free hens in all memory metrics and were more active during the post-reward period, showing more empty-cup visits. While the enhanced memory performance of battery hens is likely driven by increased reward motivation and greater engagement with the task, our results also suggest these birds showed a deficit in extinction learning. Personality also influenced performance: more fearful hens had lower WM and GWM and were slower to find baited cups. Housing and personality jointly shaped cognition in laying hens, highlighting that enhanced performance under poor conditions may not indicate better welfare, but rather a shift in motivation for food rewards.
The early years of life are crucial for developing cognitive abilities, such as intelligence. This period is marked by rapid brain development, in which nutrition is essential. This study aimed to characterise dietary patterns at age 2 and investigate their association with cognitive performance at ages 6–7. The study used data from the 2015 Pelotas Birth Cohort, Brazil (n 4275). Dietary intake was assessed using a habitual consumption questionnaire, and patterns were derived using principal component analysis. Cognitive performance was assessed using the Wechsler Intelligence Scale for Children (4th edition), providing intelligence quotient (IQ) scores. Associations were tested using linear regression models. The unhealthy dietary pattern (characterised by packaged snacks, instant noodles, sweet biscuits, sweets and candies, soft drinks, sausages and processed meats) was negatively associated with IQ (P < 0·001). Exploratory analyses suggest that early-life deficits (low weight, height or head circumference for age) may amplify the negative effect of unhealthy dietary pattern on IQ (interaction P = 0·020). Children with high adherence to this pattern and early-life deficits showed a 4·78-point IQ reduction (95 % CI: −7·06, −2·49), while those without deficits had a 2·24-point reduction (95 % CI: −3·35, −1·13), compared with those with low adherence, even after adjustments. No significant associations were found between the healthy dietary pattern (characterised by beans, baby foods, fruits, vegetables and natural fruit juices) and IQ scores. These findings suggest that an unhealthy diet in early childhood may impair cognitive performance, particularly among children with early-life deficits.
Clinical high risk for psychosis (CHR) is often managed with antipsychotic medications, but their effects on neurocognitive performance and clinical outcomes remain insufficiently explored. This study investigates the association between aripiprazole and olanzapine use and cognitive and clinical outcomes in CHR individuals, compared to those receiving no antipsychotic treatment.
Methods
A retrospective analysis was conducted on 127 participants from the Shanghai At Risk for Psychosis (SHARP) cohort, categorized into three groups: aripiprazole, olanzapine, and no antipsychotic treatment. Neurocognitive performance was evaluated using the MATRICS Consensus Cognitive Battery (MCCB), while clinical symptoms were assessed through the Structured Interview for Prodromal Syndromes (SIPS) at baseline, 8 weeks, and one year.
Results
The non-medicated group demonstrated greater improvements in cognitive performance, clinical symptoms, and functional outcomes compared to the medicated groups. Among the antipsychotic groups, aripiprazole was associated with better visual learning outcomes than olanzapine. Improvements in neurocognition correlated significantly with clinical symptom relief and overall functional gains at follow-up assessments.
Conclusions
These findings suggest potential associations between antipsychotic use and cognitive outcomes in CHR populations while recognizing that observed differences may reflect baseline illness severity rather than medication effects alone. Aripiprazole may offer specific advantages over olanzapine, underscoring the importance of individualized risk-benefit evaluations in treatment planning. Randomized controlled trials are needed to establish causality.
Cognitive impairment is a common feature of multiple sclerosis (MS), and its severity may be influenced by several factors, such as biological sex and levels of cognitive reserve (CR). The relationship between sex, CR, and cognition has not yet been fully investigated. Therefore, the present study aimed to explore sex differences in CR building and the effect of sex and CR on cognitive performance in MS.
Method:
233 participants underwent the Brief Repeatable Battery of Neuropsychological Tests (BRB-N), the Stroop test, and the Cognitive Reserve Scale. The t-test was performed to compare sociodemographic variables, Italian adaptation of the Cognitive Reserve Scale, and cognitive test scores between sexes. To evaluate the effect of CR and sex and their interaction on cognitive performance several models of multivariate analyses of covariance were performed (dependent variables: all subtests of Brief Repeatable Battery of Neuropsychological Tests and Stroop scores; independent variables: sex and CR). Covariates included age, Expanded Disability Status Scale, and BDI-II scores.
Results:
Women showed higher levels of CR, particularly in daily activities (t = −5.848, p<.001), hobbies (t = −2.591, p = .010), and social life (t = −2.362, p = .011). Sex differences were noted in verbal memory and fluency (with women outperforming men) and processing speed (with men performing better than women). Multivariate analyses revealed a nonsignificant interaction between CR and sex on cognition (Λ=.950, F(10,260)=.813, p = .617, ηp2 = .050).
Conclusions:
CR and sex seemed to affect cognitive performance independently in pwMS. This highlights the importance of considering both factors in cognitive assessment, and that both sexes may benefit from specific psychoeducational training aimed at increasing CR levels.
The incidence of cognitive decline is rising, leading to increased attention on the preventive role of healthy foods on brain function. Previous reviews including primarily observational studies suggested that dietary proteins may improve cognitive performance, but evidence from individual randomised controlled trials (RCT) is less consistent. Therefore, this systematic review examined the long-term effects of dietary proteins from RCT, considering both their amount and type, on cognitive performance (psychomotor speed and attention, executive function, memory and global cognition). Alterations in cerebral blood flow (CBF) – a validated brain vascular function marker – were also considered. A total of 4747 studies were identified through a systematic search, resulting in twenty-three included papers reporting effects on cognitive performance (n = 23) and CBF (n = 3). Improvements were observed in three out of the nine studies that evaluated psychomotor speed which compared a dietary protein intervention with a non-protein or lower-protein control. Of the six beneficial observations on working memory (n = 12), declarative memory (n = 10) and visuospatial memory (n = 10), five were nut interventions from three different trials. Limited studies focusing on global cognition suggested that specific target populations, namely subacute stroke or dementia, may benefit more than healthy individuals from increased dietary protein intake. From the three studies involving CBF, improvements in regional blood flow were associated with most cognitive performance outcomes. The comparative effects of different protein types warrant further investigation. Overall, this review encourages additional research into protein-rich foods or supplements which could potentially prevent or mitigate cognitive decline.
Educational attainment (EduA) is correlated with life outcomes, and EduA itself is influenced by both cognitive and non-cognitive factors. A recent study performed a ‘genome-wide association study (GWAS) by subtraction,’ subtracting genetic effects for cognitive performance from an educational attainment GWAS to create orthogonal ‘cognitive’ and ‘non-cognitive’ factors. These cognitive and non-cognitive factors showed associations with behavioral health outcomes in adults; however, whether these correlations are present during childhood is unclear.
Methods
Using data from up to 5517 youth (ages 9–11) of European ancestry from the ongoing Adolescent Brain Cognitive DevelopmentSM Study, we examined associations between polygenic scores (PGS) for cognitive and non-cognitive factors and cognition, risk tolerance, decision-making & personality, substance initiation, psychopathology, and brain structure (e.g. volume, fractional anisotropy [FA]). Within-sibling analyses estimated whether observed genetic associations may be consistent with direct genetic effects.
Results
Both PGSs were associated with greater cognition and lower impulsivity, drive, and severity of psychotic-like experiences. The cognitive PGS was also associated with greater risk tolerance, increased odds of choosing delayed reward, and decreased likelihood of ADHD and bipolar disorder; the non-cognitive PGS was associated with lack of perseverance and reward responsiveness. Cognitive PGS were more strongly associated with larger regional cortical volumes; non-cognitive PGS were more strongly associated with higher FA. All associations were characterized by small effects.
Conclusions
While the small sizes of these associations suggest that they are not effective for prediction within individuals, cognitive and non-cognitive PGS show unique associations with phenotypes in childhood at the population level.
The idea that some abilities might be enhanced by adversity is gaining traction. Adaptation-based approaches have uncovered a few specific abilities enhanced by particular adversity exposures. Yet, for a field to grow, we must not dig too deep, too soon. In this paper, we complement confirmatory research with principled exploration. We draw on two insights from adaptation-based research: 1) enhanced performance manifests within individuals, and 2) reduced and enhanced performance can co-occur. Although commonly assumed, relative performance differences are rarely tested. To quantify them, we need a wide variety of ability measures. However, rather than using adaptive logic to predict which abilities are enhanced or reduced, we develop statistical criteria to identify three data patterns: reduced, enhanced, and intact performance. With these criteria, we analyzed data from the National Institute of Child Health and Human Development Study of Early Child Care and Youth Development to investigate how adversity shapes within-person performance across 10 abilities in a cognitive and achievement battery. Our goals are to document adversity-shaped cognitive performance patterns, identify drivers of reduced performance, identify sets of “intact” abilities, and discover new enhanced abilities. We believe principled exploration with clear criteria can help break new theoretical and empirical ground, remap old territory, and advance theory development.
The role of flavonoids on cognitive performance in older adults has been intensively studied, with the subclass of anthocyanins showing promising outcomes(1). However, there is conflicting evidence in the case of individuals at high risk of developing dementia, namely those with mild cognitive impairment (MCI). A recent study has suggested that cognitive scores in people with MCI were higher in those who had higher anthocyanin intake (>10 mg)(2). Baseline data from 65 participants of an ongoing clinical trial that had an MIS (Memory Index Score) score ≤ 13 with self-reported subjective memory complaints, (mean age 69.1y ± 6.2) were used to investigate the relationship between dietary anthocyanin intake and indices of mood and cognitive performance. Repeated 24-hour dietary intake was recorded through Intake24 (a computer-based program) for three days (2Xweekday and 1Xweekend day) and anthocyanin intake was quantified using the PhenolExplorer food composition database. The primary outcome of interest was the Buschke and Grober Free and Cued Selective Reminding Test-Immediate Recall (FCSRT+IR) (assesses auditory anterograde memory functioning), while other cognitive functions assessed included: Spot the Word-2 (assessing premorbid estimate); Oral Symbol Digit Test (speed of processing); List Sorting (working memory); Trail Making Test A & B (speed of processing/executive function); and Verbal Fluency (language/semantic memory). Subjective memory complaints were assessed using the Memory Assessment Clinic-Q (MAC-Q) and mood was assessed using the Geriatric Depression Scale (GDS). Independent t-tests were used to compare differences in cognitive tasks and mood scores between high (>10 mg/d) and low consumers of anthocyanins (<10 mg/d). There was a trend for high anthocyanin consumers (n = 35, median = 44.87 (10.01, 177.83)) to score better on FCSRT-Delayed Free Recall scores (16.57 ± 3.74) compared to lower consumers (n = 30, median = 0.01 (0, 9.51)), (15.97 ± 0.18) with a mean difference (SE) of −1.06 (0.58) (p = 0.06) suggesting recall of 1.06 more words after a 20-30 minute delay. Higher consumers had a lower GDS score (1.77 ± 3.73) compared to lower consumers (3.73 ± 1.77), p = 0.01. Spot the word test scores (assesses premorbid verbal abilities using a robust lexical decision task) were higher for high anthocyanin consumers (53.06 ± 4.38) compared to lower consumers (50.40 ± 4.38), mean difference (SE) = −2.66 (1.10), p = 0.01, meaning participants with higher intake of dietary anthocyanin were able to point at 2.7 more real words than low consumers. Dietary consumption of anthocyanin in older adults with MIS is associated with beneficial effects on depressive scores and the ability to retrieve words. Further research is warranted to identify optimal dosage for recommended intake. This cross-sectional study used baseline data from a randomised controlled trial registered with the Australian New Zealand Clinical Trials Registry (ANZCTR):12622000065796.
Cognitive dysfunction and brain structural connectivity alterations have been observed in major depressive disorder (MDD). However, little is known about their interrelation. The present study follows a network approach to evaluate alterations in cognition-related brain structural networks.
Methods
Cognitive performance of n = 805 healthy and n = 679 acutely depressed or remitted individuals was assessed using 14 cognitive tests aggregated into cognitive factors. The structural connectome was reconstructed from structural and diffusion-weighted magnetic resonance imaging. Associations between global connectivity strength and cognitive factors were established using linear regressions. Network-based statistics were applied to identify subnetworks of connections underlying these global-level associations. In exploratory analyses, effects of depression were assessed by evaluating remission status-related group differences in subnetwork-specific connectivity. Partial correlations were employed to directly test the complete triad of cognitive factors, depressive symptom severity, and subnetwork-specific connectivity strength.
Results
All cognitive factors were associated with global connectivity strength. For each cognitive factor, network-based statistics identified a subnetwork of connections, revealing, for example, a subnetwork positively associated with processing speed. Within that subnetwork, acutely depressed patients showed significantly reduced connectivity strength compared to healthy controls. Moreover, connectivity strength in that subnetwork was associated to current depressive symptom severity independent of the previous disease course.
Conclusions
Our study is the first to identify cognition-related structural brain networks in MDD patients, thereby revealing associations between cognitive deficits, depressive symptoms, and reduced structural connectivity. This supports the hypothesis that structural connectome alterations may mediate the association of cognitive deficits and depression severity.
The aim of this study was to investigate the effects of guarana supplementation on cognitive performance before and after a bout of maximal intensity cycling and to compare this to an equivalent caffeine dose. Twenty-five participants completed the randomised double-blind crossover trial by performing cognitive tests with one of three supplements, on three different days: guarana (125 mg/kg), caffeine (5 mg/kg) or placebo (65 mg/kg protein powder). After 30 min of rest, participants performed simple (SRT) and choice reaction time (CRT) tests, an immediate word recall test and Bond–Lader mood scale. This was followed by a cycling V̇O2max test, and cognitive tests were then immediately repeated. Guarana supplementation decreased CRT before exercise (407 (sd 45) ms) in comparison with placebo (421 (sd 46) ms, P = 0·030) but not caffeine (417 (sd 42) ms). SRT after exercise decreased following guarana supplementation (306 (sd 28) ms) in comparison with placebo (323 (sd 32) ms, P = 0·003) but not caffeine (315 (sd 32) ms). Intra-individual variability on CRT significantly improved from before (111·4 (sd 60·5) ms) to after exercise (81·85 (sd 43·1) ms) following guarana supplementation, and no differences were observed for caffeine and placebo (P > 0·05). Alertness scores significantly improved following guarana supplementation (63·3 (sd 13·8)) in comparison with placebo (57·4 (sd 13·4), P = 0·014) but not caffeine (61·2 (sd 12·8)). There were no changes to V̇O2max, immediate word recall or any other Bond–Lader mood scales. Guarana supplementation appears to impact several parameters of cognition. These results support the use of guarana supplementation to possibly maintain speed of attention immediately following a maximal intensity exercise test (V̇O2max).
This chapter is focused on the continuum of motor development, from conception through to adolescence, and it describes the developmental pathway along which children travel on their way to achieving a range of movement skills. It outlines the links between the physical development of a child and psychological, emotional and later cognitive performance, and emphasises the importance of knowledge and an appreciation for developmental processes during the early years.
Future firefighters are trained and selected for a job requiring the ability to perform well under high stress and time pressure.
Objectives
The research is focused on the experimental study of fire cadets’ cognitive performance indicators (speed/accuracy) under stress.
Methods
The study follows Solomon Four Group Design with two variables: stress stimuli (exposure/non-exposure) and participants’ background (50 male fire cadets; 50 male civilian students). Stress stimuli consisted of emergencies’ photos, audio, videos. ECG, EMG, systolic wave amplitude, pulse transit time were measured during the experiment to determine the respondents’ stress levels. The cognitive reflection test (CRT) was performed. Mann-Whitney U-test, Spearman’s rank correlation coefficient were used.
Results
There were no differences between students and fire cadets in CRT time (p=0.515, students: 118.1±38.6 sec, cadets: 143.5±78.1 sec) and accuracy (p=0.246, students: 1.2±0.9, cadets: 1.4±0.9). Fire cadets in the stress exposure group (mean time=122, mean accuracy=1.22) performed CRT significantly faster (p=0.039) than non-exposed cadets (mean time=166, mean accuracy=1.56). The accuracy difference was insignificant (p=0.206). Fire cadets with prior emergency work experience (n=30, mean time=159.7, mean accuracy=1.6) were no different from other cadets (n=20, mean time=159.7, mean accuracy=1.1) both in time (p=0.289) and accuracy(p=0.07). The performance difference between civilian student groups was insignificant (exposure: mean time=123, mean accuracy=1.32; non-exposure: mean time=113, mean accuracy=1.06).
Conclusions
Stress exposure enhances fire cadets’ CRT performance (in speed, but not in accuracy). Emergency work experience did not contribute to this effect, which could be explained by the self-selection effect (since only people inclined to emergency work choose to become a firefighter).
In the neuroHIV literature, cognitive reserve has most often been operationalized using education, occupation, and IQ. The effects of other cognitively stimulating activities that might be more amenable to interventions have been little studied. The purpose of this study was to develop an index of cognitive reserve in people with HIV, combining multiple indicators of cognitively stimulating lifetime experiences into a single value.
Methods:
The data set was obtained from a Canadian longitudinal study (N = 856). Potential indicators of cognitive reserve captured at the study entry included education, occupation, engagement in six cognitively stimulating activities, number of languages spoken, and social resources. Cognitive performance was measured using a computerized test battery. A cognitive reserve index was formulated using logistic regression weights. For the evidence on concurrent and predictive validity of the index, the measures of cognition and self-reported everyday functioning were each regressed on the index scores at study entry and at the last follow-up [mean duration: 25.9 months (SD 7.2)], respectively. Corresponding regression coefficients and 95% confidence intervals (CIs) were computed.
Results:
Professional sports [odds ratio (OR): 2.9; 95% CI 0.59–14.7], visual and performance arts (any level of engagement), professional/amateur music, complex video gaming and competitive games, and travel outside North America were associated with higher cognitive functioning. The effects of cognitive reserve on the outcomes at the last follow-up visit were closely similar to those at study entry.
Conclusion:
This work contributes evidence toward the relative benefit of engaging in specific cognitively stimulating life experiences in HIV.
A computerized version of the object alternation test (OAT) was employed in unmedicated obsessive–compulsive disorder (OCD) patients and matched healthy controls. OCD patients performed normally on the OAT but scored below controls on a task assessing visuo-spatial working memory. The results challenge the concept of the OAT as a sensitive instrument for orbitofrontal dysfunction in OCD.
Specific language impairment (SLI) is a very common childhood disorder that is characterized by impairments in expressive and/or receptive language regarding different modalities. Part V of the German version of the Token Test was evaluated as a potential screening tool for the early detection of SLI. Forty-five male and 16 female monolingual native German-speaking preschoolers with SLI (4–6 years) and 61 age- and gender-matched typically developing controls were examined with a German version of the Token Test and an established intelligence measure. Token Test performance was significantly worse in preschoolers with SLI including greater group differences at age 4 than at ages 5 and 6. Analyses showed a detection rate of 77% for Part V of the Token Test in the whole sample as well as 85.1% at age 4, 80.6% at age 5, and a nonsignificant detection at age 6. Correctly detected preschoolers with SLI showed significantly worse performance than typically developing controls regarding nonverbal and verbal intelligence, numeracy, problem solving, working memory, visual attention, and memory. Children with SLI show worse Token Test performance, whereas at ages 4 and 5, Part V of the Token Test could potentially serve as a screening tool for the detection of SLI.
Objectives: Subjective memory complaints (SMCs) are among the key concerns in the elderly, but their role in detecting objective cognitive problems is unclear. The aim of this study was to clarify the association between SMCs (both prospective and retrospective memory complaints) and neuropsychological test performance in older adults at risk of cognitive decline. Methods: This investigation is part of the FINGER project, a multicenter randomized controlled trial aiming at preventing cognitive decline in high-risk individuals. The cognitive assessment of participants was conducted at baseline using a modified neuropsychological test battery (NTB). SMCs were evaluated with the Prospective and Retrospective Memory Questionnaire (PRMQ) in a sub-sample of 560 participants (mean age, 69.9 years). Results: Having more prospective SMCs was associated with slower processing speed, but not with other NTB domains. Retrospective SMCs were linked to poorer function on NTB total score, processing speed, and memory. Executive function domain was not associated with any PRMQ ratings. Depressive symptoms and poor quality of life diluted the observed associations for NTB total score and memory. However, the association between PRMQ and processing speed remained even after full adjustments. Conclusions: Our results indicate that self-reported memory problems, measured with PRMQ, are associated with objectively measured cognitive performance. Such complaints in healthy elderly people also seem to reflect reduced mental tempo, rather than memory deficits. Slowing of processing speed may thus be negatively related to memory self-efficacy. It is also important to consider affective factors among those who report memory problems. (JINS, 2018, 24, 1099–1109)
The relationship between obesity and cognitive impairment is important given the globally ageing population in whom cognitive decline and neurodegenerative disorders will carry grave individual, societal and financial burdens. This review examines the evidence for the link between obesity and cognitive function in terms of both the immediate effects on cognitive performance, and effects on the trajectory of cognitive ageing and likelihood of dementia. In mid-life, there is a strong association between obesity and impaired cognitive function. Anthropometric measures of obesity are also associated with reduced neural integrity (e.g. grey and white matter atrophy). Increasing age coupled with the negative metabolic consequences of obesity (e.g. type 2 diabetes mellitus) are likely to significantly contribute to cognitive decline and incidence of dementia. Stress is identified as a potential risk factor promoting abdominal obesity and contributing to impaired cognitive function. However, the potentially protective effects of obesity against cognitive decline in older age require further examination. Finally, surgical and whole diet interventions, which address obesity may improve cognitive capacity and confer some protection against later cognitive decline. In conclusion, obesity and its comorbidities are associated with impaired cognitive performance, accelerated cognitive decline and neurodegenerative pathologies such as dementia in later life. Interventions targeting mid-life obesity may prove beneficial in reducing the cognitive risks associated with obesity.
Adolescence represents an important period for the development of executive functions, which are a set of important cognitive processes including attentional control. However, very little is known regarding the associations of nutrition with components of executive functions in adolescence. Thus, the aim of this study was to investigate associations of dietary patterns and macronutrient composition with attention capacity in European adolescents. This cross-sectional study included 384 (165 boys and 219 girls) adolescents, aged 12·5–17·5 years, from five European countries in the Healthy Lifestyle in Europe by Nutrition in Adolescence study. Attention capacity was examined using the d2 Test of Attention. Dietary intake was assessed through two non-consecutive 24 h recalls using a computer-based self-administered tool. Three dietary patterns (diet quality index, ideal diet score and Mediterranean diet score) and macronutrient/fibre intakes were calculated. Linear regression analysis was conducted adjusting for age, sex, BMI, maternal education, family affluence scale, study centre and energy intake (only for Mediterranean diet score). In these adjusted regression analyses, higher diet quality index for adolescents and ideal diet score were associated with a higher attention capacity (standardised β=0·16, P=0·002 and β=0·15, P=0·005, respectively). Conversely, Mediterranean diet score or macronutrient/fibre intake were not associated with attention capacity (P>0·05). Our results suggest that healthier dietary patterns, as indicated by higher diet quality index and ideal diet score, were associated with attention capacity in adolescence. Intervention studies investigating a causal relationship between diet quality and attention are warranted.
Cerebral blood volume and metabolism of oxygen decline as part of human ageing, and this has been previously shown to be related to cognitive decline. There is some evidence to suggest that polyphenol-rich foods can play an important role in delaying the onset or halting the progression of age-related health disorders such as CVD and Alzheimer’s disease and to improve cognitive function. In the present study, an acute, placebo-controlled, double-blinded, cross-over, randomised Latin-square design study with a washout period of at least 14 d was conducted on twenty-seven, middle-aged (defined as 45–60 years) volunteers. Participants received either a 60 ml dose of Montmorency tart cherry concentrate (MC), which contained 68·0 (sd 0·26) mg cyanidin-3-glucoside/l, 160·75 (sd 0·55) mean gallic acid equivalent/l and 0·59 (sd 0·02) mean Trolox equivalent/l, respectively, or a placebo. Cerebrovascular responses, cognitive performance and blood pressure were assessed at baseline and 1, 2, 3 and 5 h following consumption. There were significant differences in concentrations of total Hb and oxygenated Hb during the task period 1 h after MC consumption (P≤0·05). Furthermore, MC consumption significantly lowered systolic blood pressure (P≤0·05) over a period of 3 h, with peak reductions of 6±2 mmHg at 1 h after MC consumption relative to the placebo. Cognitive function and mood were not affected. These results show that a single dose of MC concentrate can modulate certain variables of vascular function; however, this does not translate to improvements in cognition or mood.