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| Name | Class |
|---|---|
| International Nut and Dried Fruit Council | UNKNOWN |
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Tree nuts (for example brazil nuts, almonds, hazelnuts, walnuts, cashew nuts etc) contain a wide variety of nutrients including fatty acids, polyphenols and micronutrients. The beneficial health effects ascribed to the consumption of tree nuts include improvements to cardiovascular outcomes and regulation of glucose levels and inflammation. Emerging evidence suggests that specific components of nuts may also contribute to brain health and function.
The aim of the present study is to assess the effects of four weeks' supplementation of nut components on cognition and subjective measures. Urinary metabolites and intestinal microbial communities will also be assessed allowing biomarkers of nut exposure to be highlighted.
To date, only two small human intervention trials have evaluated the effects of nuts as a sole intervention on cognition. One study reported a benefit verbal fluency and constructional praxis following daily consumption of 6 g brazil nuts for 6 months in older adults diagnosed with mild cognitive impairment. Eight weeks' consumption of 60 g/d walnuts in healthy young adults aged 18-25 years also resulted in improved inferential verbal reasoning scores compared to placebo.
The development of various 'omics' technologies has enabled researchers to investigate the influence of nutrients or dietary change on metabolic pathways at multiple levels with a view to developing biological markers of dietary intake.
Metabolomic approaches have been used successfully to study nut consumption; for example putative biomarkers of nut consumption have been revealed as metabolites associated with serotonin pathways. Furthermore, certain nut biomarkers identified using metabolomics appear to be negatively associated with health parameters which is suggested to be due to gut microbiota dysbiosis and provides an important link between nut consumption, the gut microflora and metabolic pathways.
This study will assess the effects of four weeks' supplementation with nut components on cognition. Metabolomic and metagenomic approaches will be utilised to analyse urinary metabolites and intestinal microbial communities allowing biomarkers of nut exposure to be highlighted. Metabolic and gut microbiota responses will then be correlated with changes in cognition in order to identify inter-individual differences in response, and further understanding of the mechanisms underpinning cognitive benefits of nut consumption.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Active treatment | Experimental | Nut components |
|
| Placebo | Placebo Comparator | Placebo |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Nut components | Other | nut components consumed daily for a period of 28 days |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Logical reasoning | Cognition - executive function | At 28 days post dose, adjusted for baseline |
| Measure | Description | Time Frame |
|---|---|---|
| Location learning | Cognition - spatial memory | At 28 days post dose, adjusted for baseline |
| Choice reaction time | Cognition - attention |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Crystal Haskell-Ramsay | Northumbria University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Northumbria University | Newcastle upon Tyne | Tyne & Wear | NE1 8ST | United Kingdom |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 25567069 | Background | Rita Cardoso B, Apolinario D, da Silva Bandeira V, Busse AL, Magaldi RM, Jacob-Filho W, Cozzolino SM. Effects of Brazil nut consumption on selenium status and cognitive performance in older adults with mild cognitive impairment: a randomized controlled pilot trial. Eur J Nutr. 2016 Feb;55(1):107-16. doi: 10.1007/s00394-014-0829-2. Epub 2015 Jan 8. | |
| 21923981 |
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2 x 4 week intervention with 4 week washout
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| Placebo |
| Other |
Placebo consumed daily for a period of 28 days |
|
| At 28 days post dose, adjusted for baseline |
| Rapid Visual Information Processing | Cognition - working memory | At 28 days post dose, adjusted for baseline |
| Numeric working memory | Cognition - working memory | At 28 days post dose, adjusted for baseline |
| Stroop | Cognition - executive function | At 28 days post dose, adjusted for baseline |
| Peg and Ball | Cognition - executive function | At 28 days post dose, adjusted for baseline |
| Word recall | Cognition - episodic memory | At 28 days post dose, adjusted for baseline |
| Word recognition | Cognition - episodic memory | At 28 days post dose, adjusted for baseline |
| Picture recognition | Cognition - episodic memory | At 28 days post dose, adjusted for baseline |
| Bond-Lader | Mood | At 28 days post dose, adjusted for baseline |
| Profile of Mood States (POMS) | Mood | At 28 days post dose, adjusted for baseline |
| Urinary metabolites (fingerprinting and profiling) | Liquid chromatography/mass spectrometry, combined with data mining using specific software to identify specific metabolites influenced by supplementation | At 28 days post dose, adjusted for baseline |
| Intestinal microbial communities | Analysis of total DNA using standardised procedures targeting bacteria using the 16S rRNA gene. | At 28 days post dose, adjusted for baseline |
| Pribis P, Bailey RN, Russell AA, Kilsby MA, Hernandez M, Craig WJ, Grajales T, Shavlik DJ, Sabate J. Effects of walnut consumption on cognitive performance in young adults. Br J Nutr. 2012 May;107(9):1393-401. doi: 10.1017/S0007114511004302. Epub 2011 Sep 19. |
| 21905751 | Background | Tulipani S, Llorach R, Jauregui O, Lopez-Uriarte P, Garcia-Aloy M, Bullo M, Salas-Salvado J, Andres-Lacueva C. Metabolomics unveils urinary changes in subjects with metabolic syndrome following 12-week nut consumption. J Proteome Res. 2011 Nov 4;10(11):5047-58. doi: 10.1021/pr200514h. Epub 2011 Sep 29. |
| 26412215 | Background | Mora-Cubillos X, Tulipani S, Garcia-Aloy M, Bullo M, Tinahones FJ, Andres-Lacueva C. Plasma metabolomic biomarkers of mixed nuts exposure inversely correlate with severity of metabolic syndrome. Mol Nutr Food Res. 2015 Dec;59(12):2480-90. doi: 10.1002/mnfr.201500549. Epub 2015 Oct 21. |
| 36202391 | Derived | Haskell-Ramsay CF, Dodd FL, Smith D, Cuthbertson L, Nelson A, Lodge JK, Jackson PA. Mixed Tree Nuts, Cognition, and Gut Microbiota: A 4-Week, Placebo-Controlled, Randomized Crossover Trial in Healthy Nonelderly Adults. J Nutr. 2023 Jan 14;152(12):2778-2788. doi: 10.1093/jn/nxac228. |