The Consensus: Eating Well Could Help Against Dementia
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The risks of a poor diet include obesity and diabetes – but also a decline in brain performance. Increasing evidence shows that eating balanced food (and avoiding too much sugar, salt and fat) can help against dementia, perhaps by keeping your cardiovascular system in check. Whether or not it can improve cognition in healthy people is less clear. This consensus is based on 6 experts answers from this question: Can a good diet improve cognitive function?
Every time a neuron in your brain sends out a message to another one down the road, substances like sodium and potassium are pumped in and out of the neuron in a wave that spreads along its membrane. Then, once the signal gets to the end of the neuron, there will be a signal to fire and the neuron will immediately release a bunch of neurotransmitters to its neighbours. This process is repeated over and over again in your brain – and for that, you need lots of energy.
The brain is a hugely demanding machine and burns about a fifth of all the glucose in our body – but even that is not enough. Like other organs, it needs a number of different nutrients in the right amount to function well. So can your diet affect cognitive function?
Good nutrition, bad nutrition
An incomplete diet (that is, one lacking certain nutrients) can indeed alter the function of our brain, as pointed out by Justin Rhodes, a neuroscience expert from the University of Illinois. Professor Sue A. Shapses, a nutrition expert from Rutgers University, agrees with this. A well-balanced diet, she says, needs to include appropriate amounts of nutrients such as vitamins D and B12 or omega-3 fatty acids. In fact, according to geriatrics expert William J Evans, from the University of California, Berkeley, a diet with plenty of omega-3 fatty acid (found in sardines or nuts) is beneficial in preventing dementia or slowing it down. Some experiments on animals have also shown that dietary intake of minerals like selenium can improve their learning, says Mohammad Naderi, a neuroscience expert from the University of Saskatchewan.
Having said that, bear in mind that there is broad consensus that superfoods are a myth and most supplements are not grounded in solid evidence. Just like eating lots of calcium won’t make your bones any stronger, no magic pills are likely to help you prevent brain disorders. What’s more, Professor Sharpses warns against the use of supplements as she points out that more recent evidence reveals that an excessive intake of micronutrients can also be damaging.
That is not to say that there aren’t healthy and unhealthy foods, though. There certainly are. So what do we really mean by a healthy diet? The traditional Mediterranean diet is usually taken as a good standard. We can take the “healthy eating plate” designed by Harvard’s School of Public Health as a more visual guide: plenty of veggies and fruits, plant oils, lean protein, whole grains and good amounts of water (note that you won’t find butter, processed meat or sugary drinks in this plate).
Several reviews (like this or this) have looked at available evidence to work out whether Mediterranean diet is associated with dementia. Such studies should be taken with a grain of salt and more long-term, thorough trials are still needed. Still, these reviews concluded that following a healthy, Mediterranean-like diet is linked to a lower risk of getting dementia and a slower progression of the disease in the patients that have it.
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How can your diet affect your brain?
According to microbiology expert Seong-Tschool Hong, from Chonbuk National University, research done on mice shows a link between gut microbes – which help us digest food – and cognition. Indeed, changes in the composition of these microbe communities have not only been linked to diseases like obesity or diabetes – but they have also been associated with dementia. A 2017 study found less microbes in fecal samples from patients with Alzheimer’s disease. Importantly, however, they haven’t yet worked out whether there is any cause-effect relationship between the diversity of gut microbes and dementia – and if so, which way around.
Another possibility is that your diet affects your brain through the blood. Indeed, growing evidence stresses the importance of the cardiovascular system in dementia. Vascular changes are currently the earliest detectable change that happens in Alzheimer’s, and studies (like this one where, full disclosure, I took part) using mouse and human samples show that squeezing blood vessels in the brain can lead to dementia.
In summary, it’s entirely possible that a well-balanced diet – one that keeps your gut microbial communities rich and your cardiovascular health in trim – also has positive knock-on effects in your brain.
That being said, several of our experts point out that, while a good diet may be helpful against dementia, little is known about whether or not eating well can improve brain function in healthy people. What is clear, according to nutrition expert Richard J Stevenson from Macquarie University, is that an unhealthy diet (rich in sugar, salt and saturated fat) will worsen things.
Furthermore, experts not only agree that our diet can alter the course of dementia, but also highlight that other factors contribute too – perhaps again by improving our cardiovascular health. For example, the effect of physical activity is especially robust according to Rhodes, and Evans goes on to say that exercising regularly can prevent dementia.
Takeaway
Eating unhealthy food impairs brain performance, but a balanced diet and exercise can improve it. Stay active and eat your greens!
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