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Diet and lifestyle factors associated with cognitive performance in college students
Journal of American College Health
Abstract
Objective
Engaging in a healthy diet and positive lifestyle behaviors have been shown to improve cognitive functioning in children and older adults, however, few have examined these factors in college-aged students. Participants: A diverse sample of 115 college students were recruited on two university campuses. Method: Completed computerized cognitive testing and an online survey about diet and lifestyle behaviors. Results: All analyses were conducted with Pearson’s correlations. Higher fruit consumption was correlated with better visual memory scores. Higher seafood consumption was correlated with better learning performance. Increased fast food consumption was correlated with poorer executive functioning in resident students and poorer visual memory performance in commuter students. Increased fluid intake on testing day was correlated with better visual memory and better verbal memory performance. Conclusions: Behavioral changes such as increasing hydration, eating more fruit and fish, and eating less fast food may improve cognitive performance in college students.
... The most recent theories suggest that these well-balanced diets reduce inflammation and/or oxidative stress and protect levels of brain-derived neurotrophic factor (Frisardi et al., 2010). In contrast, diets defined by high intake of fat, salt and sugar increase the likelihood of insulin resistance and have been identified as a leading cause of cognitive dysfunction (Allen et al., 2004;Fu et al., 2017;Pilato et al., 2020). These studies raise the possibility that particular habitual diets can protect against cognitive decline and may also be important for optimal cognitive development. ...
... The most promising individual nutritional markers related to improving cognitive function/efficiency and mental health have been supplementation with either vitamin D (Azzam et al., 2015;Focker et al., 2017;Przybelski & Binkley, 2007;Hajiluian et al., 2017) or omega-3 polyunsaturated fatty acids (PUFA) (Patrick & Ames, 2015;Richardson et al., 2012;Sinn et al., 2010). Recent large scale replication studies have indicated that nutritional supplementation with omega-3 (PUFA) does not alter executive functions (Montgomery et al., 2018), although the correlation between eating fish (a primary source of omega 3 PUFA) and educational attainment remains (Pilato et al., 2020;Teisen et al., 2020). Taken together, whole diet or food quality assessments are likely to reveal larger impacts on intellectual development, mental health, behavioural problems and educational performance in children than single markers. ...
... Identifying a nutrient or food that will improve educational attainment and cognitive performance is laudable, but data indicate that a poor diet, defined by high intakes of fat, salt and sugar made up from a combination of foods, is associated with poor cognitive performance (Naveed et al., 2020) and neurobiological deficits (Stadterman et al., 2020). Observational studies have concluded that diets defined by processed foods (Wiles et al., 2009) or skipping meals (Lien, 2007) were associated with behavioural problems (Øverby & Høigaard, 2012) and poor cognitive performance (Pilato et al., 2020). However, "correlation is not causation" and it is important to determine whether these poor dietary patterns directly cause the associations observed, or are simply acting as markers of other factors (such as SES, for example). ...
Several observational studies indicate that dietary habits in children and adolescents are associated with school performance. These associations are heavily confounded by socio-economic characteristics, such as household income and parents’ educational attainment, amongst other factors. In this study, we report observational and causal effects of habitual diet on school performance, using individual level data for 9,220 adolescents in the Northern Finland Birth Cohort 1986. For this purpose, we derived principal components for the dietary variables, meal patterns and school performance variables. The observational study showed a significant association of consumption of foods that are high in fat, salt and sugar (HFSS) with poor performance in all school subjects, and an association of consumption of healthy foods and traditional foods with good school performance in general subjects, science and physical education (PE). Moreover, a positive association was observed between not skipping breakfast and good performance in all school subjects. Mendelian randomisation analysis confirmed a negative effect of HFSS on school performance in general/science subjects (−0.080, −0.128 to −0.033) and a positive effect of healthy food on school performance in general/science subjects (0.071, 0.024 to 0.119) and PE (0.065, 0.021 to 0.110). To conclude, we identified compelling evidence that HFSS foods and healthy foods were causally affecting school performance.
... Дослідження харчових звичок молоді займають центральне місце в цьому процесі. Раціон харчування сучасної молоді, студентів (людей репродуктивного віку) суттєво впливає на здоров'я як самих молодих людей, так і майбутніх поколінь (Вінницький, 2023;Romero-Blanco et al., 2021;Pilato et al., 2022;Lo Moro et al., 2023). У сучасних умовах війни в Україні раціон харчування молоді може суттєво погіршитися через низку об'єктивних чинників. ...
Background. The use of questionnaires on diet is a key approach in the field of nutrition. This study proposes a questionnaire on diet content developed by a team of authors from the Department of Biomedicine of the Educational-Scientific Center "Institute of Biology and Medicine" of Taras Shevchenko National University of Kyiv. The questionnaire was formed considering the food preferences and habits of young people living in Ukraine. Methods. Based on the analysis of questionnaires created by foreign authors, our own version of the questionnaire regarding daily diet was developed. Results. A team of authors from the Department of Biomedicine created a questionnaire on diet and eating habits, which contains 41 questions. The questionnaire is an important tool for collecting data on the eating habits and needs of a certain population group, in particular students. Conclusions. The use of the questionnaire will help specialists understand what daily diet the respondent follows. The proposed questionnaire can be used independently and in comprehensive studies of people's health.
... Physical activity has also been linked to lower levels of psychological ill-being such as depression and stress, and higher levels of psychological well-being such as self-image and life satisfaction [17]. In addition, a healthy diet, including low consumption of processed and sugar-rich foods, has been suggested to improve cognitive performance [18], and sleep quality [19]. ...
... Among university students in Iceland, 17% (n = 125) experienced some level of food insecurity and nearly 4% (n = 28) went an entire day without eating due to the lack of food or other resources to purchase food [1]. Food intake has been associated with university students' ability to function as well as their ability to concentrate and to properly study and absorb information [2,3]. Students must be able to consume enough nourishing food throughout the day regardless of their socioeconomic status. ...
Objectives: Using data from the Food Insecurity among European University Students during the COVID-19 Pandemic (FINESCOP) project, this study aims to investigate the dietary intakes among university students in Iceland, focusing specifically on their current diet after March 2020. Additionally, it examines correlations among different food groups to reveal associations in dietary patterns. Methods: The investigation uses data from the observational FINESCOP project in Iceland. Spearman’s correlation coefficients were used to identify associations between different dietary intakes. p values show significance at a level of <0.05. Results: Icelandic university students have a low intake of vegetables and salad (“3–4 times per week”, n = 159, 24.8%), fruit (“1–2 times per week”, n = 164, 25.6%), and whole wheat (“3–4 times per week”, n = 147, 23.2%). Lower than these was legume intake (“Never/seldom”, n = 203, 32.0%). Meat and eggs were consumed more frequently (“3–4 times per week”, n = 231, 36.3%) compared to fish and seafood (“1–2 times per week”, n = 277, 43.5%). While the findings do indicate a significant correlation between vegetables and salad and fruit intake (p < 0.001) and between vegetable and salad and legume intake (p < 0.001), causal relationships cannot be established. Among discretionary foods, sweets and snacks were moderately and significantly correlated (p < 0.001). Conclusions: This study explores dietary intakes and correlations between dietary factors among university students in Iceland. Further research is needed to explore the potential for causal inferences and better understand these dietary behaviors of university students in Iceland.
... Contrary to our results, another study reported that better EFs were related to less follow-up sedentary behavior [42]. Additionally, it has been reported that healthy eating habits are related to EFs among university students [30]. Previous evidence has shown that a healthy lifestyle is beneficial for EFs [91]. ...
Background: A negative lifestyle is reported to be related to cognitive problems. However, there is little information about this in relation to university students. The objective of the present study was to investigate the association between executive functions (EFs) and lifestyle parameters (i.e., physical activity (PA), sleep duration, screen time (ST), and food habits) among Chilean university students. Methods: This cross-sectional study included a total of 150 university students (94 females and 56 males, aged 21.28 ± 3.15 and 22.18 ± 2.90 years, respectively). Cognitive outcomes were measured using the CogniFit assessment battery. Lifestyle was measured through validated questionnaires. Results: Across the total sample, attention exhibited a positive association with PA h/week (β: 24.34 95% CI: 12.46 to 36.22, p = 0.001). Additionally, coordination was positively associated with PA h/week (β: 15.06 95% CI: 0.62 to 29.50, p < 0.041). PA h/week was positively linked with reasoning (β: 20.34 95% CI: 4.52 to 36.17, p = 0.012) and perception (β: 13.81 95% CI: 4.14 to 23.49, p = 0.005). Moreover, PA h/week was significantly linked to memory (β: 23.01 95% CI: 7.62 to 38.40, p = 0.004). In terms of the EFs, PA h/week showed a positive association with cognitive flexibility (β: 45.60 95% CI: 23.22 to 67.69, p = 0.001). Conclusions: In conclusion, lifestyle (PA h/week) was positively associated with EFs. Therefore, an increase in PA levels among these students should be a target for community-and university-based interventions in order to promote cognitive development such as attention, coordination, reasoning, perception, memory, and cognitive flexibility.
... In addition to being associated with increased weight and more prevalence of health problems [62], higher fast food consumption correlated with lower executive function and visual memory capacity in university students [63]. ...
As the esports industry grows, marketing campaigns for fast food, soft drinks, alcoholic and energy drinks, and dietary supplements at related events intensify. Portuguese and Brazilian esports players’ dietary patterns remain unexplored. This study aimed to characterize the dietary and gaming habits of esports players. We applied an anonymous, open online survey to a convenience sample of esports players that included the PREDIMED and the Internet Gaming Disorder Scale. The survey was shared through email and social media platforms, including Facebook, Twitter, Instagram, Discord, WhatsApp, and Twitch. The sample (n = 579) was predominantly male (91.4%), averaged 26.1 (SD = 7.0) years, and 25.9 (SD = 5.5) kg/m2. Most reported a weak (53.7%) adherence to the Mediterranean diet. Almost a third (32.3%) consumed dietary supplements. Our sample presented a low adhesion to the Mediterranean dietary pattern, low consumption of fruit and vegetables, and high consumption of fast food, red and processed meat, soft drinks, and dietary supplements, including caffeine-based supplements. Dietary supplement consumption was related to a higher adhesion to the Mediterranean diet, and a higher level of professionalization and internet gaming disorder correlated with a lower adhesion. In conclusion, we infer that Portuguese and Brazilian esports players follow an unbalanced diet.
... Besides using fidget spinners and stress balls to improve test performance, there are many other proven strategies that should be encouraged to improve test performance. Practicing effective study techniques [10], maintaining a balanced lifestyle [11,12], managing stress through relaxation techniques [13,14], and seeking support from teachers, counselors, or other professionals who can provide guidance tailored to specific student needs are recommended. Additionally, mini-rituals before tests may be beneficial to academic performance by reducing test anxiety [15,16]. ...
Aim: To determine if the use of fidget spinners and stress balls impact college test scores in Introductory Psychology courses. Study Design: A between-participants experimental design was used. Students were randomly assigned into conditions. Place and Duration of Study: The study was conducted at Coastal Carolina University, Conway, South Carolina, USA. Fall semester. Methodology: 170 college students enrolled in Introductory Psychology courses participated in the study. Participants were randomly assigned to use a fidget spinner, a stress ball, or sit quietly for 3 minutes before a unit test in their Introductory Psychology course. Results: Quantitative data was analyzed using SPSS. There were no statistically significant differences in test scores between the three groups (P=.28). The fidget spinner group (M=75.82, SD=13.12), the stress ball group (M=76.41, SD=13.89), and the control group (M=79.33, SD=11.17) scored similarly to each other on the unit test. Conclusion: Using fidget spinners or stress balls do not impact Introductory Psychology test scores.
... Overall, our study found no correlation between lifestyle behaviors and markers of academic achievements (Table 3). Previous studies have highlighted the importance of adopting healthy lifestyles on academic achievements [32,64]. The observed minimal variation in the markers of academic achievement may have been behind the inability to detect a significant association with the varied component of lifestyle behaviors. ...
Background
Lifestyle behaviors are developed during young adulthood and carried through life. Accordingly, early detection of unhealthy behaviors can help prevent the increase in non-communicable diseases in the population. College students are an especially vulnerable group who, upon entering a new environment, tend to engage in unhealthy behaviors.
Objective
The present study aims to evaluate the lifestyle behaviors of Kuwaiti college students and their association with markers of academic achievements.
Methods
One thousand two hundred fifty-nine students participated in the present study and answered an online questionnaire pertaining to their sociodemographic status, academic performance indicators, body weight and height, and lifestyle behaviors. Data were collected from November 2020 to February 2021.
Results
Results of the present study showed that obesity was significantly more prevalent among male participants than among females even though males were more physically active. Alternatively, females had a greater grade point average in college, slept more, and had more screen time. Interestingly, we were unable to detect a significant correlation between lifestyle behaviors and academic achievements.
Conclusion
The observed differences in body mass index between genders may have been attributed to energy intake rather than energy expenditure.
... There are relatively few scientific studies about cognitive enhancement and nicotine/caffeine because the majority of studies investigates the motivation to quit the habit (Ziedonis et al., 2017). However, given the many positive effects on cognition described above, it needs to be realized that there can be a positive and realistic expectation that caffeine and nicotine can raise achievements (Deck et al., 2021) even if it is known that, for instance, fruit, seafood and water can have similar effects without associated health hazards (Pilato et al., 2020). ...
Smoking and caffeine improves some aspects of cognitive performance but it also brings with it some serious cardiovascular health risks. We investigated whether quiet and focused visual attention can reduce blood pressure in nicotine and coffee consumers. Participants either smoked (n=40), or drank coffee (n=40) on a daily basis. The control group neither smoked nor drank coffee (n=40), total n=120. We measured blood pressure before and after the Attentional Blink Task (ABT) which consists of a visual perception task that requires attention to very fast appearing and disappearing targets without and with delay due to distracters. Performance gains due to nicotine and caffeine were limited to immediate perception but were sensitive to delay. The nicotine group had a significantly higher systolic and the caffeine group a significantly higher diastolic blood pressure before the ABT, but both were significantly reduced afterwards showing a blood pressure regulation effect of sustained, focused visual attention.
... There are relatively few scientific studies about cognitive enhancement and nicotine/caffeine because the majority of studies investigates the motivation to quit the habit (Ziedonis et al., 2017). However, given the many positive effects on cognition described above, it needs to be realized that there can be a positive and realistic expectation that caffeine and nicotine can raise achievements (Deck et al., 2021) even if it is known that, for instance, fruit, seafood and water can have similar effects without associated health hazards (Pilato et al., 2020). ...
Smoking and caffeine improves some aspects of cognitive performance but it also brings with it some serious cardiovascular health risks. We investigated whether quiet and focused visual attention can reduce blood pressure in nicotine and coffee consumers. Participants either smoked (n=40), or drank coffee (n=40) on a daily basis. The control group neither smoked nor drank coffee (n=40), total n=120. We measured blood pressure before and after the Attentional Blink Task (ABT) which consists a visual perception task that requires attention to very fast appearing and disappearing targets without and with delay due to distracters. Performance gains due to nicotine and caffeine were limited to immediate perception but sensitive to delay. The nicotine group had a significantly higher systolic and the caffeine group a significantly higher diastolic blood pressure before the ABT, but both were significantly reduced afterwards showing a blood pressure regulation effect of sustained, focused visual attention.
... Although this does not represent a difference to the general population (Mensink et al., 2013), it does not mean that it is a particularly healthy diet. Especially for eSports players, a healthy diet, which can positively affect cognitive performance (Pilato et al., 2020), could be of great importance. There may also be the need for health promotion here regarding an average BMI close to the threshold of overweight. ...
Presentation in ERN Conference 2021 on Esports Health & Well-being Management.
Most of the children have poor nutritional status all over the world, which affect the children life in different ways. One of the impacts is nutritional status which influences the cognitive performance of school going children. The aim of this review was to determine the influence of nutritional status on the cognitive performance of school going children. Study was searched from the databases (google scholar, PubMed, sciHub). Studies with cognitive performance of school going children at the age between 5 and 14 were cited for the review. The aim of the review is to find how diet affects the cognitive performance of children and to identify how diet is associated with school performance. The review evaluated that diet high in nutrition, micro nutrients, intake of fructose, soluble fiber, total fiber, leafy vegetables, breakfast, breakfast high in macro nutrients composition, school feeding programs can positively associated with cognitive function. Poor nutrition status, nutrition deficiencies, malnutrition, stunting wasting are negatively associated with cognitive function. There is no significant association between dietary fats with cognitive function. Adequate intake of macronutrients (Carbohydrates, proteins, fats) and micronutrients (vitamins and minerals) can help in cognitive function. Majority of other factors are also included to esenhance the cognitive performance.
The aging population is expanding, as is the prevalence of age-related cognitive decline (ARCD). Of the several risk factors that predict the onset and progression of ARCD, 2 important modifiable risk factors are diet and physical activity. Dietary patterns that emphasize plant foods can exert neuroprotective effects. In this comprehensive review, we examine studies in humans of plant-based dietary patterns and polyphenol-rich plant foods and their role in either preventing ARCD and/or improving cognitive function. As yet, there is no direct evidence to support the benefits of a vegetarian diet in preventing cognitive decline. However, there is emerging evidence for brain-health-promoting effects of several plant foods rich in polyphenols, anti-inflammatory dietary patterns, and plant-based dietary patterns such as the Mediterranean diet that include a variety of fruits, vegetables, legumes, nuts, and whole grains. The bioactive compounds present in these dietary patterns include antioxidant vitamins, polyphenols, other phytochemicals, and unsaturated fatty acids. In animal models these nutrients and non-nutrients have been shown to enhance neurogenesis, synaptic plasticity, and neuronal survival by reducing oxidative stress and neuroinflammation. In this review, we summarize the mounting evidence in favor of plant-centered dietary patterns, inclusive of polyphenol-rich foods for cognitive well-being. Randomized clinical trials support the role of plant foods (citrus fruits, grapes, berries, cocoa, nuts, green tea, and coffee) in improving specific domains of cognition, most notably frontal executive function. We also identify knowledge gaps and recommend future studies to identify whether plant-exclusive diets have an added cognitive advantage compared with plant-centered diets with fish and/or small amounts of animal foods.
Background & aims:
Caffeine intake in a convenience sample of U.S. college students (N = 1248) was surveyed at five geographically-dispersed United States (U.S.) universities.
Methods:
Intake from coffee, tea, soft drinks, energy drinks, gums, and medications was assessed. Associations between caffeine intake and demographic variables including sex, age, race/ethnicity, family income, general health, exercise, weight variables and tobacco use were examined. Reasons for use of caffeine-containing products were assessed.
Results:
Caffeine, in any form, was consumed by 92% of students in the past year. Mean daily caffeine consumption for all students, including non-consumers, was 159 mg/d with a mean intake of 173 mg/d among caffeine users. Coffee was the main source of caffeine intake in male (120 mg/d) and female (111 mg/d) consumers. Male and female students consumed 53 vs. 30 mg/d of caffeine in energy drinks, respectively, and 28% consumed energy drinks with alcohol on at least one occasion. Students provided multiple reasons for caffeine use including: to feel awake (79%); enjoy the taste (68%); the social aspects of consumption (39%); improve concentration (31%); increase physical energy (27%); improve mood (18%); and alleviate stress (9%).
Conclusions:
As in the general U.S. population, coffee is the primary source of caffeine intake among the college students surveyed. Energy drinks provide less than half of total daily caffeine intake but more than among the general population. Students, especially women, consume somewhat more caffeine than the general population of individuals aged 19-30 y but less than individuals aged 31-50 y.
Background
Alcohol is attributable to many diseases and injury-related health conditions, and it is the fifth leading risk factor of premature death globally. Hence, the objective of this study was to assess the proportion and associated factors of problematic alcohol use among University students.
Material and methods
Cross-sectional study was conducted among 725 randomly selected University students from November to December 2015. Data were collected by self-administered questionnaire, and problematic alcohol use was assessed by Alcohol Use Disorder Identification Test. Chi-square test was used to show association of problematic use and each variable and major predicators was identified using logistic regression with 95% confidence interval (CI); and variables with p-value less than 0.05 were considered statistically significant.
Results
About 83 (11.4%) of the samples were problematic alcohol users of which 6.8% had medium level problems and 4.6% had high level problems. Significantly associated variables with problematic alcohol use among students were presence of social phobia (AOR = 1.7, 95% CI: 1.0, 2.8), lifetime use of any substance (AOR = 6.9, 95% CI: 3.8, 12.7), higher score in students cumulative grade point average (AOR = 0.6, 95% CI: 0.4, 0.9), and having intimate friend who use alcohol (AOR = 2.2, 95% CI: 1.3, 3.8).
Conclusion
Problematic alcohol use among university students was common and associated with social phobia, poor academic achievement, lifetime use of any substance, and peer pressure. Strong legislative control of alcohol in universities is important to reduce the burden of alcohol.
Whole brain radiotherapy (WBRT) is associated with memory dysfunction. As part of NRG Oncology RTOG 0933, a phase II study of WBRT for brain metastases that conformally avoided the hippocampal stem cell compartment (HA-WBRT), memory was assessed pre- and post-HA-WBRT using both traditional and computerized memory tests. We examined whether the computerized tests yielded similar findings and might serve as possible alternatives for assessment of memory in multi-institution clinical trials. Adult patients with brain metastases received HA-WBRT to 30 Gy in ten fractions and completed Hopkins Verbal Learning Test-Revised (HVLT-R), CogState International Shopping List Test (ISLT) and One Card Learning Test (OCLT), at baseline, 2 and 4 months. Tests' completion rates were 52-53 % at 2 months and 34-42 % at 4 months. All baseline correlations between HVLT-R and CogState tests were significant (p ≤ 0.003). At baseline, both CogState tests and one component of HVLT-R differentiated those who were alive at 6 months and those who had died (p ≤ 0.01). At 4 months, mean relative decline was 7.0 % for HVLT-R Delayed Recall and 18.0 % for ISLT Delayed Recall. OCLT showed an 8.0 % increase. A reliable change index found no significant changes from baseline to 2 and 4 months for ISLT Delayed Recall (z = -0.40, p = 0.34; z = -0.68, p = 0.25) or OCLT (z = 0.15, p = 0.56; z = 0.41, p = 0.66). Study findings support the possibility that hippocampal avoidance may be associated with preservation of memory test performance, and that these computerized tests also may be useful and valid memory assessments in multi-institution adult brain tumor trials.
Observational studies report that as students transfer from secondary school to university, there is a tendency to gain weight. This phenomenon is known as the "Freshman 15" in North America, referring to the claim that on average weight gain is 15 lb (6.8 kg) in the first year of university. Studies since 1985 have mostly found weight gains ranging from 1 kg to 6 kg. Our meta-analysis aimed to update the literature on the "Freshman 15" in the first year of university. We also aimed to explore weight gain in only those who gained weight and perform several subgroup analyses. Given adolescent weight gain is highly linked to overweight and obesity in adults, a better understanding of university student weight gain is crucial if we are to combat the rising adult obesity prevalence.
We conducted a search on six standard electronic databases (including PubMed, Embase, PsycInfo) from 1980 to 2014. Only peer reviewed articles with data from longitudinal studies were included. Screening was performed by two reviewers. The quality of papers was assessed and data extraction was done with a systematic approach.
Thirty two studies were included and 22 studies (5549 students) were included in a pooled mean meta-analysis as they reported standard errors. The overall pooled mean weight gain was 1.36 kg (3lbs) (95 % CI: 1.15 - 1.57) over an average of 5 months. A majority of students, 60.9 %, gained weight during freshman year and these on average gained 3.38 kg (7.5lbs) (95 % CI: 2.85 - 3.92).
Freshman weight gain is an issue with almost two thirds of students gaining weight. Students who gained weight, gained it at rates much faster than in the general population. Despite most universities having some health promotion policies, we denote a consistent weight gain in university students across several countries.
Background
While healthy lifestyle habits are generally assumed to be important for high academic achievement, there has been little research on this topic among adolescents. The aim of this study was therefore to examine the associations between several lifestyle habits and academic achievement in adolescent girls and boys.
Methods
The study included 2,432 Norwegian adolescents, 15–17 years old. A self-report questionnaire was used to assess dietary-, physical activity-, smoking- and snuffing habits and academic achievement. Logistic regression models were adjusted for body mass index (BMI) and parental education.
Results
In both girls and boys, high academic achievement was associated with a regular consumption of breakfast (AOR: 3.30 (2.45-4.45) and AOR: 1.76 (1.32-2.34), respectively) and lunch (AOR: 1.44 (1.08-1.93) and AOR: 1.43 (1.09-1.89), respectively), and in boys, with a regular consumption of dinner (AOR: 1.44 (1.16-1.79)) and a regular meal pattern in general (AOR: 1.50 (1.10 – 2.03)). In both girls and boys, high academic achievement was associated with a high intake of fruit and berries (AOR: 2.09 (1.51-2.88) and AOR: 1.47 (1.04-2.07), respectively), and in girls, with a high intake of vegetables (AOR: 1.82 (1.30-2.53)). In both girls and boys, high academic achievement was associated with a high leisure time physical activity level (AOR: 1.51 (1.10-2.08) and AOR: 1.39 (1.05-1.85), respectively) and use of active commuting (AOR: 1.51 (1.10-2.08) and AOR: 1.72 (1.26-2.35), respectively). In both girls and boys, high academic achievement was associated with a low intake of lemonade (AOR: 0.42 (0.27-0.64) and AOR: 0.67 (0.48-0.94), respectively), and in girls, with a low intake of sugar-sweetened soft drinks (AOR: 0.47 (0.35- 0.64)) and salty snacks (AOR: 0.63 (0.47-0.85)). Lastly, high academic achievement was inversely associated with smoking and snuffing in both girls (AOR: 0.18 (0.12-0.25) and AOR: 0.25 (0.17-0.37), respectively) and boys (AOR: 0.37 (0.25-0.54) and AOR: 0.51 (0.36-0.72), respectively).
Conclusions
A regular meal pattern, an intake of healthy food items and being physically active were all associated with increased odds of high academic achievement, whereas the intake of unhealthy food and beverages, smoking cigarettes and snuffing were associated with decreased odds of high academic achievement in Norwegian adolescents.
Research shows that multiple factors influence college drinking, from an individual's genetic susceptibility to the positive and negative effects of alcohol, alcohol use during high school, campus norms related to drinking, expectations regarding the benefits and detrimental effects of drinking, penalties for underage drinking, parental attitudes about drinking while at college, whether one is member of a Greek organization or involved in athletics, and conditions within the larger community that determine how accessible and affordable alcohol is. Consequences of college drinking include missed classes and lower grades, injuries, sexual assaults, overdoses, memory blackouts, changes in brain function, lingering cognitive deficits, and death. This article examines recent findings about the causes and consequences of excessive drinking among college students relative to their non-college peers and many of the strategies used to collect and analyze relevant data, as well as the inherent hurdles and limitations of such strategies.
Background:
Insufficient and inappropriate daily fluid intake in a long period may have adverse effect on human's health. Therefore, the present study evaluated the amounts and sources of fluids consumed by university students to determine whether these amounts and sources of fluid were enough and appropriate.
Methods:
In this descriptive study, 245 (142 females and 103 males) volunteer students of Tabriz University of Medical Sciences in 2009 were recruited. Food and fluid intake of subjects were as-sessed by 24-hour recall method of 3 days (two week days and one week- end included). Dietary intake of subjects was analyzed by Nutritionist III software program. The mean total fluid intake (drinking fluid values merged with data on the water content of foods) and the rate of metabolic water were figured out. Comparisons of the results with recommended dietary values were made using student's t-test.. Data of dietary intakes for two under-reporter female subjects were not included in the statistical analysis.
Results:
Daily total mean of fluid intake for girls (1598±40ml) and boys (1861±59ml) reflect the sum of beverages (Girls, 818±29ml; boys, 1147±57ml) and food water (Girls, 780±47ml; boys, 714±86m). The most consumed beverage for girls and boys were water (40%) and tea (49%) respectively. Daily mean intake of milk for girls and boys were 106.31±10ml (13%) and 57.30±11ml (5%), respectively.
Conclusion:
The mean daily fluid intake of subjects, specially water, and milk was lower than rec-ommended values. Therefore, there is an urgent need for tailored nutrition intervention targeting the young adults to improve their beverage choices.
Childhood is a period of brain growth and maturation. The long chain omega-3 fatty acid, docosahexaenoic acid (DHA), is a major lipid in the brain recognized as essential for normal brain function. In animals, low brain DHA results in impaired learning and behavior. In infants, DHA is important for optimal visual and cognitive development. The usual intake of DHA among toddlers and children is low and some studies show improvements in cognition and behavior as the result of supplementation with polyunsaturated fatty acids including DHA. The purpose of this review was to identify and evaluate current knowledge regarding the relationship of DHA with measures of learning and behavior in healthy school-age children. A systematic search of the literature identified 15 relevant publications for review. The search found studies which were diverse in purpose and design and without consistent conclusions regarding the treatment effect of DHA intake or biomarker status on specific cognitive tests. However, studies of brain activity reported benefits of DHA supplementation and over half of the studies reported a favorable role for DHA or long chain omega-3 fatty acids in at least one area of cognition or behavior. Studies also suggested an important role for DHA in school performance.
The aim of this review is to present factors that are relevant to cognitive decline and risk of dementia in later life. With longer life expectancy, the likelihood of experiencing age-related cognitive difficulties has increased. Maintaining normal cognitive function is necessary for successful performance of activities of daily living and independence in later life. Although cognitive decline and dementia are sometimes unavoidable, there are ways in which people can modify their risk of these outcomes. Furthermore, the authors suggest that factors contributing to deviations from homeostasis may have adverse effects on brain health and possibly increase the risk of cognitive decline and dementia.
Purpose:
The United States Centers for Disease Control and Prevention monitors health-risk behaviors of adolescents in United States, which include (1) violence; (2) tobacco use; (3) alcohol and other drug use; (4) sexual behaviors contributing to unintended pregnancy and sexually transmitted diseases; (5) inadequate physical activity; and (6) unhealthy dietary behaviors. We reviewed original research published in peer-reviewed journals between 1985 and 2010 to synthesize evidence about the association of adolescent health-risk behaviors and academic achievement.
Methods:
Using predetermined selection criteria, 122 articles were included that used at least one variable for health-risk behaviors and also for academic achievement.
Results:
For all six health-risk behaviors, 96.6% of the studies reported statistically significant inverse relationships between health-risk behaviors and academic achievement.
Conclusions:
With this persuasive evidence about the interrelationship of health-risk behaviors and academic achievement, it is imperative that leaders in education and health act together to make wise investments in our nation's school-age youth that will benefit the entire population. A unified system that addresses both health behavior and academic achievement would have reciprocal and synergistic effects on the health and academic achievement not only of children and adolescents, but also of adults in the United States.
Rationale
Despite 100 years of psychopharmacological research, the extent to which caffeine consumption benefits human functioning remains unclear.
Objectives
To measure the effects of overnight caffeine abstinence and caffeine administration as a function of level of habitual caffeine consumption.
Methods
Medium-high (n = 212) and non-low (n = 157) caffeine consumers completed self-report measures and computer-based tasks before (starting at 10:30 AM) and after double-blind treatment with either caffeine (100 mg, then 150 mg) or placebo. The first treatment was given at 11:15 AM and the second at 12:45 PM, with post-treatment measures repeated twice between 1:45 PM and 3:30 PM.
Results
Caffeine withdrawal was associated with some detrimental effects at 10:30 AM, and more severe effects, including greater sleepiness, lower mental alertness, and poorer performance on simple reaction time, choice reaction time and recognition memory tasks, later in the afternoon. Caffeine improved these measures in medium-high consumers but, apart from decreasing sleepiness, had little effect on them in non-low consumers. The failure of caffeine to increase mental alertness and improve mental performance in non-low consumers was related to a substantial caffeine-induced increase in anxiety/jitteriness that offset the benefit of decreased sleepiness. Caffeine enhanced physical performance (faster tapping speed and faster simple and choice reaction times) in both medium-high and non-low consumers.
Conclusions
While caffeine benefits motor performance and tolerance develops to its tendency to increase anxiety/jitteriness, tolerance to its effects on sleepiness means that frequent consumption fails to enhance mental alertness and mental performance.
Eight healthy men, unacclimated to heat, were submitted to variations in body hydration. The subjects were kept euhydrated, dehydrated by controlled passive hyperthermia or exercise on a treadmill up to a weight loss of 2.8%, or hyperhydrated using a solution containing glycerol, with a total ingested volume equal to 21.4 ml/kg of body weight. On completion of a 90-min recovery period, the subjects were assigned a pedaling exercise on an arm-crank ergometer. Psychological tests were administered 30 min after the phase of hydration variation and 15 min after the arm crank exercise. Both dehydration conditions impaired cognitive abilities (i.e., perceptive discrimination, psycho-motor skills, and short-term memory) as well as subjective estimates of fatigue, without any relevant differences between them. Short-term memory was significantly greater following hyperhydration when compared to euhydration (P < .05). Following arm crank exercise, further effects of dehydration were found for tracking performance only (P < .05). Moreover, long-term memory was impaired in both control and dehydration situations, whereas there was no decrement in performance in the hyperhydration condition.
Regular consumption of fruit and vegetables has been considered to be associated with a reduced risk of dementia and age-associated cognitive decline, although the association is currently unsupported by a systematic review of the literature.
We searched Medline, Embase, Biosis, ALOIS, the Cochrane library, different publisher databases as well as bibliographies of retrieved articles. All cohort studies with a follow-up of 6 months or longer were included if they reported an association of Alzheimer's disease or cognitive decline in regard to the frequency of fruit and vegetables consumption.
Nine studies with a total of 44,004 participants met the inclusion criteria. Six studies analyzed fruit and vegetables separately and five of them found that higher consumption of vegetables, but not fruit is associated with a decreased risk of dementia or cognitive decline. The same association was found by three further studies for fruit and vegetable consumption analytically combined.
Increased intake of vegetables is associated with a lower risk of dementia and slower rates of cognitive decline in older age. Yet, evidence that this association is also valid for high fruit consumption is lacking.
Randomized trials of omega-3 polyunsaturated fatty acid (PUFA) treatment for depression have differed in outcome. Recent meta-analyses ascribe discrepancies to differential effects of eicosapentaenoic acid (EPA) versus docosahexaenoic acid (DHA) and to diagnostic heterogeneity. This meta-analysis tests the hypothesis that EPA is the effective component in PUFA treatment of major depressive episodes.
PubMed/MeSH was searched for studies published in English from 1960 through June 2010 using the terms fish oils (MeSH) AND (depressive disorder [MeSH] OR bipolar depression) AND randomized controlled trial (publication type). The search was supplemented by manual bibliography review and examination of relevant review articles.
The search yielded 15 trials involving 916 participants. Studies were included if they had a prospective, randomized, double-blinded, placebo-controlled study design; if depressive episode was the primary complaint (with or without comorbid medical conditions); if omega-3 PUFA supplements were administered; and if appropriate outcome measures were used to assess depressed mood.
Extracted data included study design, sample sizes, doses and percentages of EPA and DHA, mean ages, baseline and endpoint depression ratings and standard deviations for PUFA and placebo groups, and P values. The clinical outcome of interest was the standardized mean difference in the change from baseline to endpoint scores on a depression rating scale in subjects taking PUFA supplements versus subjects taking placebo.
In a mixed-effect model, percentage of EPA in the supplements was the fixed-effect predictor, dichotomized into 2 groups: EPA < 60% or EPA ≥ 60% of the total EPA + DHA. Secondary analyses explored the relevance of treatment duration, age, and EPA dose.
Supplements with EPA ≥ 60% showed benefit on standardized mean depression scores (effect size = 0.532; 95% CI, 0.277-0.733; t = 4.195; P < .001) versus supplements with EPA < 60% (effect size = -0.026; 95% CI, -0.200 to 0.148; t = -0.316; P = .756), with negligible contribution of random effects or heteroscedasticity and with no effects of treatment duration or age. Supplements with EPA < 60% were ineffective. Exploratory analyses supported a nonlinear model, with improvement determined by the dose of EPA in excess of DHA, within the range of 200 to 2,200 mg/d of EPA.
Supplements containing EPA ≥ 60% of total EPA + DHA, in a dose range of 200 to 2,200 mg/d of EPA in excess of DHA, were effective against primary depression. Translational studies are needed to determine the mechanisms of EPA's therapeutic benefit.
Although word recognition deficits (WRD) are a known cause of reading comprehension deficits (RCD), other contributions to RCD, including executive function (EF), have not been fully explored. We examined the contribution of EF (working memory and planning), along with attention, decoding, fluency, and vocabulary to reading comprehension in 60 children (including 16 WRD and 10 RCD), ages 9-15 years. After controlling for commonly accepted contributors to reading comprehension (i.e., attention, decoding skills, fluency, and vocabulary), EF continued to make a significant contribution to reading comprehension but not to word recognition skills. These findings highlight the need for consideration of the role of EF in RCD.
This investigation analyzed the relation between cognitive functioning and mathematical achievement in 114 students in fourth, fifth, and sixth grades. Differences in cognitive performance were studied concurrently in three selected achievement groups: mathematical learning disability group (MLD), low achieving group (LA), and typically achieving group (TA). For this purpose, performance in verbal memory and in the PASS cognitive processes of planning, attention, and simultaneous and successive processing was assessed at the end of the academic course. Correlational analyses showed that phonological loop and successive and simultaneous processing were related to mathematical achievement at all three grades. Regression analysis revealed simultaneous processing as a cognitive predictor of mathematical performance, although phonological loop was also associated with higher achievement. Simultaneous and successive processing were the elements that differentiated the MLD group from the LA group. These results show that, of all the variables analyzed in this study, simultaneous processing was the best predictor of mathematical performance.
Background/objectives:
The diversity of the chemical structures of dietary polyphenols makes it difficult to estimate their total content in foods, and also to understand the role of polyphenols in health and the prevention of diseases. Global redox colorimetric assays have commonly been used to estimate the total polyphenol content in foods. However, these assays lack specificity. Contents of individual polyphenols have been determined by chromatography. These data, scattered in several hundred publications, have been compiled in the Phenol-Explorer database. The aim of this paper is to identify the 100 richest dietary sources of polyphenols using this database.
Subjects/methods:
Advanced queries in the Phenol-Explorer database (www.phenol-explorer.eu) allowed retrieval of information on the content of 502 polyphenol glycosides, esters and aglycones in 452 foods. Total polyphenol content was calculated as the sum of the contents of all individual polyphenols. These content values were compared with the content of antioxidants estimated using the Folin assay method in the same foods. These values were also extracted from the same database. Amounts per serving were calculated using common serving sizes.
Results:
A list of the 100 richest dietary sources of polyphenols was produced, with contents varying from 15,000 mg per 100 g in cloves to 10 mg per 100 ml in rosé wine. The richest sources were various spices and dried herbs, cocoa products, some darkly coloured berries, some seeds (flaxseed) and nuts (chestnut, hazelnut) and some vegetables, including olive and globe artichoke heads. A list of the 89 foods and beverages providing more than 1 mg of total polyphenols per serving was established. A comparison of total polyphenol contents with antioxidant contents, as determined by the Folin assay, also showed that Folin values systematically exceed the total polyphenol content values.
Conclusions:
The comprehensive Phenol-Explorer data were used for the first time to identify the richest dietary sources of polyphenols and the foods contributing most significantly to polyphenol intake as inferred from their content per serving.
To examine the prevalence of risk for sleep disorders among college students by gender and age, and their associations with grade point average (GPA).
Participants were 1,845 college students at a large, southeastern public university.
A validated sleep disorder questionnaire surveyed sleep data during the 2007-2008 academic year. Students' GPAs were obtained from the office of the registrar.
Twenty-seven percent of students were at risk for at least one sleep disorder. African American and Asian students reported less risk for insomnia and fewer poor sleep practices relative to white and Latino students. Students reported insufficient sleep and a discrepancy between weekday and weekend amount of sleep. Students at risk for sleep disorders were overrepresented among students in academic jeopardy (GPA < 2.0).
Many college students are at risk for sleep disorders, and those at risk may also be at risk for academic failure.
Poor eating habits are an important public health issue that has large health and economic implications. Many food preferences are established early, but because people make more and more independent eating decisions as they move through adolescence, the transition to independent living during the university days is an important event. To study the phenomenon of food selection, the heath belief model was applied to predict the likelihood of healthy eating among university students. Structural equation modeling was used to investigate the validity of the health belief model (HBM) among 194 students, followed by gender-based analyses. The data strongly supported the HBM. Social change campaign implications are discussed.
Women (n 160) aged 50 to 65 years were asked to weigh their food for 4 d on four occasions over the period of 1 year, using the PETRA (Portable Electronic Tape Recorded Automatic) scales. Throughout the year, they were asked to complete seven other dietary assessment methods: a simple 24 h recall, a structured 24 h recall with portion size assessments using photographs, two food-frequency questionnaires, a 7 d estimated record or open-ended food diary, a structured food-frequency (menu) record, and a structured food-frequency (menu) record with portion sizes assessed using photographs. Comparisons between the average of the 16 d weighed records and the first presentation of each method indicated that food-frequency questionnaires were not appreciably better at placing individuals in the distribution of habitual diet than 24 h recalls, due partly to inaccuracies in the estimation of frequency of food consumption. With a 7 d estimated record or open-ended food diary, however, individual values of nutrients were most closely associated with those obtained from 16 d weighed records, and there were no significant differences in average food or nutrient intakes.
The negative effects of sleep difficulties have been well documented. However, the prevalence of such problems among US college students has not been well studied. Design difficulties are common in the limited number of existing investigations, making it difficult to estimates the prevalence and types of disturbance studied. The authors describe the use of a quantitative-based assessment instrument to provide an initial indication of students' sleep problems and to serve as a means of addressing some of the deficiencies in the literature. In their sample of 191 undergraduates at a rural southern university, they found that most of the students exhibited some form of sleep disturbance and that women, in general, reported more sleep disturbances than men did. They suggest how colleges and university officials can alter procedures to minimize students' sleep disturbances and reduce the deleterious effects of sleep problems on academic performance.
Background: Although it is known that plant-based foods are important for physical health, little is known about the relationship between plant-based foods and cognitive health. Emerging evidence suggests that some macronutrients may influence cognition, but it is unclear which domains of cognition are involved; more importantly, it is unknown how a plant-based diet relates to cognition.
Objective: To examine associations between a plant-based dietary pattern and cognitive functioning.
Methods: Participants were 3,039 older adults who participated in the 2011-2014 waves of the National Health and Nutrition Examination Survey (NHANES). The present cross-sectional study used data on macronutrient intake from 24-hour dietary interviews, as well as performance on tests of long-term memory and executive function (i.e., delayed word recall, digit symbol substitution test, and animal fluency). Principal component analysis was used to extract a dietary pattern consistent with a plant-based diet.
Results: Greater adherence to a dietary pattern consistent with a plant-based diet was related to better performance on all cognitive tasks. Secondary analyses indicated that the associations between a plant-based dietary pattern and executive function accounted for the association between a plant-based dietary pattern and memory. Furthermore, this same plant-based dietary pattern was associated with reduced baseline inflammation in a separate dataset.
Conclusions: Experimental manipulations are needed to determine the potential causal relations of these associations, but these results suggest that a plant-based diet relates to better cognition, especially through improved executive control. Future work should also attempt to extend these results by examining potential mechanisms underlying these associations, such as reduced inflammation.
Neuropsychological assessment tools are the staple of our field. The development of standardized metrics sensitive to brain-behavior relationships has shaped the neuropsychological questions we can ask, our understanding of discrete brain functions, and has informed the detection and treatment of neurological disorders. We identify key turning points and innovations in neuropsychological assessment over the past 40–50 years that highlight how the tools used in common practice today came to be. Also selected for emphasis are several exciting lines of research and novel approaches that are underway to further probe and characterize brain functions to enhance diagnostic and treatment outcomes. We provide a brief historical review of different clinical neuropsychological assessment approaches (Lurian, Flexible and Fixed Batteries, Boston Process Approach) and critical developments that have influenced their interpretation (normative standards, cultural considerations, longitudinal change, common metric batteries, and translational assessment constructs). Lastly, we discuss growing trends in assessment including technological advances, efforts to integrate neuropsychology across disciplines (e.g., primary care), and changes in neuropsychological assessment infrastructure. Neuropsychological assessment has undergone massive growth in the past several decades. Nonetheless, there remain many unanswered questions and future challenges to better support measurement tools and translate assessment findings into meaningful recommendations and treatments. As technology and our understanding of brain function advance, efforts to support infrastructure for both traditional and novel assessment approaches and integration of complementary brain assessment tools from other disciplines will be integral to inform brain health treatments and promote the growth of our field. ( JINS , 2017, 23 , 778–790)
Purpose of review:
The current article reviews recently published evidence of the important role that specific dietary patterns may hold on preventing cognitive impairment and dementia over aging.
Recent findings:
Specific dietary patterns attributed to targeting cardiovascular risk factors may protect against the development of mild cognitive impairment (MCI) and dementia, especially Alzheimer's disease. Numerous epidemiological studies have strongly suggested that multinutrient approaches using the Mediterranean diet (Med diet), dietary approach to systolic hypertension (DASH) and the Mediterranean-DASH diet intervention for neurodegenerative delay (MIND) are associated with a lower risk of cognitive impairment, MCI and Alzheimer's disease in older persons. This multinutrient approach seems to hold better outcomes than single nutrient intervention. There is only one randomized clinical trial (PREDIMED study) showing an improvement in cognitive performance over time in those undergoing a Med diet protocol.
Summary:
Nutrition is an essential and modifiable risk factor that plays a role on preventing and/or delaying the onset of dementia. There is sufficient evidence to hypothesize testing neuroprotective dietary patterns on cognition in randomized clinical trials in older persons. Healthy dietary patterns such as the Med diet, DASH and MIND deserve further attention in randomized clinical trials on cognitive performance outcomes.
Acting now on dementia prevention, intervention, and care will vastly improve living and dying for individuals with dementia and their families, and in doing so, will transform the future for society. Dementia is the greatest global challenge for health and social care in the 21st century. It occurs mainly in people older than 65 years, so increases in numbers and costs are driven, worldwide, by increased longevity resulting from the welcome reduction in people dying prematurely. The Lancet Commission on Dementia Prevention, Intervention, and Care met to consolidate the huge strides that have been made and the emerging knowledge as to what we should do to prevent and manage dementia. Globally, about 47 million people were living with dementia in 2015, and this number is projected to triple by 2050. Dementia affects the individuals with the condition, who gradually lose their abilities, as well as their relatives and other supporters, who have to cope with seeing a family member or friend become ill and decline, while responding to their needs, such as increasing dependency and changes in behaviour. Additionally, it affects the wider society because people with dementia also require health and social care. The 2015 global cost of dementia was estimated to be US$818 billion, and this figure will continue to increase as the number of people with dementia rises. Nearly 85% of costs are related to family and social, rather than medical, care. It might be that new medical care in the future, including public health measures, could replace and possibly reduce some of this cost.
Background:
Intake of n-3 fatty acids and adherence to the Mediterranean diet (MedDiet) have been shown to slow the progression of age-related cognitive decline, but the results are mixed. We summarized and evaluated the effect of n-3 fatty acids and MedDiet on cognitive outcomes in a cognitively healthy aged population.
Methods:
Relevant published studies from January 2000 to May 2015 were identified by searching three electronic databases: Pubmed, Web of Science/MEDLINE, and CINHAL. Observational studies and randomized controlled trials (RCTs) were considered.
Results:
Twenty-four studies were included for the systematic review. n-3 Fatty acids were associated with better global cognition and some specific cognitive domains though some results were conflicting. Adherence to the MedDiet was also significantly associated with better cognitive performance and less cognitive decline. Finally, better cognitive performance was observed in men compared to women and conflicting results were also found for the influence of APOE4 genotype on the association between n-3 fatty acids or MedDiet and cognition.
Conclusions:
Studies suggest that n-3 fatty acids in the diet and adherence to the MedDiet are beneficial in slowing age-related cognitive decline. However, more high-quality RCTs would be useful to clarify the effect of n-3 fatty acid supplements on cognition.
Objective:
Computerized tests have increasingly garnered interest for assessing cognitive functioning due to their potential logistical and financial advantages over traditional 'pencil and-paper' neuropsychological tests. However, psychometric information is necessary to guide decisions about their clinical and research utility with varied populations. We explored the convergent construct validity and criterion validity of the CogState computerized tests in breast cancer survivors, a group known to present with mostly mild, subtle cognitive dysfunction.
Method:
Fifty-three post-menopausal women (26 breast cancer survivors, 27 healthy controls) completed the CogState Brief Battery tests with passed performance checks, conceptually matched traditional neuropsychological tests, and a self-report measure of daily functioning, the Functional Activities Questionnaire.
Results:
Significant positive correlations were found between the CogState Brief Battery tests and traditional neuropsychological tests, although the traditional tests specifically hypothesized to correlate with CogState tests did not reach statistical significance. Analysis of Covariance results showed preliminary support for criterion validity, as the patient and control groups differed on the traditional test of working memory (Digits Backwards, p = .01), with a trend towards significance for the CogState test of working memory (One Back, p = .02), controlled for age, race, and mood.
Conclusions:
The results provide preliminary support for further research to determine if the CogState tests are viable as screening tools to detect subtle cognitive differences between breast cancer survivors and healthy women. Our study was limited by the low base rate of cognitive impairment and small sample size. We recommend further research employing sufficiently powered sample sizes and a longitudinal, repeated measures study design.
Population aging is leading to an increase in the incidence of age-related cognitive dysfunction and, with it, the health care burden of caring for older adults. Epidemiological studies have shown that consumption of fruits, nuts, and vegetables is positively associated with cognitive ability; however, these foods, which contain a variety of neuroprotective phytochemicals, are widely under-consumed. Surprisingly few studies have investigated the effects of individual plant foods on cognitive health but recent clinical trials have shown that dietary supplementation with individual foods, or switching to a diet rich in several of these foods, can improve cognitive ability. While additional research is needed, increasing fruit, nut, and vegetable intake may be an effective strategy to prevent or delay the onset of cognitive dysfunction during aging.
Objective:
The aim was to examine the reliability and validity of two measures of learning and memory within the CogState Computerized Battery: the One Card Learning (OCL) and the Continuous Paired Associative Learning (CPAL). Comparison of various reliable change measures was also included to examine rate of correct cognitive change classification, in particular, when using the Within-Subject Standard Deviation (WSD).
Method:
The OCL and the CPAL tests were administered twice and compared to standard and experimental versions of conventional neuropsychological tests in patients with seizure disorders (Baseline n = 80, Follow-up = 54) and university students (Baseline n = 89, Follow-up n = 87). Calculations of Reliable Change Indices (RCIs) on individual performance were obtained to detect reliable change across time using published CogState and current study parameters.
Results:
Results showed low retest reliabilities in both OCL and CPAL tests (r's = .49-.77). Small to medium convergent validity correlations with traditional tests of learning and working memory were also found. Discrepancies in RCIs methods on performance estimation were observed when different test parameters and reliabilities were used. In contrast to recent recommendations by publishers of the CogState tests, the WSD method was found to substantially increase the rate of Type-I error when tests reliabilities were low.
Conclusions:
Unsatisfactory reliability and validity estimates suggest caution regarding the CogState computerized measures of learning and memory as opposed to conventional tests. Caution should be used when interpreting OCL and CPAL test scores, as confidence intervals may be wide and encompass much of the population range. In line with previous recommendations, use of the WSD to detect change in performance over time should be avoided in neuropsychological testing, as this change measure is prone to elevated misclassification rates compared to other methods. Further independent research is needed to improve the psychometrics of CogState OCL and CPAL measures.
Cognitive function may be affected by long-term diet and most of the support for this idea is derived from human correlational studies and animal prescribed diet studies. To date there has been no systematic examination of human experimental studies that examine whether a prescribed long-term (24 hour+) diet can cause changes in cognitive function. Here, we review the experimental evidence of long-term changes in cognition following prescribed diet interventions. A total of 30 diet interventions were identified and reviewed. Measures of working memory, long-term memory, and attention appeared most sensitive to dietary manipulation, but there was considerable variability in outcome. Additionally, energy and fat intake manipulations tended to influence performance on these measures to the greatest degree. This review also serves to identify factors that should be considered in designing future diet-cognition studies. We also suggest a series of cognitive tests based on this review and indicate potentially profitable directions to take the diet-cognition literature.
Copyright © 2015 Elsevier Ltd. All rights reserved.
Condensed version and bottom line:
Water is a crucial nutrient and euhydration is necessary for optimal daily functioning. Water balance is precisely regulated within the body and many methods exist for assessing hydration status. Cognitive performance measures an individual's attentiveness, critical thinking skills, and memory. Traditionally a 2% or more body water deficit was thought to produce cognitive performance decrements; however, recent literature suggests that even mild dehydration - a body water loss of 1-2% - can impair cognitive performance. Counseling clients about their health and wellbeing should include conveying the importance of water for normal body functioning, as well as its effects on physical and cognitive performance.
The aim of the study was to investigate prospective associations between dietary patterns and cognitive performance during adolescence.
Participants were sourced from the Western Australian Pregnancy Cohort (Raine) Study that includes 2868 children born between 1989 and 1992 in Perth, Western Australia. When the children were 17 years old (2006-2009), cognitive performance was assessed using a computerized cognitive battery of tests (CogState) that included six tasks. Using a food frequency questionnaire administered when the children were 14 years old (2003-2006), 'Healthy' and 'Western' dietary patterns were identified by factor analysis. Associations between dietary patterns at 14 years of age and cognitive performance at 17 years of age were assessed prospectively using multivariate regression models.
Dietary and cognitive performance data were available for 602 participants. Following adjustment for the 'Healthy' dietary pattern, total energy intake, maternal education, family income, father's presence in the family, family functioning and gender, we found that a longer reaction time in the detection task (β = .016; 95% CI: 0.004; 0.028; p = .009) and a higher number of total errors in the Groton Maze Learning Test - delayed recall task (β = .060; 95% CI: 0.006; 0.114; p = .029) were significantly associated with higher scores on the 'Western' dietary pattern. The 'Western' dietary pattern was characterized by high intakes of take-away food, red and processed meat, soft drink, fried and refined food. We also found that within the dietary patterns, high intake of fried potato, crisps and red meat had negative associations, while increased fruit and leafy green vegetable intake had positive associations with some aspects of cognitive performance.
Higher dietary intake of the 'Western' dietary pattern at age 14 is associated with diminished cognitive performance 3 years later, at 17 years.
Purpose. This study identified underlying subgroups among college students in terms of lifestyle characteristics and health risk behaviors and then investigated how demographic factors were associated with the underlying risk patterns to bolster health promotion efforts and interventions. Method. College students (N = 996) enrolled at Indiana University during 2009-2010 participated in a multidimensional online survey. Latent class analysis was used to identify underlying risk patterns based on seven lifestyle and health behaviors, including frequent alcohol use, binge drinking, smoking, low physical activity, low vegetable intake, low fruit intake, and poor sleep. Results. Four distinct risk behavior patterns were identified for both males and females including a "healthy" class, "low substance use but poor other health behaviors" class, "high substance use" (males)/"high alcohol use" (females) class, and a risk class characterized by elevated probability of all seven indicators. The highest risk class included 34% of the males and 22% of the females; they tended to be older or in more advanced undergraduate classes. Among males, compared with the "healthy" class, the "high substance use" class was more likely to contain non-Hispanic White students and students in advanced classes. Among females, the "low substance use but poor other health behaviors" class was associated with racial/ethnic minority status and lower levels of parental education. Conclusions. Our data suggest that risky health behaviors may tend to cluster in some students and that health promotion techniques might effectively be targeted to identifiable student subgroups.
Total SAT score, average grade earned in high school, and 32 personality variables are examined via forward multiple regression analyses to identify the best combination for predicting GPA in a sample of 201 psychology students. Average grade earned in high school enters first, accounting for 19% of the variance in GPA. Self-control enters second, and SAT third; these account for 9% and 5% of the variance, respectively. No other predictors accounted for substantial portions of variance. This pattern of results converges with findings reported by other investigators using other measures of personality. It was recommended that the global trait of self-control or conscientiousness be systematically assessed and used in college admissions decisions.
The Sleep Quality Index (SQI) and the Centers for Disease Control's National College Health Risk Survey (NCHRS) were administered to 859 undergraduates at a large southeastern university. Results indicated that 76.6% reported occasional sleep problems and 11.8% experienced poor sleep quality. Among the problems reported , "general morning tiredness" (82%) and "insomnia" (28%) were the most common. Certain health risk behaviors appear to be associated with poor sleep quality including fighting, suicide ideation, smoking, and alcohol use. Implications and limitations of the study identified.
Serial assessment is required in situations where decline or recovery of function is anticipated. Serial assessment of cognition in Indigenous populations, however, can be problematic due to a lack of culturally appropriate assessments with psychometric properties suitable for repeated administration. This study assessed a non-verbal, culturally neutral, computerised cognitive test battery for its test-retest reliability and any practice effects in a sample of 40 healthy Indigenous adolescents (mean age 15.25 years). No practice effects and adequate retest reliabilities were recorded for both accuracy and speed on tests of psychomotor function, visual attention and working memory (i.e. card tasks). A lack of practice effects and adequate reliabilities were also observed for accuracy (but not speed) on the more complex learning and memory tasks (i.e. non-card tasks). Interestingly, this outcome contrasts with those of similar studies in which the performance of non-Indigenous people on the same tasks showed speed to be a more reliable measure than accuracy, and this may reflect different perceptions of time between these groups. Among Indigenous adolescents, this study demonstrates acceptable reliability and stability of the selected cognitive assessment process, providing validity for its use as a research and screening tool in this population.
The main objective of this paper is to study the concept of convenience orientation among young adults. A project was conducted among students living in residence halls, where information on their food motivation and behaviour was obtained. Data were collected using a self-administered questionnaire filled out by 319 students. Convenience ap-pears to be the most important food motivation followed by price, pleasure, health and concern about weight. Positive correlations were obtained between convenience and: deciding what to eat, having a varied diet and lack of time, all of which were considered to be difficulties associated with living in residence. Negative correlations were obtained between convenience and total time spent cooking per day and having learned to be autonomous in the kitchen. For male, the perception of eating well, having a varied diet, and maintaining weight were negatively correlated to convenience. For female, the correlation between convenience and the difficulty of eating enough was significant and positive. Negative correlations were obtained between convenience and fresh vegetables, potatoes, eggs, fresh meat, fresh fish and fresh poultry, herbal tea and alcohol. Positive correlations were obtained between convenience, frozen foods and foods brought from the parents’ home. Findings are discussed from both a health and a family perspective.
Research consistently demonstrates that physical activity declines with age. However, such declines do not occur linearly. The transition into early adulthood is one period in which disproportionate declines in physical activity have been evident, but much of our understanding of such declines among young adults has been based on either cross-sectional data or prospective studies that focus exclusively on college/university students.
The purpose of the current study was to use multilevel modeling to discern patterns of physical activity based on gender and educational trajectory among a nationally representative cohort of Canadian adolescents (N=640; ages at baseline, 12-15 years). Examinations of smoking and binge drinking also were conducted as a basis for comparison.
Drawn from seven cycles of the National Population Health Survey (NPHS), participants were interviewed every 2 years from 1994-1995 to 2006-2007; data analysis was conducted in 2010.
Overall, there was a 24% decrease in physical activity (equivalent to 1 MET/day) across the 12-year period. A significant three-way time X gender X educational trajectory interaction (coefficient= -0.189, SE=0 .09, p<0.05) emerged in the physical activity analysis; main effects in time(2) (coefficient= -0.114, SE=0.01, p<0.01) and time(3) (coefficient=0.028, SE=0.01, p<0.01) were significant for binge drinking and smoking, respectively.
Physical activity decline was evident during young adults' transition into early adulthood, with declines being steepest among men who entered a college/university. Although there were increases in several health-risk behaviors during adolescence, individuals tend to grow out of binge drinking and smoking as they mature.
Our aim was to provide an overview of prospective studies that have addressed the association between attention problems (AP, i.e. symptoms of hyperactivity and inattentiveness) and academic achievement (AA).
We conducted a systematic search in the literature. Normal population studies and clinical studies were included. The methodological quality of each study was evaluated by objective criteria. A best evidence synthesis was used to determine the strengths of the association.
Sixteen studies were included. We found convincing evidence for a negative association between AP and AA. After controlling for intelligence, comorbidity, and socioeconomic status (SES), the association between the hyperactive symptoms of AP and AA was non-significant in two studies.
Children with AP are at risk for lower AA and subsequent adverse outcomes later in life. Interventions in affected children should focus on their behavioural and educational development.
To characterize sleep patterns and predictors of poor sleep quality in a large population of college students. This study extends the 2006 National Sleep Foundation examination of sleep in early adolescence by examining sleep in older adolescents.
One thousand one hundred twenty-five students aged 17 to 24 years from an urban Midwestern university completed a cross-sectional online survey about sleep habits that included the Pittsburgh Sleep Quality Index (PSQI), the Epworth Sleepiness Scale, the Horne-Ostberg Morningness-Eveningness Scale, the Profile of Mood States, the Subjective Units of Distress Scale, and questions about academic performance, physical health, and psychoactive drug use.
Students reported disturbed sleep; over 60% were categorized as poor-quality sleepers by the PSQI, bedtimes and risetimes were delayed during weekends, and students reported frequently taking prescription, over the counter, and recreational psychoactive drugs to alter sleep/wakefulness. Students classified as poor-quality sleepers reported significantly more problems with physical and psychological health than did good-quality sleepers. Students overwhelmingly stated that emotional and academic stress negatively impacted sleep. Multiple regression analyses revealed that tension and stress accounted for 24% of the variance in the PSQI score, whereas exercise, alcohol and caffeine consumption, and consistency of sleep schedule were not significant predictors of sleep quality.
These results demonstrate that insufficient sleep and irregular sleep-wake patterns, which have been extensively documented in younger adolescents, are also present at alarming levels in the college student population. Given the close relationships between sleep quality and physical and mental health, intervention programs for sleep disturbance in this population should be considered.
Computerized cognitive testing has the potential to be an effective way to assess and monitor cognition in large neuroepidemiological studies. CogState is a game-like computerized test with demonstrated validity and reliability that has shown sensitivity to decline in older individuals over time. This study aimed to evaluate the serial usability of the test specifically within an older community cohort.
The test battery was administered to healthy volunteers aged 50 years and above at 3-month intervals over 12 months in a community setting. Test usability was examined in terms of acceptability, efficiency and stability.
Of 301 subjects (age: 61.9 +/- 7.2 years), 87% completed the study. In addition, 85% completed the first test within the allowed time and passed integrity criteria with their performance improving and stabilizing at subsequent visits. The computerized battery required 15 min for administration on average, allowing 263 patients to be assessed on 5 occasions by 2 assessors. All tasks showed stability and a high test-retest reliability with serial administration.
This computerized test was shown to have good acceptability, efficiency and stability for the repeated assessment of cognitive function in older people. Together with its demonstrated sensitivity to cognitive impairment and cognitive change, these data suggest that it would be a useful tool for application in neuroepidemiological studies.
Little research has examined the effect of water consumption on cognition in children. We examined whether drinking water improves performance from baseline to test in twenty-three 6-7-year-old children. There were significant interactions between time of test and water group (water/no water), with improvements in the water group on thirst and happiness ratings, visual attention and visual search, but not visual memory or visuomotor performance. These results indicate that even under conditions of mild dehydration, not as a result of exercise, intentional water deprivation or heat exposure, children's cognitive performance can be improved by having a drink of water.
The impact of asking children to drink water during their school days, and its possible influence on school performance, has been little considered using intervention studies. Therefore in the afternoon the cognitive functioning of 40 children (mean of 8 years and 7 months) was assessed twice, once after drinking 300 ml of water and on another day when no water was provided. Memory was assessed by the recall of 15 previously presented objects. Recall was significantly better on the occasions when water had been consumed. The ability to sustain attention was measured by asking the child to respond to a light that followed an auditory warning after a delay of either 3 or 12 s. The ability to sustain attention was not significantly influenced by whether water had been drunk.
Working memory impairments in children with difficulties in arithmetic have previously been investigated using questionable selection techniques and control groups, leading to problems concluding where deficits may occur. The present study attempted to overcome these criticisms by assessing 9-year-old children with difficulties specific to arithmetic, as indicated by normal reading, and comparing them with both age-matched and ability-matched controls. A battery of 10 tasks was used to assess different aspects of working memory, including subtypes of executive function. Relative to age-matched controls, children with poor arithmetic had normal phonological working memory but were impaired on spatial working memory and some aspects of executive processing. Compared to ability-matched controls, they were impaired only on one task designed to assess executive processes for holding and manipulating information in long-term memory. These deficits in executive and spatial aspects of working memory seem likely to be important factors in poor arithmetical attainment.
Young adulthood is characterized by a steep decline in the level of physical activity, but few theory-based studies have examined characteristics associated with regular exercise in this population. This study applied Social Cognitive Theory (SCT) and the Stages of Change Model (SCM) to determine personal, behavioral, and environmental characteristics associated with exercise behavior and intentions among undergraduate university students.
A random sample of 937 undergraduate students (mean age 22.0 +/- 5.6 years; 84.7% ages 17-24 years) enrolled at a large Midwestern university completed a mailed questionnaire. Valid and reliable instruments were used to measure personal, behavioral, and environmental variables based on the SCT that were hypothesized to influence stage of exercise behavior change. Multivariate discriminant analysis was used to determine associations among these variables with stage of exercise behavior change.
Exercise self-efficacy, physical activity history, and nonexercise estimation of aerobic capacity were significant predictors of the stage of exercise behavior change for both males and females. Among females, exercise self-efficacy (P < 0.001) and family social support (P < 0. 001) for physical activity were the best predictors of stage of exercise behavior change. Friend social support (P < 0.001), physical activity history (P < 0.001), and exercise self-efficacy (P < 0.001) were significant predictors of stage of exercise behavior change among males.
The SCT framework predicted stage of exercise behavior change as defined by the SCM. Exercise self-efficacy was associated with exercise stage, but the source of significant social support (family versus friends) was different for males and females.