Miho Ota1, Junko Matsuo2, Ikki Ishida2, Kotaro Hattori2, Toshiya Teraishi2, Hidekazu Tonouchi3, Kinya Ashida3, Takeshi Takahashi3, Hiroshi Kunugi2. 1. Department of Mental Disorder Research, National Institute of Neuroscience, National Center of Neurology and Psychiatry, 4-1-1, Ogawa-Higashi, Kodaira, Tokyo, 187-8502, Japan. ota@ncnp.go.jp. 2. Department of Mental Disorder Research, National Institute of Neuroscience, National Center of Neurology and Psychiatry, 4-1-1, Ogawa-Higashi, Kodaira, Tokyo, 187-8502, Japan. 3. Food Science Research Laboratories, R & D Division, Meiji Co., Ltd., 540, Naruda, Odawara, Kanagawa, 250-0862, Japan.
Abstract
RATIONALE: Glucose is the principal energy substrate for the brain, although ketone bodies are an effective alternative. Evidence suggests that elevation of plasma ketone body levels through oral intake of medium chain triglycerides (MCTs) may improve cognitive function. OBJECTIVES: We tried to examine the possible effects of a ketogenic meal serving on cognition in elderly non-demented subjects. METHODS:Subjects were 19 non-demented elderly adults over 60 years old (13 females; mean age: 66.1 ± 2.9 years) who underwent neurocognitive tests 90 and 180 min after oral intake of a ketogenic meal (Ketonformula®) containing 20 g of MCTs and an isocaloric placebo meal without MCTs on separate days. RESULTS:Elevation of plasma ketone concentration after intake of a single ketogenic meal containing 20 g of MCTs was confirmed (all p < 0.001). As for cognition, improvements were observed in the digit span test, Trail-Making Test B, and the global score (Z = -2.4, p = 0.017) following the ketogenic meal and the change in the executive functioning score was positively correlated with that of the plasma β-hydroxybutyrate level. The cognition-enhancing effect was observed predominantly for individuals who had a relatively low global score at baseline (Z = -2.8, p = 0.005), compared to individuals with a high global score (Z = -0.7, p = 0.51). CONCLUSIONS:Plasma levels of ketone bodies were successfully increased after intake of the ketogenic meal. The ketogenic meal was suggested to have positive effects on working memory, visual attention, and task switching in non-demented elderly.
RCT Entities:
RATIONALE: Glucose is the principal energy substrate for the brain, although ketone bodies are an effective alternative. Evidence suggests that elevation of plasma ketone body levels through oral intake of medium chain triglycerides (MCTs) may improve cognitive function. OBJECTIVES: We tried to examine the possible effects of a ketogenic meal serving on cognition in elderly non-demented subjects. METHODS: Subjects were 19 non-demented elderly adults over 60 years old (13 females; mean age: 66.1 ± 2.9 years) who underwent neurocognitive tests 90 and 180 min after oral intake of a ketogenic meal (Ketonformula®) containing 20 g of MCTs and an isocaloric placebo meal without MCTs on separate days. RESULTS: Elevation of plasma ketone concentration after intake of a single ketogenic meal containing 20 g of MCTs was confirmed (all p < 0.001). As for cognition, improvements were observed in the digit span test, Trail-Making Test B, and the global score (Z = -2.4, p = 0.017) following the ketogenic meal and the change in the executive functioning score was positively correlated with that of the plasma β-hydroxybutyrate level. The cognition-enhancing effect was observed predominantly for individuals who had a relatively low global score at baseline (Z = -2.8, p = 0.005), compared to individuals with a high global score (Z = -0.7, p = 0.51). CONCLUSIONS: Plasma levels of ketone bodies were successfully increased after intake of the ketogenic meal. The ketogenic meal was suggested to have positive effects on working memory, visual attention, and task switching in non-demented elderly.
Entities:
Keywords:
Cognition; Elderly; Ketogenic meal; Medium chain triglycerides; β-hydroxybutyrate
Authors: Christa M Studzinski; William A MacKay; Tina L Beckett; Samuel T Henderson; M Paul Murphy; Patrick G Sullivan; W McIntyre Burnham Journal: Brain Res Date: 2008-06-11 Impact factor: 3.252
Authors: Robert Krikorian; Marcelle D Shidler; Krista Dangelo; Sarah C Couch; Stephen C Benoit; Deborah J Clegg Journal: Neurobiol Aging Date: 2010-12-03 Impact factor: 4.673
Authors: D V Sheehan; Y Lecrubier; K H Sheehan; P Amorim; J Janavs; E Weiller; T Hergueta; R Baker; G C Dunbar Journal: J Clin Psychiatry Date: 1998 Impact factor: 4.384
Authors: S G Hasselbalch; G M Knudsen; J Jakobsen; L P Hageman; S Holm; O B Paulson Journal: J Cereb Blood Flow Metab Date: 1994-01 Impact factor: 6.200