A 1‐year randomized controlled trial of a nutritional blend to improve nutritional biomarkers and prevent cognitive decline among community‐dwelling older adults: The Nolan Study

Abstract Introduction This study aimed to test the efficacy of a nutritional blend (NB) in improving nutritional biomarkers and preventing cognitive decline among older adults. Methods A 1‐year randomized, double‐blind, multicenter, placebo‐controlled trial with 362 adults (58.6% female, mean 78.3 y...

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Main Authors: Kelly V. Giudici, Sophie Guyonnet, Christelle Cantet, Philipe deSouto Barreto, Michael W. Weiner, Duygu Tosun, Corina Boschat, Julie Hudry, Sandrine Andrieu, Bruno Vellas, Jeroen A. J. Schmitt, for the Nolan/DSA group
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Alzheimer’s & Dementia: Translational Research & Clinical Interventions
Subjects:
Online Access:https://doi.org/10.1002/trc2.12314
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author Kelly V. Giudici
Sophie Guyonnet
Christelle Cantet
Philipe deSouto Barreto
Michael W. Weiner
Duygu Tosun
Corina Boschat
Julie Hudry
Sandrine Andrieu
Bruno Vellas
Jeroen A. J. Schmitt
for the Nolan/DSA group
author_facet Kelly V. Giudici
Sophie Guyonnet
Christelle Cantet
Philipe deSouto Barreto
Michael W. Weiner
Duygu Tosun
Corina Boschat
Julie Hudry
Sandrine Andrieu
Bruno Vellas
Jeroen A. J. Schmitt
for the Nolan/DSA group
author_sort Kelly V. Giudici
collection DOAJ
description Abstract Introduction This study aimed to test the efficacy of a nutritional blend (NB) in improving nutritional biomarkers and preventing cognitive decline among older adults. Methods A 1‐year randomized, double‐blind, multicenter, placebo‐controlled trial with 362 adults (58.6% female, mean 78.3 years, SD = 4.8) receiving an NB or placebo. Erythrocyte ω‐3 index and homocysteine concentrations were primary outcomes. Other outcomes included Patient‐Reported Outcomes Measurement Information System (PROMIS) Applied Cognition‐Abilities, composite cognitive score (CCS), Cognitive Function Instrument (CFI) self‐assessment and study partner, hippocampal volume (HV), and Alzheimer's disease signature cortical thickness (CT). Results A total of 305 subjects completed the follow‐up. Supplementation increased ω‐3 index and decreased homocysteine, but did not affect CCS, CFI self‐assessment, HV, and CT. Placebo improved and treatment did not change PROMIS at 1 month. Intervention showed a positive effect on CFI study partner. Discussion Although improving nutritional biomarkers, this 1‐year trial with a multi‐nutrient novel approach was not able to show effects on cognitive outcomes among older adults.
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spelling doaj.art-7f1c2f08bbb54f7ea7ba5c374da4206b2023-01-18T11:41:04ZengWileyAlzheimer’s & Dementia: Translational Research & Clinical Interventions2352-87372022-01-0181n/an/a10.1002/trc2.12314A 1‐year randomized controlled trial of a nutritional blend to improve nutritional biomarkers and prevent cognitive decline among community‐dwelling older adults: The Nolan StudyKelly V. Giudici0Sophie Guyonnet1Christelle Cantet2Philipe deSouto Barreto3Michael W. Weiner4Duygu Tosun5Corina Boschat6Julie Hudry7Sandrine Andrieu8Bruno Vellas9Jeroen A. J. Schmitt10for the Nolan/DSA groupGerontopole of Toulouse Institute of Aging Toulouse University Hospital (CHU Toulouse) Toulouse FranceGerontopole of Toulouse Institute of Aging Toulouse University Hospital (CHU Toulouse) Toulouse FranceGerontopole of Toulouse Institute of Aging Toulouse University Hospital (CHU Toulouse) Toulouse FranceGerontopole of Toulouse Institute of Aging Toulouse University Hospital (CHU Toulouse) Toulouse FranceDepartment of Veterans Affairs Medical Center San Francisco California USADepartment of Veterans Affairs Medical Center San Francisco California USASociété des Produits Nestlé SA Nestlé Research Lausanne SwitzerlandSociété des Produits Nestlé SA Nestlé Research Lausanne SwitzerlandCERPOP UMR1295 University of Toulouse III Inserm UPS Toulouse FranceGerontopole of Toulouse Institute of Aging Toulouse University Hospital (CHU Toulouse) Toulouse FranceSociété des Produits Nestlé SA Nestlé Research Lausanne SwitzerlandAbstract Introduction This study aimed to test the efficacy of a nutritional blend (NB) in improving nutritional biomarkers and preventing cognitive decline among older adults. Methods A 1‐year randomized, double‐blind, multicenter, placebo‐controlled trial with 362 adults (58.6% female, mean 78.3 years, SD = 4.8) receiving an NB or placebo. Erythrocyte ω‐3 index and homocysteine concentrations were primary outcomes. Other outcomes included Patient‐Reported Outcomes Measurement Information System (PROMIS) Applied Cognition‐Abilities, composite cognitive score (CCS), Cognitive Function Instrument (CFI) self‐assessment and study partner, hippocampal volume (HV), and Alzheimer's disease signature cortical thickness (CT). Results A total of 305 subjects completed the follow‐up. Supplementation increased ω‐3 index and decreased homocysteine, but did not affect CCS, CFI self‐assessment, HV, and CT. Placebo improved and treatment did not change PROMIS at 1 month. Intervention showed a positive effect on CFI study partner. Discussion Although improving nutritional biomarkers, this 1‐year trial with a multi‐nutrient novel approach was not able to show effects on cognitive outcomes among older adults.https://doi.org/10.1002/trc2.12314clinical trialscognitionhomocysteinenutritionolder adultsomega‐3
spellingShingle Kelly V. Giudici
Sophie Guyonnet
Christelle Cantet
Philipe deSouto Barreto
Michael W. Weiner
Duygu Tosun
Corina Boschat
Julie Hudry
Sandrine Andrieu
Bruno Vellas
Jeroen A. J. Schmitt
for the Nolan/DSA group
A 1‐year randomized controlled trial of a nutritional blend to improve nutritional biomarkers and prevent cognitive decline among community‐dwelling older adults: The Nolan Study
Alzheimer’s & Dementia: Translational Research & Clinical Interventions
clinical trials
cognition
homocysteine
nutrition
older adults
omega‐3
title A 1‐year randomized controlled trial of a nutritional blend to improve nutritional biomarkers and prevent cognitive decline among community‐dwelling older adults: The Nolan Study
title_full A 1‐year randomized controlled trial of a nutritional blend to improve nutritional biomarkers and prevent cognitive decline among community‐dwelling older adults: The Nolan Study
title_fullStr A 1‐year randomized controlled trial of a nutritional blend to improve nutritional biomarkers and prevent cognitive decline among community‐dwelling older adults: The Nolan Study
title_full_unstemmed A 1‐year randomized controlled trial of a nutritional blend to improve nutritional biomarkers and prevent cognitive decline among community‐dwelling older adults: The Nolan Study
title_short A 1‐year randomized controlled trial of a nutritional blend to improve nutritional biomarkers and prevent cognitive decline among community‐dwelling older adults: The Nolan Study
title_sort 1 year randomized controlled trial of a nutritional blend to improve nutritional biomarkers and prevent cognitive decline among community dwelling older adults the nolan study
topic clinical trials
cognition
homocysteine
nutrition
older adults
omega‐3
url https://doi.org/10.1002/trc2.12314
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