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Baseline glucoregulatory function moderates the effect of dairy milk and fruit juice on postprandial cognition in healthy young adults

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Abstract

Purpose

Few studies have examined acute cognitive effects of dairy products. Prior work suggests baseline glucoregulatory function may moderate the relationship between macronutrient profile and postprandial cognition. This study examined the role of glucoregulatory function in postprandial cognition after milk, fruit juice, and a water control. We hypothesized juice would improve cognition in those with lower fasting glucose, while milk would improve cognition in those with higher fasting glucose.

Design

86 non-diabetic, non-hypoglycemic young adults attended three 8 AM testing sessions after fasting overnight. Fasting glucose was assessed via fingerstick at each session. Participants consumed 8 oz of 1% milk (12 g carbohydrates), apple juice (29 g carbohydrates), or water in a randomized, counterbalanced order, and completed repeatable standard and running memory continuous performance (SCPT—vigilance; RMCPT–working memory) and go/no-go (GNG–inhibitory control) tasks 30, 90, and 120 min post-ingestion.

Results

Participants with fasting glucose above 107.69 mg/dL made significantly fewer GNG commission errors overall after milk versus water, while the converse was observed when fasting glucose was below 70.85 mg/dL (p = 0.003). At 30 min, participants with fasting glucose above 105.80 mg/dL made significantly more RMCPT correct responses per minute after milk versus juice, while the opposite occurred when fasting glucose was below 76.85 mg/dL (p = 0.006). For both tasks, differences greatened as fasting glucose increased or decreased beyond these upper and lower bounds, respectively.

Conclusions

Consideration of baseline glucoregulatory function is crucial when assessing postprandial cognition, even in non-diabetic and non-hypoglycemic samples. Dairy milk may improve cognition in persons with higher fasting glucose.

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References

  1. Galioto R, Spitznagel MB (2016) The effects of breakfast and breakfast composition on cognition in adults. Adv Nutr 7(3):S576–S589

    Article  Google Scholar 

  2. Fischer K, Colombani PC, Langhans W, Wenk C (2002) Carbohydrate to protein ratio in food and cognitive performance in the morning. Physiol Behav 75(3):411–423

    Article  CAS  Google Scholar 

  3. Nilsson A, Radeborg K, Björck I (2009) Effects of differences in postprandial glycaemia on cognitive functions in healthy middle-ages subjects. Eur J Clin Nutr 63(1):113–120

    Article  CAS  Google Scholar 

  4. Nilsson A, Radeborg K, Björck I (2012) Effects on cognitive performance of modulating the postprandial blood glucose profile at breakfast. Eur J Clin Nutr 66(9):1039–1043

    Article  CAS  Google Scholar 

  5. Papanikolaou Y, Palmer H, Binns MA, Jenkins DJ, Greenwood CE (2006) Better cognitive performance following a low-glycaemic-index compared with a high-glycaemic-index carbohydrate meal in adults with type 2 diabetes. Diabetologia 49(5):855–862

    Article  CAS  Google Scholar 

  6. Jones EK, Sünram-Lea SI, Wesnes KA (2012) Acute ingestion of different macronutrients differentially enhances aspects of memory and attention in healthy young adults. Biol Psychol 89(2):477–486

    Article  Google Scholar 

  7. Kaplan RJ, Greenwood CE, Winocur G, Wolever TM (2001) Dietary protein, carbohydrate, and fat enhance memory performance in the elderly. Am J Clin Nutr 74(5):687–693

    Article  CAS  Google Scholar 

  8. Crichton GE, Murphy KJ, Bryan J (2010) Dairy intake and cognitive health in middle-aged South Australians. Asia Pac J Clin Nutr 19(2):161–171

    CAS  PubMed  Google Scholar 

  9. Nyaradi A, Li J, Hickling S, Whitehouse AJ, Foster JK, Oddy WH (2013) Diet in the early years of life influences cognitive outcomes at 10 years: a prospective cohort study. Acta Paediatr 102(12):1165–1173

    Article  Google Scholar 

  10. Rahmani K, Djazayery A, Habibi MI, Heidari H, Dorosti-Motlagh AR, Pourshahriari M, Azadbakht L (2011) Effects of dairy milk supplementation on improving the physical and mental function as well as school performance among children: results from a school feeding program. J Res Med Sci 16(4):469–476

    PubMed  PubMed Central  Google Scholar 

  11. Crichton GE, Murphy KJ, Howe PR, Buckley JD, Bryan J (2012) Dairy consumption and working memory performance in overweight and obese adults. Appetite 59(1):34–40

    Article  Google Scholar 

  12. Anderson GH, Luhovyy B, Akhavan T, Panahi S (2011) Milk proteins in the regulation of body weight, satiety, food intake and glycemia. Nestle Nutr Workshop Ser Pediatr Program 67:147–159

    Article  CAS  Google Scholar 

  13. Galioto R, Alosco ML, Calvo D, Gunstad J, van Dulmen M, Spitznagel MB (2015) Neurocognitive response to dairy milk versus fruit juice in obese and lean individuals. Transl Issues Psychol Sci 1(3):250–261

    Article  Google Scholar 

  14. Brindal E, Baird D, Slater A, Danthiir V, Wilson C, Bowen J, Noakes M (2013) The effect of beverages varying in glycaemic load on postprandial glucose responses, appetite and cognition in 10-12-year-old school children. Br J Nutr 110(3):529–537

    Article  CAS  Google Scholar 

  15. American Diabetes Association (2016) Standards of medical care in diabetes-2016 abridged for primary care providers. Clin Diabetes 34(1):3–21

    Article  Google Scholar 

  16. Marathe PH, Gao HX, Close KL (2017) American diabetes association standard of medical care in diabetes 2017. J Diabetes 9(4):320–324

    Article  Google Scholar 

  17. Hawkins MA, Gunstad J, Calvo D, Spitznagel MB (2016) Higher fasting glucose is associated with poorer cognition among healthy young adults. Health Psychol 35(2):199–202

    Article  Google Scholar 

  18. Nabb SL, Benton D (2006) The influence on cognition of the interaction between macro-nutrient content of breakfast and glucose tolerance. Physiol Behav 87(1):16–23

    Article  CAS  Google Scholar 

  19. Nabb SL, Benton D (2006) The effect of the interaction between glucose tolerance and breakfasts varying in carbohydrate and fibre on mood and cognition. Nutr Neurosci 9(3–4):161–168

    Article  CAS  Google Scholar 

  20. Segalowitz SJ, Mahaney P, Santesso DL, MacGregor L, Dywan J, Willer B (2007) Retest reliability in adolescents of a computerized neuropsychological battery used to assess recovery from concussion. NeuroRehabilitation 22(3):243–251

    PubMed  Google Scholar 

  21. Beglinger LJ, Gaydos B, Tangphao-Daniels O, Duff K, Kareken DA, Crawford DJ, Fastenau PS, Siemers ER (2005) Practice effects and the use of alternate forms in serial neuropsychological testing. Arch Clin Neuropsychol 20(4):517–529

    Article  Google Scholar 

  22. Awad N, Gagnon M, Desrochers A, Tsiakas M, Messier C (2002) Impact of peripheral glucoregulation on memory. Behav Neurosci 116(4):691–702

    Article  CAS  Google Scholar 

  23. Adan A (2012) Cognitive performance and dehydration. J Am Coll Nutr 31(2):71–78

    Article  Google Scholar 

  24. McClelland GH, Lynch JG Jr, Irwin JR, Spiller SA, Fitzsimons GJ (2015) Median splits, type II errors, and false-positive consumer psychology: don’t fight the power. J Consum Psychol 25(4):679–689

    Article  Google Scholar 

  25. Preacher KJ, Curran PJ, Bauer DJ (2006) Computational tools for probing interaction effects in multiple linear regression, multilevel modeling, and latent curve analysis. J Educ Behav Stat 31:437–448

    Article  Google Scholar 

  26. Hayes AF (2006) A primer on multilevel modeling. Hum Commun Res 32(4):385–410

    Article  Google Scholar 

  27. Pinheiro J, Bates D, DebRoy S, Sarkar D, EISPACK, Heisterkamp S, van Willigen B, R Development Core Team (2016) Nlme: linear and nonlinear mixed effects models. R package version (Version 3.1-128). Retrieved from http://CRAN.R-project.org/package=nlme. Accessed 28 Dec 2016

  28. Philippou E, Constantinou M (2014) The influence of glycemic index on cognitive functioning: a systematic review of the evidence. Adv Nutr 5(2):119–130

    Article  Google Scholar 

  29. Parsons MW, Gold PE (1992) Glucose enhancement of memory in elderly humans: an inverted-U dose–response curve. Neurobiol Aging 13(3):401–404

    Article  CAS  Google Scholar 

  30. Owen L, Scholey AB, Finnegan Y, Sünram-lea SI (2012) The effect of glucose dose and fasting interval on cognitive function: a double-blind, placebo-control, six-way crossover study. Psychopharmacology 220(3):577–589

    Article  CAS  Google Scholar 

  31. Mattson MP, Longo VD, Harvie M (2016) Impact of intermittent fasting on health and disease processes. Ageing Res Rev. doi:10.1016/j.arr.2016.10.005

    Article  PubMed  PubMed Central  Google Scholar 

  32. Scheen AJ (2016) Precision medicine: the future in diabetes care? Diabetes Res Clin Pract 117:12–21

    Article  Google Scholar 

  33. Edwards CM, Cusi K (2016) Prediabetes: a worldwide epidemic. Endocrinol Metab Clin North Am 45(4):751–764

    Article  Google Scholar 

  34. Nielsen SJ, Popkin BM (2003) Patterns and trends in food portion sizes, 1977–1998. JAMA 289(4):450–453

    Article  Google Scholar 

  35. Bell L, Lamport DJ, Butler LT, Williams CM (2015) A review of the cognitive effects observed in humans following acute supplementation with flavonoids, and their associated mechanisms of action. Nutrients 7(12):10290–10306

    Article  CAS  Google Scholar 

  36. Smith MA, Riby LM, Eekelen JA, Foster JK (2011) Glucose enhancement of human memory: a comprehensive research review of the glucose memory facilitation effect. Neurosci Biobehav Rev 35(3):770–783

    Article  CAS  Google Scholar 

  37. Owen L, Scholey A, Finnegan Y, Sünram-lea SI (2013) Response variability to glucose facilitation of cognitive enhancement. Br J Nutr 110(10):1873–1884

    Article  CAS  Google Scholar 

Download references

Acknowledgements

This work was funded in part by the National Dairy Council, Awards #1134 and #2356.

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Correspondence to Mary Beth Spitznagel.

Ethics declarations

All procedures were approved by the local Institutional Review Board and conformed to ethical standards set forth by the Declaration of Helsinki and its amendments.

Informed consent

All participants provided written informed consent prior to study involvement.

Conflict of interest

Dr. M.B. Spitznagel serves on the Scientific Advisory Committee for Nutrition Research for the National Dairy Council. The remaining authors report no conflicts of interest.

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Anderson, J.R., Hawkins, M.A.W., Updegraff, J. et al. Baseline glucoregulatory function moderates the effect of dairy milk and fruit juice on postprandial cognition in healthy young adults. Eur J Nutr 57, 2343–2352 (2018). https://doi.org/10.1007/s00394-017-1505-0

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  • DOI: https://doi.org/10.1007/s00394-017-1505-0

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