Randomized controlled trial2019

Polyphenols From Grape and Blueberry Improve Episodic Memory in Healthy Elderly with Lower Level of Memory Performance: A Bicentric Double-Blind, Randomized, Placebo-Controlled Clinical Study

Bensalem J, Dudonné S, Etchamendy N, Pellay H, Amadieu C, Gaudout D, Dubreuil S, Paradis ME, Pomerleau S, Capuron L, Hudon C, Layé S, Desjardins Y, Pallet V

The journals of gerontology. Series A, Biological sciences and medical sciences · 80 citations

How it was studied

Design
Randomized controlled trial (indexed by PubMed)
Studied in
People
Main outcome
Health markers and function
Intake measured by
Not stated

Who paid for it

Funding
Independent funding
Government
Bpifrance
Government
Fonds Unique Interministériel
Government
Conseil Régional Aquitaine
Government
European Regional Development Fund

Based on 4 listed funder(s).

Publication

Published
2018-07-19 · J Gerontol A Biol Sci Med Sci · vol. 74 · issue 7 · pp. 996–1007
Publisher
Oxford University Press
Cited
125 citations · more than 96% of similar papers · 4.8× the field average
Impact
Top 10% most cited in its field
References
56 works
Access
Paywalled
Research areas
Neurological Disease Mechanisms and Treatments · Phytochemicals and Antioxidant Activities · Medicinal Plants and Neuroprotection
Keywords
Placebo, Double blind, Episodic memory, Medicine, Randomized controlled trial, Psychology, Cognition, Psychiatry, Internal medicine, Alternative medicine
MeSH
humans, vitis, presbycusis, flavonoids, plant extracts, treatment outcome, neuropsychological tests, aging, dietary supplements, aged, middle aged, female, male, polyphenols, memory, episodic, spatial navigation, blueberry plants, recognition, psychology

14 authors

From FR, CA

  • Julien BensalemInstitut National de Recherche pour l'Agriculture, l'Alimentation et l'Environnement; Complexité, Innovation et Activités Motrices et Sportives; NutriNeuro; Activ'Inside (France)
  • Stéphanie DudonnéNutriNeuro; Université Laval
  • Nicole EtchamendyInstitut National de Recherche pour l'Agriculture, l'Alimentation et l'Environnement; NutriNeuro
  • Hermine PellayInstitut National de Recherche pour l'Agriculture, l'Alimentation et l'Environnement; Complexité, Innovation et Activités Motrices et Sportives; NutriNeuro; Activ'Inside (France)
  • Camille AmadieuInstitut National de Recherche pour l'Agriculture, l'Alimentation et l'Environnement; NutriNeuro
  • David GaudoutComplexité, Innovation et Activités Motrices et Sportives; Activ'Inside (France)

Abstract

Polyphenols are promising nutritional bioactives exhibiting beneficial effect on age-related cognitive decline. This study evaluated the effect of a polyphenol-rich extract from grape and blueberry (PEGB) on memory of healthy elderly subjects (60-70 years-old). A bicentric, randomized, double-blind, placebo-controlled trial was conducted with 215 volunteers receiving 600 mg/day of PEGB (containing 258 mg flavonoids) or a placebo for 6 months. The primary outcome was the CANTAB Paired Associate Learning (PAL), a visuospatial learning and episodic memory test. Secondary outcomes included verbal episodic and recognition memory (VRM) and working memory (SSP). There was no significant effect of PEGB on the PAL on the whole cohort. Yet, PEGB supplementation improved VRM-free recall. Stratifying the cohort in quartiles based on PAL at baseline revealed a subgroup with advanced cognitive decline (decliners) who responded positively to the PEGB. In this group, PEGB consumption was also associated with a better VRM-delayed recognition. In addition to a lower polyphenol consumption, the urine metabolomic profile of decliners revealed that they excreted more metabolites. Urinary concentrations of specific flavan-3-ols metabolites were associated, at the end of the intervention, with the memory improvements. Our study demonstrates that PEGB improves age-related episodic memory decline in individuals with the highest cognitive impairments.

Abstract via Europe PMC. Copyright remains with the authors or publisher.

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