Beeren pigments help with cognition, insulin reaction and cardiovascular risk in adults

Beeren pigments help with cognition, insulin reaction and cardiovascular risk in adults
This paper is part of the NMJ special edition 2018 on cognition and mental health. Download the full edition here.
reference
nilsson A, Salo I, Plaza M, Björck I. Effects of a berry mixed drink on cognitive functions and cardiometabolical risk markers; A randomized crossover study in healthy older adults. Plus one . 2017; 12 (11): E0188173.
objective
evaluation of the effects on cognitive function and cardiometabolical risk marker after 5-week consumption of a drink that was mainly made from dark berries.
draft
randomized crossover study; 5-week intervention, 5-week washing out, 5-week intervention
participant
Forty healthy Swedish adults between the ages of 50 and 70 (average age 63), 30 women and 10 men, normal to slightly overweight (average BMI ≤ 28), all non -smokers without signs of a disease. All participants avoided alcohol, antibiotics, probiotics and the food intake of berries or fiber -rich foods during the study period.
Intervention
The participants were randomized either to the BC group (n = 20) or the CB group (n = 20); In the first 5 weeks, the BC group consumed the berry drink, while the CB group consumed the control drink. During the second 5-week intervention period (after a 5-week wash-up phase), the BC group consumed the control drink and the CB group the berry drink.
Although I have to admit that I was amazed to learn about the ability of berry pigments (anthocyans) to improve the insulin reaction, I was not surprised to read about their neurological effects.
During every 5-week intervention period, the participants consumed 600 ml of the berry drink or the control drink per day (200 ml for any meal). The berry drink was made from 150 grams of frozen blueberries and 50 grams of frozen black currants, elderberries, cranberries and strawberries, everything combined with 6 grams of tomato powder (from 100 g tomatoes). The control drink (on a water-based) was similar in carbohydrate content, volume and pH value.
study parameters evaluated
The participants were rated four times during the study, first at the start of the course and then again after each of the 5-week intervention segments. Working memory and selective attention were evaluated with neurocognitive standard test methods. Vital functions were recorded and blood was taken and examined for the following cardiometabolical risk markers: glucose, insulin, homeostatic model evaluation of insulin resistance (Homa-IR), free fatty acids (FFAS), cholesterol, interleukin (il) -6, il -18, malondialdehyd (mda) and oxidized Lipoprotein low density (LDL).
Both the study and control drinks were examined for total phenol content, antioxidant activity, carbohydrates, fiber, protein, fat and pH value.
Primary result measurements
Changes of the parameters mentioned above (cardiometabolic risk marker and cognitive performance) after 5-week consumption of the berry drink compared to the 5-week consumption of the control drink.
important knowledge
participant
Based on cardiometabolical risk markers, all except 7 of the 40 participants who completed the study at the beginning of the course had one or more of the usual diagnostic components of the metabolic syndrome, as defined by the International Diabetes Federation.Analysis of berry drinks
The berry drinks contained an average of 1,300 mg polyphenols per liter and showed a good antioxidant effect. The control drink had no polyphenols and no antioxidant effect. Both the control and berry drinks contained 2.2 % glucose and 3.4 % fructose. The berry drink also had 0.6 % protein, 0.3 % fat, 1.35 % insoluble fiber and 0.45 % soluble fiber compared to 0 % of all those for the control drink.
Comparison of berry vs. Control group
Five weeks with 600 ml berry drink per day reduced total and LDL cholesterol, insulin and insulin resistance, increased each of these markers for 5 weeks with the control drink. The differences for all of these 4 findings were statistically significant.
The work memory, 30 minutes postprandial, was better after 5 weeks of the berry base than after 5 weeks of the control drink.
practice implications
This group of researchers contained some very nice references on the connection between type 2 diabetes mellitus and the metabolic syndrome and cognitive expiry. 1,2 In some, a reduced cognitive function was actually found, the changes in glucose tolerance were preceded Insulin sensitivity in overweight adults improved and slowed down the cognitive decline in older people. 4.5 Although I was amazed to find out of the ability of berry pigments (anthocyans) to improve the insulin reaction, I was not surprised to read about their neurological effects at all. Beeren pigments can overcome the blood-brain barrier and are highly effective when reducing neuroinflammations. 6 These compounds are able to lower the mirrors of the core factor Kappab (NF-KB) in the brain.
The researchers used frozen than fresh berries for the study drink. Bill Mitchell, ND, an early supporter of berry pigments, often said that freezing destroyed the cell walls and made more phenol compounds available. While elderberries, black currants and cranberries are not easily available, they are frozen blueberries. You can buy a large bag of it from any costco and every grocery store. While some people were concerned that the Environmental Working Group (EEC) listed blueberries on the "dirty dozen" list, frozen blueberries showed the small amount of found residues on fresh blueberries according to the Pesticide Data Program website (where the EEC receives its list). Consume a cup of blueberries, but this study can indicate that 3 cups could be better if they can be tolerated. The researchers only used 2 of the many available neurocognitive test methods and after 5 weeks of the berry drink only found a modest improvement in working memory. Neurocognitive tests are available for use in their practice. It is a cost -effective, faster and easy -to -use test that provides a quantitative assessment of executive functionality. With this test, clinicians were able to easily pursue the cognitive improvement in patients through naturopathic treatment.
- Li W, Huang E. An update to type 2 diabetes mellitus as a risk factor for dementia. J Alzheimer's dis . 2016; 53 (2): 393-402.
- raffaitin C., Féart C., Le Goff M., et al. Metabolic syndrome and cognitive decline in French elders: the three-city study. neurology . 2011; 76 (6): 518-525.
- Nilsson A, Radeborg K, Björck I. Effects of differences in postprandial glycemia on cognitive functions in healthy subjects. EUR J Clin Nutr . 2009; 63 (1): 113-120.
- Stull AJ, Cash KC, Johnson WD, Champagne CM, Cefalù WT. Bioactive fabrics in blueberries improve insulin sensitivity in obese, insulin -resistant men and women. j Nutr . 2010; 140 (10): 1764-1768.
- devore ee, Kang JH, Breteler MM, Grodstein F. Food intake of berries and flavonoids regarding cognitive decay. Anna Neurol . 2012; 72 (1): 135-143.
- Figueira I., Garcia G., Pimpão Rc, et al. Polyphenols migrate through the blood-brain barrier to neuronal protection. Scientific Rep . 2017; 7 (1): 11456.
- SEO EJ, Fischer N, Efferth T. Phytochemicals as inhibitors from NF-κB for the treatment of Alzheimer's disease. pharmacol. Res . 2018; 129: 262-273.
- agricultural shape of the United States of America. Agricultural marketing service. Pesticide data program. https://www.ams.usda.gov/datasetsets/pdp. Accessed on January 3, 2017.