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Study design
This interim analysis included 47 adults aged 60 or older with mild cognitive impairment in a 24-week trial of a Mediterranean diet, Mediterranean diet plus probiotics, or a low-fat diet. Researchers measured targeted plasma metabolites and compared changes with ADAS-Cog-11 and a neuropsychological test battery.
Findings
The Mediterranean-diet arms showed higher acetoacetic acid and several tricarboxylic-acid-cycle metabolites, and lower branched-chain amino acids, especially isoleucine. Changes in several metabolites correlated with better cognitive scores. These correlations do not prove that the diet improved cognition through a metabolic pathway, and plasma measurements do not directly measure brain metabolism.
Limitations and disclosures
The sample was small and this was an interim mechanistic analysis, not a definitive clinical-outcome report. Many metabolite and cognitive comparisons were assessed. The abstract does not establish a cognitive benefit or clarify whether probiotics changed the dietary response. Funding and competing-interest disclosures were not visible in the accessible abstract.
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