Daniel J Lamport, Clare L Lawton, Natasha Merat, Hamish Jamson, Kyriaki Myrissa, Denise Hofman, Helen K Chadwick, Frits Quadt, JoLynne D Wightman, Louise Dye
Journal: The American journal of clinical nutrition 2016;103(3):775-83
PMID: 26864371
Increased stress can impair cognitive function and elevate blood pressure levels, and polyphenol-rich foods have been shown to improve these in both animal models and cognitively impaired adults. Based on this knowledge, it is suspected that these benefits may translate to individuals experiencing elevated levels of daily stress. The aim of this crossover study was to examine the effects of polyphenol-rich Concord grape juice (CGJ) in twenty-five healthy, middle-aged working mothers by measuring cognitive function, driving performance and blood pressure. Participants were randomised to consume either CGJ or a placebo drink daily for 12 weeks with a 4-week washout period. This study demonstrated significant improvements in spatial memory and driving performance compared with placebo in women with a stressful and demanding lifestyle. This implicates the cognitive benefits associated with long-term consumption of polyphenol-rich grape juice are not exclusive to adults with mild cognitive impairment.
BACKGROUND
Daily consumption of Concord grape juice (CGJ) over 3-4 mo has been shown to improve memory function in adults with mild cognitive impairment and reduce blood pressure in hypertensive adults. These benefits likely result from the high concentration of polyphenols in CGJ. Increased stress can impair cognitive function and elevate blood pressure. Thus, we examined the potential beneficial effect of CGJ in individuals with somewhat stressful and demanding lifestyles.
OBJECTIVE
We sought to examine the effects of the daily consumption of CGJ for 12 wk on cognitive function, driving performance, and blood pressure in healthy, middle-aged working mothers.
DESIGN
Twenty-five healthy mothers (aged 40-50 y) of preteen children who were employed for ≥30 h/wk consumed 12 ounces (355 mL) of either CGJ (containing 777 mg total polyphenols) or an energy-, taste-, and appearance-matched placebo daily for 12 wk according to a randomized crossover design with a 4-wk washout. Verbal and spatial memory, executive function, attention, blood pressure, and mood were assessed at baseline and at 6 and 12 wk. Immediately after the cognitive battery, a subsample of 17 women completed a driving performance assessment at the University of Leeds Driving Simulator. The 25-min driving task required participants to match the speed and direction of a lead vehicle.
RESULTS
Significant improvements in immediate spatial memory and driving performance were observed after CGJ relative to placebo. There was evidence of an enduring effect of CGJ such that participants who received CGJ in arm 1 maintained better performance in the placebo arm.
CONCLUSIONS
Cognitive benefits associated with the long-term consumption of flavonoid-rich grape juice are not exclusive to adults with mild cognitive impairment. Moreover, these cognitive benefits are apparent in complex everyday tasks such as driving. Effects may persist beyond the cessation of flavonoid consumption, and future studies should carefully consider the length of washout within crossover designs. This trial was registered at clinicaltrials.gov as NCT01411631.
© 2016 American Society for Nutrition.
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