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Dietary Intervention in Infancy and Cognitive Function in Young Adulthood: The Special Turku Coronary Risk Factor Intervention Project - 22/06/22

Doi : 10.1016/j.jpeds.2022.03.046 
Suvi P. Rovio, PhD 1, 2, , Henri Salo, MD 1, 2, , Harri Niinikoski, MD, PhD 2, 3, Hanna Lagström, PhD 2, 4, Pia Salo, MD, PhD 1, 2, Jorma S.A. Viikari, MD, PhD 5, 6, Tapani Rönnemaa, MD, PhD 5, 6, Antti Jula, MD, PhD 7, Olli T. Raitakari, MD, PhD 1, 2, 8, Katja Pahkala, PhD 1, 2, 9
1 Research Centre of Applied and Preventive Cardiovascular Medicine, University of Turku, Turku, Finland 
2 Centre for Population Health Research, University of Turku and Turku University Hospital, Turku, Finland 
3 Department of Pediatrics and Adolescent Medicine, University of Turku and Turku University Hospital, Turku, Finland 
4 Department of Public Health, University of Turku and Turku University Hospital, Turku, Finland 
5 Department of Medicine, University of Turku, Turku, Finland 
6 Division of Medicine, Turku University Hospital, Turku, Finland 
7 Department of Chronic Disease Prevention, Institute for Health and Welfare, Turku, Finland 
8 Department of Clinical Physiology and Nuclear Medicine, University of Turku and Turku University Hospital, Turku, Finland 
9 Paavo Nurmi Center and Unit for Health and Physical Activity, University of Turku, Turku, Finland 

Reprint requests: Suvi P. Rovio, PhD, Research Centre of Applied and Preventive Cardiovascular Medicine and Centre for Population Health Research, University of Turku and Turku University Hospital, Kiinamyllynkatu 8-10, 20520 Turku, Finland.Research Centre of Applied and Preventive Cardiovascular Medicine and Centre for Population Health ResearchUniversity of Turku and Turku University HospitalKiinamyllynkatu 8-10Turku20520Finland

Abstract

Objective

Consumption of saturated fatty acids (SAFAs), polyunsaturated fatty acids (PUFAs), cholesterol, and fiber have been linked with cognitive function in adults. We evaluated these associations from childhood by leveraging data from the Special Turku Coronary Risk Factor Intervention Project (STRIP).

Study design

STRIP recruited children aged 5 months and randomly assigned them into intervention/control groups. The intervention introduced a heart-healthy diet, characterized mainly by low consumption of SAFAs and cholesterol, through counseling at least biannually between age 7 months and 20 years. Diet was assessed repeatedly using food diaries. Six years after the end of the intervention phase, at age 26 years, the participants were invited to the first postintervention follow-up, which included cognitive testing that covered learning and memory, verbal memory, short-term working memory, reaction time, information processing, and cognitive flexibility and inhibitory control. We studied the associations of the STRIP intervention and the consumptions of SAFAs, PUFAs, cholesterol, and fiber within these cognitive domains.

Results

Participants in the STRIP intervention group had better cognitive flexibility and inhibitory control and were better able to manage conflicting information and ignore task-irrelevant information (0.18 SD higher in the intervention group, adjusted for sex and socioeconomic status). No associations were observed with the dietary components studied.

Conclusions

The infancy-onset STRIP intervention, which promoted a heart-healthy diet, was favorably associated with cognitive flexibility and inhibitory control at age 26 years. No associations were found for the intervention targets studied, indicating that these specific dietary components did not underlie the observed effect of the intervention.

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Keywords : dietary intervention, SAFA, PUFA, STRIP study, cognitive function, CANTAB, childhood, longitudinal

Abbreviations : AST, CANTAB, (P + M)/S, PAL, PUFA, RTI, RVP, SAFA, STRIP, SWM, VRM


Plan


 Financial support was provided by the Academy of Finland, Finland (Grants 206374, 294834, 251360, 275595, 307996, and 322112), the Juho Vainio Foundation, Finland, the Finnish Foundation for Cardiovascular Research, Finland, the Finnish Ministry of Education and Culture, the Finnish Cultural Foundation, Finland, the Sigrid Jusélius Foundation, Finland, Special Governmental grants for Health Sciences Research (Turku University Hospital), the Yrjö Jahnsson Foundation, Finland, the Finnish Medical Foundation, Finland, and the Turku University Foundation. The authors declare no conflicts of interest.


© 2022  The Author(s). Publié par Elsevier Masson SAS. Tous droits réservés.
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Vol 246

P. 184 - juillet 2022 Retour au numéro
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