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The effects of glucose ingestion and glucose regulation on memory performance in older adults with mild cognitive impairment

Abstract

Background/Objectives:

Previous research investigating the impact of glucose ingestion and/or improvements in glucose regulation has found selective cognitive facilitation on episodic memory tasks in successful ageing and dementia. The present study aimed to extend this research to mild cognitive impairment (MCI).

Subjects/Methods:

In a repeated-measures design, 24 older adults with and 24 older adults without MCI performed a battery of memory and attention tasks after 25 g of glucose or a sweetness matched placebo. In addition, to assess the impact of individual differences in glucose regulation, blood glucose measurements were taken throughout the testing session.

Results:

Consistent with previous research, cognitive facilitation was observed for episodic memory tasks only in both successful ageing and MCI. Older adults with MCI had a similar glucose regulatory response as controls but their fasting levels were elevated. Notably, higher levels of blood glucose were associated with impaired memory performance in both the glucose and placebo conditions. Importantly, both blood glucose and memory performance indices were significant predictors of MCI status.

Conclusions:

The utility of glucose supplementation and the use of glucose regulation as a biological marker are discussed in relation to these data.

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References

  1. Alberti KG, Zimmet PZ (1998). Definition, diagnosis and classification of diabetes mellitus and its complications. Part 1: diagnosis and classification of diabetes mellitus provisional report of a WHO consultation. Diabet Med 15, 539–553.

    Article  CAS  Google Scholar 

  2. Bellevillea S, Gilberta B, Fontainea F, Gagnonc L, Ménard E, Gauthierd S (2006). Improvement of episodic memory in persons with mild cognitive impairment and healthy older adults: evidence from a cognitive intervention program. Dement Geriatr Cogn Disord 22, 486–499.

    Article  Google Scholar 

  3. Biessels GJ, van der Heide LP, Kamal A, Bleys RL, Gispen WH (2002). Ageing and diabetes: implications for brain function. Eur J Pharmacol 441, 1–14.

    Article  CAS  Google Scholar 

  4. Davis BG, Fairbanks AJ (2002). Carbohydrate Chemistry. Oxford Chemistry Primer, Oxford University Press: Oxford.

    Google Scholar 

  5. Ganguli M, Dodge HH, Shen C, DeKosky ST (2004). Mild cognitive impairment, amnestic type: an epidemiologic study. Neurology 63, 115–121.

    Article  Google Scholar 

  6. Gauthier S, Rockwood K (2003). Does vascular MCI progress at a different rate than does amnestic MCI? Int Psychogeriatr 5, 257–259.

    Article  Google Scholar 

  7. Hall JL, Gonderfrederick LA, Chewning WW, Silveira J, Gold PE (1989). Glucose enhancement of performance on memory tests in young and aged humans. Neuropsychologia 27, 1129–1138.

    Article  CAS  Google Scholar 

  8. Kennedy DO, Scholey AB (2000). Glucose administration, heart rate and cognitive performance: effects of increasing mental effort. Psychopharmacology 149, 63–71.

    Article  CAS  Google Scholar 

  9. Kuslansky G, Katza M, Verghesea J, Halla CB, Lapuertab P, LaRuffaa G et al. (2004). Detecting dementia with the Hopkins Verbal Learning Test and the Mini-Mental State Examination. Arch Clin Neuropsychol 19, 89–104.

    Article  Google Scholar 

  10. Mackay CJ, Cox T, Burrows CG, Lazzerini AJ (1978). An inventory for the measurement of self reported stress and arousal. Br J Soc Clin Psychol 17, 283–284.

    Article  CAS  Google Scholar 

  11. Manning CA, Hall JL, Gold PE (1990). Glucose effects on memory and other neuropsychological tests in elderly humans. Psychol Sci 1, 307–311.

    Article  Google Scholar 

  12. Mark V, Rose FG (1981). Hypoglycaemia. Blackwell: Oxford.

    Google Scholar 

  13. Mayes AR, Roberts N (2001). Theories of episodic memory. In: Baddeley A, et al. (ed). Episodic Memory: New Directions in Research. pp. 86–109. Oxford University Press: New York.

    Google Scholar 

  14. Messier C (2004). Glucose improvement of memory: a review. Eur J Pharmacol 490, 33–57.

    Article  CAS  Google Scholar 

  15. Messier C (2005). Impact of impaired glucose tolerance and type 2 diabetes on cognitive aging. Neurobiol Aging 26, S26–S30.

    Article  CAS  Google Scholar 

  16. Morrison JH, Hof PR (2003). Changes in cortical circuits during aging. Clin Neurosci Res 2, 294–304.

    Article  Google Scholar 

  17. Parker PY, Benton D (1995). Blood-glucose levels selectively influence memory for word lists dichotically presented to the right ear. Neuropsychologia 33, 843–854.

    Article  CAS  Google Scholar 

  18. Parsons MW, Gold PE (1992). Glucose enhancement of memory in elderly humans: an inverted-U dose-response curve. Neurobiol Aging 13, 401–404.

    Article  CAS  Google Scholar 

  19. Pernecky R, Pohl C, Sorg C, Hartmann J, Tosic N, Grimmer T et al. (2006a). Impairment of activities of daily living requiring memory or complex reasoning as part of the MCI syndrome. Int J Geriatr Psychiatry 21, 158–162.

    Article  Google Scholar 

  20. Perneczky CP, Pohl C, Sorg C, Hartmann J, Komossa K, Alexopoulos P et al. (2006b). Complex activities of daily living in mild cognitive impairment: conceptual and diagnostic issues. Age Ageing 35, 240–245.

    Article  Google Scholar 

  21. Riby LM (2004). The impact of age and task domain on cognitive performance: a meta-analytic review of the glucose facilitation effect. Brain Impairment 5, 145–165.

    Article  Google Scholar 

  22. Riby LM, Meikle A, Glover C (2004). The effects of age, glucose ingestion and gluco-regulatory control on episodic memory. Age Ageing 33, 483–487.

    Article  Google Scholar 

  23. Riby LM, Riby DM (2006). Glucose, ageing and cognition: the hippocampus hypothesis. In: Ballesteros S (ed). Age, Cognition and Neuroscience/Envejecimiento, Cognición y Neurociencia. UNED, Varia: Madrid.

    Google Scholar 

  24. Riby LM, McMurtrie H, Smallwood J, Smith E (2006). The impact of glucose ingestion, age and task difficulty on retrieval from episodic and semantic memory. Br J Nutr 95, 414–420.

    Article  CAS  Google Scholar 

  25. Robertson IH, Manly T, Andrade J, Baddeley BT, Yiend J (1997). Oops: performance correlates of everyday attentional failures in traumatic brain injured and normal subjects. Neuropsychologia 35, 747–758.

    Article  CAS  Google Scholar 

  26. Schacter DL, Dodson CS (2001). Misattribution, false recognition and the sins of memory. Philos Trans R Soc Lond 356, 1385–1393.

    Article  CAS  Google Scholar 

  27. Stewart R, Liolitsa D (1999). Type 2 diabetes mellitus, cognitive impairment and dementia. Diabet Med 16, 93–112.

    Article  CAS  Google Scholar 

  28. Sünram-Lea SI, Foster JK, Durlach P, Perez C (2001). Glucose facilitation of cognitive performance in healthy young adults: examination of the influence of fast-duration, time of day and pre-consumption plasma glucose levels. Psychopharmacology 157, 46–54.

    Article  Google Scholar 

  29. Sünram-Lea SI, Foster JK, Durlach P, Perez C (2002). The effect of retrograde and anterograde glucose administration on memory performance in healthy young adults. Behav Brain 134, 505–516.

    Article  Google Scholar 

  30. Unwin N, Shaw J, Zimmet P, Alberti K (2002). Impaired glucose tolerance and impaired fasting glycaemia: the current status on definition and intervention. Diabet Med 19, 708–723.

    Article  CAS  Google Scholar 

  31. White NM (1998). Cognitive enhancement: an everyday event? Int J Psychol 33, 95–105.

    Article  Google Scholar 

  32. Winocur G (1995). Glucose enhanced memory performance in aged rats on tests of conditional discrimination learning. Psychobiology 23, 270–276.

    CAS  Google Scholar 

  33. Winocur G, Gagnon S (1998). Glucose treatment attenuates spatial learning and memory deficits of aged rats on tests of hippocampal function. Neurobiol Aging 19, 233–241.

    Article  CAS  Google Scholar 

  34. Yaffe K, Blackwell T, Kanaya AM, Davidowitz N, Barrett-Connor E, Krueger K (2004). Diabetes, impaired fasting glucose, and development of cognitive impairment in older women. Neurology 63, 658–663.

    Article  CAS  Google Scholar 

  35. Zacks RT, Hasher L, Li KZH (1999). Human memory. In: Craik FIM and Salthouse TA (eds). The Handbook of Aging and Cognition, 2nd edition Mahwah, NJ: Erlbaum.

    Google Scholar 

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Acknowledgements

We thank the Avon and Wiltshire Mental Health Partnership NHS Trust for supporting this study. We also thank Hazel McMurtrie for help with data collection.

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Correspondence to L M Riby.

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Contributors: All authors have contributed to the design, planning and analyses of data. LMR and JS were responsible for the day-to-day running of the non-MCI testing and AM, RB and JH for the MCI data collection. All authors contributed significantly to the final version of the paper.

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Riby, L., Marriott, A., Bullock, R. et al. The effects of glucose ingestion and glucose regulation on memory performance in older adults with mild cognitive impairment. Eur J Clin Nutr 63, 566–571 (2009). https://doi.org/10.1038/sj.ejcn.1602981

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