If you are looking for the
best natural supplements for dementia, you've come to the right place.
The most common type of dementia is Alzheimer’s Disease (AD). In March 2023,
the Alzheimer’s Association of the United States
released its latest data
indicating that there are about 6.7 million Americans aged 65 and above
suffering from Alzheimer’s disease. Without many breakthroughs in prevention,
mitigation, or treatment, it is projected that this number could reach 13.8
million by 2060.
Rates of early-onset dementia and Alzheimer’s disease among Americans younger than 65 have inexplicably doubled between 2013 and 2017, according to data from Blue Cross Blue Shield (BCBS), a health insurance provider.
The average age of someone between 30 and 64 years old living with either young-onset dementia or Alzheimer’s is
49, with women being disproportionately affected compared to men, according to the BCBS data.
Dementia is the name for a group of symptoms associated with an ongoing
decline of brain functioning. It can affect memory, thinking skills and other
mental abilities.
Currently, there are no cures or effective medications to prevent or treat AD,
which translates into USD 321 billion in healthcare costs in the US and over USD
1 trillion in the world [
R] that places a significant financial and psychological burden on both patients
as well as their family members or caregivers.
The exact cause of Alzheimer's disease is not yet fully understood, although
a number of things are thought to increase your risk of developing the
condition.
These include:
- increasing age
- a family history of the condition
-
untreated depression, although depression can also be one of the
symptoms of Alzheimer's disease
-
lifestyle factors and conditions associated with cardiovascular disease
Among the risk factors, oxidative stress (OS) turns out to be one of the
primary causes of AD, playing a key role in its pathophysiology and
progression (
Buccellato 2021).
There are currently no drugs available to prevent, treat, or reverse the
course of Alzheimer’s disease. The five FDA-approved medications available
for Alzheimer’s are designed to relieve symptoms such as memory loss, for a
limited time — Aricept®, Exelon®, Namenda®, Namzaric® and Razadyne®.
There are more than 120 potential drugs in clinical trials now designed to
treat the underlying causes of Alzheimer’s, rather than its symptoms. The ADDF
(
Alzheimer's Drug Discovery Foundation) has supported 20% of these, and many more ADDF-funded treatments are
expected to be in human trials this year.
The antioxidant connection is a hot area in Alzheimer’s research, but
everyone agrees that more still needs to be done. Researchers aren’t sure if
some antioxidants are better than others, and it’s possible that it might be
better to get your antioxidants from food instead of from supplements.
Related:
Dr Dale Bredesen's RECODE Protocol for Alzheimer's
Do Vitamins and Supplements Help With Alzheimer's?
In a December 2023 large-scale study
published in JAMA Neurology, researchers identified 15 lifestyle and health risk factors associated with early-onset dementia. The study analyzed information from over 356,000 people younger than 65 whose data were in the UK Biobank, a large-scale biomedical database and research initiative in the United Kingdom, between 2006 and 2010.
Alcohol use, higher formal education, and lower physical frailty (higher handgrip strength) were associated with lower risk of incidence of YOD (Young Onset Dementia), whereas increased risk of YOD was associated with low socioeconomic status, apolipoprotein E status, alcohol use disorder, social isolation,
vitamin D deficiency, high C-reactive protein levels, hearing impairment, orthostatic hypotension, stroke, diabetes, heart disease, and depression.
More difficult to tackle is loneliness, termed “social isolation” by the researchers. Participants visiting friends and family less than monthly showed higher young-onset dementia association compared to more frequent visitors.
A
2023 scientific review
published in the peer-reviewed journal Nutrients discusses the role of
micronutrients in neurological disorders specifically, noting that long-term
deficiencies may be involved in the cause and subsequent development of
neurodegenerative processes and neurological diseases such as Alzheimer's
disease, Parkinson's disease, Huntington's disease and amyotrophic lateral
sclerosis (ALS).
As noted in this paper, the primary function of micronutrients is their
"catalytic effect in enzyme systems, either as cofactors or as components of
metalloenzymes." Other essential roles include antioxidant activity and
immune modulation. When you're deficient in micronutrients, especially long
term, peripheral nerve damage and/or damage to the central nervous system
can result, which in turn can contribute to a variety of neurological
diseases, including Alzheimer's and Parkinson's.
A
2022 review paper, retrieved a total of 4310 articles and 43 articles to be incorporated in
the review. Findings revealed a trend of significant association between low
levels of B vitamins (folate and vitamin B12), vitamin D, vitamin A, vitamin
E, omega 3 fatty acid, and albumin, and high homocysteine levels in blood
with an increased risk of mild cognitive impairment among older adults.
We have compiled a list below together with their reference links. Note that
this list is not exhaustive.
Methodology: The selection or short-listing of the list below is based
on the available scientific evidence retrieved from scientific database
such as PubMed and scientific search engine such as Google Scholar.
Here are the best natural supplements that are supported by
research and evidence.
- B Vitamins
- Vitamin D3
- Omega-3 fatty acids
- Magnesium
- Soy Isoflavones
- Ginseng
- Melatonin
- Ginko Biloba
- Green Tea (EGCG)
- Quercetin
- Molecular Hydrogen
- Coconut Oil
- Lutein (carotenoids)
- Selenium
- Zinc
- Turmeric (Curcumin)
- Citicoline
- Combined Metabolic Activators (NR, NAC, L-Carnitine and L-Serine)
- Centrum Silver Multivitamin
- Mushroom (Ergothioneine)
1. B Vitamins
Vitamins B3, B6, B9 (folate) and B12 may be particularly important for
supporting cognitive function as you age, and have been shown to play a
major role in the development of dementia, including Alzheimer's disease,
which is the most serious (and lethal).
A
systematic review (Wang 2022) of 95 studies found that B vitamins play a crucial
role in maintaining brain health and reducing the risk of cognitive decline.
A posthoc analysis study of the OmegAD trial,
published in 2019, concluded that the effect of omega-3 supplementation on MMSE and CDR
(measures of cognitive dysfunction) appears to be influenced by baseline tHcy
(total homocysteine level), suggesting that adequate B vitamin status is
required to obtain beneficial effects of omega-3-fatty acid on cognition.
Reduce InflammationChronic inflammation
is a risk factor for cognitive decline and Alzheimer’s disease.
B
vitamins, particularly vitamins B1 (thiamine), B2 (riboflavin), and B3 (niacin),
have
anti-inflammatory properties
that can help to reduce inflammation in the brain and protect against cognitive
decline.
Vitamin B3 and NAD
Since age is the greatest risk factor for Alzheimer's disease and dementia,
supplements that slow aging-related processes may also slow progression of
these diseases. An observational study found that older adults have lower
levels of the coenzyme NAD+ in their brains than younger adults (
Pubmed 2015).
Niacinamide in Alzheimer's (Clinical Trial)
Niacinamide may also be useful in early Alzheimer’s treatment. In the
Nicotinamide as an Early Alzheimer's Disease Treatment (NEAT) study, 1,500 mg of niacinamide is given twice daily.
2. Vitamin D3 and Dementia
In a study published in March 2023, Vitamin D supplementation was associated with 40% lower dementia
incidence versus no exposure.
People with lower vitamin D levels appear to have a higher risk of
age-related diseases, including cognitive decline and Alzheimer's. While
a few small studies suggest that vitamin D supplementation may improve
some aspects of cognitive functions, more studies are required to
confirm that it can protect against dementia. Vitamin D is usually safe
when used as directed.
Several prospective longitudinal studies including the Cardiovascular
Health Study, Austrian Stroke Prevention Study, and Rotterdam Study have
demonstrated that low serum vitamin D concentrations are linked to a
higher incidence of all-cause dementia/AD or lower cognitive functions (
Geng 2022,
Zelzer 2021).
Participants (~65 years of age) from a Brazilian cross-sectional study
that were diagnosed with dementia showed lower serum vitamin D levels.
Interestingly, a rise in each unit of serum vitamin D led to a fall in
dementia prevalence by 8%, suggesting that vitamin D may be a meaningful
disease-modifiable factor (
Santos 2020).
A study by Zhao and colleagues (
Zhao 2020) examined if the consumption of vitamin D is associated with the
risk of dementia. A multi-ethnic cohort from the Washington Heights-Inwood
Columbia Aging Project (WHICAP) comprised more than 1750 individuals over
65 years old without dementia at baseline. At a 5.8-year follow-up, 329
subjects were diagnosed with dementia and those with the lowest vitamin D
intake had the highest risk of developing dementia, supporting the concept
that higher vitamin D consumption, and its enhanced action thereof, may be
beneficial for healthy cognitive functions.
According to
Dr. Sage Wheeler, medical director of SageMED in Bellevue, Washington:
When supplementing, vitamin D3 should be combined with vitamin K2,
especially in higher doses. When combined appropriately as D3/K2, it can
be dosed more aggressively for faster optimization.
3. Omega-3 (DHA)
Docosahexaenoic acid (DHA) is a long-chain omega-3 polyunsaturated fatty
acid found in some fish and over-the-counter supplements. It is a
building block of the brain involved with numerous cellular pathways.
Increasing your omega-3 fat intake and reducing consumption of damaged
omega-6 fats (think processed vegetable oils) in order to balance your
omega-3 to omega-6 ratio. Krill oil works well for this because (like wild
Alaskan salmon) it also contains astaxanthin, which appears to be
particularly beneficial for brain health.
A study published
in April 2023 found that long-term consumption of omega-rich foods and
supplements led to a 20 to 64 percent decrease in dementia, especially
Alzheimer’s disease.
A
study
(Huang 2022) examining nearly 212,000 cognitively healthy people concluded
that regularly taking fish oil supplements was significantly associated
with lower risks of incident all-cause dementia, vascular dementia,
frontotemporal dementia, and other dementia—but not Alzheimer’s disease.
Published in 2022, the
Cognitive impAiRmEnt Study (CARES Trial 2), was designed to examine the potential
synergistic effects of a combination of omega-3 fatty acids (namely
DHA and eicosapentaenoic acid [EPA]), xanthophyll carotenoids
(specifically lutein, zeaxanthin and meso-zeaxanthin) and vitamin E
(d-α-tocopherol) on the cognitive performance of cognitively healthy
older adults. This study provides Class II evidence that 24-month
supplementation with 430 mg DHA, 90 mg EPA, 10 mg lutein, 2 mg
zeaxanthin, 10 mg meso-zeaxanthin and 15 mg vitamin E (d-α-tocopherol)
is effective in improving cognitive performance, namely working
memory, in cognitively healthy older adults.
In conclusion, the CARES research has shown improvements in working
memory following 24-month supplementation with omega-3 fatty acids,
xanthophyll carotenoids (lutein and zeaxanthin) and vitamin E in
cognitively healthy older adults. These results support a biologically
plausible rationale whereby these nutrients work synergistically, and
in a dose-dependent manner, to improve cognitive performance. These
findings illustrate the importance of nutritional enrichment in
improving cognition and enabling older adults to continue to function
independently, and highlight how a combination of omega-3 fatty acids
and xanthophyll carotenoids may prove beneficial in reducing cognitive
decline and/or delaying Alzheimer's disease onset in later life. (
Power 2022).
A posthoc analysis study of the OmegAD trial,
published in 2019, concluded that the effect of omega-3 supplementation on MMSE and CDR
(measures of cognitive dysfunction) appears to be influenced by baseline
tHcy (total homocysteine level), suggesting that adequate B vitamin
status is required to obtain beneficial effects of omega-3-fatty acid on
cognition.
Increased beneficial effects of macular carotenoids (lutein and
zeaxanthin) were also observed upon their intake together with fish oil
and omega-3 fatty acids, suggesting a dietary synergism (
Nolan 2018).
Many governments recommend eating omega-3 containing fatty fish, two
times per week. But that is often not enough. Ideally, people would
need to eat fatty fish four times per week, while also supplementing
with omega-3 fatty acids, at least 1,000 mg of pure omega-3 (DHA and
EPA) per day.
Make sure you buy high-quality omega-3 fatty acid supplements,
meaning that the omega-3 fatty acids are pure and have not oxidized
much (having low “TOTOX” value).
TOTOX value stands for total oxidation value. The omega 3 fatty acids
EPA and DHA from fish oil are highly sensitive to oxidation. This means
that they are rapidly affected by contact with oxygen. Oxidised fatty
acids are not beneficial to our health. For this reason, a good fish oil
supplement has a low TOTOX value. The maximum TOTOX value is set at 26
by the Global Organization for EPA and DHA omega-3.
According to
Dr. Sage Wheeler, medical director of SageMED in Bellevue, Washington:
Omega-3 fatty acid supplements come in three types: inexpensive ethyl
esters, high-quality triglycerides, and superior monoglycerides.
Monoglycerides are 2-3 times more potent due to better absorption,
making 1,000 mg of monoglyceride omegas equivalent to approximately
2,700 mg of triglyceride-based omegas, according to Wheeler.
I
recommend eating fish 2-3 times per week and taking 2,500-3,000 mg of
a monoglyceride formula or 5,000 mg of a triglyceride formula, once
per day, with food.
4. Magnesium
Magnesium (Mg) is an essential mineral for the body and brain, which
is needed for the proper functioning of many enzymes that carry out
biochemical reactions. Sufficient levels of magnesium are usually
obtained through a healthy diet.
A meta-analysis conducted in 2022 concluded that a significant Mg
deficiency exists in subjects diagnosed with MCI or AD (
Du 2022). These findings suggest that Mg deficiency may be either the
result of low dietary intake of Mg or the consequence of disease
progression.
Reduced Mg amount in the AD brain may be attributed to lower
circulating Mg levels caused by its reduced dietary intake, or
defective Mg transport mechanism. The findings of higher dietary Mg
intake are associated with a lower risk of MCI indicating a
potential neuroprotective effect of Mg intake or supplementation (
Glick 2016).
Another 17-year study that followed more than 1,000 Japanese adults
over the age of 60 found that those who consumed more than 200 mg of
magnesium per day were 37 percent less likely to develop any type of
dementia and 74 percent less likely to develop vascular dementia [
Ozawa 2012].
One 2016 pilot randomized controlled trial of 44 patients reported
that magnesium L-threonate improved overall cognitive ability for
elderly patients with memory complaints (
Liu 2016).
How much magnesium do I need? The
recommended dietary allowance for magnesium is 310 to 420 mg per day depending on your age and sex, but many experts believe you may need 600 to 900 mg per day, which is more in line with the magnesium uptake during the Paleolithic period.
“Investigations of the macro- and micro-nutrient supply in Paleolithic nutrition of the former hunter/gatherer societies showed a magnesium uptake with the usual diet of about 600 mg magnesium/day …
This means our metabolism is best adapted to a high magnesium intake … In developed countries, the average intake of magnesium is slightly over 4 mg/kg/day … [T]he average intake of magnesium in the USA is around 228 mg/day in women and 266mg/day in men …”
The key to effectively using higher doses, however, is to make sure you avoid loose bowels as that will disrupt your gut microbiome, which would be highly counterproductive.
5. Soy Isoflavones
Soy isoflavones are polyphenols found in soy products and other
plants. They preferentially interact with a type of estrogen receptor
involved in cognitive functions. Because they interact with estrogen
receptors, soy isoflavones have also been studied for preventing
menopausal symptoms and premenstrual syndrome.
A large meta-analysis of 10 randomized controlled trials reported
that soy isoflavone supplementation significantly improved overall
cognitive function and visual memory in people under 60 years old
from non-US countries (
Menopause. 2015).
In a large double-blind randomized controlled trial of postmenopausal
women, treatment with isoflavone-rich soy protein for several years
improved visual memory, but not other cognitive functions compared to
control (
Ref). More benefits were seen in women between 5–10 years of
menopause than those 10 years post-menopause.
In older men and women, soy isoflavones treatment resulted in
improved spatial memory and construction, verbal fluency, and
dexterity, but worse executive function (
Ref).
In young healthy adults, high soy diet for 10 weeks resulted in
significant improvements in short-term and long-term memory and in
mental flexibility, but not in attention or category generation
compared to those in the control diet (
Ref). Women, but not men, on the high soy diet also improved in letter
fluency and planning.
However, soybean oil is a different kettle of fish. We’ve often
warned against the use of soybean oil. Soybean oil is a source
of an omega-6 fat called
linoleic acid (LA), which is highly susceptible to oxidation and is
typically from GMO seeds. Not only is soybean oil loaded with trans
fat, which has been linked to heart disease,
soybean oil may also cause irreversible changes in your brain.
6. Panax Ginseng
Panax ginseng is a plant used in traditional Chinese medicine (also
known as Korean or Asian ginseng). Its root contains compounds called
ginsenosides, which have anti-oxidative and anti-inflammatory effects.
Panax ginseng is purported to enhance longevity, promote cognitive
functions, and alleviate fatigue.
A meta-analysis of five double-blind randomized controlled trials in
healthy subjects reported that Panax ginseng treatment for 8-12 weeks
showed improvement in some aspects of cognitive function, behavior,
and quality of life, though the evidence was not convincing or
consistent across studies (
Ref).
A
2020 double-blind randomized controlled trial of 52 healthy individuals reported that Panax ginseng treatment
(1 g/day) for eight weeks significantly increased the volume of a
brain region important for memory and improved scores on executive
function, attention, and memory, effects that were not seen in the
placebo group.
In one
2020 systematic review that included two randomized controlled trials for ginseng, both
trials showed that ginseng supplementation resulted in significant
improvements in cognitive outcomes; however, due to the limitations in
the methodological quality of the trials, results have not been
conclusive.
The longest placebo-controlled clinical trial included 61 Alzheimer’s
patients and lasted two years (
Ref). In the low-dose Panax ginseng group (4.5 g/day), cognitive scores
(as measured by the Mini-Mental State Examination) improved after 48
weeks, then slightly decreased at 96 weeks. In the high-dose group
(9.0 g/day), cognitive scores showed slight improvement at 48 and 96
weeks. In this study, maximum cognitive improvement was observed
around 24 weeks, then sustained for two years.
7. Melatonin
Melatonin is neuro-protective. The brain consumes 20% of the body’s
oxygen. All that oxygen passing through the brain makes a toxic
byproduct called reactive oxygen species, which can damage nerves and
blood vessels.
Is Melatonin Good For Alzheimer's?
Melatonin improves sleep, which could theoretically lead to long-term
protection against Alzheimer's. A review and meta-analysis on
melatonin treatment in Alzheimer's published in
Neuroscience & Biobehavioral Reviews (Aug 2021) showed individuals with Alzheimer's improved with
more than 12 weeks of treatment.
Your brain uses many different antioxidants, including melatonin,
to neutralize the reactive oxygen species before they can cause
harm. Therefore, it is not surprising that studies (2018)
show melatonin seems to provide some protective effect
against diseases like Alzheimer’s.
8. Gingko Biloba
Given that the ginkgo biloba tree is among the oldest trees in the
world, ginkgo seeds have been used in traditional Chinese medicine and
other types of treatment for thousands of years. The sole survivor of
trees from 270 million years ago, it releases all its leaves in a golden
explosion in just one day (
Twitter).
|
Photo by Han Fei
|
Ginkgo biloba has been used for centuries to improve cognitive
function.
In a 2016 study published in
Nutrition, ginkgo biloba was shown to protect the brain from toxicity
associated with aluminum chloride. Exposure to aluminum chloride has
been linked to Alzheimer's and other cognitive impairments.
A 2012 study published in
International Psychogeriatrics suggests ginkgo biloba may slow the aging process within
mitochondria of your cells, which can affect the progression of
Alzheimer’s.
There are two meta-analyses in dementia patients. In one analysis
(2015), seven studies showed that patients using ginkgo had improved
scores on certain cognitive performance tests. Two studies in the same
analysis using different assessments, however, did not show a
statistically significant difference (
Ref). Another meta-analysis (2016) of patients with mild cognitive
impairment and Alzheimer's disease showed that after 24 weeks of
ginkgo, in combination with conventional medicine, they improved
cognitive performance scores (
Ref).
Another
systematic review (Weimann 2010) of 9 controlled trials found that taking
ginkgo biloba supplements was more effective than a placebo for improved
cognitive function in people with Alzheimer’s, vascular, or mixed
dementia.
According to
Cleveland Clinic (2002), an adult dose of 120 to 600 milligrams (mg) of ginkgo
biloba per day seems to be effective for addressing memory problems.
Some have suggested even better results may be achieved by taking ginkgo
in combination with panax ginseng or codonopsis.
Risks and Cautions Related to Ginkgo Intake
According to the
U.S. National Center for Complementary and Integrative Health, intake of ginkgo biloba is thought to be safe for healthy adults when
taken by mouth in moderate amounts. Potential side effects of ginkgo may
include allergic skin reactions, dizziness, headache and stomach upset.
An increased risk of bleeding is possible with ginkgo if you are older,
pregnant or have a known bleeding risk. Ginkgo has been shown to
interact with blood thinners (anticoagulants), so do not take it if you
are currently on a blood-thinner medication. For similar reasons, you
should not take ginkgo before undergoing surgery or dental procedures.
Also, do not eat raw or roasted ginkgo seeds, because they can cause
serious side effects and may be poisonous.
You Need B Vitamins if You Take Ginkgo Biloba
A word of caution related to ginkgo biloba: Its seeds contain
ginkgotoxin (4'-Omethylpyridoxine), an “antivitamin” that may lead to
neurological problems in certain people, particularly those who are
deficient in certain B vitamins. B vitamins are important not only when
you consume ginkgo, but they are also useful in helping to reduce brain
shrinkage and prevent degenerative brain diseases (
J Epilepsy Res. 2015).
9. Geen Tea (EGCG)
Green tea is prepared from dried leaves of Camellia sinensis, a perennial
evergreen shrub. It contains several compounds that are possibly
beneficial to brain health, including caffeine, catechins (polyphenols
like EGCG), and L-theanine (an amino acid derivative).
Greater green tea consumption was associated with lower risk of dementia
in two studies conducted in Japan, with the larger study reporting 27%
lower risk in people who drank at least 5 cups a day
[R]. Tea drinking was also associated with higher verbal fluency in
elderly Chinese people (i.e., 80–115 years old)
[R].
Two double-blind randomized controlled trials have evaluated the effects of
green tea extract on cognitive functions. One trial in 91 patients with mild
cognitive impairment reported that the combination of green tea extract and
L-theanine for 16 weeks resulted in significant improvements in memory and
attention, particularly in patients who had relatively severe baseline
impairment [
R].
The second trial examined the acute effects of a drink containing 27.5 g
of green tea extract and reported that the drink increased brain
connectivity associated with working memory and the degree of connectivity
correlated with the magnitude of improvement in working memory
[R].
10. Quercetin
In this study published
in Neuropharmacology in 2015, researchers gave quercetin to mice with Alzheimer’s, injecting them
with quercetin every two days for three months. By the end of the study,
the injections had reversed several markers of Alzheimer’s, and the mice
performed much better on learning tests.
In a separate
study
published in 2018, researchers gave mice with Alzheimer’s a quercetin-rich diet.
Researchers found the diet improved brain function in mice with
early-middle stage Alzheimer’s, although it had no significant effect on
middle-late stage Alzheimer’s.
You may have heard that coffee
is linked to a reduced risk of Alzheimer’s. There’s certainly some
research to back that claim up. However,
a 2016 research has suggested that quercetin (not caffeine) is the primary compound
in coffee responsible for protective effects against Alzheimer’s.
11. Lutein Optimizes Brain Health
While lutein is well-known for its role in eye health, its role in brain
health is being increasingly explored. The connection makes sense, since
as your vision worsens with age, so too may your cognitive abilities.
The
Cognitive impAiRmEnt Study (CARES), was designed to examine the potential synergistic
effects of a combination of omega-3 fatty acids (namely DHA and
eicosapentaenoic acid [EPA]), xanthophyll carotenoids (specifically
lutein, zeaxanthin and meso-zeaxanthin) and vitamin E (d-α-tocopherol)
on the cognitive performance of cognitively healthy older adults.
According to CARES, cognitively healthy subjects aged over 65 years, on
a diet supplemented for 2 years with a combination of fish oil, vitamin
E, and macular pigments (lutein and zeaxanthin), showed improved
cognitive ability, measured by working memory test performance, and
increased levels of tissue carotenoids, as well as systemic xanthophylls
and omega-3 fatty acid concentrations (
Power 2022).
Research shows visual impairment at a distance is associated with
declining cognitive function over time, while "maintaining good vision may
be an important interventional strategy for mitigating age-related
cognitive declines." (
JAMA 2018)
Meanwhile, studies support the beneficial effects of lutein
on brain health. In a trial of young, healthy adults, supplementation with
lutein and zeaxanthin improved levels of these carotenoids in the central
nervous system along with boosting cognitive function. (
Nutrients 2017)
Among older adults with a mean age of 73.7 years, lutein and
zeaxanthin supplementation also improved cognitive function, including
boosts in complex attention and cognitive flexibility domains, compared to
those taking a placebo. (
Hammond 2017)
Men taking part in the study also had improvements in
composite memory. These benefits were seen with a daily lutein and
zeaxanthin dose equivalent to that found in one-half cup of cooked kale or
1 cup of cooked spinach. (
NutritionFacts 2023)
A literature search involving eight clinical trials further
revealed that lutein and zeaxanthin in the blood or macula are associated
with cognitive performance, and "there is an inverse relationship between
a higher amount of macular pigment in the blood and lower risk of mild
cognitive impairments or Alzheimer's disease." (
Wang 2022)
Your body cannot make lutein, so you must get it from your diet. Following
are 10 foods that are particularly rich sources of lutein.
- Dark leafy greens
- Carrots
- Broccoli
- Egg yolks
- Red and yellow peppers
- Sweet corn
- Avocados
- Raspberries
- Cherries
- Paprika
12. Coconut Oil
Coconut oil has been quite the buzzword over the past several years. It has
been touted as a health food and as a cure-all to everything from acne, dry
skin, diaper rash and now to Alzheimer’s.
Coconut oil, as we all
have been hearing, is a good fat; it contains medium-chain triglycerides
(MCTs), which our bodies can use as an alternate energy source by converting
them into ketones. Our body’s first source of energy is glucose, and when we
run low on glucose, we will break down fat and ketones are the byproduct — the
alternate energy source.
According to
Cognitive Vitality, a program of Alzheimer’s Drug Discovery Foundation, with Alzheimer's "the
ability of the brain to use glucose is impaired. Ketones are an alternative
energy source for the brain and might be able to compensate for this
impairment."
The Research
Currently, there have been several small
trials testing the theory that the MCTs found in coconut oil are beneficial
for Alzheimer’s:
-
One trial performed on elderly individuals with age-related cognitive
decline reported no benefit with the use of an MCT supplement.
-
Another trial performed on patients with diabetes showed that MCT
supplements preserved cognitive functioning related to hypoglycemia, which
can cause a decrease in brain cells, especially if it occurs repeatedly.
-
For patients who were carriers of the APOE4 genotype (a genotype that
causes atherosclerosis, which in turn increases the risk for certain
conditions such as heart attacks, strokes and brain conditions related to
cognitive impairment), MCTs were not effective. For patients who were not
carriers of this genotype, MCT supplements improved mild cognitive
decline.
-
There is currently a major trial being performed in the U.S. This study
seeks to find whether coconut oil is safe to use in the Alzheimer’s
population and whether it is effective in improving memory and cognition.
-
Another study surrounded men and women with Alzheimer's disease or mild cognitive
impairment. The participants were given either MCTs or a placebo. The
researchers found that those who were given MCTs had increased memory
improvements. This type of research led Emilie Reas, a postdoctoral fellow
at UC San Diego who studies brain changes with aging and disease, to
conclude that ketones (such as those from coconut oil) may be a "miracle
treatment."
As with any health food supplement, it is important to break down the science
and ensure that there is adequate research to back up any claims. When it
comes to coconut oil, the results look promising.
13. Molecular Hydrogen
Molecular hydrogen (H2) is a gas that is found in trace amounts in the air
(0.00005%). It can act as an antioxidant and is thought to protect cells
from oxidative stress-related damage. Hydrogen can be inhaled as a gas at
low concentrations (1-3%) or infused into water. A saturated solution of
hydrogen contains 1.6 parts per million (ppm) hydrogen. In preclinical
models, molecular hydrogen was most beneficial when used chronically as a
preventative measure, before the onset of pathology. Hydrogen therapy is
generally considered safe.
A few clinical trials have tested whether molecular hydrogen preserves
cognitive function in populations at high risk for cognitive decline, in
the form of hydrogen-rich water, hydrogen-rich saline infusions, or
hydrogen gas inhalation.
In the trial of 73 people with
mild cognitive impairment (2018), APOE4 carriers were the only subgroup to show benefits on
cognitive tests in response to hydrogen-rich water consumption.
Hydrogen-infused water has been granted Generally Recognized as Safe
(GRAS) status by the FDA, which means that it is generally considered safe
for consumption.
Read More: A scientific review on the potential of molecular hydrogen in preventing and treating
diseases.
14. Selenium
A small randomized, double-blinded, controlled trial comprising patients
with AD has shown that co-supplementation of selenium and probiotics
improves cognitive function as assessed by MMSE (
Tamtaji 2019).
Consistent with this outcome, a meta-analysis of six clinical studies that
examined the effects of selenium concluded that the supplementation
significantly increases the anti-oxidant glutathione peroxidase activity
and enhances cognitive health in either MCI or AD individuals as assessed
by MMSE, ADAS-Cog, or Controlled Oral Word Association Test—Verbal fluency
(COWAT) (
Pereira 2022).
15. Zinc
A number of human studies have established an association between zinc and
cognitive health in humans (
Leko 2021).
Subjects 60 years or older from the NHANES study between 2001 and 2004
showed an inverse relationship between zinc intake and cognitive decline
(
Li 2019).
As part of the Korean Brain Aging Study for Early Diagnosis and Prediction
of Alzheimer’s disease (KBASE), a 2017 study observed that in cognitively
healthy subjects aged between 55–90, lower serum zinc levels were not
related to Tau accumulation or AD-signature cerebral glucose metabolism,
but were significantly associated with Aβ deposition in the brain (
Kim 2021).
These results are in line with markedly lower concentrations of zinc and
selenium and higher levels of copper/zinc ratio in AD that are associated
with cognitive impairment as assessed by MMSE scores (
Socha 2021).
16. Citicoline
In a
2023 review and meta-analysis, six studies (including more than 1,300 patients with mild cognitive
impairment, Alzheimer's Disease and post-stroke dementia) were selected
for the meta-analysis. Overall, citicoline improved cognitive function.
However, the overall quality of the studies was poor with significant risk
of bias in favor of the intervention.
Dietary supplementation of citicoline for 12 wk improved overall memory
performance, especially episodic memory, in healthy older males and females
with AAMI. The findings suggest that regular consumption of citicoline may
be safe and potentially beneficial against memory loss due to aging.
17. Centrum Silver multivitamin review: Can Centrum Silver Improve
Memory in Older Adults?
A March 2024 meta-analysis, published in the
American Journal of Clinical Nutrition, indicates that daily MVM (MultiVitamin Mineral) significantly benefits both global cognition and episodic memory. These findings within the COSMOS (COcoa Supplement and Multivitamin Outcomes Study)
trial support the benefits of a daily MVM in preventing cognitive decline among older adults.
One of the studies analysed above was COSMOS-Mind. According to the COSMOS-Mind study published in the
journal Alzheimer’s & Dementia (2022), findings showed improved scores in overall cognition, memory, and executive function in the people who took Centrum Silver compared to the people who took the placebo.
The researchers estimated that taking the multivitamin daily for three years translated to a 60% slowing of cognitive decline—about 1.8 years.
“Three years of multivitamin supplementation did improve cognitive function,”
Laura Baker, PhD, lead author of the study and a professor of gerontology and geriatric medicine at Wake Forest University School of Medicine, told Verywell. “People with cardiovascular disease appeared to have benefited the most from the multivitamin.”
Over 2,200 adults aged 65 and older enrolled in the
COSMOS-Mind trial took part in the study, which was done over three years. The average age of the participants was 73 years old, 60% were women, and 89% were White. None of the participants had a history of stroke or heart attack at the start of the trial.
Read More: Memory and Cognitive Benefits of Multivitamins (2024)
18. Combined metabolic activators
A
2023, randomised, double-blinded, placebo-controlled phase-II clinical trial studied the effect of CMA (combined metabolic activators) administration on the global metabolism of AD (Alzheimer's Disease) patients. One-dose CMA included 12.35 g L-serine (61.75%), 1 g nicotinamide riboside (5%), 2.55 g N-acetyl-L-cysteine (12.75%), and 3.73 g L-carnitine tartrate (18.65%). AD patients received one dose of CMA or placebo daily during the first 28 days and twice daily between day 28 and day 84. The primary endpoint was the difference in the cognitive function and daily living activity scores between the placebo and the treatment arms.
The results indicate that treatment of AD patients with CMA can lead to enhanced cognitive functions and improved clinical parameters associated with phenomics, metabolomics, proteomics and imaging analysis.
19. Turmeric (Curcumin)
This common household spice contains the antioxidant and anti-inflammatory
compound curcumin, known for its ability to boost brain tissues.
Studies (2008) suggest curcumin may slow the progression of Alzheimer’s by reducing the number of plaques in the brain. Additionally, it may also prevent the buildup and clumping of beta-amyloid proteins.
20. Mushroom (Ergothioneine)
Evidence has suggested that mushrooms, which are a rich source of the
potent antioxidants ergothioneine and glutathione as well as vitamin D,
may have neuro-protective properties. A
2022 study analysed data from older adults aged ≥ 60 years from the
2011-2014 National Health and Nutrition Examination Survey. Mushroom
intake was measured using up to two 24-h dietary recalls and was
categorised into three groups (lowest, middle and highest). The study
included 2840 participants. Greater mushroom intake was associated with
certain cognitive performance tests, suggesting regular mushroom
consumption may reduce the risk of cognitive decline.
Diet To Prevent Alzheimer's and Dementia
There is evidence that a diet rich in
fruits and vegetables, particularly those with high levels of antioxidants, may help to reduce
the risk of cognitive decline.
Antioxidants protect the brain
against
oxidative stress, which can contribute to brain damage and cognitive decline.
Maintaining
a
healthy and balanced
diet is essential to reduce the risk of developing Alzheimer’s disease.
This
includes eating various nutrient-rich foods, especially those high in
vitamin B12, omega-3 fatty acids, and antioxidants.
The
MIND diet
is associated with the preservation of cognitive function, likely through
its protective effects against cardiovascular disease. The MIND diet,
which is based on the established cardiovascular Mediterranean and DASH
diets, includes foods and nutrients that have been associated with
preserving brain health.
However, in a 2023 study published in
New England Journal Medicine, the MIND diet did not differ significantly between participants who
followed the MIND diet and those who followed a control diet with a mild
caloric restriction after 3 years of monitoring.
Dr. Nikhil Palekar, medical director of the Stony Brook Center of
Excellence for Alzheimer’s Disease and director of the Division of Geriatric
Psychiatry, explained that the MIND diet is a low-salt type of Mediterranean
diet shown to be beneficial for brain health.
“As it contains
antioxidant-rich foods, as well as omega-3 fatty acids,” he said.
A
low-salt diet has also been shown to benefit brain functioning independent
of its action on improving hypertension.
“Given the above
benefits, [the] MIND diet is highly recommended for healthy older adults as
a way to reduce risk for Alzheimer’s disease, along with daily
moderate-intensity aerobic exercise, cognitive activities, and
socialization,” said Palekar.
Saturated FatsSaturated fats are mostly from animal
products such as red meat, processed meat, butter, and cheese, though
coconut oil is a plant source that is still high in saturated fat. High
intakes of saturated fat can lead to high LDL cholesterol levels. One
cohort study
in the American Journal of Clinical Nutrition showed a diet high in
processed meat specifically had a correlation with an increased risk of
dementia.
Family history is a large contributor for the risk of
developing Alzhiemer’s. Neal Barnard says in widely watched
TEDx talk
that avoiding the bad fat can decrease risk of Alzheimers by 80 percent.
This is even if you have the
APOE-epsilon4 allele, the gene that is linked with Alzheimer’s disease.
Best Brain-Boosting Foods to Include in Your Diet
Healthy fish — Small cold-water fish that are rich in animal-based omega-3
fats but have a low risk of contamination are among your best choices for
healthy fish. This includes
anchovies,
sardines, mackerel,
herring and
wild-caught Alaskan salmon. The omega-3 they contain is vital to your brain, helping to fight
inflammation and offer numerous protections to your brain cells.
Cruciferous veggies and leafy greens —
Eating just one serving of green leafy vegetables a day may help to slow
cognitive decline associated with aging, helping you to be 11 years
younger, cognitively speaking, than your non-leafy green-eating peers (
source). They’re a rich source of brain-protective nutrients like folate, vitamins
E and K, lutein and beta-carotene (
source). Cruciferous vegetables, like
broccoli and
cauliflower, are
equally impressive, in part because they’re good sources of choline, a B
vitamin known for its role in brain development.
Eggs — Pastured, organic eggs, particularly the yolks, provide valuable
vitamins (A, D, E and K), omega-3 fats and antioxidants. They’re also one of
the best sources of choline available. Choline helps keep your cell membranes
functioning properly, plays a role in nerve communications and reduces chronic
inflammation. Choline is also needed for your body to make the brain chemical
acetylcholine, which is involved in storing memories.
Beneficial health-promoting fats that your body — and your brain in particular
— needs for optimal function include clarified butter called
ghee, organic grass fed raw butter, olives, organic virgin olive oil and coconut
oil, nuts like pecans and macadamia, free-range eggs, wild Alaskan salmon and
avocado, for example.
In a May 2024 study investigating the relationship between diet and dementia-related death, published in
the Journal of the American Medical Association (JAMA), researchers analyzed the diets and health outcomes of more than 92,000 U.S. adults. The findings suggest that regardless of genetic predisposition and overall diet quality, those who included at least seven grams (half a teaspoon) of olive oil per day lowered their risk of dementia-related death by 28 percent compared to participants who reported never or rarely including olive oil in their diet. Also, replacing even one teaspoon, or 5 grams, of margarine and mayonnaise with the same amount of olive oil per day was linked to an 8 to 14 percent reduced risk of death from dementia.
Avocado oil, with a similar fat profile to extra virgin olive oil, might offer comparable benefits.
A 2014 study found avocado oil improved cardiovascular risk markers in rats fed a high-sugar diet. Poor cardiovascular health
has been linked to cognitive issues.
Palm oil has also shown significant health benefits, with one study highlighting its
strong antioxidant effects. Antioxidants can protect brain cells from oxidative stress and prevent cell damage. Oxidative stress
can impair neurogenesis, the generation of new neurons in the brain, damaging cognitive function. Like olive oil, palm oil is rich in the
antioxidant oleic acid.
Coconut oil has demonstrated neuroprotective benefits, including relieving oxidative stress, reducing neuroinflammation, and improving mitochondrial function,
according to research.
Coffee — Increased coffee (and tea) consumption was linked to a lower risk of glioma brain tumor, such that people in the top category of coffee consumption were 91% less likely to have glioma compared with those in the bottom category (
source).
Blueberries — Blueberries are rich in phytochemicals linked to improvements in learning, thinking and memory, along with reductions in neurodegenerative oxidative stress. They’re also relatively low in fructose compared to other fruits, making them one of the healthier fruits available. Wild blueberries, which have high anthocyanin and antioxidant content, are known to guard against Alzheimer's and other neurological diseases.
Metabolic Health and Alzheimer's Disease
The root cause of this dysregulation? Food.
Don’t expect the
mainstream media to report this, though. For years, we have been fed lies by
prominent, mainstream media outlets. Take the pernicious idea that the
consumption of chocolate on a regular basis can
help you lose weight, for example. Let’s be clear: An occasional piece of chocolate, be it milk
chocolate or dark chocolate, isn’t going to ruin your health. However, the
idea that regular chocolate consumption is compatible with a healthy
lifestyle is
simply false. The same goes for
red wine, an alcoholic beverage that is still being marketed as some sort of
miracle supplement, an elixir capable of transforming your life for the better.
A review of 18 studies on therapeutic ketosis as a potential therapy for
neurodegenerative disorders–in particular, mild cognitive impairment (MCI),
Alzheimer's disease (AD), and Parkinson's disease (PD) concluded,
"Collectively, the strongest evidence to date exists for cognitive
improvement in individuals with mild cognitive impairment and in individuals
with mild-to-moderate Alzheimer's disease negative for the apolipoprotein ε4
allele. Larger-scale, pivotal trials are justified in these populations."
(
Bohnen 2023)
Exercise and Dementia
The University of Oxford and other research institutions in the United Kingdom
published a paper in the
Journal of Neurology, Neurosurgery & Psychiatry (2023) in which the researchers conducted five surveys involving 1,417
participants aged between 36 and 69. The results showed that exercising to
improve brain function is beneficial at any age and it is important to
maintain exercise throughout life.
It has also been evidenced recently that one of the best strategies for healthy brain aging is regular aerobic exercise. It is suggested that exercise likely remains the most effective intervention for healthy brain aging because it stimulates strategic energy-sensing pathways that modulate multiple hallmarks of aging. (
Exerc Sport Sci Rev 2021)
In a 44-year longitudinal population study in women, researchers from the
University of Gothenburg in Sweden revealed that women with the highest
cardiovascular fitness had an 88% lower risk of dementia than those with
moderate fitness (
Neurology 2018). Further, even maintaining average fitness is worthwhile, as women with the
lowest fitness had a 41% greater risk of dementia than those of average fitness.
Fitness, in this case, is not the same as exercise, and the study did not
measure how often the women exercised.
Instead, it focused on cardiovascular fitness, as measured by a
stepwise-increased maximal ergometer cycling test. Cardiovascular fitness can
be a measure of how well blood is circulating to your heart and brain. Study
author and physiotherapist Helena Horder
told Time, "If the small blood vessels and circulation in the heart are OK, then the
brain is also affected in a positive way by good small vessel circulation."
Additional Dementia's Prevention Strategies
In addition to the supplement recommendations mentioned above, the
following additional prevention strategies will help you avoid Dementia
and Alzheimer's.
- Eat real food, ideally organic
- Replace refined carbohydrates with healthy fats
- Avoid gluten and casein
- Get sufficient quality sleep
- Intermittent fasting
A large,
long-term study
conducted in Finland found that making lifestyle changes helped reduce
cognitive decline among individuals at risk of developing dementia. Study
participants were given individual and group sessions focusing on
exercise, diet, and social activities.
Related: Effect of a multi-domain lifestyle intervention on cardiovascular risk in older people: the FINGER trial (2022)
Another study
conducted in Australia measured coaching sessions, exercise, diet, and
other lifestyle changes. Those individuals had better cognitive results
after one, two, and three years compared to those who didn’t receive
coaching support.
Other studies
have shown that staying mentally and socially engaged is not only
associated with a decreased risk of developing Alzheimer’s disease but is
also linked to preserved thinking skills later in life. Staying socially
and mentally engaged includes activities such as dancing, creating art,
playing board games, reading, and playing musical instruments, among other
activities.
Alzheimer’s Disease Linked to Exposure to Aluminum
A study published in the
Journal of Alzheimer’s Disease (JAD) on January 13, 2020, supports a growing body of research that links human exposure to
aluminum with Alzheimer’s disease (AD). Researchers found significant
amounts of aluminum content in brain tissue from donors with familial
AD. The study also found a high degree of co-location with the
amyloid-beta protein, which leads to early onset of the disease.
“This
is the second study confirming significantly high brain accumulation in
familial Alzheimer’s disease, but it is the first to demonstrate an
unequivocal association between the location of aluminum and
amyloid-beta in the disease. It shows that aluminum and amyloid-beta are
intimately woven in the neuropathology,” explained lead investigator
Christopher Exley, PhD, Birchall Center, Lennard-Jones Laboratories,
Keele University, Staffordshire, UK.
According to Dr Exley:
“Either way, the new research confirms my resolve that within the normal
lifespan of humans, there would not be any AD (Alzheimer's Disease) if
there were no aluminum in the brain tissue. No aluminum, no AD.”
Concern and Caution
It has been reported that antioxidants can act as pro-oxidants when
accumulated in excessive amounts (
Varesi 2022), underlying the importance of patient-to-patient evaluation. This holds
particularly true when considering the fact that older people make use of
several chronic medications, which may end up interfering with the
expected activity of the recommended supplementation.
If antioxidant combinations are then considered, careful assessment of
synergism and antagonism among various compounds should be conducted, as
the simultaneous administration of several antioxidants does not always
represent the best option (
Sharman 2019).
Wrapping It Up
While studies suggest that taking certain supplements may help prevent
Alzheimer's, the best way to promote longevity and overall health is to
engage in healthy practices like consuming a nutritious diet, quality
sleep, engaging in regular exercise, stop smoking and reducing stress.
Related:
Best Brain Supplements
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