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PMID: 18466323 Published · ppublish English Journal Article Research Support, N.I.H., Extramural Research Support, U.S. Gov't, Non-P.H.S. Review

Metabolic syndrome and the role of dietary lifestyles in Alzheimer's disease.

Journal of neurochemistry ·Vol. 106 ·No. 4 ·2008-08-00 ·Pages 1503-14

Pasinetti GM, Eberstein JA

Abstract

Since Alzheimer's disease (AD) has no cure or preventive treatment, an urgent need exists to find a means of preventing, delaying the onset, or reversing the course of the disease. Clinical and epidemiological evidence suggests that lifestyle factors, especially nutrition, may be crucial in controlling AD. Unhealthy lifestyle choices lead to an increasing incidence of obesity, dyslipidemia and hypertension--components of the metabolic syndrome. These disorders can also be linked to AD. Recent research supports the hypothesis that calorie intake, among other non-genetic factors, can influence the risk of clinical dementia. In animal studies, high calorie intake in the form of saturated fat promoted AD-type amyloidosis, while calorie restriction via reduced carbohydrate intake prevented it. Pending further study, it is prudent to recommend to those at risk for AD--e.g. with a family history or features of metabolic syndrome, such as obesity, insulin insensitivity, etc.--to avoid foods and beverages with added sugars; to eat whole, unrefined foods with natural fats, especially fish, nuts and seeds, olives and olive oil; and to minimize foods that disrupt insulin and blood sugar balance.

MeSH Terms
Alzheimer Disease/diet therapy,etiology,prevention & control Animals Diet/adverse effects Humans Life Style Metabolic Syndrome/complications,diet therapy
Authors & Affiliations
2 authors, click to expand affiliations / ORCID
Pasinetti Giulio Maria
Center of Excellence for Research in Complementary and Alternative Medicine in Alzheimer's Disease, Department of Psychiatry, The Mount Sinai School of Medicine, New York, New York, USA. [email protected]
Eberstein Jacqueline A
References (116)
116 references, click to expand
  1. Omega-3 fatty acids and neuropsychiatric disorders.
    Reprod Nutr Dev. 2005 Jan-Feb;45(1):1-28 PMID: 15865053
  2. Changes in thiol content and expression of glutathione redox system genes in the hippocampus and cerebellum in Alzheimer's disease.
    Neurosci Lett. 2001 Apr 20;302(2-3):141-5 PMID: 11290407
  3. Critical nodes in signalling pathways: insights into insulin action.
    Nat Rev Mol Cell Biol. 2006 Feb;7(2):85-96 PMID: 16493415
  4. A controlled trial of homocysteine lowering and cognitive performance.
    N Engl J Med. 2006 Jun 29;354(26):2764-72 PMID: 16807413
  5. Glucose neurotoxicity.
    Nat Rev Neurosci. 2008 Jan;9(1):36-45 PMID: 18094705
  6. Hypertension is related to cognitive impairment: a 20-year follow-up of 999 men.
    Hypertension. 1998 Mar;31(3):780-6 PMID: 9495261
  7. A potential role of the curry spice curcumin in Alzheimer's disease.
    Curr Alzheimer Res. 2005 Apr;2(2):131-6 PMID: 15974909
  8. JAMA patient page. The metabolic syndrome.
    JAMA. 2006 Feb 15;295(7):850 PMID: 16478914
  9. Stimulation of beta-amyloid precursor protein trafficking by insulin reduces intraneuronal beta-amyloid and requires mitogen-activated protein kinase signaling.
    J Neurosci. 2001 Apr 15;21(8):2561-70 PMID: 11306609
  10. Nutritional intervention in brain aging: reducing the effects of inflammation and oxidative stress.
    Subcell Biochem. 2007;42:299-318 PMID: 17612057
  11. Apolipoprotein E polymorphism and Alzheimer disease: The Indo-US Cross-National Dementia Study.
    Arch Neurol. 2000 Jun;57(6):824-30 PMID: 10867779
  12. A diet high in omega-3 fatty acids does not improve or protect cognitive performance in Alzheimer's transgenic mice.
    Neuroscience. 2007 Oct 26;149(2):286-302 PMID: 17904756
  13. Interactions of apolipoprotein E genotype and dietary fat intake of healthy older persons during mid-adult life.
    Metabolism. 2003 Mar;52(3):279-81 PMID: 12647263
  14. Inhibition of amyloid-beta aggregation and caspase-3 activation by the Ginkgo biloba extract EGb761.
    Proc Natl Acad Sci U S A. 2002 Sep 17;99(19):12197-202 PMID: 12213959
  15. Fruit and vegetable juices and Alzheimer's disease: the Kame Project.
    Am J Med. 2006 Sep;119(9):751-9 PMID: 16945610
  16. Intake of sucrose-sweetened water induces insulin resistance and exacerbates memory deficits and amyloidosis in a transgenic mouse model of Alzheimer disease.
    J Biol Chem. 2007 Dec 14;282(50):36275-82 PMID: 17942401
  17. Moderate consumption of Cabernet Sauvignon attenuates Abeta neuropathology in a mouse model of Alzheimer's disease.
    FASEB J. 2006 Nov;20(13):2313-20 PMID: 17077308
  18. Amyloid-beta peptide levels in brain are inversely correlated with insulysin activity levels in vivo.
    Proc Natl Acad Sci U S A. 2003 May 13;100(10):6221-6 PMID: 12732730
  19. The beneficial effects of fruit polyphenols on brain aging.
    Neurobiol Aging. 2005 Dec;26 Suppl 1:128-32 PMID: 16194581
  20. Influence of the severity of cognitive impairment on the effect of the Gnkgo biloba extract EGb 761 in Alzheimer's disease.
    Neuropsychobiology. 2002;45(1):19-26 PMID: 11803237
  21. The aging brain. Changes in the neuronal insulin/insulin receptor signal transduction cascade trigger late-onset sporadic Alzheimer disease (SAD). A mini-review.
    J Neural Transm (Vienna). 2002 Jul;109(7-8):991-1002 PMID: 12111436
  22. Can herbs provide a new generation of drugs for treating Alzheimer's disease?
    Brain Res Brain Res Rev. 2005 Dec 15;50(2):361-76 PMID: 16263176
  23. The development of preventives and therapeutics for Alzheimer's disease that inhibit the formation of beta-amyloid fibrils (fAbeta), as well as destabilize preformed fAbeta.
    Curr Pharm Des. 2006;12(33):4357-75 PMID: 17105432
  24. Bioavailability and bioefficacy of polyphenols in humans. II. Review of 93 intervention studies.
    Am J Clin Nutr. 2005 Jan;81(1 Suppl):243S-255S PMID: 15640487
  25. Plasma Abeta42 correlates positively with increased body fat in healthy individuals.
    J Alzheimers Dis. 2005 Dec;8(3):269-82 PMID: 16340084
  26. Intracellular amyloid-beta in Alzheimer's disease.
    Nat Rev Neurosci. 2007 Jul;8(7):499-509 PMID: 17551515
  27. Vascular factors predict rate of progression in Alzheimer disease.
    Neurology. 2007 Nov 6;69(19):1850-8 PMID: 17984453
  28. Neuronal SIRT1 activation as a novel mechanism underlying the prevention of Alzheimer disease amyloid neuropathology by calorie restriction.
    J Biol Chem. 2006 Aug 4;281(31):21745-21754 PMID: 16751189
  29. Red wine ingredient resveratrol protects from beta-amyloid neurotoxicity.
    Gerontology. 2003 Nov-Dec;49(6):380-3 PMID: 14624067
  30. Dietary links to Alzheimer's disease: 1999 update.
    J Alzheimers Dis. 1999 Nov;1(4-5):197-201 PMID: 12214118
  31. The Ginkgo biloba extract (EGb 761) protects hippocampal neurons against cell death induced by beta-amyloid.
    Eur J Neurosci. 2000 Jun;12(6):1882-90 PMID: 10886329
  32. Calorie restriction attenuates Alzheimer's disease type brain amyloidosis in Squirrel monkeys (Saimiri sciureus).
    J Alzheimers Dis. 2006 Dec;10(4):417-22 PMID: 17183154
  33. Omega-3 supplementation in mild to moderate Alzheimer's disease: effects on neuropsychiatric symptoms.
    Int J Geriatr Psychiatry. 2008 Feb;23(2):161-9 PMID: 17582225
  34. Impaired insulin and insulin-like growth factor expression and signaling mechanisms in Alzheimer's disease--is this type 3 diabetes?
    J Alzheimers Dis. 2005 Feb;7(1):63-80 PMID: 15750215
  35. Insulin resistance and Alzheimer's disease pathogenesis: potential mechanisms and implications for treatment.
    Curr Alzheimer Res. 2007 Apr;4(2):147-52 PMID: 17430239
  36. GSK-3alpha regulates production of Alzheimer's disease amyloid-beta peptides.
    Nature. 2003 May 22;423(6938):435-9 PMID: 12761548
  37. Docosahexaenoic acid-induced amelioration on impairment of memory learning in amyloid beta-infused rats relates to the decreases of amyloid beta and cholesterol levels in detergent-insoluble membrane fractions.
    Biochim Biophys Acta. 2005 Dec 30;1738(1-3):91-8 PMID: 16427803
  38. Bioavailability and bioefficacy of polyphenols in humans. I. Review of 97 bioavailability studies.
    Am J Clin Nutr. 2005 Jan;81(1 Suppl):230S-242S PMID: 15640486
  39. Pomegranate juice decreases amyloid load and improves behavior in a mouse model of Alzheimer's disease.
    Neurobiol Dis. 2006 Dec;24(3):506-15 PMID: 17010630
  40. Caloric restriction attenuates beta-amyloid neuropathology in a mouse model of Alzheimer's disease.
    FASEB J. 2005 Apr;19(6):659-61 PMID: 15650008
  41. Brain insulin and insulin receptors in aging and sporadic Alzheimer's disease.
    J Neural Transm (Vienna). 1998;105(4-5):423-38 PMID: 9720972
  42. The epidemiology of adiposity and dementia.
    Curr Alzheimer Res. 2007 Apr;4(2):117-22 PMID: 17430233
  43. In vitro anti-beta-secretase and dual anti-cholinesterase activities of Camellia sinensis L. (tea) relevant to treatment of dementia.
    Phytother Res. 2004 Aug;18(8):624-7 PMID: 15476306
  44. Reduced hippocampal insulin-degrading enzyme in late-onset Alzheimer's disease is associated with the apolipoprotein E-epsilon4 allele.
    Am J Pathol. 2003 Jan;162(1):313-9 PMID: 12507914
  45. Insulin-degrading enzyme regulates the levels of insulin, amyloid beta-protein, and the beta-amyloid precursor protein intracellular domain in vivo.
    Proc Natl Acad Sci U S A. 2003 Apr 1;100(7):4162-7 PMID: 12634421
  46. Perceived hunger is lower and weight loss is greater in overweight premenopausal women consuming a low-carbohydrate/high-protein vs high-carbohydrate/low-fat diet.
    J Am Diet Assoc. 2005 Sep;105(9):1433-7 PMID: 16129086
  47. An 18-year follow-up of overweight and risk of Alzheimer disease.
    Arch Intern Med. 2003 Jul 14;163(13):1524-8 PMID: 12860573
  48. Oxidative stress in Alzheimer's disease.
    Biochim Biophys Acta. 2000 Jul 26;1502(1):139-44 PMID: 10899439
  49. Ginkgo biloba extract (Egb 761) inhibits beta-amyloid production by lowering free cholesterol levels.
    J Nutr Biochem. 2004 Dec;15(12):749-56 PMID: 15607648
  50. Mitochondrial effects of lipid-derived neurotoxins.
    J Alzheimers Dis. 2007 Sep;12(2):185-93 PMID: 17917163
  51. Phyto-oestrogens.
    Best Pract Res Clin Endocrinol Metab. 2003 Jun;17(2):253-71 PMID: 12787551
  52. Megalin mediates the transport of leptin across the blood-CSF barrier.
    Neurobiol Aging. 2008 Jun;29(6):902-12 PMID: 17324488
  53. Obesity-related leptin regulates Alzheimer's Abeta.
    FASEB J. 2004 Dec;18(15):1870-8 PMID: 15576490
  54. Production of the Alzheimer amyloid beta protein by normal proteolytic processing.
    Science. 1992 Oct 2;258(5079):126-9 PMID: 1439760
  55. A randomized study comparing the effects of a low-carbohydrate diet and a conventional diet on lipoprotein subfractions and C-reactive protein levels in patients with severe obesity.
    Am J Med. 2004 Sep 15;117(6):398-405 PMID: 15380496
  56. Preserved pontine glucose metabolism in Alzheimer disease: a reference region for functional brain image (PET) analysis.
    J Comput Assist Tomogr. 1995 Jul-Aug;19(4):541-7 PMID: 7622680
  57. The Ginkgo biloba extract EGb 761 rescues the PC12 neuronal cells from beta-amyloid-induced cell death by inhibiting the formation of beta-amyloid-derived diffusible neurotoxic ligands.
    Brain Res. 2001 Jan 19;889(1-2):181-90 PMID: 11166702
  58. Diet-induced insulin resistance promotes amyloidosis in a transgenic mouse model of Alzheimer's disease.
    FASEB J. 2004 May;18(7):902-4 PMID: 15033922
  59. Protective effects of quercetin and vitamin C against oxidative stress-induced neurodegeneration.
    J Agric Food Chem. 2004 Dec 15;52(25):7514-7 PMID: 15675797
  60. Effect of 3-year folic acid supplementation on cognitive function in older adults in the FACIT trial: a randomised, double blind, controlled trial.
    Lancet. 2007 Jan 20;369(9557):208-16 PMID: 17240287
  61. Insulin and insulin-like growth factor expression and function deteriorate with progression of Alzheimer's disease: link to brain reductions in acetylcholine.
    J Alzheimers Dis. 2005 Dec;8(3):247-68 PMID: 16340083
  62. Flavonoids: a review of probable mechanisms of action and potential applications.
    Am J Clin Nutr. 2001 Oct;74(4):418-25 PMID: 11566638
  63. Caloric intake and the risk of Alzheimer disease.
    Arch Neurol. 2002 Aug;59(8):1258-63 PMID: 12164721
  64. Curcumin: getting back to the roots.
    Ann N Y Acad Sci. 2005 Nov;1056:206-17 PMID: 16387689
  65. Neuroprotective effect of garlic compounds in amyloid-beta peptide-induced apoptosis in vitro.
    Med Sci Monit. 2002 Aug;8(8):BR328-37 PMID: 12165737
  66. Consumption of fish and n-3 fatty acids and risk of incident Alzheimer disease.
    Arch Neurol. 2003 Jul;60(7):940-6 PMID: 12873849
  67. Therapeutic potential of sirtuin-activating compounds in Alzheimer's disease.
    Drug News Perspect. 2007 May;20(4):233-9 PMID: 17637936
  68. Inhibition of energy metabolism alters the processing of amyloid precursor protein and induces a potentially amyloidogenic derivative.
    J Biol Chem. 1994 May 6;269(18):13623-8 PMID: 8175797
  69. Increased glucose concentration in the hippocampus in early Alzheimer's disease following oral glucose ingestion.
    Magn Reson Imaging. 2006 Jul;24(6):715-20 PMID: 16824966
  70. 15-year longitudinal study of blood pressure and dementia.
    Lancet. 1996 Apr 27;347(9009):1141-5 PMID: 8609748
  71. Carbohydrate restriction improves the features of Metabolic Syndrome. Metabolic Syndrome may be defined by the response to carbohydrate restriction.
    Nutr Metab (Lond). 2005 Nov 16;2:31 PMID: 16288655
  72. Prevention of dementia in randomised double-blind placebo-controlled Systolic Hypertension in Europe (Syst-Eur) trial.
    Lancet. 1998 Oct 24;352(9137):1347-51 PMID: 9802273
  73. Alzheimer's disease results from the cerebral accumulation and cytotoxicity of amyloid beta-protein.
    J Alzheimers Dis. 2001 Feb;3(1):75-80 PMID: 12214075
  74. Hyperinsulinemia and risk of Alzheimer disease.
    Neurology. 2004 Oct 12;63(7):1187-92 PMID: 15477536
  75. Alzheimer-like changes in rat models of spontaneous diabetes.
    Diabetes. 2007 Jul;56(7):1817-24 PMID: 17456849
  76. Mitochondrial dysfunction and oxidative stress in neurodegenerative diseases.
    Nature. 2006 Oct 19;443(7113):787-95 PMID: 17051205
  77. Separate effects of reduced carbohydrate intake and weight loss on atherogenic dyslipidemia.
    Am J Clin Nutr. 2006 May;83(5):1025-31; quiz 1205 PMID: 16685042
  78. Common pathological processes in Alzheimer disease and type 2 diabetes: a review.
    Brain Res Rev. 2007 Dec;56(2):384-402 PMID: 17920690
  79. Diminished glucose transport in Alzheimer's disease: dynamic PET studies.
    J Cereb Blood Flow Metab. 1991 Mar;11(2):323-30 PMID: 1997504
  80. The efficacy of Ginkgo biloba on cognitive function in Alzheimer disease.
    Arch Neurol. 1998 Nov;55(11):1409-15 PMID: 9823823
  81. Effect of gender on mitochondrial toxicity of Alzheimer's Abeta peptide.
    Antioxid Redox Signal. 2007 Oct;9(10):1677-90 PMID: 17822363
  82. Abeta-generating enzymes: recent advances in beta- and gamma-secretase research.
    Neuron. 2000 Sep;27(3):419-22 PMID: 11055423
  83. beta-Amyloid neurotoxicity in human cortical culture is not mediated by excitotoxins.
    J Neurochem. 1993 Oct;61(4):1565-8 PMID: 8377009
  84. Neuroprotective effects of green and black teas and their catechin gallate esters against beta-amyloid-induced toxicity.
    Eur J Neurosci. 2006 Jan;23(1):55-64 PMID: 16420415
  85. Insulin and neurodegenerative disease: shared and specific mechanisms.
    Lancet Neurol. 2004 Mar;3(3):169-78 PMID: 14980532
  86. Comparison of the Atkins, Zone, Ornish, and LEARN diets for change in weight and related risk factors among overweight premenopausal women: the A TO Z Weight Loss Study: a randomized trial.
    JAMA. 2007 Mar 7;297(9):969-77 PMID: 17341711
  87. Effects of banana, orange, and apple on oxidative stress-induced neurotoxicity in PC12 cells.
    J Food Sci. 2008 Mar;73(2):H28-32 PMID: 18298733
  88. Intrahippocampal administration of A beta(1-40) impairs spatial learning and memory in hyperglycemic mice.
    Neurobiol Learn Mem. 2007 May;87(4):483-94 PMID: 17241793
  89. Low carbohydrate diets improve atherogenic dyslipidemia even in the absence of weight loss.
    Nutr Metab (Lond). 2006 Jun 21;3:24 PMID: 16790045
  90. Mitochondrial abnormalities in Alzheimer brain: mechanistic implications.
    Ann Neurol. 2005 May;57(5):695-703 PMID: 15852400
  91. Insulin and cognitive function in an elderly population. The Rotterdam Study.
    Diabetes Care. 1997 May;20(5):792-5 PMID: 9135944
  92. Alcohol intake and risk of dementia.
    J Am Geriatr Soc. 2004 Apr;52(4):540-6 PMID: 15066068
  93. Will caloric restriction and folate protect against AD and PD?
    Neurology. 2003 Feb 25;60(4):690-5 PMID: 12601113
  94. Insulin degrading enzyme activity selectively decreases in the hippocampal formation of cases at high risk to develop Alzheimer's disease.
    Neurobiol Aging. 2007 Jun;28(6):824-30 PMID: 16769157
  95. Risk of dementia among persons with diabetes mellitus: a population-based cohort study.
    Am J Epidemiol. 1997 Feb 15;145(4):301-8 PMID: 9054233
  96. Flavonoids: antioxidants or signalling molecules?
    Free Radic Biol Med. 2004 Apr 1;36(7):838-49 PMID: 15019969
  97. Targeting of cell-surface beta-amyloid precursor protein to lysosomes: alternative processing into amyloid-bearing fragments.
    Nature. 1992 Jun 11;357(6378):500-3 PMID: 1608449
  98. A two-year study with fibrillar beta-amyloid (Abeta) immunization in aged canines: effects on cognitive function and brain Abeta.
    J Neurosci. 2008 Apr 2;28(14):3555-66 PMID: 18385314
  99. Effect of a low-carbohydrate, ketogenic diet program compared to a low-fat diet on fasting lipoprotein subclasses.
    Int J Cardiol. 2006 Jun 16;110(2):212-6 PMID: 16297472
  100. The curry spice curcumin reduces oxidative damage and amyloid pathology in an Alzheimer transgenic mouse.
    J Neurosci. 2001 Nov 1;21(21):8370-7 PMID: 11606625
  101. Vascular risk factors for incident Alzheimer disease and vascular dementia: the Cache County study.
    Alzheimer Dis Assoc Disord. 2006 Apr-Jun;20(2):93-100 PMID: 16772744
  102. The CNS effects of Ginkgo biloba extracts and ginkgolide B.
    Prog Neurobiol. 2002 Jun;67(3):235-57 PMID: 12169298
  103. Red wine micronutrients as protective agents in Alzheimer-like induced insult.
    Life Sci. 2003 Apr 11;72(21):2369-79 PMID: 12639702
  104. A diet enriched with the omega-3 fatty acid docosahexaenoic acid reduces amyloid burden in an aged Alzheimer mouse model.
    J Neurosci. 2005 Mar 23;25(12):3032-40 PMID: 15788759
  105. Epigallocatechin gallate (EGCG) suppresses beta-amyloid-induced neurotoxicity through inhibiting c-Abl/FE65 nuclear translocation and GSK3 beta activation.
    Neurobiol Aging. 2009 Jan;30(1):81-92 PMID: 17590240
  106. Insulin resistance syndrome predicts the risk of coronary heart disease and stroke in healthy middle-aged men: the 22-year follow-up results of the Helsinki Policemen Study.
    Arterioscler Thromb Vasc Biol. 2000 Feb;20(2):538-44 PMID: 10669654
  107. Cardiovascular and other risk factors for Alzheimer's disease and vascular dementia.
    Ann N Y Acad Sci. 2000 Apr;903:411-23 PMID: 10818532
  108. Mulberry leaf extract prevents amyloid beta-peptide fibril formation and neurotoxicity.
    Neuroreport. 2007 May 28;18(8):813-6 PMID: 17471072
  109. Projections of Alzheimer's disease in the United States and the public health impact of delaying disease onset.
    Am J Public Health. 1998 Sep;88(9):1337-42 PMID: 9736873
  110. Bilobalide and neuroprotection.
    Pharmacol Res. 2002 Dec;46(6):565-8 PMID: 12457632
  111. Comparison of low fat and low carbohydrate diets on circulating fatty acid composition and markers of inflammation.
    Lipids. 2008 Jan;43(1):65-77 PMID: 18046594
  112. Curcumin inhibits formation of amyloid beta oligomers and fibrils, binds plaques, and reduces amyloid in vivo.
    J Biol Chem. 2005 Feb 18;280(7):5892-901 PMID: 15590663
  113. SIRT1 protects against microglia-dependent amyloid-beta toxicity through inhibiting NF-kappaB signaling.
    J Biol Chem. 2005 Dec 2;280(48):40364-74 PMID: 16183991
  114. Utility of a short-term 25% carbohydrate diet on improving glycemic control in type 2 diabetes mellitus.
    J Am Coll Nutr. 1998 Dec;17(6):595-600 PMID: 9853539
  115. Deer browsing and population viability of a forest understory plant.
    Science. 2005 Feb 11;307(5711):920-2 PMID: 15705851
  116. Plants with traditional uses and activities, relevant to the management of Alzheimer's disease and other cognitive disorders.
    Phytother Res. 2003 Jan;17(1):1-18 PMID: 12557240
Article Info
Journal
Journal of neurochemistry
Abbr.
J Neurochem
ISSN
1471-4159
Published
2008-08-00
Epub
2008-00-03
Pages
1503-14
Language
English
Region
England
NLM ID
2985190R
PMCID
PMC2587074
Subset
IM
Grants
NIA NIH HHS · P01 AG002219 · United States
NIA NIH HHS · P01 AG002219-280010 · United States
NIA NIH HHS · AG02219 · United States
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