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Healthy dietary patterns, cognition and dementia risk: Current evidence and context

Lookup NU author(s): Dr Oliver ShannonORCiD, Professor John MathersORCiD, Professor Emma StevensonORCiD

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This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).


Abstract

© The Author(s), 2025. Published by Cambridge University Press on behalf of The Nutrition Society.Approximately 60 million individuals worldwide are currently living with dementia. As the median age of the world's population rises, the number of dementia cases is expected to increase markedly, and to affect ∼150 million individuals by 2050. This will create a huge and unsustainable economic and social burden across the globe. Although promising pharmacological treatment options for Alzheimer's disease - the most common cause of dementia - are starting to emerge, dementia prevention and risk reduction remain vital. In this review, we present evidence from large-scale epidemiological studies and randomised controlled trials to indicate that adherence to healthy dietary patterns could improve cognitive function and lower dementia risk. We outline potential systemic (e.g. improved cardiometabolic health, lower inflammation, modified gut microbiome composition/metabolism, slower pace of aging) and brain-specific (e.g. lower amyloid-β load, reduced brain atrophy and preserved cerebral microstructure and energetics) mechanisms of action. We also explore current gaps in our knowledge and outline potential directions for future research in this area. Our aim is to provide an update on current state of the knowledge, and to galvanise research on this important topic.


Publication metadata

Author(s): Shannon OM, Mathers JC, Stevenson E, Siervo M

Publication type: Review

Publication status: Published

Journal: Proceedings of the Nutrition Society

Year: 2025

Pages: epub ahead of print

Online publication date: 23/05/2025

Acceptance date: 02/04/2018

ISSN (print): 0029-6651

ISSN (electronic): 1475-2719

Publisher: Cambridge University Press

URL: https://doi.org/10.1017/S0029665125100050

DOI: 10.1017/S0029665125100050


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