Generic placeholder image

CNS & Neurological Disorders - Drug Targets

Editor-in-Chief

ISSN (Print): 1871-5273
ISSN (Online): 1996-3181

Meta-Analysis

The Potential Effect of Blueberry on Cognitive Health and Mood State based on Human Intervention Studies: Systematic Review and Mini Meta-Analysis

Author(s): Neda Soveid, Bahareh Barkhidarian, Sajjad Moradi, Fatemeh Gholami, Niloufar Rasaei, Hubertus Himmerich and Khadijeh Mirzaei*

Volume 22, Issue 7, 2023

Published on: 26 September, 2022

Page: [1090 - 1101] Pages: 12

DOI: 10.2174/1871527321666220608085852

open access plus

Abstract

Background: Blueberries are known for their high content of several bioactive compounds, specifically anthocyanin, which are the most beneficial of the flavonoid family in terms of neuroprotection. Several human interventional studies have been conducted to assess the effects of blueberry intake on cognitive performance; however, the results of clinical trials are inconclusive. Therefore, this systematic review and meta-analysis evaluated the effect of blueberry supplementation on some aspects of cognitive performance and mood parameters using data from clinical trials based on existing evidence.

Methods: Relevant studies, published in April 2021, were searched through PubMed/Medline, Scopus, Embase, and Google Scholar. The random effect size was used to estimate the pooled effect size. Heterogeneity between studies was evaluated by the Cochrane Q test and I-squared (I2). To detect the potential source of heterogeneity, a subgroup analysis was conducted.

Results: Fourteenrandomized trials were included in the quantitative analysis, and six were pooled for statistical analysis. Blueberry intervention resulted in no significant change in mood state score (WMD = 0.03; 95% CI: -0.80 to 0.87, P = 0.16). Moreover, no significant effect of blueberry intake was shown in attention task reaction time (WMD = -1.50 ms; 95% CI: -24.75 to -21.75, P = 0.9), percentages of attention task accuracy (WMD = 0.85; 95% CI: -2.57 to 0.86, P = 0.3), one-back test accuracy (WMD = 0.03; 95% CI: -0.04 to 0.09, P = 0.4). Significant effect was indicated (WMD = 0.08; 95% CI: 0.02 to 0.13, P = 0.005) in two-back test accuracy.

Conclusion: We found a significant effect of blueberry consumption on two-back test accuracy as a cognitive outcome. More high-quality clinical trials according to the challenges mentioned seem to indicate the use of blueberry as a supplement for cognitive and mood health efficiently.

Keywords: Blueberry, anthocyanin, cognition, mood, intervention, human.

[1]
Kent K, Charlton K, Roodenrys S, et al. Consumption of anthocyanin-rich cherry juice for 12 weeks improves memory and cognition in older adults with mild-to-moderate dementia. Eur J Nutr 2017; 56(1): 333-41.
[http://dx.doi.org/10.1007/s00394-015-1083-y] [PMID: 26482148]
[2]
Spencer JPE. Flavonoids: Modulators of brain function? British Journal of Nutrition 2008; 99(E-S1): 60-77.
[http://dx.doi.org/10.1017/S0007114508965776]
[3]
Bell L, Lamport DJ, Butler LT, Williams CM. A review of the cognitive effects observed in humans following acute supplementation with flavonoids, and their associated mechanisms of action. Nutrients 2015; 7(12): 10290-306.
[http://dx.doi.org/10.3390/nu7125538] [PMID: 26690214]
[4]
Spencer JP. The impact of fruit flavonoids on memory and cognition. Br J Nutr 2010; 104(S3): S40-7.
[http://dx.doi.org/10.1017/S0007114510003934] [PMID: 20955649]
[5]
Joseph SV, Edirisinghe I, Burton-Freeman BM. Berries: Anti-inflammatory effects in humans. J Agric Food Chem 2014; 62(18): 3886-903.
[http://dx.doi.org/10.1021/jf4044056] [PMID: 24512603]
[6]
Whyte AR, Cheng N, Butler LT, Lamport DJ, Williams CM. Flavonoid-rich mixed berries maintain and improve cognitive function over a 6 h period in young healthy adults. Nutrients 2019; 11(11): E2685.
[http://dx.doi.org/10.3390/nu11112685] [PMID: 31698695]
[7]
Travica N, D’Cunha NM, Naumovski N, et al. The effect of blueberry interventions on cognitive performance and mood: A systematic review of randomized controlled trials. Brain Behav Immun 2020; 85: 96-105.
[http://dx.doi.org/10.1016/j.bbi.2019.04.001] [PMID: 30999017]
[8]
Fisk J, Khalid S, Reynolds SA, Williams CM. Effect of 4 weeks daily wild blueberry supplementation on symptoms of depression in adolescents. Br J Nutr 2020; 1-8.
[http://dx.doi.org/10.1017/S0007114520000926] [PMID: 32151287]
[9]
Barfoot KL, May G, Lamport DJ, Ricketts J, Riddell PM, Williams CM. The effects of acute wild blueberry supplementation on the cognition of 7-10-year-old schoolchildren. Eur J Nutr 2019; 58(7): 2911-20.
[http://dx.doi.org/10.1007/s00394-018-1843-6] [PMID: 30327868]
[10]
Schrager MA, Hilton J, Gould R, Kelly VE. Effects of blueberry supplementation on measures of functional mobility in older adults. Appl Physiol Nutr Metab 2015; 40(6): 543-9.
[http://dx.doi.org/10.1139/apnm-2014-0247] [PMID: 25909473]
[11]
McNamara RK, Kalt W, Shidler MD, et al. Cognitive response to fish oil, blueberry, and combined supplementation in older adults with subjective cognitive impairment. Neurobiol Aging 2018; 64: 147-56.
[http://dx.doi.org/10.1016/j.neurobiolaging.2017.12.003] [PMID: 29458842]
[12]
Whyte AR, Cheng N, Fromentin E, Williams CM. A randomized, double-blinded, placebo-controlled study to compare the safety and efficacy of low dose enhanced wild blueberry powder and wild blueberry extract (ThinkBlue™) in maintenance of episodic and working memory in older adults. Nutrients 2018; 10(6): 660.
[http://dx.doi.org/10.3390/nu10060660] [PMID: 29882843]
[13]
Picot J, Hartwell D, Harris P, Mendes D, Clegg A, Takeda A. The preferred reporting items for systematic reviews and meta-analyses checklistthe effectiveness of interventions to treat severe acute malnutrition in young children: A systematic review. Health Technol Assess 2012; 16(9): 1-316.
[14]
Higgins J, Green S, Appendix F. Cochrane risk of bias tool: A revised tool for assessing risk of bias in randomized trials Cochrane. BMJ 2011; 2011: 343.
[15]
Miller MG, Hamilton DA, Joseph JA, Shukitt-Hale B. Dietary blueberry improves cognition among older adults in a randomized, double-blind, placebo-controlled trial. Eur J Nutr 2018; 57(3): 1169-80.
[http://dx.doi.org/10.1007/s00394-017-1400-8] [PMID: 28283823]
[16]
Khalid S, Barfoot KL, May G, Lamport DJ, Reynolds SA, Williams CM. Effects of acute blueberry flavonoids on mood in children and young adults. Nutrients 2017; 9(2): 158.
[http://dx.doi.org/10.3390/nu9020158] [PMID: 28230732]
[17]
Bowtell JL, Aboo-Bakkar Z, Conway ME, Adlam AR, Fulford J. Enhanced task-related brain activation and resting perfusion in healthy older adults after chronic blueberry supplementation. Appl Physiol Nutr Metab 2017; 42(7): 773-9.
[http://dx.doi.org/10.1139/apnm-2016-0550] [PMID: 28249119]
[18]
Boespflug EL, Eliassen JC, Dudley JA, et al. Enhanced neural activation with blueberry supplementation in mild cognitive impairment. Nutr Neurosci 2018; 21(4): 297-305.
[http://dx.doi.org/10.1080/1028415X.2017.1287833] [PMID: 28221821]
[19]
Whyte AR, Schafer G, Williams CM. The effect of cognitive demand on performance of an executive function task following wild blueberry supplementation in 7 to 10 years old children. Food Funct 2017; 8(11): 4129-38.
[http://dx.doi.org/10.1039/C7FO00832E] [PMID: 29026903]
[20]
Whyte AR, Schafer G, Williams CM. Cognitive effects following acute wild blueberry supplementation in 7- to 10-year-old children. Eur J Nutr 2016; 55(6): 2151-62.
[http://dx.doi.org/10.1007/s00394-015-1029-4] [PMID: 26437830]
[21]
Whyte AR, Williams CM. Effects of a single dose of a flavonoid-rich blueberry drink on memory in 8 to 10 y old children. Nutrition 2015; 31(3): 531-4.
[http://dx.doi.org/10.1016/j.nut.2014.09.013] [PMID: 25701345]
[22]
Krikorian R, Shidler MD, Nash TA, et al. Blueberry supplementation improves memory in older adults. J Agric Food Chem 2010; 58(7): 3996-4000.
[http://dx.doi.org/10.1021/jf9029332] [PMID: 20047325]
[23]
McKenzie J, Brennan S, Ryan R, Thomson H, Johnston R, Thomas J. Cochrane handbook for systematic reviews of interventions version 62. Cochrane Train. 2021. Available from https://training.cochrane.org/handbook
[24]
Canetti L, Bachar E, Berry EM. Food and emotion. Behav Processes 2002; 60(2): 157-64.
[http://dx.doi.org/10.1016/S0376-6357(02)00082-7] [PMID: 12426067]
[25]
Qiao-Tasserit E, Garcia Quesada M, Antico L, Bavelier D, Vuilleumier P, Pichon S. Transient emotional events and individual affective traits affect emotion recognition in a perceptual decision-making task. PLoS One 2017; 12(2): e0171375.
[http://dx.doi.org/10.1371/journal.pone.0171375] [PMID: 28151976]
[26]
Benton D, Nabb S. Carbohydrate, memory, and mood. Nutr Rev 2003; 61(5 Pt 2) (Suppl. 5): S61-7.
[http://dx.doi.org/10.1301/nr.2003.may.S61-S67] [PMID: 12828194]
[27]
Miller K, Feucht W, Schmid M. Bioactive compounds of strawberry and blueberry and their potential health effects based on human intervention studies: A brief overview. Nutrients 2019; 11(7): 1510.
[http://dx.doi.org/10.3390/nu11071510] [PMID: 31269727]
[28]
Balentine DA, Dwyer JT, Erdman JW Jr, et al. Recommendations on reporting requirements for flavonoids in research. Am J Clin Nutr 2015; 101(6): 1113-25.
[http://dx.doi.org/10.3945/ajcn.113.071274] [PMID: 25854881]
[29]
Scholey AB, Harper S, Kennedy DO. Cognitive demand and blood glucose. Physiol Behav 2001; 73(4): 585-92.
[http://dx.doi.org/10.1016/S0031-9384(01)00476-0] [PMID: 11495663]
[30]
Potì F, Santi D, Spaggiari G, Zimetti F, Zanotti I. Polyphenol health effects on cardiovascular and neurodegenerative disorders: A review and meta-analysis. Int J Mol Sci 2019; 20(2): 351.
[http://dx.doi.org/10.3390/ijms20020351] [PMID: 30654461]
[31]
Wingenfeld K, Wolf OT. Effects of cortisol on cognition in major depressive disorder, posttraumatic stress disorder and borderline personality disorder - 2014 Curt Richter Award Winner. Psychoneuroendocrinology 2015; 51: 282-95.
[http://dx.doi.org/10.1016/j.psyneuen.2014.10.009] [PMID: 25462901]
[32]
Song M, Martinowich K, Lee FS. BDNF at the synapse: Why location matters. Mol Psychiatry 2017; 22(10): 1370-5.
[http://dx.doi.org/10.1038/mp.2017.144] [PMID: 28937692]
[33]
Williams CM, El Mohsen MA, Vauzour D, et al. Blueberry-induced changes in spatial working memory correlate with changes in hippocampal CREB phosphorylation and brain-derived neurotrophic factor (BDNF) levels. Free Radic Biol Med 2008; 45(3): 295-305.
[http://dx.doi.org/10.1016/j.freeradbiomed.2008.04.008] [PMID: 18457678]
[34]
Bakoyiannis I, Daskalopoulou A, Pergialiotis V, Perrea D. Phytochemicals and cognitive health: Are flavonoids doing the trick? Biomed Pharmacother 2019; 109: 1488-97.
[http://dx.doi.org/10.1016/j.biopha.2018.10.086] [PMID: 30551400]

Rights & Permissions Print Cite
© 2024 Bentham Science Publishers | Privacy Policy