Effects of almond consumption on the post-lunch dip and long-term cognitive function in energy-restricted overweight and obese adults

Br J Nutr. 2017 Feb;117(3):395-402. doi: 10.1017/S0007114516004463. Epub 2017 Feb 10.

Abstract

The post-lunch dip in cognition is a well-established phenomenon of decreased alertness, memory and vigilance after lunch consumption. Lunch composition reportedly influences the post-lunch dip. Moreover, dieting is associated with cognitive function impairments. The negative effects of dieting have been reversed with nut-supplemented diets. The aims of this study were to (1) evaluate the acute effect of an almond-enriched high-fat lunch or high-carbohydrate lunch on the post-lunch decline in cognitive function, and (2) evaluate the effects of chronic almond consumption as part of an energy-restricted diet on the memory and attention domains of cognitive function. In total, eighty-six overweight and obese adults were randomised to consume either an almond-enriched diet (AED) or a nut-free control diet (NFD) over a 12-week weight loss intervention. Participants were also randomised to receive either an almond-enriched high-fat lunch (A-HFL) (>55 % energy from fat, almonds contributing 70-75 % energy) or a high-carbohydrate lunch (HCL) (>85 % energy from carbohydrates) at the beginning and end of the weight loss intervention. Memory and attention performance indices decreased after lunch consumption (P<0·001). The A-HFL group ameliorated the decline in memory scores by 57·7 % compared with the HCL group (P=0·004). Both lunch groups had similar declines in attention. Moreover, memory and attention performance indices increased after the 12-week intervention period (P<0·05) with no difference between the AED and NFD groups. In conclusion, almond consumption at a midday meal can reduce the post-lunch dip in memory. However, long-term almond consumption may not further improve cognitive function outcomes in a weight loss intervention.

Keywords: A-HFL almond-enriched high-fat lunch group; AED almond-enriched diet; CP concentration performance; HCL high-carbohydrate lunch group; NFD nut-free diet; TN quantitative performance; TNE qualitative performance; VLR verbal list recognition; Almonds; Cognitive function; Energy restriction; Nuts; Post-lunch dip.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Attention
  • Caloric Restriction
  • Cognition*
  • Cognitive Dysfunction / diet therapy*
  • Cognitive Dysfunction / etiology
  • Diet
  • Dietary Carbohydrates / administration & dosage
  • Dietary Fats / administration & dosage
  • Energy Intake*
  • Female
  • Humans
  • Lunch*
  • Male
  • Memory
  • Middle Aged
  • Nuts*
  • Obesity / complications
  • Obesity / diet therapy
  • Obesity / psychology*
  • Overweight
  • Postprandial Period
  • Prunus dulcis*
  • Weight Loss / physiology
  • Young Adult

Substances

  • Dietary Carbohydrates
  • Dietary Fats