Diet and Cognitive Development Flashcards

1
Q

What does dietary intake provide?

A
  • resources for the maintenance of central nervous system (CNS) activity (e.g. Energy) e.g. glucose and oxygen
  • precursors for the synthesis of neurotransmitters, e.g. tryptophan precursor of serotonin
  • vitamins & minerals that serve as essential co-factors in enzyme activity during synthesis
  • dietary fats that can affect properties of the nerve cell membranes
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2
Q

Smaller and thinner babies are more what compared to other children at 5 years?

A

Larger and fatter

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3
Q

What is the barker hypothesis?

A

low growth rates in utero and during infancy were associated with high death rates from cardiovascular disease in adulthood

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4
Q

Sub-optimal nutrition during intrauterine life can cause what?

A
  • birth weight 150 grams below average (most deprived)

- Rapid catch-up- increased levels of overweight and obesity at age 3 yr; and increased fat mass

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5
Q

What are epigenetics?

A

Something that changes genetic code

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6
Q

What can malnutrition during pregnancy lead to?

A
  • abnormal epigenetic status on metabolic gene – maladaptation – non-communicable disease (obesity, diabetes) = transgenerational epigenetic inheritance

(We are the product of no only mum but also grandmother – what she ate during pregnancy)

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7
Q

If pregnant women were in their 1st or 2nd trimester during the dutch famine study what happened?

A
  • Likely to be 8kg heavier later in life
  • obesity
  • Heart disease
  • CNS abnormalities
  • Schizophrenia
  • Addictions
  • Antisocial personality disorder
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8
Q

If pregnant women were in the 3rd trimester during the dutch famine study what happened?

A
  • IGT (impaired glucose tolerance)
  • T2DM (type 2 diabetes)
  • affective illness
  • Earlier menarche & - started periods younger
  • Reproduction – social
  • & psychological consequences
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9
Q

Is there an association between breast feeding and IQ?

A

Yes - about 5pt difference

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10
Q

What is sialic acid and why is it important?

A
  • Sialic acid is an essential component of brain gangliosides
  • Brain gangliosides, role in cell to cell interactions and synaptic connectivity
  • Studies in piglets show that a diet rich in sialic acid increases brain levels & learning-related gene expression
  • And has positive effect on learning & memory
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11
Q

What is the structural and functional role of PUFAs?

A

Neurotransmission and neurogenesis

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12
Q

Is there an association between DHA and IQ?

A

-5pt difference between breast and bottle fed infants (Anderson et al, 1999) – there are however other differences in mothers who do and do not breast feed in these studies –eg socio-economic, educational differences, less likely to return to work early – may be around more to offer environmental stimulation to the infant.

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13
Q

• DHA involved in the function of which neurotransmitters?

A

o Glutamate
o Acetylcholine
o Dopamine
o Serotonin

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14
Q

What are the main beneficial effects of DHA supplementation on infants?

A

Visual acuity and visual attention (also other cog tests)

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15
Q

What are some limitations of the Dolab study?

A
  • Told newspaper what they were going to find before they found it = not what usually happens
  • Makes some big leaps from mechanistic work to children (know there are effects on brain function – but not strong evidence for this effecting children’s cognition
  • fishing = doesn’t find effect on 359 so looks at data and when looking at worst 20% finds an effect on reading
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16
Q

What is the EFSA opinion on DHA?

A
  • DHA Contributes to the maintenance of normal brain function (250 mg/d).
  • DHA Contributes to the maintenance of normal vision (250 mg/d).
  • DHA + EPA Contributes to the maintenance of normal function of the heart (250 mg/d).
17
Q

What is PKU caused by?

A
  • when a person is unable to sufficiently metabolise Phenylalanine (Phe) into Tyrosine (Tyr).
  • phe accumulates in blood and leads to phe levels of 1.2 mm normal levels are 0.1
  • Concentration of tyr are low
18
Q

What do brain imaging studies show in PKU individuals?

A
  • hypomyelination in untreated (Don’t have insulation on axons of nerves)
  • Demyelinating in early treated – associated with high concurrent Phe levels
  • And this reduced following Phe reduction (with diet)
19
Q

What are some barriers to adherence of PKU treatment?

A
  • Strict dietary restriction (Low protein, limited range of foods)
  • Get medical food prescribed and a formula (1 – 2 litres a day of gloopy fluid containing amino acids, very bitter)
  • medical food and formula intake,
  • treatment costs covered in UK for diet
  • insufficient social and health-care provider support systems.
20
Q

Why is it so important to intake DHA from food sources?

A

Because humans have a limited capacity to biosynthesize DHA from ALA and EPA

21
Q

ALA-DHA biosynthesis is more efficient in who?

A
  • Pregnant women

- infants

22
Q

Greater fish intake (>1 per week) is associated with what?

A

– higher IQ score, verbal performance and visuospatial performance at 18 years

23
Q

higher maternal DHA and fetal-status during pregnant is an important determinant of …?

A
  • gestational length and intrauterine growth
24
Q

What other disorders are associated with blood DHA deficits?

A
  • ADHD and bipolar
25
Q

Is fatty acid treatment effective in treating ADHD?

A
  • modest but sig benefit over placebo
  • However, it remains to be established whether long-term supplementation is protective against initial development of ADHD
26
Q

Hoffman’s SR suggested that early treated adults with PKU showed deficits in what?

A
  • vigilance
  • WM
  • motor skills
27
Q

What does Hoffman suggest about the long-term cog outcomes of early and continuous management of PKU?

A
  • they remain unclear
28
Q

How is processing speed affected by individuals with PKU?

A
  • It is not uncommon for them to be slower, but they are not less accurate
29
Q

What is a limitation of studies on PKU individuals?

A
  • Samples are highly heterogeneous (e.g. varying degrees of dietary adherence)
  • mixed samples of on and off diet
  • difficult to recruit and retain large samples
30
Q

In Bilder (2016) meta-analysis, high Phe is associted with what?

A

increased prevalence of neuropsychiatric symptoms and executive functioning deficits