If apples, pistachios, cocoa and tea don’t show up often in your diet, consider incorporating them into your regular menu.
Thanks to their flavanol content, doing so can mitigate age-related memory loss. That’s according to new research from Columbia University and Brigham and Women’s Hospital, an affiliate of Harvard Medical School.
Here’s what to know about the study, plus the best foods to boost your daily flavanol intake.
What are flavanols?
Flavanols belong to the flavonoid family, a large group of more than 6,000 protective plant compounds found in fruits, vegetables and many other plant foods.
Specifically, you’ll find flavanols in apples, apricots, strawberries, peaches, plums, cocoa powder, dark chocolate, tea, pecans, pistachios and cinnamon.
It’s thought that flavanols benefit cognitive health by increasing the growth of neurons and blood vessels in the hippocampus, the region of the brain involved in learning and memory. (Neurons are specialized cells in the brain and nervous system which receive and transmit information.)
The U.S. Academy of Nutrition and Dietetics recommends consuming 400 to 600 mg of dietary flavonol, advice that’s largely based on evidence that suggests a flavanols help improve cardiometabolic health – e.g., blood pressure and cholesterol, triglyceride and glucose levels.
Normal cognitive aging
As we age our brain shrinks and there’s a decline in its receptors for neurotransmitters, chemicals that send messages from the brain to other body tissues. The number of synapses, the places where neurons connect and communicate with each other, also decrease.
These age-related changes contribute to minor cognitive deficits in memory, processing speed, attention, reasoning, planning, problem solving and multitasking.
About the new research
The randomized controlled trial, published May 29 in the journal Proceedings of the National Academy of Sciences, set out to determine if flavanols lessen age-related memory decline in healthy older adults.
The study, called COSMOS-Web, assigned 3,562 participants, average age 71, to receive a daily 500 mg cocoa flavanol supplement or a placebo pill for three years. COSMOS stands for COcoa Supplement and Multivitamin Outcomes Study.
At the beginning of the trial all participants completed a survey that assessed the quality of their usual diet.
They also performed a series of web-based cognitive tests designed to detect short-term memory loss from normal aging. Cognitive tests were repeated every year for the duration of the study.
Overall, memory scores improved only slightly for the group taking flavanol supplements. When the researchers considered diet quality, however, memory scores varied.
After year one of flavanol supplementation, participants with low diet quality scores saw their memory scores increase by 10 per cent compared to the placebo group and 16 per cent compared to their baseline cognitive score.
These improvements, albeit modest, were sustained for the remainder of the study.
Taking flavanol supplements did not improve short-term memory in people who had higher diet quality scores and were already consuming lots of flavanols.
These findings, which build on past studies linking flavanols to healthy brain aging, suggest that a low-flavanol diet might drive age-related memory loss.
They also support the notion that, just as certain nutrients are vital for a developing brain, specific nutrients also strengthen an aging brain.
This trial is notable for its large size and long duration. Study participants were predominately white and highly educated, so the findings may not be applicable to different people.
Eat these foods to get your daily flavanols
You don’t need to rely on a supplement to get 500 mg of flavanols each day.
Doing so is very achievable through diet. Plus, flavanol-rich foods come packed with other protective nutrients and phytochemicals.
Consider that an eight-ounce cup of green tea delivers 332 mg of flavanols; eight ounces of black tea contains 273 mg.
A medium-sized Red Delicious apple has 271 mg of flavanols, one cup of sliced strawberries serves up 236 mg, two plums have 291 mg and a medium-sized peach has 104 mg.
You’ll find 237 mg of flavanols in one-quarter cup of pistachios (49 kernels) and 123 mg in one-quarter cup of pecan halves.
One half-teaspoon of cinnamon contains 105 mg of flavanols and one tablespoon of unsweetened cocoa powder has 75 mg.
Don’t count on dark chocolate to get your daily flavanols, though.
Chocolate with higher percentages of cocoa solids do have higher amounts of flavanols. But even dark chocolate bars with a higher per cent of cocoa solids can have varying levels of flavanols.
That’s because cocoa flavanols are often destroyed by a number of steps in cocoa processing. As a result, the flavanol content of dark chocolate can vary considerably. Sorry to disappoint.
Leslie Beck, a Toronto-based private practice dietitian, is director of food and nutrition at Medcan. Follow her on Twitter @LeslieBeckRD
HALIFAX – The Nova Scotia government says it could be months before it reveals how many people are on the wait-list for a family doctor.
The head of the province’s health authority told reporters Wednesday that the government won’t release updated data until the 160,000 people who were on the wait-list in June are contacted to verify whether they still need primary care.
Karen Oldfield said Nova Scotia Health is working on validating the primary care wait-list data before posting new numbers, and that work may take a matter of months. The most recent public wait-list figures are from June 1, when 160,234 people, or about 16 per cent of the population, were on it.
“It’s going to take time to make 160,000 calls,” Oldfield said. “We are not talking weeks, we are talking months.”
The interim CEO and president of Nova Scotia Health said people on the list are being asked where they live, whether they still need a family doctor, and to give an update on their health.
A spokesperson with the province’s Health Department says the government and its health authority are “working hard” to turn the wait-list registry into a useful tool, adding that the data will be shared once it is validated.
Nova Scotia’s NDP are calling on Premier Tim Houston to immediately release statistics on how many people are looking for a family doctor. On Tuesday, the NDP introduced a bill that would require the health minister to make the number public every month.
“It is unacceptable for the list to be more than three months out of date,” NDP Leader Claudia Chender said Tuesday.
Chender said releasing this data regularly is vital so Nova Scotians can track the government’s progress on its main 2021 campaign promise: fixing health care.
The number of people in need of a family doctor has more than doubled between the 2021 summer election campaign and June 2024. Since September 2021 about 300 doctors have been added to the provincial health system, the Health Department said.
“We’ll know if Tim Houston is keeping his 2021 election promise to fix health care when Nova Scotians are attached to primary care,” Chender said.
This report by The Canadian Press was first published Sept. 11, 2024.
ST. JOHN’S, N.L. – Newfoundland and Labrador‘s chief medical officer is monitoring the rise of whooping cough infections across the province as cases of the highly contagious disease continue to grow across Canada.
Dr. Janice Fitzgerald says that so far this year, the province has recorded 230 confirmed cases of the vaccine-preventable respiratory tract infection, also known as pertussis.
Late last month, Quebec reported more than 11,000 cases during the same time period, while Ontario counted 470 cases, well above the five-year average of 98. In Quebec, the majority of patients are between the ages of 10 and 14.
Meanwhile, New Brunswick has declared a whooping cough outbreak across the province. A total of 141 cases were reported by last month, exceeding the five-year average of 34.
The disease can lead to severe complications among vulnerable populations including infants, who are at the highest risk of suffering from complications like pneumonia and seizures. Symptoms may start with a runny nose, mild fever and cough, then progress to severe coughing accompanied by a distinctive “whooping” sound during inhalation.
“The public, especially pregnant people and those in close contact with infants, are encouraged to be aware of symptoms related to pertussis and to ensure vaccinations are up to date,” Newfoundland and Labrador’s Health Department said in a statement.
Whooping cough can be treated with antibiotics, but vaccination is the most effective way to control the spread of the disease. As a result, the province has expanded immunization efforts this school year. While booster doses are already offered in Grade 9, the vaccine is now being offered to Grade 8 students as well.
Public health officials say whooping cough is a cyclical disease that increases every two to five or six years.
Meanwhile, New Brunswick’s acting chief medical officer of health expects the current case count to get worse before tapering off.
A rise in whooping cough cases has also been reported in the United States and elsewhere. The Pan American Health Organization issued an alert in July encouraging countries to ramp up their surveillance and vaccination coverage.
This report by The Canadian Press was first published Sept. 10, 2024.
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