Impact of the MIND Diet on Cognition in Individuals with Dementia

J Alzheimers Dis. 2023;96(3):967-977. doi: 10.3233/JAD-230651.

Abstract

Background: Alzheimer's disease (AD) plagues 6.5 million Americans 65+, yet treatments are lacking. The Mediterranean-DASH Intervention for Neurodegenerative Delay (MIND) diet has been developed to address the expansive impact of dementias on the general public. This systematic review evaluated the impact of the MIND diet on cognition in those with pathologies across the dementia spectrum.

Objective: To evaluate the application of the MIND diet for prevention and/or treatment of dementia.

Methods: PubMed was used to conduct a search using the MIND diet and terms related to cognition. Articles were excluded if they were published prior to 2018, studied a population without dementia or significant risk factors, or did not include those 65 + . The overall quality of each source was analyzed based on the cognitive test(s) used, the selection of subjects, and the sample size.

Results: The search generated 33 papers, which yielded 11 articles after screening. Of these studies, one was conducted on those with mild cognitive impairment, one with AD, two with general dementia, and seven with at-risk individuals. All the studies found a positive correlation between adherence and some form of cognitive functioning, but results were mixed for specific cognitive domains.

Conclusions: These findings suggest that the MIND diet may be a useful long-term treatment option for those with various dementia pathologies. However, more research is needed on subjects with onset dementias. Additionally, there is a need for more research into the mechanisms behind the common comorbidities.

Keywords: Alzheimer’s disease; Mediterranean-DASH Intervention for Neurodegenerative Delay (MIND) diet; cognition; cognitive decline; dementia; global cognition score; nutrition.

Publication types

  • Systematic Review

MeSH terms

  • Alzheimer Disease*
  • Cognition
  • Cognition Disorders* / epidemiology
  • Cognitive Dysfunction*
  • Diet, Mediterranean*
  • Humans