The effect of metabolic health and nutrition on cognitive function in children and adolescents
Sarah M. Rice
Sarah M. Rice
© 2023 Sarah M. Rice. All rights reserved.
This presentation formed part of a masterclass series following my certification as a Nutrition Network Practitioner (medical pathway) in 2022. This presentation extracts elements from my final narrative review paper, giving an overview of nutritional and metabolic factors influencing brain development and function and how these factors carry forward into adulthood. This presentation is currently available on YouTube (about 45 minutes) or as carousel slideshows below.
● Concept of cognitive function and cognitive reserve
● The role of nutrition in supporting brain development and function
● How metabolic health and nutrition can affect brain development and function – the effect of maternal metabolic health, obesity, dysglycaemia, type 1 diabetes, ASD and ADHD on brain structure and function
● The effect of nutrition on healthy children
● References (will be provided)
© 2023 Sarah M. Rice. All rights reserved.
© 2023 Sarah M. Rice. All rights reserved.
© 2023 Sarah M. Rice. All rights reserved.
© 2023 Sarah M. Rice. All rights reserved.
© 2023 Sarah M. Rice. All rights reserved.
© 2023 Sarah M. Rice. All rights reserved.
© 2023 Sarah M. Rice. All rights reserved.
Section 7. Epilepsy
An updated handout on Autism Spectrum Disorder and ADHD is available here.
Due to time constraints, a detailed discussion on epilepsy was excluded. Numerous studies spanning over 100 years of research reflect the efficacy of ketogenic diet therapy for treatment-resistant epilepsy, and the benefits can extend to behaviour, mood, and sleep improvements. See the scientific reference resource (neurology) for additional references that support this.
© 2023 Sarah M. Rice. All rights reserved.
Contents
1. Neurocognitive function and reserve
2. Maternal Metabolic Health
3. The first 1000 days
4. Obesity
5. Type 1 Diabetes
6. ASD and ADHD
7. Epilepsy
8. Metabolically resilient?
1. Neurocognitive function
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Corkins, M., Golden, N.H., Kim, J.H., Lindsey, C.W. and Magge, S.N. (2018)
‘Advocacy for Improving Nutrition in the First 1000 Days to Support Childhood
Development and Adult Health’, Pediatrics, 141(2), p. e20173716. Available at:
https://doi.org/10.1542/peds.2017-3716.
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6. Hennessy, Á., McCarthy, E.K., ní Chaoimh, C., Murray, D.M. and Kiely, M. (2023)
‘Poor quality diets characterised by low nutrient density foods observed in
one-quarter of 2-year-olds in a high resource setting.’, The Journal of Nutrition
[Preprint]. Available at: https://doi.org/10.1016/j.tjnut.2023.06.029.
7. https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight
2. Maternal Metabolic Health
1. Rivera, H.M., Christiansen, K.J. and Sullivan, E.L. (2015) ‘The role of maternal
obesity in the risk of neuropsychiatric disorders’, Frontiers in Neuroscience, 9.
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gestational diabetes mellitus, and diet in association with neurodevelopment of
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Prepregnancy Obesity on Breast Milk Fatty Acids and the Relationship of Breast
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14. Chudoba, C., Wardelmann, K. and Kleinridders, A. (2019) ‘Molecular effects of
dietary fatty acids on brain insulin action and mitochondrial function’, Biological
Chemistry, 400(8), pp. 991–1003. Available at:
https://doi.org/10.1515/hsz-2018-0477.
15. Agrawal, R. and Gomez-Pinilla, F. (2012) ‘“Metabolic syndrome” in the brain:
deficiency in omega-3 fatty acid exacerbates dysfunctions in insulin receptor
signalling and cognition’, The Journal of Physiology, 590(Pt 10), pp. 2485–2499.
Available at: https://doi.org/10.1113/jphysiol.2012.230078.
16. Schwarzenberg, S.J., Georgieff, M.K., COMMITTEE ON NUTRITION, Daniels, S.,
Corkins, M., Golden, N.H., Kim, J.H., Lindsey, C.W. and Magge, S.N. (2018)
‘Advocacy for Improving Nutrition in the First 1000 Days to Support Childhood
Development and Adult Health’, Pediatrics, 141(2), p. e20173716. Available at:
https://doi.org/10.1542/peds.2017-3716.
17. Londoño-Sierra, D.C., Mesa, V., Guzmán, N.C., Bolívar Parra, L.,
Montoya-Campuzano, O.I. and Restrepo-Mesa, S.L. (2023) ‘Maternal Diet May
Modulate Breast Milk Microbiota—A Case Study in a Group of Colombian
Women’, Microorganisms, 11(7), p. 1812. Available at:
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18. Streit F, Prandovszky E, Send T, Zillich L, Frank J, Sabunciyan S, Foo J, Sirignano L,
Lange B, Bardtke S, Hatfield G, Witt SH, Gilles M, Rietschel M, Deuschle M, Yolken
R. Microbiome profiles are associated with cognitive functioning in
45-month-old children. Brain Behav Immun. 2021 Nov;98:151-160. doi:
10.1016/j.bbi.2021.08.001. Epub 2021 Aug 6. PMID: 34371134.
19. Carlson, A.L., Xia, K., Azcarate-Peril, M.A., Goldman, B.D., Ahn, M., Styner, M.A.,
Thompson, A.L., Geng, X., Gilmore, J.H. and Knickmeyer, R.C. (2018) ‘Infant Gut
Microbiome Associated With Cognitive Development’, Biological Psychiatry,
83(2), pp. 148–159. Available at:
https://doi.org/10.1016/j.biopsych.2017.06.021.
20. Paquette, A.F., Carbone, B.E., Vogel, S., Israel, E., Maria, S.D., Patil, N.P., Sah, S.,
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Hondmann, D., Pandey, N. and Biederer, T. (2023) ‘The human milk component
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21. Dearden, L. and Ozanne, S.E. (2023) ‘Early life impacts of maternal obesity: a
window of opportunity to improve the health of two generations’, Philosophical
Transactions of the Royal Society B: Biological Sciences, 378(1885), p. 20220222.
Available at: https://doi.org/10.1098/rstb.2022.0222.
22. Nutrition Network - Professional Training in Women’s Health ;
https://courses.nutrition-network.org/p/womens-health
3. The First 1000 days
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(2014) ‘Animal source foods have a positive impact on the primary school test
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9. Agrawal, R. and Gomez-Pinilla, F. (2012) ‘“Metabolic syndrome” in the brain:
deficiency in omega-3 fatty acid exacerbates dysfunctions in insulin receptor
signalling and cognition’, The Journal of Physiology, 590(Pt 10), pp. 2485–2499.
Available at: https://doi.org/10.1113/jphysiol.2012.230078.
10. Hennessy, Á., McCarthy, E.K., ní Chaoimh, C., Murray, D.M. and Kiely, M. (2023)
‘Poor quality diets characterised by low nutrient density foods observed in
one-quarter of 2-year-olds in a high resource setting.’, The Journal of Nutrition
[Preprint]. Available at: https://doi.org/10.1016/j.tjnut.2023.06.029.
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4. Obesity
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16. Carlson, A.L., Xia, K., Azcarate-Peril, M.A., Goldman, B.D., Ahn, M., Styner, M.A.,
Thompson, A.L., Geng, X., Gilmore, J.H. and Knickmeyer, R.C. (2018) ‘Infant Gut
Microbiome Associated With Cognitive Development’, Biological Psychiatry,
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27. Krebs, N.F. et al. (2010) ‘Efficacy and safety of a high protein, low carbohydrate
diet for weight loss in severely obese adolescents’, The Journal of Pediatrics,
157(2), pp. 252–258. Available at: https://doi.org/10.1016/j.jpeds.2010.02.010.
28. Cakmak, H.M. et al. (2021) ‘Clinical Picture at Attendance and Response to
Flexible FamilyBased Low-Carb Life Style Change in Children With Obesity’,
International Journal of Child Health and Nutrition, 10(1), pp. 9–16. Available at:
https://doi.org/10.6000/1929-4247.2021.10.01.2.
29. Partsalaki, I., Karvela, A. and Spiliotis, B.E. (2012) ‘Metabolic impact of a
ketogenic diet compared to a hypocaloric diet in obese children and adolescents’,
Journal of pediatric endocrinology & metabolism: JPEM, 25(7–8), pp. 697–704.
Available at: https://doi.org/10.1515/jpem-2012-0131.
30. Huang, T. et al. (2015) ‘Effects of an obesity intervention program on cognitive
function in children: A randomized controlled trial’, Obesity, 23(10), pp.
2101–2108. Available at: https://doi.org/10.1002/oby.21209.
31. Vantieghem, S. et al. (2018) ‘Improved cognitive functioning in obese adolescents
after a 30-week inpatient weight loss program’, Pediatric Research, 84(2), pp.
267–271. Available at: https://doi.org/10.1038/s41390-018-0047-3.
32. Benton, D., Maconie, A. and Williams, C. (2007) ‘The influence of the glycaemic
load of breakfast on the behaviour of children in school’, Physiology & Behavior,
92(4), pp. 717–724. Available at:
https://doi.org/10.1016/j.physbeh.2007.05.065.
33. Halyburton, A.K. et al. (2007) ‘Low- and high-carbohydrate weight-loss diets have
similar effects on mood but not cognitive performance’, The American Journal of
Clinical Nutrition, 86(3), pp. 580–587. Available at:
https://doi.org/10.1093/ajcn/86.3.580.
34. Mujica-Parodi, L.R., Amgalan, A., Sultan, S.F., Antal, B., Sun, X., Skiena, S., Lithen, A.,
Adra, N., Ratai, E.-M., Weistuch, C., Govindarajan, S.T., Strey, H.H., Dill, K.A.,
Stufflebeam, S.M., Veech, R.L. and Clarke, K. (2020) ‘Diet modulates brain
network stability, a biomarker for brain aging, in young adults’, Proceedings of
the National Academy of Sciences, 117(11), pp. 6170–6177. Available at:
https://doi.org/10.1073/pnas.1913042117.
35. Hilger, K. et al. (2020) ‘Temporal stability of functional brain modules associated
with human intelligence’, Human Brain Mapping, 41(2), pp. 362–372. Available
at: https://doi.org/10.1002/hbm.24807.
36. Hallböök, T. et al. (2012) ‘The effects of the ketogenic diet on behavior and
cognition’, Epilepsy Research, 100(3), pp. 304–309. Available at:
https://doi.org/10.1016/j.eplepsyres.2011.04.017.
37. Berkel, A.A. van, IJff, D.M. and Verkuyl, J.M. (2018) ‘Cognitive benefits of the
ketogenic diet in patients with epilepsy: A systematic overview’, Epilepsy &
Behavior, 87, pp. 69–77. Available at:
https://doi.org/10.1016/j.yebeh.2018.06.004.
5. Type 1 Diabetes
1. Mazaika, P.K., Weinzimer, S.A., Mauras, N., Buckingham, B., White, N.H., Tsalikian,
E., Hershey, T., Cato, A., Aye, T., Fox, L., Wilson, D.M., Tansey, M.J., Tamborlane, W.,
Peng, D., Raman, M., Marzelli, M. and Reiss, A.L. (2016) ‘Variations in Brain
Volume and Growth in Young Children With Type 1 Diabetes’, Diabetes, 65(2), pp.
476–485. Available at: https://doi.org/10.2337/db15-1242.
2. Marzelli, M.J., Mazaika, P.K., Barnea-Goraly, N., Hershey, T., Tsalikian, E.,
Tamborlane, W., Mauras, N., White, N.H., Buckingham, B., Beck, R.W., Ruedy, K.J.,
Kollman, C., Cheng, P., Reiss, A.L. and for the Diabetes Research in Children
Network (DirecNet) (2014) ‘Neuroanatomical Correlates of Dysglycemia in
Young Children With Type 1 Diabetes’, Diabetes, 63(1), pp. 343–353. Available at:
https://doi.org/10.2337/db13-0179.
3. Arbelaez, A.M., Semenkovich, K. and Hershey, T. (2013) ‘Glycemic extremes in
youth with T1DM: Effects on the developing brain’s structural and functional
integrity’, Pediatric diabetes, 14(8), p. 10.1111/pedi.12088. Available at:
https://doi.org/10.1111/pedi.12088.
4. He, J. et al. (2018) ‘Glycemic extremes are related to cognitive dysfunction in
children with type 1 diabetes: A meta-analysis’, Journal of Diabetes Investigation,
9(6), pp. 1342–1353. Available at: https://doi.org/10.1111/jdi.12840.
5. Salah, N.Y., Taha, S.I., Hassan, S., Abdeen, M.S.E., Hashim, M.A. and Mahmoud, R.
(2022) ‘Metabolism and memory: α-synuclein level in children with obesity and
children with type 1 diabetes; relation to glucotoxicity, lipotoxicity and executive
July 2023 Top p 9
functions’, International Journal of Obesity, pp. 1–10. Available at:
https://doi.org/10.1038/s41366-022-01222-z.
6. Bernal-Conde LD, Ramos-Acevedo R, Reyes-Hernández MA, Balbuena-Olvera AJ,
Morales-Moreno ID, Argüero-Sánchez R, Schüle B, Guerra-Crespo M.
Alpha-synuclein physiology and pathology: A perspective on cellular structures
and organelles. Frontiers in Neuroscience. 2020 Jan 23;13:1399.
7. https://www.frontiersin.org/articles/10.3389/fnins.2019.01399/full
8. Sriwimol W, Limprasert P. “Significant Changes in Plasma Alpha-Synuclein and
Beta-Synuclein Levels in Male Children with Autism Spectrum Disorder”, BioMed
Research International. 2018; 4503871.
https://doi.org/10.1155/2018/4503871.
9. Lennerz, B.S., Barton, A., Bernstein, R.K., Dikeman, R.D., Diulus, C., Hallberg, S.,
Rhodes, E.T., Ebbeling, C.B., Westman, E.C., Yancy, W.S. and Ludwig, D.S. (2018)
‘Management of Type 1 Diabetes With a Very Low-Carbohydrate Diet’, Pediatrics,
141(6). Available at: https://doi.org/10.1542/peds.2017-3349.
10. MD, R.K.B. (2011) Dr. Bernstein’s Diabetes Solution: The Complete Guide to
Achieving Normal Blood Sugars. Revised edition. New York: Little, Brown Spark.
11. Type one grit traces from Dave Dikeman/Typeonegrit, with permission
12. Harray, A.J., Roberts, A.G., Crosby, N.E., Shoneye, C. and Bebbington, K. (2023)
‘Experiences and Attitudes of Parents Reducing Carbohydrate Intake in the
Management of Their Child’s Type 1 Diabetes: A Qualitative Study’, Nutrients,
15(7), p. 1666. Available at: https://doi.org/10.3390/nu15071666.
13. Reiss, A.L. et al. (2022) ‘A Pilot randomized trial to examine effects of a hybrid
closed-loop insulin delivery system on neurodevelopmental and cognitive
outcomes in adolescents with type 1 diabetes’, Nature Communications, 13(1), p.
4940. Available at: https://doi.org/10.1038/s41467-022-32289-x.
14. He, J. et al. (2018) ‘Glycemic extremes are related to cognitive dysfunction in
children with type 1 diabetes: A meta-analysis’, Journal of Diabetes Investigation,
9(6), pp. 1342–1353. Available at: https://doi.org/10.1111/jdi.12840.
15. McNally, K. et al. (2010) ‘Executive Functioning, Treatment Adherence, and
Glycemic Control in Children With Type 1 Diabetes’, Diabetes Care, 33(6), pp.
1159–1162. Available at: https://doi.org/10.2337/dc09-2116.
6. ASD and ADHD
1. Rice, S. (2021) ‘Autism Spectrum Disorder and ADHD’. Nutrition Network.
Available at:
https://nutrition-network.org/wp-content/uploads/2026/03/NNHandout_ASD-and-ADHD-v2.0.pdf
2. Kern, J.K., Geier, D.A., Sykes, L.K., Geier, M.R. and Deth, R.C. (2015) ‘Are ASD and
ADHD a Continuum? A Comparison of Pathophysiological Similarities Between
the Disorders’, Journal of Attention Disorders, 19(9), pp. 805–827. Available at:
https://doi.org/10.1177/1087054712459886. PDF
July 2023 Top p 10
3. Vui, L.T., Duc, D.M., Quynh, C.T.T., Tuan, D.K., Huong, N.M., Thanh, N.T.M., Hung,
N.M., Minh, H.V. and Ha, B.T.T. (2023) ‘Ante-, Peri-, and Neonatal Factors
Associated with Autism Spectrum Disorders in Vietnam: A Population-Based
Cross-Sectional Survey’, Iranian Journal of Public Health, 52(5), pp. 950–959.
Available at: https://doi.org/10.18502/ijph.v52i5.12711.
4. https://neurodivergentinsights.com/misdiagnosis-monday/adhd-vs-autism -
nice graphic
5. Sriwimol, W. and Limprasert, P. (2018) ‘Significant Changes in Plasma
Alpha-Synuclein and Beta-Synuclein Levels in Male Children with Autism
Spectrum Disorder’, BioMed Research International, 2018, pp. 1–7. Available at:
https://doi.org/10.1155/2018/4503871.
6. Norwitz, N.G., Jaramillo, J.G., Clarke, K. and Soto, A. (2020) ‘Ketotherapeutics for
neurodegenerative diseases’, International Review of Neurobiology, 155, pp.
141–168. Available at: https://doi.org/10.1016/bs.irn.2020.02.003.
(α-synuclein)
7. Hu, Z., Yang, Y., Zhao, Y., Yu, H., Ying, X., Zhou, D., Zhong, J., Zheng, Z., Liu, J., Pan, R.,
Zhang, W., Cheng, F. and Duan, S. (2018) ‘APOE hypermethylation is associated
with autism spectrum disorder in a Chinese population’, Experimental and
Therapeutic Medicine, 15(6), p. 4749. Available at:
https://doi.org/10.3892/etm.2018.6069.
8. Cheng, N., Rho, J.M. and Masino, S.A. (2017) ‘Metabolic Dysfunction Underlying
Autism Spectrum Disorder and Potential Treatment Approaches’, Frontiers in
Molecular Neuroscience, 10. Available at:
https://doi.org/10.3389/fnmol.2017.00034.
9. Cheng, N., Rho, J.M. and Masino, S.A. (2017) ‘Metabolic Dysfunction Underlying
Autism Spectrum Disorder and Potential Treatment Approaches’, Frontiers in
Molecular Neuroscience, 10. Available at:
https://doi.org/10.3389/fnmol.2017.00034.
10. El-Rashidy, O., El-Baz, F., El-Gendy, Y., Khalaf, R., Reda, D. and Saad, K. (2017)
‘Ketogenic diet versus gluten free casein free diet in autistic children: a
case-control study’, Metabolic Brain Disease, 32(6), pp. 1935–1941. Available at:
https://doi.org/10.1007/s11011-017-0088-z.
11. Ly, V. et al. (2017) ‘Elimination diets’ efficacy and mechanisms in attention deficit
hyperactivity disorder and autism spectrum disorder’, European Child &
Adolescent Psychiatry, 26(9), pp. 1067–1079. Available at:
https://doi.org/10.1007/s00787-017-0959-1.
12. Lee, R.W.Y. et al. (2018) ‘A modified ketogenic gluten-free diet with MCT improves
behavior in children with autism spectrum disorder’, Physiology & Behavior, 188,
pp. 205–211. Available at: https://doi.org/10.1016/j.physbeh.2018.02.006.
13. Żarnowska, I. et al. (2018) ‘Therapeutic use of carbohydrate-restricted diets in an
autistic child; a case report of clinical and 18FDG PET findings’, Metabolic Brain
Disease, 33(4), pp. 1187–1192. Available at:
https://doi.org/10.1007/s11011-018-0219-1.
July 2023 Top p 11
14. Adams, J.B. et al. (2018) ‘Comprehensive Nutritional and Dietary Intervention for
Autism Spectrum Disorder—A Randomized, Controlled 12-Month Trial’,
Nutrients, 10(3), p. 369. Available at: https://doi.org/10.3390/nu10030369.
15. Mathee, K. et al. (2020) ‘The gut microbiome and neuropsychiatric disorders:
implications for attention deficit hyperactivity disorder (ADHD)’, Journal of
Medical Microbiology, 69(1), pp. 14–24. Available at:
https://doi.org/10.1099/jmm.0.001112.
16. Wang, M. et al. (2019) ‘Alterations in Gut Glutamate Metabolism Associated with
Changes in Gut Microbiota Composition in Children with Autism Spectrum
Disorder’, mSystems, 4(1), pp. e00321-18. Available at:
https://doi.org/10.1128/mSystems.00321-18.
17. Garcia-Gutierrez, E., Narbad, A. and Rodríguez, J.M. (2020) ‘Autism Spectrum
Disorder Associated With Gut Microbiota at Immune, Metabolomic, and
Neuroactive Level’, Frontiers in Neuroscience, 14. Available at:
https://doi.org/10.3389/fnins.2020.578666.
18. Bundgaard-Nielsen, C. et al. (2020) ‘Gut microbiota profiles of autism spectrum
disorder and attention deficit/hyperactivity disorder: A systematic literature
review.’, Gut Microbes, 11(5), pp. 1172–1187. Available at:
https://doi.org/10.1080/19490976.2020.1748258.
19. Ristori, M.V. et al. (2019) ‘Autism, Gastrointestinal Symptoms and Modulation of
Gut Microbiota by Nutritional Interventions’, Nutrients, 11(11), p. 2812. Available
at: https://doi.org/10.3390/nu11112812. (gut permeability)
20. Rytter, M.J.H. et al. (2015) ‘Diet in the treatment of ADHD in children—A
systematic review of the literature’, Nordic Journal of Psychiatry, 69(1), pp. 1–18.
Available at: https://doi.org/10.3109/08039488.2014.921933.
21. Uldall Torp, N.M. and Thomsen, P.H. (2020) ‘The use of diet interventions to treat
symptoms of ADHD in children and adolescents - a systematic review of
randomized controlled trials’, Nordic Journal of Psychiatry, 74(8), pp. 558–568.
Available at: https://doi.org/10.1080/08039488.2020.1769187.
22. Pelsser, L. et al. (2020) ‘Retrospective Outcome Monitoring of ADHD and
Nutrition (ROMAN): The Effectiveness of the Few-Foods Diet in General Practice’,
Frontiers in Psychiatry, 11, p. 96. Available at:
https://doi.org/10.3389/fpsyt.2020.00096.
23. Pelsser, L.M. et al. (2017) ‘Diet and ADHD, Reviewing the Evidence: A Systematic
Review of Meta-Analyses of Double-Blind Placebo-Controlled Trials Evaluating
the Efficacy of Diet Interventions on the Behavior of Children with ADHD’, PLOS
ONE, 12(1), p. e0169277. Available at:
https://doi.org/10.1371/journal.pone.0169277.
24. Portwood, M.M. (2006) ‘The role of dietary fatty acids in children’s behaviour and
learning’, Nutrition and Health, 18(3), pp. 233–247. Available at:
https://doi.org/10.1177/026010600601800306.
July 2023 Top p 12
7. Epilepsy (Brief signpost only)
1. Berkel, A.A. van, IJff, D.M. and Verkuyl, J.M. (2018) ‘Cognitive benefits of the
ketogenic diet in patients with epilepsy: A systematic overview’, Epilepsy &
Behavior, 87, pp. 69–77. Available at:
https://doi.org/10.1016/j.yebeh.2018.06.004.
2. Paibool, W., Schimpf, S., Nordli, D.R. and Phitsanuwong, C. (2023) ‘Modified
Atkins diet in children with epilepsy with eyelid myoclonia (Jeavons syndrome)’,
Epilepsy & Behavior: E&B, 145, p. 109347. Available at:
https://doi.org/10.1016/j.yebeh.2023.109347.
8. Metabolically resilient ?
1. Hawkins, M.A.W., Keirns, N.G. and Helms, Z. (2018) ‘Carbohydrates and cognitive
function’, Current Opinion in Clinical Nutrition & Metabolic Care, 21(4), pp.
302–307. Available at: https://doi.org/10.1097/MCO.0000000000000471.
2. Garcia, C., Tomilov, A., Sandoval, J. and Cortopassi, G.A. (2021) ‘ApoE4 confers
mitochondrial substrate oxidation defects that can be bioenergetically
compensated by a ketogenic substrate beta-hydroxy butyrate (BHB)’, Alzheimer’s
& Dementia: The Journal of the Alzheimer’s Association, 17 Suppl 3, p. e054355.
Available at: https://doi.org/10.1002/alz.054355.
3. Hawkins, M.A.W., Keirns, N.G. and Helms, Z. (2018) ‘Carbohydrates and cognitive
function’, Current Opinion in Clinical Nutrition & Metabolic Care, 21(4), pp.
302–307. Available at: https://doi.org/10.1097/MCO.0000000000000471.
4. González-García, I., Gruber, T. and García-Cáceres, C. (2021) ‘Insulin action on
astrocytes: From energy homeostasis to behaviour’, Journal of
Neuroendocrinology, 33(4), p. e12953. Available at:
https://doi.org/10.1111/jne.12953.
5. Barberger-Gateau, P. et al. (2011) ‘Dietary omega 3 polyunsaturated fatty acids
and Alzheimer’s disease: interaction with apolipoprotein E genotype’, Current
Alzheimer Research, 8(5), pp. 479–491. Available at:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3518784/ (Accessed: 7 August
2023).
6. Sünram-Lea, S. and Owen, L. (2017) ‘The impact of diet-based glycaemic
response and glucose regulation on cognition: evidence across the lifespan’, The
Proceedings of the Nutrition Society, 76, pp. 1–12. Available at:
https://doi.org/10.1017/S0029665117000829.
7. Zhang, S. et al. (2023) ‘Glycemic variability correlates with medial temporal lobe
atrophy and decreased cognitive performance in patients with memory deficits’,
Frontiers in Aging Neuroscience, 15, p. 1156908. Available at:
https://doi.org/10.3389/fnagi.2023.1156908.
July 2023 Top p 13
8. Mujica-Parodi, L.R., Amgalan, A., Sultan, S.F., Antal, B., Sun, X., Skiena, S., Lithen, A.,
Adra, N., Ratai, E.-M., Weistuch, C., Govindarajan, S.T., Strey, H.H., Dill, K.A.,
Stufflebeam, S.M., Veech, R.L. and Clarke, K. (2020) ‘Diet modulates brain
network stability, a biomarker for brain aging, in young adults’, Proceedings of the
National Academy of Sciences, 117(11), pp. 6170–6177. Available at:
https://doi.org/10.1073/pnas.1913042117.
9. Hasan, F., Jirout, J., Garzione, S. and Kranz, S. (2021) ‘Changes in Learning
Outcomes after Dietary Intervention in Preschoolers: A Pilot Study’, Nutrients,
13(6), p. 1797. Available at: https://doi.org/10.3390/nu13061797.
10. Neumann, C.G., Murphy, S.P., Gewa, C., Grillenberger, M. and Bwibo, N.O. (2007)
‘Meat Supplementation Improves Growth, Cognitive, and Behavioral Outcomes in
Kenyan Children1,2’, The Journal of Nutrition, 137(4), pp. 1119–1123. Available
at: https://doi.org/10.1093/jn/137.4.1119.
11. Shapiro, A.L.B., Wilkening, G., Aalborg, J., Ringham, B.M., Glueck, D.H., Tregellas,
J.R. and Dabelea, D. (2019) ‘Childhood Metabolic Biomarkers Are Associated with
Performance on Cognitive Tasks in Young Children’, The Journal of pediatrics,
211, pp. 92–97. Available at: https://doi.org/10.1016/j.jpeds.2019.03.043.
12. Benton, D., Maconie, A. and Williams, C. (2007) ‘The influence of the glycaemic
load of breakfast on the behaviour of children in school’, Physiology & Behavior,
92(4), pp. 717–724. Available at:
https://doi.org/10.1016/j.physbeh.2007.05.065.
July 2023 Top p 14
© 2023 Sarah M. Rice. All rights reserved.