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The Acute Effects Fortified Nutritional Supplementation on Childhood Cognition

Not Applicable
Completed
Conditions
Cognitive Ability, General
Dietary Modification
Interventions
Other: SLOW Carbohydrate
Other: MEDIUM Carbohydrate
Other: FAST Carbohydrate
Registration Number
NCT02630667
Lead Sponsor
University of Illinois at Urbana-Champaign
Brief Summary

The aim of this study is to investigate the acute effects of ingestion of carbohydrates - with different glycemic profiles - on cognitive function among preadolescent children (i.e., 9-10 years).

Detailed Description

Regular breakfast consumption is linked to improved cognitive performance in school-aged children. However, the acute benefits of defined nutrient consumption on brain and cognitive health are not well understood, particularly in preadolescent children. One factor that may relate to brain health and learning in children is the contribution of carbohydrates to the digestion rate of a meal (and associated effects on post-prandial glycemia).

The effects of differentially absorbed carbohydrates on brain and cognition are unknown, especially when ingested via a fortified nutritional beverage providing a balanced array of nutrients. The aim of this study is to investigate the acute, transient effect of nutrient supplementation with varied carbohydrate systems in preadolescent children (i.e., 9-10 years).

Participants will be randomized to receive one of three treatment nutritional formulations containing carbohydrates with varying absorption rates along with a non-caloric placebo. Participants will perform a cognitive battery in the fasted condition, shortly after treatment ingestion, and an hour after ingestion. Group differences in performance will be contrasted to assess the effects of different carbohydrate types on children's cognitive function following an overnight fast.

Findings from this study will inform our understanding of the macronutrient profile of breakfast that may potentially improve children's cognitive performance in the morning.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
113
Inclusion Criteria
  • Parental/guardian consent.
  • Participants must be between the ages of 9-10 years old at the time of testing age
  • Normal or corrected-to-normal vision based on the minimal 20/20 standard in order to complete the cognitive task (below 20/20 vision).
  • Participants must have an IQ > 85 (IQ < 85).
Exclusion Criteria
  • Prior diagnosis of cognitive or physical disability, including ADHD (severe asthma, epilepsy, and dependence upon a wheelchair/walking aid, and ADHD Rating Scale score below 85%).
  • Use of anti-psychotic, anti-depressant, anti-anxiety medication, as well as those medications used for ADD/ADHD (use of any anti-psychotic, anti-depressant, anti-anxiety, and ADD/ADHD medications).
  • Early pubertal status, as measured by a modified test of the Tanner Staging System (onset of puberty as determined by Tanner).
  • Lactose intolerance
  • Allergies to milk and/or soy
  • Adherence to a strict vegan diet

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
SLOW CarbohydrateSLOW CarbohydrateTreatment consists of a carbohydrate blend designed to elicit a slow postprandial glycemic response.
Non-Caloric PlaceboMEDIUM CarbohydrateNon-caloric placebo consisting of artificial sweeteners
MEDIUM CarbohydrateMEDIUM CarbohydrateTreatment consists of only one carbohydrate source designed to elicit a medium/moderate postprandial glycemic response.
Non-Caloric PlaceboSLOW CarbohydrateNon-caloric placebo consisting of artificial sweeteners
Non-Caloric PlaceboFAST CarbohydrateNon-caloric placebo consisting of artificial sweeteners
FAST CarbohydrateFAST CarbohydrateTreatment consists of only one carbohydrate source designed to elicit a fast postprandial glycemic response.
Primary Outcome Measures
NameTimeMethod
Change in Cognitive Control at 15 minutes Postprandial15 minutes Postprandial

Performance will be assessed using the difference in inverse efficiency (during a modified flanker task) between performance at 15 minutes and baseline/fasted (within 2 hours of wake-time) performance.

Change in Cognitive Control at 70 minutes Postprandial70 minutes Postprandial

Performance will be assessed using the difference in inverse efficiency (during a modified flanker task) between performance at 70 minutes and baseline/fasted (within 2 hours of wake-time).

Secondary Outcome Measures
NameTimeMethod
Change in Relational Memory at 30 minutes Postprandial30 minutes Postprandial

Performance will be assessed using the difference in number of swap errors (during a spatial reconstruction task) by calculating the difference between number of errors performed at baseline/fasted (within 2 hours of wake-time) from number of errors at 30 minutes postprandial.

Change in Relational Memory at 85 minutes Postprandial85 minutes Postprandial

Performance will be assessed using the difference in number of swap errors (during a spatial reconstruction task) by calculating the difference between number of errors performed at baseline/fasted (within 2 hours of wake-time) from number of errors at 85 minutes postprandial.

Trial Locations

Locations (1)

Department of Kinesiology and Community Health

🇺🇸

Urbana, Illinois, United States

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