Lutein and zeaxanthin, two dietary carotenoids crucial to long-term eye health, cross the blood brain barrier and accumulate exclusively in the retinal macula. Collectively known as macular pigment (MP), macula, lutein and zeaxanthin filter blue light that can damage the retina.
Previous research has shown macula pigment density to be significantly related to cognitive function in both young and older adults. In addition, lutein concentrations in the older adult brain are positively associated with a variety of pre-mortem cognitive measures, thus macula pigment density has become a non-invasive biomarker for brain concentrations of lutein.
Based on previous research on lutein’s ability to significantly influence verbal fluency in older adults, researchers investigated the ability of lutein-rich avocados to improve MPD. In a 2017 randomized placebo -controlled study , forty-eight men and women between the ages of 52 and 74, consumed either one avocado weighing approximately 135 grams and containing 0.5 milligrams of lutein (n=20 subjects) or a placebo consisting of one potato or one cup of chickpeas and no lutein (n = 20 subjects) for six months.
The researchers chose avocados as they are high in absorbable lutein while other sources of lutein include green leafy vegetables, squash, broccoli, and eggs. Blood samples were taken before and after the study as well as midway through the study (3 months) to measure for lutein levels as well as macula pigment density. Each subject completed a series of cognitive tests to measure overall cognitive function.
* For the cognitive tests, those in the avocado group showed a statistically significant improvement in Short-Term Visual Memory (p = 0.020) and in Sustained Attention (p = 0.033) while no statistical significance was reached in the placebo group (p > 0.05). The avocado group also reached significance while significance not reached by the control group in either cognitive measure (p > 0.05).
* In the avocado group, the change in MPD was significantly related to changes in Spatial Working Memory (r = 0.46, p = 0.041) and the efficiency in approaching a problem (r = 0.47, p = 0.036). There were no relationships between the change in MPD and the change in cognition in the control group.
“This study is an example of how practical dietary choices can be of benefit to healthy aging”.
Dietary intervention with avocados was particularly effective in increasing levels of MPD, a biomarker of brain lutein and indicator of improved cognitive performance. Therefore, avocados could be an effective dietary strategy for cognitive health in the aging population. Written by Greg Arnold, DC, CSCS.