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      Spearmint Extract Improves Working Memory in Men and Women with Age-Associated Memory Impairment

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          Abstract

          Objective: The purpose of this study was to investigate the effects of supplementation with a spearmint ( Mentha spicata L.) extract, high in polyphenols including rosmarinic acid, on cognitive performance, sleep, and mood in individuals with age-associated memory impairment (AAMI).

          Design: Subjects with AAMI ( N = 90; 67% female; age = 59.4 ± 0.6 years) were randomly assigned ( n = 30/group) to consume 900, 600, or 0 mg/day (two capsules, once daily) spearmint extract for 90 days, in this double-blind, placebo-controlled trial. Assessments were completed for cognition (days 0, 45, and 90), sleep (days 0 and 90), and mood (days 0 and 90) by using the Cognitive Drug Research (CDR) System , Leeds Sleep Evaluation Questionnaire (LSEQ), and Profile of Mood States (POMS ), respectively.

          Results: Quality of working memory and spatial working memory accuracy improved after supplementation with 900 mg/day spearmint extract by 15% ( p = 0.0469) and 9% ( p = 0.0456), respectively, versus placebo. Subjects consuming 900 mg/day spearmint extract reported improvement in their ability to fall asleep, relative to subjects consuming placebo ( p = 0.0046). Overall treatment effects were evident for vigor-activity ( p = 0.0399), total mood disturbance ( p = 0.0374), and alertness and behavior following wakefulness ( p = 0.0415), with trends observed for improvements after spearmint supplementation relative to placebo.

          Conclusions: These results suggest that the distinct spearmint extract may be a beneficial nutritional intervention for cognitive health in older subjects with AAMI.

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          Vitamin E and donepezil for the treatment of mild cognitive impairment.

          Mild cognitive impairment is a transitional state between the cognitive changes of normal aging and early Alzheimer's disease. In a double-blind study, we evaluated subjects with the amnestic subtype of mild cognitive impairment. Subjects were randomly assigned to receive 2000 IU of vitamin E daily, 10 mg of donepezil daily, or placebo for three years. The primary outcome was clinically possible or probable Alzheimer's disease; secondary outcomes were cognition and function. A total of 769 subjects were enrolled, and possible or probable Alzheimer's disease developed in 212. The overall rate of progression from mild cognitive impairment to Alzheimer's disease was 16 percent per year. As compared with the placebo group, there were no significant differences in the probability of progression to Alzheimer's disease in the vitamin E group (hazard ratio, 1.02; 95 percent confidence interval, 0.74 to 1.41; P=0.91) or the donepezil group (hazard ratio, 0.80; 95 percent confidence interval, 0.57 to 1.13; P=0.42) during the three years of treatment. Prespecified analyses of the treatment effects at 6-month intervals showed that as compared with the placebo group, the donepezil group had a reduced likelihood of progression to Alzheimer's disease during the first 12 months of the study (P=0.04), a finding supported by the secondary outcome measures. Among carriers of one or more apolipoprotein E epsilon4 alleles, the benefit of donepezil was evident throughout the three-year follow-up. There were no significant differences in the rate of progression to Alzheimer's disease between the vitamin E and placebo groups at any point, either among all patients or among apolipoprotein E epsilon4 carriers. Vitamin E had no benefit in patients with mild cognitive impairment. Although donepezil therapy was associated with a lower rate of progression to Alzheimer's disease during the first 12 months of treatment, the rate of progression to Alzheimer's disease after three years was not lower among patients treated with donepezil than among those given placebo. Copyright 2005 Massachusetts Medical Society.
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            Models of visuospatial and verbal memory across the adult life span.

            The authors investigated the distinctiveness and interrelationships among visuospatial and verbal memory processes in short-term, working, and long-term memories in 345 adults. Beginning in the 20s, a continuous, regular decline occurs for processing-intensive tasks (e.g., speed of processing, working memory, and long-term memory), whereas verbal knowledge increases across the life span. There is little differentiation in the cognitive architecture of memory across the life span. Visuospatial and verbal working memory are distinct but highly interrelated systems with domain-specific short-term memory subsystems. In contrast to recent neuroimaging data, there is little evidence for dedifferentiation of function at the behavioral level in old compared with young adults. The authors conclude that efforts to connect behavioral and brain data yield a more complete understanding of the aging mind.
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              World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects.

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                Author and article information

                Journal
                J Altern Complement Med
                J Altern Complement Med
                acm
                Journal of Alternative and Complementary Medicine
                Mary Ann Liebert, Inc. (140 Huguenot Street, 3rd FloorNew Rochelle, NY 10801USA )
                1075-5535
                1557-7708
                01 January 2018
                01 January 2018
                01 January 2018
                : 24
                : 1
                : 37-47
                Affiliations
                [ 1 ]Kemin Foods, LC , Des Moines, IA.
                [ 2 ]Biofortis Research Services/Mérieux NutriSciences , Addison, IL.
                [ 3 ]Bracket, LLC , Wayne, PA.
                [ 4 ]Department of Psychology, Northumbria University , Newcastle, United Kingdom.
                [ 5 ]Centre for Human Psychopharmacology, Swinburne University , Melbourne, Australia.
                Author notes
                [*]

                Current affiliation: Katalysis, LLC, Ankeny, IA.

                [**]

                Current affiliation: Midwest Biomedical Research Center for Metabolic & Cardiovascular Health, Glen Ellyn, IL.

                [†]

                Current affiliation: Wesnes Cognition Ltd., Streatley-on-Thames, United Kingdom.

                Address correspondence to: Kelli A. Herrlinger, MS, Kemin Foods, LC 2100 Maury Street, Des Moines, IA 50317, E-mail: kelli.herrlinger@ 123456kemin.com
                Article
                10.1089/acm.2016.0379
                10.1089/acm.2016.0379
                5779242
                29314866
                8fb32d85-3b99-46ef-b559-2d84f77c2156
                © Kelli A. Herrlinger et al., 2017; Published by Mary Ann Liebert, Inc.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Page count
                Figures: 5, Tables: 5, References: 48, Pages: 11
                Categories
                Original Articles

                spearmint,polyphenols,rosmarinic acid,working memory,sleep
                spearmint, polyphenols, rosmarinic acid, working memory, sleep

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