Thesis Presentation

DIET AND LIFESTYLE IN THE
COLLEGE POPULATION:
ASSOCIATIONS WITH
COGNITIVE PERFORMANCE
Faoqiya Fatima
Christine Filbin
Rebecca Fritz
Emily Gerlach
Phoebe Gulling
Emily Walker
Mentor: Dr. Bonnie Beezhold
Research question
Are diet and lifestyle
factors associated
with cognitive
performance in
college students?
Background
• Diet and lifestyle factors play a crucial
role in shaping cognitive capacity and
brain development1
• Previous research has found a link
between diet & lifestyle factors and
cognition2,3,4
(1. Gomez-Pinnilla, 2008; 2. Nyaradi, et al., 2014; 3. Yolton, et al., 2004; 4. Zhu, et al., 2014)
Background
• Dietary factors (e.g. saturated fat, F&V,
omega-3 fatty acids) and cognitive
performance1,2
• Lifestyle factors (e.g. second-hand
smoke, physical activity) and cognitive
performance3,4
(1. Nyaradi, et al., 2014; 2. Fontani, et al., 2005; 3. Yolton, et al., 2004; 4. Zhu, et. al., 2014)
Study objectives
• Primary objective: To investigate the link
between diet and cognitive performance
in college students.
• Secondary objective: To investigate the
link between lifestyle factors and
cognitive performance in college
students.
METHODOLOGY
Study design
• Cross-sectional study
• Participants were Benedictine students
• Components: online cognitive testing
(“brain games”) and online survey
completion
• Collaborative planning
Survey – diet questions
• Brain foods (berries, fatty fish, sugar, caffeinated
beverages, saturated fat sources)
• General food groups (e.g. F/V, nuts, dairy, sweets,
meat)
• Pre-test intake (caffeine, sugar, water,
bacon/sausage, cigarette smoking)
• Meal patterns (meals per day, fast-food intake,
eating on campus, pre-made foods at home,
campus meal plan)
Survey – other questions
• Demographic variables (FDU)
• Medications, parental marital status, presence of father
• Lifestyle variables (FDU)
• Hours of sleep/night, exercise, relaxation, cigarette and
alcohol use, marijuana/recreational drugs, participation
in diet to lose weight, recent weight changes, dietary
restrictions/allergies, breakfast habits, # meals/day, and
supplement use
• Cognitive measures (FDU)
• High school/college GPA, ACT/SAT scores, and highest
education level achieved by mother/father
Survey validity & reliability
Validity
• Incorporated validated survey
measures
• Godin Leisure Time Exercise
Questionnaire
• EPIC Norfolk frequencies
• Use of clear and appropriate
language for survey questions
• Pilot testing and feedback
Reliability
• Potentially unclear questions
were eliminated
• Survey measures used strong
consistency within answer
choices and question format
• Godin Q; EPIC Norfolk
frequencies found to correctly
identify low, medium and high
consumers of food groups
Cognitive testing
• Cognitive domains most impacted by diet and
lifestyle were identified1
• Cogstate provided test battery2
• Validated cognitive testing for clinical trials, healthcare,
academic research, brain injury solutions
• Eligible to use Cogstate Research software
• Customized battery was selected
• Software downloaded on 6 computers in computer lab
(1. DeJager, et al., 2014; 2. Cogstate)
Cognitive testing validity & reliability
Validity
• Instructions were clear and
concise
• Cognitive testing was
available in all major
languages
• Proven ability to detect both
improvement and decline in
cognitive function1
Reliability
• Minimal learning effects
allows testing to be repeated
often- even closely together2
• Reliable for all age groups
due to sensitivity of testing2
• R values competitive for
cognitive testing measures2
• R=(.49-.83)
(1. Cogstate; 2. Nyaradi, et al., 2014)
Processing speed
• Ability to take in information, process and
extract it1
• Eg: Time it takes to look at a picture and say what it
is
• Affected by diet/lifestyle in short- and long-term
• Groton Maze Timed Chase Test2
• Detection Test2
(1. Turken, et al., 2008; 2. Cogstate)
Verbal learning
• Process of acquiring, retaining and recalling of
verbal material1
• Eg: Hearing a name and remembering it
• Affected by diet/lifestyle in short- and long-term
• International Shopping List Test2
(1. Verbal Learning; 2. Cogstate)
Verbal memory
• Ability to recall verbally presented information1
• Eg: Someone tells you a grocery list and you
remember it later at the store
• Affected by diet/lifestyle in short- and long-term
• International Shopping List Test - Delayed
Recall2
(1. Tatsumi, et al., 2008; 2. Cogstate)
Executive function
• Set of mental skills that help you get things
done; time mgmt, focus, planning, multi-tasking1
• Eg: successfully remembering instructions and
carrying out the task
• Affected by diet/lifestyle in short- and long-term
• Identification Test2
• Groton Maze Learning Test2
(1. Executive Function & Self-Regulation; 2. Cogstate)
Working memory
• Responsible for: planning, problem solving,
multi-tasking, and reasoning; short-term
memory1
• Eg: Recalling a recipe while cooking a meal
• Affected by diet/lifestyle in short-term
• One-Back Memory Test2
(1. McLeod S, 2008; 2. Cogstate)
Visual memory
• Ability to correctly identify or reproduce a
previously seen image1
• Eg: Looking at the title of a book in class, and
then remembering title later at the bookstore
• Affected by diet/lifestyle in short- and long-term
• Groton Maze Learning Test - Delayed Recall2
(1. Brady, et al., 2011; 2. Cogstate)
Recruitment
• BU student population
• Flyer distribution, instructor
contact/class visits, one-
on-one campus recruitment
• Incentives
• Eligibility criteria
• 18-24 years old
• Current BU student
• Not taking prescription
medications for mental
conditions
Recruitment
• Incentives
• Light snack
• Gift cards
• Not eligible for gift card if receiving extra credit
Study protocol
• Data collection on six 4-hr am sessions on
Thursdays and Fridays in April-May 2016
• Protocol time was ~45 minutes
• Informed consent/sign-in; ID number
• Cognitive testing
• Survey completion
• Snack of water, bars, fruit offered; drawing for raffle or
extra credit
• Reliability considerations
Statistical analysis
• Correlational, differential
• Descriptive statistics
• Nonparametric analyses
• Multivariate analyses: Chi square tests, Pearson and
Spearman correlations
• Univariate analyses: Mann-Whitney U tests, Kruskal
Wallis H tests
• Significance - p values < .05; SPSS version 24
RESULTS
Population characteristics
Variable N Mean ± SE
Age 54 21.67 ± 0.20
Gender (m / f) 54 9 / 45
Academic year (lower / upper / grads) 54 8 / 36 / 10
Ethnicity (white / Asian / other) 54 24 / 17 / 13
BMI 54 23.08 ± 0.69
Commuter / Resident 54 46 / 8
Results – Academic year
Freshman
Sophomore
Junior
Senior
Graduate
35%
1%
19% 13%
31%
Results – Ethnicity
Hispanic, Latino,
or Spanish
Black or African
American
White (not Middle
Eastern)
White (Middle
Eastern)
Asian
10%
8%
47%
4%
27%
Variables N
Study
Mean ± SD
Normative
Mean ± SD
Cognitive test scores
Identification Test 53 2.73 ± 0.07 2.66 ± 0.08
Groton Maze Timed Chase Test 51 1.49 ± 0.58 -
Groton Maze Learning Test 53 57.45 ± 18.53 40.88 ± 15.34
Groton Maze Learning Test - Delayed Recall 53 9.21 ± 10.01 7.26 ± 5.38
Detection Speed of Performance Test 52 2.55 ± 0.10 2.46 ± 0.09
International Shopping List Test 53 26.21 ± 4.13 25.17 ± 4.30
International Shopping List - Delayed Recall
Test
53 9.13 ± 2.13 9.25 ± 3.02
One Back Memory Test 53 1.20 ± 0.28 1.37 ± 0.14
College grade point average (GPA) 53 3.31 ± 0.42 -
Cognitive performance measures
Phoebe Gulling
Research question: What non-
diet factors are associated with
cognitive performance?
Background – specific demographic /
lifestyle factors
• Demographic factors associated with cognitive
performance (e.g. father in the home1,
socioeconomic status2)
• Lifestyle factors associated with cognitive
performance (e.g. stress3, sleep4)
(1. Chapman, 1977; 2. Waber, et al., 2012; 3. Pritchard, 2003; 4. Lo, et al., 2016)
Variable N No Yes
Father’s education - N/Y college degree 51 25 26
Mother’s education - N/Y college degree 53 21 32
Parents marital status - N/Y married 54 9 45
Father present in home 54 2 52
Frequency of demographic factors
Frequency of lifestyle factors
Variable N No Yes
Sleep hours/night (<7 / ≥7) 54 39 15
Moderate exercise x/wk (<5x / ≥5X) 54 29 25
Relaxes by reading 54 35 19
Relaxes by religious/spiritual 54 37 17
Relaxes by spending time with pets 54 37 17
Relaxes by listening to music 54 12 42
Relaxes by breathing practices 47 36 11
Cigarette exposure 54 44 10
Alcohol at least once/week 54 42 12
Frequency of meal patterns
Variable N No Yes
Diet to lose weight 54 45 9
Weight change in 1 mo 54 37 17
Dietary restriction/allergy 54 39 15
Eat within 1 hour of waking 54 29 25
At least 3 meals/day 54 16 38
Commuter
>1 meal away from home/wk 46 12 32
At least 1 fast food meals/wk 46 16 30
Resident
Meal plan 14 9 5
Eat at cafeteria 10 5 5
At least 1 fast food meal/wk 10 3 7
Prepare meals in housing unit 12 3 9
Cognitive performance
measures
N
Father’s
education
Commuter
meals
away from
home x/wk
Commuter
fast food
meals
x/wk
Reading
for
relaxation
N/Y
Pets for
relaxation
N/Y
rho / p r / p r / p r / p r / p
Detection test
(psychomotor function;
lower score better)
51
0.29 /
0.040
- - - -
International Shopping List
Test-Delayed Recall test
(verbal memory; higher
score better)
45
-
0.31 /
0.038
- - -
Groton Maze Learning-
Delayed Recall test (visual
memory; lower score
better)
45
53
- -
0.41 /
0.005
-
0.28 /
0.045
International Shopping List
Test (verbal learning;
higher score better)
53
- - -
0.28 /
0.046
-
p < .05 indicates significance; Pearson product-moment and Spearman rank order correlations.
Correlations of lifestyle factor variables with cognitive
performance measures
Significant correlations
1. ↑ father’s highest education level : ↓ psychomotor function
2. ↑ commuter total meals away from home : ↑ verbal memory
3. ↑ commuter fast food meals : ↓ visual memory
4. ↑ reading for relaxation : ↑ verbal learning
5. ↑ spending time with pets : ↓ visual memory
Discussion
• Consumption of fast food may lower visual memory
function
• Fast food intake associated with lower test scores among
elementary age students1
• Fast food intake associated with lower GPA among
undergraduate students2
• Reading for relaxation may enhance verbal memory
• Reading for pleasure associated with higher GPA and greater
desire for higher level thinking among undergraduate
students3
(1. Tobin, 2011; 2. Kobayashi, 2009; 3. Turner, et al., 2011)
Emily Walker
Research question: Is meat and
poultry intake associated with
cognitive performance?
Background
• Millennials consume meat at rate similar to
previous generations1
• Composition can be both positive and
negative for cognition2
• Dietary Guidelines recommend lower intakes
of meats, including processed meat
• Studies are conflicting regarding cognition3,4
(1. Midan Marketing, 2016; 2. McAfee, et al., 2010; 3. Baym, et al., 2014; 4. Neumann, et al., 2007)
Methods
• Fill in (food/beverage type) times per week: Meat
and poultry (beef, buffalo, lamb, pork, chicken,
turkey, duck)
• Based on average over past year, check any
frequency of (food/beverage type) that you
eat/drink: Red meat, processed meat, poultry
• Never or <1x/mo, 1-3x/mo, 1x/wk, 2-4x/wk, 5-6x/wk, 1x/d, 2-3x/d,
4-5x/d, 6+x/d11
(1. EPIC-Norfolk FFQ)
Variable N
Freshmen and
Sophomores
N = 8
Juniors
N = 17
Seniors
N = 19
Graduate
Students
N = 10
Total meat & poultry/wk
Less than 6 x/wk 32 5 12 9 6
≥6 x/wk 22 3 5 10 4
Red meat/mo
Never or <1 x/wk 21 1 11 6 3
> 1 x/wk 31 6 5 13 7
Processed meats/mo
Never or < 1 x/mo 19 0 8 7 4
Monthly, weekly, more 32 7 7 12 6
Poultry/mo
Less than 5 x/wk 30 5 11 8 6
≥5 x/wk 21 2 5 11 3
Reporting of meat intake frequency by
student academic year
Correlations of meat intake variables with
cognitive performance measures
p < .05 indicates significance; Pearson product-moment correlations and Spearman rank
order correlations.
Cognitive performance measures
Total meat/
poultry
x/wk
Red meat
x/mo
Processed
meat x/mo
r / p / n rho / p / n rho / p / n
Groton Maze Learning Test
(executive function; lower score
better)
-0.30 /
0.031
n = 53
- -
Groton Maze Learning Test - Delayed
Recall (visual memory; lower score
better)
-0.44 /
0.001
n = 53
-0.36 /
0.010
n = 51
-0.35 /
0.012
n = 51
International Shopping List - Delayed
Recall (verbal memory; higher score
better)
0.28 /
0.045
n = 52
- -
Cognitive performance measure <6 x/wk ≥6 x/wk
Groton Maze Learning Test - Delayed
Recall (visual memory; lower score
better)
n = 31
Md = 9.00
n = 22
Md = 5.00
U = 198.00
p = 0.010*; r = -0.36
Groton Maze Learning Test (executive
function; lower score better)
n = 31
Md = 28.25
n = 22
Md = 25.25
U = 302.50
p = 0.487; r = -0.10
International Shopping List - Delayed
Recall (verbal memory; higher score
better)
n = 31
Md = 24.00
n = 22
Md = 31.23
U = 248.00
p = 0.089; r = -0.23
Comparison of cognitive performance measures
by total meat/poultry intake frequency weekly
*p < .05 indicates significance; Mann Whitney U tests.
Discussion
• Consuming meat was associated with better
cognitive performance
• An omnivorous diet may contribute to better
cognitive performance1,2
• Nutrients in meat like B12 are related to
cognition1,2
(1. Louwman, et al., 2000; 2. Heys, et al., 2010)
Emily Gerlach
Research question: Is egg intake
associated with cognitive
performance?
Background
•Nutrient dense; may be helpful for
cognition
•Studies of key nutrients are conflicting
• Saturated fat1
• Choline2,3
(1. Knott, et al., 2015; 2. Poly, et al., 2011; 3. Okereke, et al., 2012)
Methods
•Fill in times per week: Eggs,
including yolk
• Whole number response
Variable N
Freshmen
and
Sophomores
N = 8
Juniors
N = 17
Seniors
N = 19
Graduate
Students
N = 10
Never or 1x/wk 23 7 8 7 1
2 or more x/wk 30 1 8 12 9
Reporting of weekly egg intake
frequency by student academic year
(Statista, 2016)
Correlations of weekly egg intake with
cognitive performance measures
p < .05 indicates significance; Pearson product-moment correlation coefficient.
Cognitive performance measure N Egg intake x/wk
r / p
College GPA 52 0.33 / 0.017
Identification Speed of Performance Test
(attention; lower score better)
52 0.29 / 0.037
Comparison of cognitive performance
measures in levels of weekly egg intake
frequency
Cognitive performance
measure
≤1 x/wk
N = 22
≥2 x/wk
N = 30
College GPA
n = 22
Md = 3.20
n = 30
Md = 3.50
U = 193.50
p = 0.011*; r = 0.35
Identification Speed of
Performance Test (attention;
lower score better)
n = 22
Md = 2.72
n = 30
Md = 2.72
U = 310.00
p = 0.711; r = 0.05
*p < .05 indicates significance. Mann Whitney U tests.
Discussion
• Intake of eggs may be associated with better
academic performance
• Breakfast consumption associated with enhanced
cognitive function1
• High intakes of saturated fat associated with
worse cognition2
(1. Cooper, et al., 2011; 2. Okereke, et al., 2012)
Faoqiya Fatima
Research question: Is dairy
intake associated with cognitive
performance?
Background
• Composition of dairy may enhance brain
function1
• College students have high intake of dairy2
• Previous human studies have linked dairy
with enhanced cognition3,4
(1. Camfield, 2011; 2.Durá Travé, 2008; 3. Crichton, et al., 2012; 4. Rahman, et al., 2007)
Methods
• Fill in (food/beverage type) times per day: Total
dairy foods (milk, cheese, yogurt, etc.)
• Based on average over past year, check any
frequency of (food/beverage type) that you
eat/drink:
• Whole dairy intake (whole milk, cheese, butter)
• Yogurt or kefir
• Milk (cow’s milk)
• Never or <1x/mo, 1-3x/mo, 1x/wk, 2-4x/wk, 5-6x/wk,
1x/d, 2-3x/d, 4-5x/d, 6+x/d1
Variables N
Freshmen and
Sophomores
N = 8
Juniors
N = 17
Seniors
N = 19
Graduate
Students
N = 10
Total dairy foods (milk, cheese, yogurt, etc.)
Never or 1x/wk 23 7 8 7 1
2 or more x/wk 30 1 8 12 9
Whole dairy intake (whole milk, cheese, butter)
Never or less than monthly intake 31 7 9 11 4
Monthly to daily intake 23 1 8 8 6
Yogurt or kefir
Never to less than 1x/wk 22 5 5 10 2
1 or more x/wk 31 3 11 9 8
Milk (cow’s milk)
Never to 1x/wk 22 3 6 8 5
2 or more x/wk 32 5 11 11 5
Reporting of dairy frequency by student
academic year
Correlations of dairy intake variables
with cognitive performance measures
Cognitive performance measures
Total dairy
intake x/day
Whole dairy
foods x/mo
r / p / n rho / p / n
Identification Speed of Performance Test
(attention; lower score better)
0.34 /
0.014
n = 52
-
Detection Speed of Performance Test
(psychomotor function; lower score
better)
0.48 /
0.000
n = 51
-0.34 /
0.015
n = 51
p < .05 indicates significance; Pearson product-moment and Spearman rank order
correlations.
Cognitive performance measures None or 1 x/day 2-7 x/day
Identification Speed of Performance
Test (attention; lower score better)
n = 21
Md = 2.71
n = 31
Md = 2.56
U = 253.0
p = 0.176; r = 0.19
Detection Speed of Performance Test
(psychomotor function; lower score
better)
n = 20
Md = 2.74
n = 31
Md = 2.53
U = 309.00
p = 0.985; r = 0.02
Comparison of cognitive performance
variables in levels of total dairy intake
frequency
*p < .05 indicates significance; Mann Whitney U tests.
Comparison of cognitive performance
variables in levels of whole dairy intake
frequency
p values < .05 indicate significance; Mann Whitney U
tests.
Cognitive performance
measures
Never or less than
monthly
Monthly to daily
Detection Speed of
Performance Test
(psychomotor function; lower
score better)
n = 31
Md = 2.73
n = 21
Md = 2.51
U = 191.00
p = 0.012*; r = -0.35
*p < .05 indicates significance; Mann Whitney U tests.
Discussion
• Dairy intake results were conflicting
• Low-fat dairy intake and better cognitive
function consensus in studies1,2
• Fat in dairy may increase cognitive function3
(1. Parker, et al., 2012; 2. Crichton, 2012; 3. Bell, n.d.)
Christine Filbin
Research question: Is caffeine
intake associated with cognitive
performance?
Background
• Caffeine acts as stimulant1
• Recommendation <400 mg/day2
• Intake found widely among college-aged
students3
• Promotes sustained cognition during fatigue or
decreased sleep4
• Decreased reaction time with unchanged
accuracy during times of fatigue5
(1. Lakhan, et al., 2012; 2. Mayo Clinic; 3. TCU Nutrition; 4. Kamimori, et al., 2014; 5. van Duinen, et al., 2005)
Methods
• Based on average over past year, check any frequency of beverage
type that you drink: Coffee, brewed including coffee drinks
• Never or <1x/mo, 1-3x/mo, 1x/wk, 2-4x/wk, 5-6x/wk, 1x/d, 2-3x/d, 4-5x/d, 6+x/d1
• Pre-test Q: Did you drink any of the following caffeinated beverage(s)
earlier today?2
 12-24 of regular or Diet Coke, Pepsi, or Mountain Dew; black tea (hot or
iced) (20-50 mg caffeine)
 1 brewed coffee; a small latte/cappuccino; a single espresso shot; a
bottled frappuccino; an energy juice, water or tea product; or a small Red
Bull or similar brand energy drink (70-120 mg caffeine)
 2 or more cups of brewed coffee; a medium or large latte/cappuccino; a
double or triple espresso shot; 16 of or more of energy beverages such as
Red Bull, Monster Energy, Arizona Green Tea Energy, Jolt Cola, etc.150-
250 mg caffeine)
 I drank none of these beverage types
(1. EPIC-Norfolk FFQ; 2. Mayo Clinic )
Variable N
Freshmen
and
Sophomores
N = 8
Juniors
N = 17
Seniors
N = 19
Graduate
Students
N = 10
Coffee Intake frequency
Never or monthly 27 5 9 10 3
Weekly or daily 27 3 8 9 7
Pre-Test Caffeine
No / Yes 33 / 20 3 / 5 7 / 9 5 / 14 10 / 5
Reporting of caffeine intake by student
academic year
p < .05 indicates significance; Spearman rank order correlations.
Cognitive performance
measures
N
Coffee intake
frequency
Pre-test
caffeine
N/Y
rho / p rho / p
Groton Maze Learning Test
(executive function; lower score
better)
53
0.28 / 0.042 0.35 / 0.010
Groton Maze Learning Test -
Delayed Recall (visual memory;
lower score better)
53
0.41 / 0.002 0.44 / 0.001
Correlations of caffeine intake variables
with cognitive performance measures
Cognitive performance measure
Never or
monthly
Weekly or
daily
Groton Maze Learning Test (executive
function; lower score better)
n = 27
Md = 52.00
n = 27
Md = 59.00
U = 266.00
p = 0.130; r = 0.28
Groton Maze Learning Test - Delayed
Recall (visual memory; lower score
better)
n = 27
Md = 6.00
n = 27
Md = 10.00
U = 189.50
p = 0.004*; r = 0.41
Comparison of cognitive performance
measures in levels of coffee intake
frequency
*p < .05 indicates significance; Mann Whitney U tests.
Cognitive performance measure No Yes
Groton Maze Learning Test (executive
function; lower score better)
n = 33
Md = 52.00
n = 19
Md = 59.00
U = 231.00
p = 0.117; r = 0.35
Groton Maze Learning Test - Delayed
Recall (visual memory; lower score
better)
n = 33
Md = 7.00
n = 19
Md = 10.00
U = 196.50
p = 0.026*; r = 0.31
Comparison of cognitive performance
measures in levels pre-test caffeine
intake
*p < .05 indicates significance; Mann Whitney U tests.
Discussion
• Intake of caffeine may lower cognitive
performance
• Studies show caffeine may worsen cognitive
performance1
• Caffeine blocks inhibitory process of adenosine
increasing dopamine in the brain2
• Dopamine imbalance may hinder cognitive performance3
(1. Lesk, et al., 2004; 2. Hale, 2012; 3. Nieoullon, et al., 2002)
Becca Fritz
Research question: Is sugar
intake associated with cognitive
performance?
Background
(1. West, et al., 2006; 2. Cooper, et al., 2015)
• Recommendations: Added sugars not >10% of
calories per day
• Elevated blood glucose / insulin associated with
poorer cognitive performance1
• The brain may need sustained energy release2
Methods
(1. EPIC-Norfolk FFQ)
• Fill in (food type) times per day: Sweets, not including
chocolate (pastries, cakes, pies, cookies, candy, etc.)
• Whole number
• Based on average over past year, check any frequency of
(beverage type) that you drink: Soft drinks: sugar-
sweetened, non-diet
• Never or <1x/mo, 1-3x/mo, 1x/wk, 2-4x/wk, 5-6x/wk, 1x/d, 2-
3x/d, 4-5x/d, 6+x/d1
• Pre-test Q: In the past 2 hours have you consumed any
sugary foods: (muffins, donuts, cinnamon rolls, etc.)
• Check Yes or No
Variables N
Freshmen
and
Sophomores
N = 8
Juniors
N = 17
Seniors
N = 19
Graduate
Students
N = 10
Total sweets frequency daily, not including chocolate
No intake 22 3 7 6 6
1 or more x/day 31 5 10 12 4
Soft drinks; sugar – sweetened, non-diet
Never or < 1x/mo 29 2 10 10 7
1 or more x/mo 24 6 6 9 3
Pre-test sugary food intake
No intake 39 4 9 17 9
Yes intake 15 4 8 2 1
Reporting of sugar intake by student
academic year
p < .05 indicates significance; Pearson product-moment and Spearman rank order
correlations.
Cognitive performance measures
N
Sugar-
sweetened
non diet soft
drinks freq
Pre-test
sugary
foods NY
rho / p r / p
College GPA 52 -0.34 / 0.014 -
Groton Maze Timed Chase Test (visual
processing speed; higher score better)
50 -0.35 / 0.014 -
Groton Maze Learning Test (executive
function; lower score better)
53 - 0.35 / 0.010
Groton Maze Learning Test – Delayed
Recall (visual memory; lower score better)
53 - 0.44 / 0.001
Correlations of sugar intake variables
with cognitive performance measures
Comparison of cognitive performance
measures in levels of soft drinks intake
frequency
Cognitive performance measures
≤1 x/mo
N = 29
>1 x/mo
N = 24
College GPA
n = 28
Md = 3.50
n = 24
Md = 3.20
U = 179.50
p = 0.004*; r = 0.40
Groton Maze Timed Chase Test (visual
processing speed; higher score better)
n = 27
Md = 1.77
n = 23
Md = 1.33
U = 181.00
p = 0.012*; r = 0.40
*p < .05 indicates significance; Mann Whitney U tests.
Comparison of cognitive performance
measures in levels of pre-test sugary
food intake
*p < .05 indicates significance; Mann Whitney U tests.
Cognitive performance measure
No
N = 39
Yes
N = 15
Groton Maze Learning Test
(executive function; lower score
better)
n = 38
Md = 51.0
n = 14
Md = 57.5
U = 164.00
p = .028*; r = 0.30
Groton Maze Learning Test - Delayed
Recall scores (visual memory; lower
score better)
n = 39
Md = 7
n = 14
Md = 10
U = 138.00
p = 0.006*; r = 0.37
Discussion
• Intake of added sugars may negatively impact
cognitive performance
• Poorer memory related to sugar intake1,2
(1. Ye X, et al., 2012; 2. Riby, et al., 2015)
KEY FINDINGS
Conclusion
Memory
Verbal
learning
Executive
function
Attention
College
GPA
Processing
speed
Psychomotor
function
(+) meat & poultry
(-) fast food, pre-test caffeine,
coffee daily, pre-test sugary foods
(+) reading for
relaxation
(+) meat &
poultry
(-) pre-test
caffeine, pre-
test sugary
foods
(-) eggs weekly,
dairy daily
(+) eggs weekly
(-) sugar-sweetened
soft drinks daily
(-) sugar-
sweetened soft
drinks daily
(+) whole dairy
(-) dairy daily
Strengths
• Validated performance
testing measures
• Survey questions
• Cognitive testing
available in all major
languages
• Piloted protocol
• Standardized script
during testing
• Collaboration with
larger campus
Limitations
• Study design
• Small sample size
• Multiple proctors
• Online survey only
available in English
• Multiple students in
same room
• Potential response bias
• Recruitment population
• External validity
Future research
• Larger population
• Comparison of vegan and omnivore
cognitive measures
• Experimental study design
Thank you to our sponsors…
Amir Ouranus
in IT Dept
References
• Agrawal R, Gomez-Pinialla F. ‘Metabolic syndrome’ in the brain: deficiency in omega-3 fatty acid
exacerbates dysfunctions in insulin receptor signaling and cognition. Journal Physio. 2012;2485-2499.
• Baym CL, Khan NA, Monti JM, et al. Dietary lipids are differentially associated with hippocampal-dependent
relational memory in prepubescent children. American J Clin Nutr, 2014;99(5):1026-1032.
• Bonner-Jackson A, Mahmoud S, Miller J, Banks SJ. Verbal and non-verbal memory and hippocampal
volumes in a memory clinic population. Alzheimer’s Res Ther. 2015;7(1):61.
• Brady TF, Konkle T, Alvarez GA. A review of visual memory capacity: Beyond individual items and toward
structured representations. J Vis. 2011;11(5):4–4.
• Camfield DA. Dairy constituents and neurocognitive health in ageing. Br J Nutr. 2011;106(2):159-74.
• CDC. Current cigarette smoking among adults in the United States, 2014. CDC Web site.
https://www.cdc.gov/tobacco/data_statistics/fact_sheets/adult_data/cig_smoking/. Accessed October 21, 2016.
• Cepeda N, Blackwell K, Munakata Y. Speed isn’t everything: complex processing speed measures mask
individual differences and developmental changes in executive control. 2013;16(2):269-286.
• Chapman M. Father absence, stepfathers, and the cognitive performance of college student. Child Dev.
1977;48(3):1155-1158.
• Chapter 6 verbal learning. Available at:
http://web.mnstate.edu/malonech/Psy342/Terry%20Notes/Verbal%20Learning%20T6.htm. Accessed
October 9, 2016.
• Cherry K. What exactly is Cognition? Verywell Web site. https://www.verywell.com/what-is-cognition-
2794982. Updated September 5, 2016. Accessed October 24, 2016.
• Cogstate - Leaders in optimizing the measure of cognition. Cogstate. https://cogstate.com/. Accessed
September 7, 2016.
• Cooper SB, Bandelow S, Nevill ME. Breakfast consumption and cognitive function in adolescent
schoolchildren. Physiol Behav. 2011;103(5):431-9
• Crichton GE, Elias MF, Dore GA, Robbins MA. Relation between dairy food intake and cognitive function:
The Maine-Syracuse Longitudinal Study. Int Dairy J. 2012;22(1):15-23.
References
• Crichton GE, Murphy KJ, Howe PR, Buckley JD, Bryan J. Dairy consumption and working memory
performance in overweight and obese adults. Appetite. 2012;59(1):34-40.
• de Jager CA, Dye L, de Bruin EA, et al. Criteria for validation and selection of cognitive tests for investigating
the effects of foods and nutrients. Nutr Rev. 2014;72(3):162–179.
• Durá Travé T. Intake of milk and dairy products in a college population. Nutr Hosp. 2008;23:89e94.
• EPIC-Norfolk: Food frequency questionnaire. University of Cambridge. 2014. Available at:
http://www.srl.cam.ac.uk/epic/epicffq/. Accessed October 17, 2016.
• Executive Function & Self-Regulation. Available at: http://developingchild.harvard.edu/science/key-
concepts/executive-function/. Accessed October 11, 2016.
• Hale J. Caffeine’s effects on your thinking | world of psychology. 2012. Available at:
http://psychcentral.com/blog/archives/2012/04/15/caffeines-effects-on-your-thinking/ [Accessed November 11,
2016].
• Heys M, Jiang C, Schooling CM, et al. Is childhood meat eating associated with better later adulthood
cognition in a developing population? Eur J of Epidemiol. 2010;25(7):507–516.
• Hsu T, Konanar V, Taing L, et al. Effects of sucrose and high fructose corn syrup consumption on spatial
memory function and hippocampal neuroinflammation in adolescent rats. Hippocampus. 2015;25(2):227-239.
• Illinois Department of Public Health. The burden of tobacco in Illinois: prevalence, impact, and cost, 2013.
Springfield, IL. Illinois Department of Public Health Web site.
http://www.dph.illinois.gov/sites/default/files/publications/tobacco-burden-2013-050216.pdf. Accessed October
24, 2016.
• Kamimori GH, McLellan TM, Tate CM, Voss DM, Niro P, Lieberman HR. Caffeine improves reaction time,
vigilance and logical reasoning during extended periods with restricted opportunities for sleep.
Psychopharmacology. 2014;232(12):2031–2042.
• Kobayashi F. Academic achievement, BMI, and fast food intake of American and Japanese college students.
Nutr Food Sci. 2009;39(5):555-566.
• Knott V, de la Salle S, Impey D, et al. Neurocognitive effects of acute choline supplementation in low, medium
and high performer healthy volunteers. Pharmacol Biochem Behav. 2015;131:119-29.
• Lakhan SE, Kirchgessner A. Prescription stimulants in individuals with and without attention deficit
hyperactivity disorder: Misuse, cognitive impact, and adverse effects. Brain and Behav. 2012;2(5):661–677.
• Lesk VE, Womble SP. Caffeine, priming, and tip of the tongue: Evidence for plasticity in the Phonological
system. Behav Neurosci. 2004;118(3):453–461.
References
• Lo JC, Ong JL, Leong RL, Gooley JJ, Chee MW. Cognitive performance, sleepiness, and mood in partially sleep
deprived adolescents: The need for sleep study. Sleep. 2016;39(3):687-698.
• Louwman MW, van Dusseldorp M, van de Vijver FJ, et al. Signs of impaired cognitive function in adolescents
with marginal cobalamin status. Am Journal of Clin Nutr. 2000;72(3):762-769.
• MC. Nutrition and healthy eating caffeine: How much is too much? Mayoclinic Web site. Available at:
http://www.mayoclinic.org/healthy-lifestyle/nutrition-and-healthy-eating/in-depth/caffeine/art-20045678. Published
2014. Accessed October 21, 2016.
• McAfee AJ, McSorley EM, Cuskelly GJ, et al. Red meat consumption: An overview of the risks and benefits. Meat
Sci. 2010;84(1):1–13.
• McLeod S. Simply Psychology. Working Memory. Published 2008. Accessed: August 9, 2016. Available at:
http://www.simplypsychology.org/working%20memory.html
• Morrison FJ, Holmes DL, Haith MM. A developmental study of the effect of familiarity on short-term visual
memory. J Exp Child Psychol. 1974;18(3):412–425.
• Naish J. Fat lot of good: How eating more cheese and milk could make you brainier. Daily Mail Web site. March
6, 2012. http://www.dailymail.co.uk/health/article-2110801/Could-eating-cheese-milk-make-brainier.html.
Accessed October 21, 2016.
• National Center for Education Statistics. Parental education. 2015. Available at:
http://nces.ed.gov/programs/coe/indicator_saa.asp.
• Nieoullon A. Dopamine and the regulation of cognition and attention. Progress in Neurobiology. 2002;67(1):53–
83.
• Neumann CF, Murphy SP, Gewa C, Grillenberger M, Bwibo NO. Meat supplementation improves growth,
cognitive, and behavioral outcomes in Kenyan children. J Nutr. 2007;137(4):1119-1123.
• Nyaradi A, Foster JK, Hickling S, et al. Prospective associations between dietary patterns and cognitive
performance during adolescence. J. Child Psychol Psychiatry. 2014;55(9):1017–1024.
• Okereke OI, Rosner BA, Kim DH, et al. Dietary fat types and a 4-year cognitive change in community-dwelling
older women. Ann Neurol. 2012;72(1):124-34.
• Park KM and Fulgoni VL. The association between dairy product consumption and cognitive function in the
National Health and Nutrition Examination Survey. Br J Nutr. 2013;109(6):1135-42.
• Poly C, Massaro JM, Seshadri S, et al. The relation of dietary choline to cognitive performance and white-matter
hyperintensity in the Framingham Offspring Cohort. Am J Clin Nutr. 2011;94(6):1584-1591.
References
• Pritchard ME, Wilson GS. Using emotional and social factors to predict student success. J Coll Student Dev.
2003;44(1):18-28.
• Rahman, A, Sawyer Baker P, Allman RM, Zamrini E. Dietary factors and cognitive impairment in community-
dwelling elderly. J Nutr Health Aging 2007;11(1):49-54.
• Riby L, McLaughlin J, Riby D. Lifestyle, glucose regulation and the cognitive effects of glucose load in middle-
aged adults. Br J Nutr. 2008;100:1128-1134.
• Ryan C, Bauman K. Educational attainment in the United States: 2015. United States Census Bureau. 2016:20-
578. Available at: http://www.census.gov/content/dam/Census/library/publications/2016/demo/p20-578.pdf.
• Tatsumi IF, Watanabe M. Encyclopedia of Neuroscience. Volume 1. Berlin Heidelberg, Germany. Springer, 2008.
Available at: http://link.springer.com/referenceworkentry/10.1007%2F978-3-540-29678-2_6266
• Tobin KJ. Fast-food consumption and educational test scores in the USA. Child Care Health Dev. 2011;39(1):118-
124.
• Turken A, Whitfield-Gabrieli S, Bammer R, Baldo J, Dronkers N, Gabrieli J. Cognitive processing speed and the
structure of white matter pathways: convergent evidence from normal variation and lesion studies.
2008;42(2):1032-1044.
• Turner JS, Croucher SM. An examination of the relationships among United States college students’ media use
habits, need for cognition, and grade point average. Learn MediaTechnol. 2014;39(2):199-214.
• Uetz M. Millennials, boomers and meat: A closer look. Midan Marketing. 2016. Available at:
http://midanmarketing.com/2016/09/01/millennials-boomers-and-meat-a-closer-look/. Accessed October 17, 2016.
• Verbal memory. 2016. Available at: https://cogstate.com/computerized-tests/cognitive-tests/memory/. Accessed
October 10, 2016.
• Waber DP, Forbes PW, Almli CR, Blood EA. Four-year longitudinal performance of a population-based sample of
healthy children on a neuropsychological battery: The NIH MRI study of normal brain development. J Int
Neuropsychol Soc. 2012;18(2):179-190.
• West D, Bursac Z, Quimby D, et al. Self Reported Sugar-Sweetened Beverage Intake among College Students.
Obesity. 2006;14(10):1825-1831.
• Ye X, Gao X, Scott T, Tucker K. Habitual sugar intake and cognitive function among middle-aged and older Puerto
Ricans without diabetes. Br J Nutr. 2011 November; 106(9):1423-1432.
• Yolton K, Dietrich K, Auinger P, Lanphear BP, Hornung R. Exposure to environmental tobacco smoke and
cognitive abilities among U.S. Children and adolescents. Environ Health Perspect. 2004;113(1):98–103.
QUESTIONS?
1 von 83

Recomendados

Apa Style von
Apa StyleApa Style
Apa StyleKamran Ali
946 views12 Folien
Vista morumbi von
Vista morumbiVista morumbi
Vista morumbiVagner Marques
190 views9 Folien
Роман Гильманов, CEO Compensair - Compensair первые шаги в построении legalte... von
Роман Гильманов, CEO Compensair - Compensair первые шаги в построении legalte...Роман Гильманов, CEO Compensair - Compensair первые шаги в построении legalte...
Роман Гильманов, CEO Compensair - Compensair первые шаги в построении legalte...Travel Tech Conference Russia
586 views14 Folien
Ian Stone CVJS-May16 von
Ian Stone CVJS-May16Ian Stone CVJS-May16
Ian Stone CVJS-May16Ian Stone
50 views3 Folien
Experiencias en artística a lo largo del 201622 von
Experiencias en artística a lo largo del 201622Experiencias en artística a lo largo del 201622
Experiencias en artística a lo largo del 201622Winterdragons
119 views13 Folien
paraplan von
paraplanparaplan
paraplanVarvara Kozlova
61 views3 Folien

Más contenido relacionado

Similar a Thesis Presentation

Podcast Food von
Podcast FoodPodcast Food
Podcast FoodBlair E
876 views47 Folien
Q1 Grade 10 PE DLL Week 1.docx von
Q1 Grade 10 PE DLL Week 1.docxQ1 Grade 10 PE DLL Week 1.docx
Q1 Grade 10 PE DLL Week 1.docxPantzPastor
107 views14 Folien
How to write GI module von
How to write GI moduleHow to write GI module
How to write GI modulemohammed abdulzahra
79 views23 Folien
2210PBH_3071_CO von
2210PBH_3071_CO2210PBH_3071_CO
2210PBH_3071_COMelinda Keith
126 views10 Folien
NSG4028 Concepts of Teaching and Learning Simple Less.docx von
NSG4028  Concepts of Teaching and Learning  Simple Less.docxNSG4028  Concepts of Teaching and Learning  Simple Less.docx
NSG4028 Concepts of Teaching and Learning Simple Less.docxvannagoforth
6 views14 Folien
EFPoster von
EFPosterEFPoster
EFPosterKate Mroczynski
114 views1 Folie

Similar a Thesis Presentation(20)

Podcast Food von Blair E
Podcast FoodPodcast Food
Podcast Food
Blair E876 views
Q1 Grade 10 PE DLL Week 1.docx von PantzPastor
Q1 Grade 10 PE DLL Week 1.docxQ1 Grade 10 PE DLL Week 1.docx
Q1 Grade 10 PE DLL Week 1.docx
PantzPastor107 views
NSG4028 Concepts of Teaching and Learning Simple Less.docx von vannagoforth
NSG4028  Concepts of Teaching and Learning  Simple Less.docxNSG4028  Concepts of Teaching and Learning  Simple Less.docx
NSG4028 Concepts of Teaching and Learning Simple Less.docx
vannagoforth6 views
NSM-NCD2013 Symposium 2a - Healthy Kids Programme - Development and evaluatio... von appfromlab
NSM-NCD2013 Symposium 2a - Healthy Kids Programme - Development and evaluatio...NSM-NCD2013 Symposium 2a - Healthy Kids Programme - Development and evaluatio...
NSM-NCD2013 Symposium 2a - Healthy Kids Programme - Development and evaluatio...
appfromlab818 views
Scoping existing dietary data available in closer to support cross cohort res... von CLOSER
Scoping existing dietary data available in closer to support cross cohort res...Scoping existing dietary data available in closer to support cross cohort res...
Scoping existing dietary data available in closer to support cross cohort res...
CLOSER121 views
Using ExamSoft to Facilitate Active Retrieval and Promote Student Success von ExamSoft
Using ExamSoft to Facilitate Active Retrieval and Promote Student SuccessUsing ExamSoft to Facilitate Active Retrieval and Promote Student Success
Using ExamSoft to Facilitate Active Retrieval and Promote Student Success
ExamSoft371 views
Comps tutorial 2013 von wef
Comps tutorial 2013Comps tutorial 2013
Comps tutorial 2013
wef1.1K views
The Effects of a Sensory Friendly Learning Environment on Students with Intel... von Zipporah Levi-Shackleford
The Effects of a Sensory Friendly Learning Environment on Students with Intel...The Effects of a Sensory Friendly Learning Environment on Students with Intel...
The Effects of a Sensory Friendly Learning Environment on Students with Intel...
Lesson plan healthy eathing von yangmezi
Lesson plan healthy eathingLesson plan healthy eathing
Lesson plan healthy eathing
yangmezi680 views
Training 1 von gdelacru
Training 1Training 1
Training 1
gdelacru130 views
PDST Biology Workshop Spring 2014 von Martin Brown
PDST Biology Workshop Spring 2014PDST Biology Workshop Spring 2014
PDST Biology Workshop Spring 2014
Martin Brown6.9K views
Lesson plan healthy eathing von yangmezi
Lesson plan healthy eathingLesson plan healthy eathing
Lesson plan healthy eathing
yangmezi528 views
Memory Science & Medical Education (Nov. 4th, 2010) von Ben Williams
Memory Science & Medical Education (Nov. 4th, 2010)Memory Science & Medical Education (Nov. 4th, 2010)
Memory Science & Medical Education (Nov. 4th, 2010)
Ben Williams789 views

Thesis Presentation

  • 1. DIET AND LIFESTYLE IN THE COLLEGE POPULATION: ASSOCIATIONS WITH COGNITIVE PERFORMANCE Faoqiya Fatima Christine Filbin Rebecca Fritz Emily Gerlach Phoebe Gulling Emily Walker Mentor: Dr. Bonnie Beezhold
  • 2. Research question Are diet and lifestyle factors associated with cognitive performance in college students?
  • 3. Background • Diet and lifestyle factors play a crucial role in shaping cognitive capacity and brain development1 • Previous research has found a link between diet & lifestyle factors and cognition2,3,4 (1. Gomez-Pinnilla, 2008; 2. Nyaradi, et al., 2014; 3. Yolton, et al., 2004; 4. Zhu, et al., 2014)
  • 4. Background • Dietary factors (e.g. saturated fat, F&V, omega-3 fatty acids) and cognitive performance1,2 • Lifestyle factors (e.g. second-hand smoke, physical activity) and cognitive performance3,4 (1. Nyaradi, et al., 2014; 2. Fontani, et al., 2005; 3. Yolton, et al., 2004; 4. Zhu, et. al., 2014)
  • 5. Study objectives • Primary objective: To investigate the link between diet and cognitive performance in college students. • Secondary objective: To investigate the link between lifestyle factors and cognitive performance in college students.
  • 7. Study design • Cross-sectional study • Participants were Benedictine students • Components: online cognitive testing (“brain games”) and online survey completion • Collaborative planning
  • 8. Survey – diet questions • Brain foods (berries, fatty fish, sugar, caffeinated beverages, saturated fat sources) • General food groups (e.g. F/V, nuts, dairy, sweets, meat) • Pre-test intake (caffeine, sugar, water, bacon/sausage, cigarette smoking) • Meal patterns (meals per day, fast-food intake, eating on campus, pre-made foods at home, campus meal plan)
  • 9. Survey – other questions • Demographic variables (FDU) • Medications, parental marital status, presence of father • Lifestyle variables (FDU) • Hours of sleep/night, exercise, relaxation, cigarette and alcohol use, marijuana/recreational drugs, participation in diet to lose weight, recent weight changes, dietary restrictions/allergies, breakfast habits, # meals/day, and supplement use • Cognitive measures (FDU) • High school/college GPA, ACT/SAT scores, and highest education level achieved by mother/father
  • 10. Survey validity & reliability Validity • Incorporated validated survey measures • Godin Leisure Time Exercise Questionnaire • EPIC Norfolk frequencies • Use of clear and appropriate language for survey questions • Pilot testing and feedback Reliability • Potentially unclear questions were eliminated • Survey measures used strong consistency within answer choices and question format • Godin Q; EPIC Norfolk frequencies found to correctly identify low, medium and high consumers of food groups
  • 11. Cognitive testing • Cognitive domains most impacted by diet and lifestyle were identified1 • Cogstate provided test battery2 • Validated cognitive testing for clinical trials, healthcare, academic research, brain injury solutions • Eligible to use Cogstate Research software • Customized battery was selected • Software downloaded on 6 computers in computer lab (1. DeJager, et al., 2014; 2. Cogstate)
  • 12. Cognitive testing validity & reliability Validity • Instructions were clear and concise • Cognitive testing was available in all major languages • Proven ability to detect both improvement and decline in cognitive function1 Reliability • Minimal learning effects allows testing to be repeated often- even closely together2 • Reliable for all age groups due to sensitivity of testing2 • R values competitive for cognitive testing measures2 • R=(.49-.83) (1. Cogstate; 2. Nyaradi, et al., 2014)
  • 13. Processing speed • Ability to take in information, process and extract it1 • Eg: Time it takes to look at a picture and say what it is • Affected by diet/lifestyle in short- and long-term • Groton Maze Timed Chase Test2 • Detection Test2 (1. Turken, et al., 2008; 2. Cogstate)
  • 14. Verbal learning • Process of acquiring, retaining and recalling of verbal material1 • Eg: Hearing a name and remembering it • Affected by diet/lifestyle in short- and long-term • International Shopping List Test2 (1. Verbal Learning; 2. Cogstate)
  • 15. Verbal memory • Ability to recall verbally presented information1 • Eg: Someone tells you a grocery list and you remember it later at the store • Affected by diet/lifestyle in short- and long-term • International Shopping List Test - Delayed Recall2 (1. Tatsumi, et al., 2008; 2. Cogstate)
  • 16. Executive function • Set of mental skills that help you get things done; time mgmt, focus, planning, multi-tasking1 • Eg: successfully remembering instructions and carrying out the task • Affected by diet/lifestyle in short- and long-term • Identification Test2 • Groton Maze Learning Test2 (1. Executive Function & Self-Regulation; 2. Cogstate)
  • 17. Working memory • Responsible for: planning, problem solving, multi-tasking, and reasoning; short-term memory1 • Eg: Recalling a recipe while cooking a meal • Affected by diet/lifestyle in short-term • One-Back Memory Test2 (1. McLeod S, 2008; 2. Cogstate)
  • 18. Visual memory • Ability to correctly identify or reproduce a previously seen image1 • Eg: Looking at the title of a book in class, and then remembering title later at the bookstore • Affected by diet/lifestyle in short- and long-term • Groton Maze Learning Test - Delayed Recall2 (1. Brady, et al., 2011; 2. Cogstate)
  • 19. Recruitment • BU student population • Flyer distribution, instructor contact/class visits, one- on-one campus recruitment • Incentives • Eligibility criteria • 18-24 years old • Current BU student • Not taking prescription medications for mental conditions
  • 20. Recruitment • Incentives • Light snack • Gift cards • Not eligible for gift card if receiving extra credit
  • 21. Study protocol • Data collection on six 4-hr am sessions on Thursdays and Fridays in April-May 2016 • Protocol time was ~45 minutes • Informed consent/sign-in; ID number • Cognitive testing • Survey completion • Snack of water, bars, fruit offered; drawing for raffle or extra credit • Reliability considerations
  • 22. Statistical analysis • Correlational, differential • Descriptive statistics • Nonparametric analyses • Multivariate analyses: Chi square tests, Pearson and Spearman correlations • Univariate analyses: Mann-Whitney U tests, Kruskal Wallis H tests • Significance - p values < .05; SPSS version 24
  • 24. Population characteristics Variable N Mean ± SE Age 54 21.67 ± 0.20 Gender (m / f) 54 9 / 45 Academic year (lower / upper / grads) 54 8 / 36 / 10 Ethnicity (white / Asian / other) 54 24 / 17 / 13 BMI 54 23.08 ± 0.69 Commuter / Resident 54 46 / 8
  • 25. Results – Academic year Freshman Sophomore Junior Senior Graduate 35% 1% 19% 13% 31%
  • 26. Results – Ethnicity Hispanic, Latino, or Spanish Black or African American White (not Middle Eastern) White (Middle Eastern) Asian 10% 8% 47% 4% 27%
  • 27. Variables N Study Mean ± SD Normative Mean ± SD Cognitive test scores Identification Test 53 2.73 ± 0.07 2.66 ± 0.08 Groton Maze Timed Chase Test 51 1.49 ± 0.58 - Groton Maze Learning Test 53 57.45 ± 18.53 40.88 ± 15.34 Groton Maze Learning Test - Delayed Recall 53 9.21 ± 10.01 7.26 ± 5.38 Detection Speed of Performance Test 52 2.55 ± 0.10 2.46 ± 0.09 International Shopping List Test 53 26.21 ± 4.13 25.17 ± 4.30 International Shopping List - Delayed Recall Test 53 9.13 ± 2.13 9.25 ± 3.02 One Back Memory Test 53 1.20 ± 0.28 1.37 ± 0.14 College grade point average (GPA) 53 3.31 ± 0.42 - Cognitive performance measures
  • 28. Phoebe Gulling Research question: What non- diet factors are associated with cognitive performance?
  • 29. Background – specific demographic / lifestyle factors • Demographic factors associated with cognitive performance (e.g. father in the home1, socioeconomic status2) • Lifestyle factors associated with cognitive performance (e.g. stress3, sleep4) (1. Chapman, 1977; 2. Waber, et al., 2012; 3. Pritchard, 2003; 4. Lo, et al., 2016)
  • 30. Variable N No Yes Father’s education - N/Y college degree 51 25 26 Mother’s education - N/Y college degree 53 21 32 Parents marital status - N/Y married 54 9 45 Father present in home 54 2 52 Frequency of demographic factors
  • 31. Frequency of lifestyle factors Variable N No Yes Sleep hours/night (<7 / ≥7) 54 39 15 Moderate exercise x/wk (<5x / ≥5X) 54 29 25 Relaxes by reading 54 35 19 Relaxes by religious/spiritual 54 37 17 Relaxes by spending time with pets 54 37 17 Relaxes by listening to music 54 12 42 Relaxes by breathing practices 47 36 11 Cigarette exposure 54 44 10 Alcohol at least once/week 54 42 12
  • 32. Frequency of meal patterns Variable N No Yes Diet to lose weight 54 45 9 Weight change in 1 mo 54 37 17 Dietary restriction/allergy 54 39 15 Eat within 1 hour of waking 54 29 25 At least 3 meals/day 54 16 38 Commuter >1 meal away from home/wk 46 12 32 At least 1 fast food meals/wk 46 16 30 Resident Meal plan 14 9 5 Eat at cafeteria 10 5 5 At least 1 fast food meal/wk 10 3 7 Prepare meals in housing unit 12 3 9
  • 33. Cognitive performance measures N Father’s education Commuter meals away from home x/wk Commuter fast food meals x/wk Reading for relaxation N/Y Pets for relaxation N/Y rho / p r / p r / p r / p r / p Detection test (psychomotor function; lower score better) 51 0.29 / 0.040 - - - - International Shopping List Test-Delayed Recall test (verbal memory; higher score better) 45 - 0.31 / 0.038 - - - Groton Maze Learning- Delayed Recall test (visual memory; lower score better) 45 53 - - 0.41 / 0.005 - 0.28 / 0.045 International Shopping List Test (verbal learning; higher score better) 53 - - - 0.28 / 0.046 - p < .05 indicates significance; Pearson product-moment and Spearman rank order correlations. Correlations of lifestyle factor variables with cognitive performance measures
  • 34. Significant correlations 1. ↑ father’s highest education level : ↓ psychomotor function 2. ↑ commuter total meals away from home : ↑ verbal memory 3. ↑ commuter fast food meals : ↓ visual memory 4. ↑ reading for relaxation : ↑ verbal learning 5. ↑ spending time with pets : ↓ visual memory
  • 35. Discussion • Consumption of fast food may lower visual memory function • Fast food intake associated with lower test scores among elementary age students1 • Fast food intake associated with lower GPA among undergraduate students2 • Reading for relaxation may enhance verbal memory • Reading for pleasure associated with higher GPA and greater desire for higher level thinking among undergraduate students3 (1. Tobin, 2011; 2. Kobayashi, 2009; 3. Turner, et al., 2011)
  • 36. Emily Walker Research question: Is meat and poultry intake associated with cognitive performance?
  • 37. Background • Millennials consume meat at rate similar to previous generations1 • Composition can be both positive and negative for cognition2 • Dietary Guidelines recommend lower intakes of meats, including processed meat • Studies are conflicting regarding cognition3,4 (1. Midan Marketing, 2016; 2. McAfee, et al., 2010; 3. Baym, et al., 2014; 4. Neumann, et al., 2007)
  • 38. Methods • Fill in (food/beverage type) times per week: Meat and poultry (beef, buffalo, lamb, pork, chicken, turkey, duck) • Based on average over past year, check any frequency of (food/beverage type) that you eat/drink: Red meat, processed meat, poultry • Never or <1x/mo, 1-3x/mo, 1x/wk, 2-4x/wk, 5-6x/wk, 1x/d, 2-3x/d, 4-5x/d, 6+x/d11 (1. EPIC-Norfolk FFQ)
  • 39. Variable N Freshmen and Sophomores N = 8 Juniors N = 17 Seniors N = 19 Graduate Students N = 10 Total meat & poultry/wk Less than 6 x/wk 32 5 12 9 6 ≥6 x/wk 22 3 5 10 4 Red meat/mo Never or <1 x/wk 21 1 11 6 3 > 1 x/wk 31 6 5 13 7 Processed meats/mo Never or < 1 x/mo 19 0 8 7 4 Monthly, weekly, more 32 7 7 12 6 Poultry/mo Less than 5 x/wk 30 5 11 8 6 ≥5 x/wk 21 2 5 11 3 Reporting of meat intake frequency by student academic year
  • 40. Correlations of meat intake variables with cognitive performance measures p < .05 indicates significance; Pearson product-moment correlations and Spearman rank order correlations. Cognitive performance measures Total meat/ poultry x/wk Red meat x/mo Processed meat x/mo r / p / n rho / p / n rho / p / n Groton Maze Learning Test (executive function; lower score better) -0.30 / 0.031 n = 53 - - Groton Maze Learning Test - Delayed Recall (visual memory; lower score better) -0.44 / 0.001 n = 53 -0.36 / 0.010 n = 51 -0.35 / 0.012 n = 51 International Shopping List - Delayed Recall (verbal memory; higher score better) 0.28 / 0.045 n = 52 - -
  • 41. Cognitive performance measure <6 x/wk ≥6 x/wk Groton Maze Learning Test - Delayed Recall (visual memory; lower score better) n = 31 Md = 9.00 n = 22 Md = 5.00 U = 198.00 p = 0.010*; r = -0.36 Groton Maze Learning Test (executive function; lower score better) n = 31 Md = 28.25 n = 22 Md = 25.25 U = 302.50 p = 0.487; r = -0.10 International Shopping List - Delayed Recall (verbal memory; higher score better) n = 31 Md = 24.00 n = 22 Md = 31.23 U = 248.00 p = 0.089; r = -0.23 Comparison of cognitive performance measures by total meat/poultry intake frequency weekly *p < .05 indicates significance; Mann Whitney U tests.
  • 42. Discussion • Consuming meat was associated with better cognitive performance • An omnivorous diet may contribute to better cognitive performance1,2 • Nutrients in meat like B12 are related to cognition1,2 (1. Louwman, et al., 2000; 2. Heys, et al., 2010)
  • 43. Emily Gerlach Research question: Is egg intake associated with cognitive performance?
  • 44. Background •Nutrient dense; may be helpful for cognition •Studies of key nutrients are conflicting • Saturated fat1 • Choline2,3 (1. Knott, et al., 2015; 2. Poly, et al., 2011; 3. Okereke, et al., 2012)
  • 45. Methods •Fill in times per week: Eggs, including yolk • Whole number response
  • 46. Variable N Freshmen and Sophomores N = 8 Juniors N = 17 Seniors N = 19 Graduate Students N = 10 Never or 1x/wk 23 7 8 7 1 2 or more x/wk 30 1 8 12 9 Reporting of weekly egg intake frequency by student academic year (Statista, 2016)
  • 47. Correlations of weekly egg intake with cognitive performance measures p < .05 indicates significance; Pearson product-moment correlation coefficient. Cognitive performance measure N Egg intake x/wk r / p College GPA 52 0.33 / 0.017 Identification Speed of Performance Test (attention; lower score better) 52 0.29 / 0.037
  • 48. Comparison of cognitive performance measures in levels of weekly egg intake frequency Cognitive performance measure ≤1 x/wk N = 22 ≥2 x/wk N = 30 College GPA n = 22 Md = 3.20 n = 30 Md = 3.50 U = 193.50 p = 0.011*; r = 0.35 Identification Speed of Performance Test (attention; lower score better) n = 22 Md = 2.72 n = 30 Md = 2.72 U = 310.00 p = 0.711; r = 0.05 *p < .05 indicates significance. Mann Whitney U tests.
  • 49. Discussion • Intake of eggs may be associated with better academic performance • Breakfast consumption associated with enhanced cognitive function1 • High intakes of saturated fat associated with worse cognition2 (1. Cooper, et al., 2011; 2. Okereke, et al., 2012)
  • 50. Faoqiya Fatima Research question: Is dairy intake associated with cognitive performance?
  • 51. Background • Composition of dairy may enhance brain function1 • College students have high intake of dairy2 • Previous human studies have linked dairy with enhanced cognition3,4 (1. Camfield, 2011; 2.Durá Travé, 2008; 3. Crichton, et al., 2012; 4. Rahman, et al., 2007)
  • 52. Methods • Fill in (food/beverage type) times per day: Total dairy foods (milk, cheese, yogurt, etc.) • Based on average over past year, check any frequency of (food/beverage type) that you eat/drink: • Whole dairy intake (whole milk, cheese, butter) • Yogurt or kefir • Milk (cow’s milk) • Never or <1x/mo, 1-3x/mo, 1x/wk, 2-4x/wk, 5-6x/wk, 1x/d, 2-3x/d, 4-5x/d, 6+x/d1
  • 53. Variables N Freshmen and Sophomores N = 8 Juniors N = 17 Seniors N = 19 Graduate Students N = 10 Total dairy foods (milk, cheese, yogurt, etc.) Never or 1x/wk 23 7 8 7 1 2 or more x/wk 30 1 8 12 9 Whole dairy intake (whole milk, cheese, butter) Never or less than monthly intake 31 7 9 11 4 Monthly to daily intake 23 1 8 8 6 Yogurt or kefir Never to less than 1x/wk 22 5 5 10 2 1 or more x/wk 31 3 11 9 8 Milk (cow’s milk) Never to 1x/wk 22 3 6 8 5 2 or more x/wk 32 5 11 11 5 Reporting of dairy frequency by student academic year
  • 54. Correlations of dairy intake variables with cognitive performance measures Cognitive performance measures Total dairy intake x/day Whole dairy foods x/mo r / p / n rho / p / n Identification Speed of Performance Test (attention; lower score better) 0.34 / 0.014 n = 52 - Detection Speed of Performance Test (psychomotor function; lower score better) 0.48 / 0.000 n = 51 -0.34 / 0.015 n = 51 p < .05 indicates significance; Pearson product-moment and Spearman rank order correlations.
  • 55. Cognitive performance measures None or 1 x/day 2-7 x/day Identification Speed of Performance Test (attention; lower score better) n = 21 Md = 2.71 n = 31 Md = 2.56 U = 253.0 p = 0.176; r = 0.19 Detection Speed of Performance Test (psychomotor function; lower score better) n = 20 Md = 2.74 n = 31 Md = 2.53 U = 309.00 p = 0.985; r = 0.02 Comparison of cognitive performance variables in levels of total dairy intake frequency *p < .05 indicates significance; Mann Whitney U tests.
  • 56. Comparison of cognitive performance variables in levels of whole dairy intake frequency p values < .05 indicate significance; Mann Whitney U tests. Cognitive performance measures Never or less than monthly Monthly to daily Detection Speed of Performance Test (psychomotor function; lower score better) n = 31 Md = 2.73 n = 21 Md = 2.51 U = 191.00 p = 0.012*; r = -0.35 *p < .05 indicates significance; Mann Whitney U tests.
  • 57. Discussion • Dairy intake results were conflicting • Low-fat dairy intake and better cognitive function consensus in studies1,2 • Fat in dairy may increase cognitive function3 (1. Parker, et al., 2012; 2. Crichton, 2012; 3. Bell, n.d.)
  • 58. Christine Filbin Research question: Is caffeine intake associated with cognitive performance?
  • 59. Background • Caffeine acts as stimulant1 • Recommendation <400 mg/day2 • Intake found widely among college-aged students3 • Promotes sustained cognition during fatigue or decreased sleep4 • Decreased reaction time with unchanged accuracy during times of fatigue5 (1. Lakhan, et al., 2012; 2. Mayo Clinic; 3. TCU Nutrition; 4. Kamimori, et al., 2014; 5. van Duinen, et al., 2005)
  • 60. Methods • Based on average over past year, check any frequency of beverage type that you drink: Coffee, brewed including coffee drinks • Never or <1x/mo, 1-3x/mo, 1x/wk, 2-4x/wk, 5-6x/wk, 1x/d, 2-3x/d, 4-5x/d, 6+x/d1 • Pre-test Q: Did you drink any of the following caffeinated beverage(s) earlier today?2  12-24 of regular or Diet Coke, Pepsi, or Mountain Dew; black tea (hot or iced) (20-50 mg caffeine)  1 brewed coffee; a small latte/cappuccino; a single espresso shot; a bottled frappuccino; an energy juice, water or tea product; or a small Red Bull or similar brand energy drink (70-120 mg caffeine)  2 or more cups of brewed coffee; a medium or large latte/cappuccino; a double or triple espresso shot; 16 of or more of energy beverages such as Red Bull, Monster Energy, Arizona Green Tea Energy, Jolt Cola, etc.150- 250 mg caffeine)  I drank none of these beverage types (1. EPIC-Norfolk FFQ; 2. Mayo Clinic )
  • 61. Variable N Freshmen and Sophomores N = 8 Juniors N = 17 Seniors N = 19 Graduate Students N = 10 Coffee Intake frequency Never or monthly 27 5 9 10 3 Weekly or daily 27 3 8 9 7 Pre-Test Caffeine No / Yes 33 / 20 3 / 5 7 / 9 5 / 14 10 / 5 Reporting of caffeine intake by student academic year
  • 62. p < .05 indicates significance; Spearman rank order correlations. Cognitive performance measures N Coffee intake frequency Pre-test caffeine N/Y rho / p rho / p Groton Maze Learning Test (executive function; lower score better) 53 0.28 / 0.042 0.35 / 0.010 Groton Maze Learning Test - Delayed Recall (visual memory; lower score better) 53 0.41 / 0.002 0.44 / 0.001 Correlations of caffeine intake variables with cognitive performance measures
  • 63. Cognitive performance measure Never or monthly Weekly or daily Groton Maze Learning Test (executive function; lower score better) n = 27 Md = 52.00 n = 27 Md = 59.00 U = 266.00 p = 0.130; r = 0.28 Groton Maze Learning Test - Delayed Recall (visual memory; lower score better) n = 27 Md = 6.00 n = 27 Md = 10.00 U = 189.50 p = 0.004*; r = 0.41 Comparison of cognitive performance measures in levels of coffee intake frequency *p < .05 indicates significance; Mann Whitney U tests.
  • 64. Cognitive performance measure No Yes Groton Maze Learning Test (executive function; lower score better) n = 33 Md = 52.00 n = 19 Md = 59.00 U = 231.00 p = 0.117; r = 0.35 Groton Maze Learning Test - Delayed Recall (visual memory; lower score better) n = 33 Md = 7.00 n = 19 Md = 10.00 U = 196.50 p = 0.026*; r = 0.31 Comparison of cognitive performance measures in levels pre-test caffeine intake *p < .05 indicates significance; Mann Whitney U tests.
  • 65. Discussion • Intake of caffeine may lower cognitive performance • Studies show caffeine may worsen cognitive performance1 • Caffeine blocks inhibitory process of adenosine increasing dopamine in the brain2 • Dopamine imbalance may hinder cognitive performance3 (1. Lesk, et al., 2004; 2. Hale, 2012; 3. Nieoullon, et al., 2002)
  • 66. Becca Fritz Research question: Is sugar intake associated with cognitive performance?
  • 67. Background (1. West, et al., 2006; 2. Cooper, et al., 2015) • Recommendations: Added sugars not >10% of calories per day • Elevated blood glucose / insulin associated with poorer cognitive performance1 • The brain may need sustained energy release2
  • 68. Methods (1. EPIC-Norfolk FFQ) • Fill in (food type) times per day: Sweets, not including chocolate (pastries, cakes, pies, cookies, candy, etc.) • Whole number • Based on average over past year, check any frequency of (beverage type) that you drink: Soft drinks: sugar- sweetened, non-diet • Never or <1x/mo, 1-3x/mo, 1x/wk, 2-4x/wk, 5-6x/wk, 1x/d, 2- 3x/d, 4-5x/d, 6+x/d1 • Pre-test Q: In the past 2 hours have you consumed any sugary foods: (muffins, donuts, cinnamon rolls, etc.) • Check Yes or No
  • 69. Variables N Freshmen and Sophomores N = 8 Juniors N = 17 Seniors N = 19 Graduate Students N = 10 Total sweets frequency daily, not including chocolate No intake 22 3 7 6 6 1 or more x/day 31 5 10 12 4 Soft drinks; sugar – sweetened, non-diet Never or < 1x/mo 29 2 10 10 7 1 or more x/mo 24 6 6 9 3 Pre-test sugary food intake No intake 39 4 9 17 9 Yes intake 15 4 8 2 1 Reporting of sugar intake by student academic year
  • 70. p < .05 indicates significance; Pearson product-moment and Spearman rank order correlations. Cognitive performance measures N Sugar- sweetened non diet soft drinks freq Pre-test sugary foods NY rho / p r / p College GPA 52 -0.34 / 0.014 - Groton Maze Timed Chase Test (visual processing speed; higher score better) 50 -0.35 / 0.014 - Groton Maze Learning Test (executive function; lower score better) 53 - 0.35 / 0.010 Groton Maze Learning Test – Delayed Recall (visual memory; lower score better) 53 - 0.44 / 0.001 Correlations of sugar intake variables with cognitive performance measures
  • 71. Comparison of cognitive performance measures in levels of soft drinks intake frequency Cognitive performance measures ≤1 x/mo N = 29 >1 x/mo N = 24 College GPA n = 28 Md = 3.50 n = 24 Md = 3.20 U = 179.50 p = 0.004*; r = 0.40 Groton Maze Timed Chase Test (visual processing speed; higher score better) n = 27 Md = 1.77 n = 23 Md = 1.33 U = 181.00 p = 0.012*; r = 0.40 *p < .05 indicates significance; Mann Whitney U tests.
  • 72. Comparison of cognitive performance measures in levels of pre-test sugary food intake *p < .05 indicates significance; Mann Whitney U tests. Cognitive performance measure No N = 39 Yes N = 15 Groton Maze Learning Test (executive function; lower score better) n = 38 Md = 51.0 n = 14 Md = 57.5 U = 164.00 p = .028*; r = 0.30 Groton Maze Learning Test - Delayed Recall scores (visual memory; lower score better) n = 39 Md = 7 n = 14 Md = 10 U = 138.00 p = 0.006*; r = 0.37
  • 73. Discussion • Intake of added sugars may negatively impact cognitive performance • Poorer memory related to sugar intake1,2 (1. Ye X, et al., 2012; 2. Riby, et al., 2015)
  • 75. Conclusion Memory Verbal learning Executive function Attention College GPA Processing speed Psychomotor function (+) meat & poultry (-) fast food, pre-test caffeine, coffee daily, pre-test sugary foods (+) reading for relaxation (+) meat & poultry (-) pre-test caffeine, pre- test sugary foods (-) eggs weekly, dairy daily (+) eggs weekly (-) sugar-sweetened soft drinks daily (-) sugar- sweetened soft drinks daily (+) whole dairy (-) dairy daily
  • 76. Strengths • Validated performance testing measures • Survey questions • Cognitive testing available in all major languages • Piloted protocol • Standardized script during testing • Collaboration with larger campus Limitations • Study design • Small sample size • Multiple proctors • Online survey only available in English • Multiple students in same room • Potential response bias • Recruitment population • External validity
  • 77. Future research • Larger population • Comparison of vegan and omnivore cognitive measures • Experimental study design
  • 78. Thank you to our sponsors… Amir Ouranus in IT Dept
  • 79. References • Agrawal R, Gomez-Pinialla F. ‘Metabolic syndrome’ in the brain: deficiency in omega-3 fatty acid exacerbates dysfunctions in insulin receptor signaling and cognition. Journal Physio. 2012;2485-2499. • Baym CL, Khan NA, Monti JM, et al. Dietary lipids are differentially associated with hippocampal-dependent relational memory in prepubescent children. American J Clin Nutr, 2014;99(5):1026-1032. • Bonner-Jackson A, Mahmoud S, Miller J, Banks SJ. Verbal and non-verbal memory and hippocampal volumes in a memory clinic population. Alzheimer’s Res Ther. 2015;7(1):61. • Brady TF, Konkle T, Alvarez GA. A review of visual memory capacity: Beyond individual items and toward structured representations. J Vis. 2011;11(5):4–4. • Camfield DA. Dairy constituents and neurocognitive health in ageing. Br J Nutr. 2011;106(2):159-74. • CDC. Current cigarette smoking among adults in the United States, 2014. CDC Web site. https://www.cdc.gov/tobacco/data_statistics/fact_sheets/adult_data/cig_smoking/. Accessed October 21, 2016. • Cepeda N, Blackwell K, Munakata Y. Speed isn’t everything: complex processing speed measures mask individual differences and developmental changes in executive control. 2013;16(2):269-286. • Chapman M. Father absence, stepfathers, and the cognitive performance of college student. Child Dev. 1977;48(3):1155-1158. • Chapter 6 verbal learning. Available at: http://web.mnstate.edu/malonech/Psy342/Terry%20Notes/Verbal%20Learning%20T6.htm. Accessed October 9, 2016. • Cherry K. What exactly is Cognition? Verywell Web site. https://www.verywell.com/what-is-cognition- 2794982. Updated September 5, 2016. Accessed October 24, 2016. • Cogstate - Leaders in optimizing the measure of cognition. Cogstate. https://cogstate.com/. Accessed September 7, 2016. • Cooper SB, Bandelow S, Nevill ME. Breakfast consumption and cognitive function in adolescent schoolchildren. Physiol Behav. 2011;103(5):431-9 • Crichton GE, Elias MF, Dore GA, Robbins MA. Relation between dairy food intake and cognitive function: The Maine-Syracuse Longitudinal Study. Int Dairy J. 2012;22(1):15-23.
  • 80. References • Crichton GE, Murphy KJ, Howe PR, Buckley JD, Bryan J. Dairy consumption and working memory performance in overweight and obese adults. Appetite. 2012;59(1):34-40. • de Jager CA, Dye L, de Bruin EA, et al. Criteria for validation and selection of cognitive tests for investigating the effects of foods and nutrients. Nutr Rev. 2014;72(3):162–179. • Durá Travé T. Intake of milk and dairy products in a college population. Nutr Hosp. 2008;23:89e94. • EPIC-Norfolk: Food frequency questionnaire. University of Cambridge. 2014. Available at: http://www.srl.cam.ac.uk/epic/epicffq/. Accessed October 17, 2016. • Executive Function & Self-Regulation. Available at: http://developingchild.harvard.edu/science/key- concepts/executive-function/. Accessed October 11, 2016. • Hale J. Caffeine’s effects on your thinking | world of psychology. 2012. Available at: http://psychcentral.com/blog/archives/2012/04/15/caffeines-effects-on-your-thinking/ [Accessed November 11, 2016]. • Heys M, Jiang C, Schooling CM, et al. Is childhood meat eating associated with better later adulthood cognition in a developing population? Eur J of Epidemiol. 2010;25(7):507–516. • Hsu T, Konanar V, Taing L, et al. Effects of sucrose and high fructose corn syrup consumption on spatial memory function and hippocampal neuroinflammation in adolescent rats. Hippocampus. 2015;25(2):227-239. • Illinois Department of Public Health. The burden of tobacco in Illinois: prevalence, impact, and cost, 2013. Springfield, IL. Illinois Department of Public Health Web site. http://www.dph.illinois.gov/sites/default/files/publications/tobacco-burden-2013-050216.pdf. Accessed October 24, 2016. • Kamimori GH, McLellan TM, Tate CM, Voss DM, Niro P, Lieberman HR. Caffeine improves reaction time, vigilance and logical reasoning during extended periods with restricted opportunities for sleep. Psychopharmacology. 2014;232(12):2031–2042. • Kobayashi F. Academic achievement, BMI, and fast food intake of American and Japanese college students. Nutr Food Sci. 2009;39(5):555-566. • Knott V, de la Salle S, Impey D, et al. Neurocognitive effects of acute choline supplementation in low, medium and high performer healthy volunteers. Pharmacol Biochem Behav. 2015;131:119-29. • Lakhan SE, Kirchgessner A. Prescription stimulants in individuals with and without attention deficit hyperactivity disorder: Misuse, cognitive impact, and adverse effects. Brain and Behav. 2012;2(5):661–677. • Lesk VE, Womble SP. Caffeine, priming, and tip of the tongue: Evidence for plasticity in the Phonological system. Behav Neurosci. 2004;118(3):453–461.
  • 81. References • Lo JC, Ong JL, Leong RL, Gooley JJ, Chee MW. Cognitive performance, sleepiness, and mood in partially sleep deprived adolescents: The need for sleep study. Sleep. 2016;39(3):687-698. • Louwman MW, van Dusseldorp M, van de Vijver FJ, et al. Signs of impaired cognitive function in adolescents with marginal cobalamin status. Am Journal of Clin Nutr. 2000;72(3):762-769. • MC. Nutrition and healthy eating caffeine: How much is too much? Mayoclinic Web site. Available at: http://www.mayoclinic.org/healthy-lifestyle/nutrition-and-healthy-eating/in-depth/caffeine/art-20045678. Published 2014. Accessed October 21, 2016. • McAfee AJ, McSorley EM, Cuskelly GJ, et al. Red meat consumption: An overview of the risks and benefits. Meat Sci. 2010;84(1):1–13. • McLeod S. Simply Psychology. Working Memory. Published 2008. Accessed: August 9, 2016. Available at: http://www.simplypsychology.org/working%20memory.html • Morrison FJ, Holmes DL, Haith MM. A developmental study of the effect of familiarity on short-term visual memory. J Exp Child Psychol. 1974;18(3):412–425. • Naish J. Fat lot of good: How eating more cheese and milk could make you brainier. Daily Mail Web site. March 6, 2012. http://www.dailymail.co.uk/health/article-2110801/Could-eating-cheese-milk-make-brainier.html. Accessed October 21, 2016. • National Center for Education Statistics. Parental education. 2015. Available at: http://nces.ed.gov/programs/coe/indicator_saa.asp. • Nieoullon A. Dopamine and the regulation of cognition and attention. Progress in Neurobiology. 2002;67(1):53– 83. • Neumann CF, Murphy SP, Gewa C, Grillenberger M, Bwibo NO. Meat supplementation improves growth, cognitive, and behavioral outcomes in Kenyan children. J Nutr. 2007;137(4):1119-1123. • Nyaradi A, Foster JK, Hickling S, et al. Prospective associations between dietary patterns and cognitive performance during adolescence. J. Child Psychol Psychiatry. 2014;55(9):1017–1024. • Okereke OI, Rosner BA, Kim DH, et al. Dietary fat types and a 4-year cognitive change in community-dwelling older women. Ann Neurol. 2012;72(1):124-34. • Park KM and Fulgoni VL. The association between dairy product consumption and cognitive function in the National Health and Nutrition Examination Survey. Br J Nutr. 2013;109(6):1135-42. • Poly C, Massaro JM, Seshadri S, et al. The relation of dietary choline to cognitive performance and white-matter hyperintensity in the Framingham Offspring Cohort. Am J Clin Nutr. 2011;94(6):1584-1591.
  • 82. References • Pritchard ME, Wilson GS. Using emotional and social factors to predict student success. J Coll Student Dev. 2003;44(1):18-28. • Rahman, A, Sawyer Baker P, Allman RM, Zamrini E. Dietary factors and cognitive impairment in community- dwelling elderly. J Nutr Health Aging 2007;11(1):49-54. • Riby L, McLaughlin J, Riby D. Lifestyle, glucose regulation and the cognitive effects of glucose load in middle- aged adults. Br J Nutr. 2008;100:1128-1134. • Ryan C, Bauman K. Educational attainment in the United States: 2015. United States Census Bureau. 2016:20- 578. Available at: http://www.census.gov/content/dam/Census/library/publications/2016/demo/p20-578.pdf. • Tatsumi IF, Watanabe M. Encyclopedia of Neuroscience. Volume 1. Berlin Heidelberg, Germany. Springer, 2008. Available at: http://link.springer.com/referenceworkentry/10.1007%2F978-3-540-29678-2_6266 • Tobin KJ. Fast-food consumption and educational test scores in the USA. Child Care Health Dev. 2011;39(1):118- 124. • Turken A, Whitfield-Gabrieli S, Bammer R, Baldo J, Dronkers N, Gabrieli J. Cognitive processing speed and the structure of white matter pathways: convergent evidence from normal variation and lesion studies. 2008;42(2):1032-1044. • Turner JS, Croucher SM. An examination of the relationships among United States college students’ media use habits, need for cognition, and grade point average. Learn MediaTechnol. 2014;39(2):199-214. • Uetz M. Millennials, boomers and meat: A closer look. Midan Marketing. 2016. Available at: http://midanmarketing.com/2016/09/01/millennials-boomers-and-meat-a-closer-look/. Accessed October 17, 2016. • Verbal memory. 2016. Available at: https://cogstate.com/computerized-tests/cognitive-tests/memory/. Accessed October 10, 2016. • Waber DP, Forbes PW, Almli CR, Blood EA. Four-year longitudinal performance of a population-based sample of healthy children on a neuropsychological battery: The NIH MRI study of normal brain development. J Int Neuropsychol Soc. 2012;18(2):179-190. • West D, Bursac Z, Quimby D, et al. Self Reported Sugar-Sweetened Beverage Intake among College Students. Obesity. 2006;14(10):1825-1831. • Ye X, Gao X, Scott T, Tucker K. Habitual sugar intake and cognitive function among middle-aged and older Puerto Ricans without diabetes. Br J Nutr. 2011 November; 106(9):1423-1432. • Yolton K, Dietrich K, Auinger P, Lanphear BP, Hornung R. Exposure to environmental tobacco smoke and cognitive abilities among U.S. Children and adolescents. Environ Health Perspect. 2004;113(1):98–103.