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Ensayo controlado aleatorizado2026Financiado por la industria

Financiado en parte por Almond Board of California

Effects of 24-Week Almond Supplementation on Executive Function and Processing Speed in Middle-Aged Asian Indians with Prediabetes: An Open-Label Randomized Controlled Trial

Gulati S, Misra A, Tiwari R, Pandey RM, Sharma M

The Journal of nutrition · 0 citas

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Financiado por la industria

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Cómo se estudió

Diseño
Ensayo controlado aleatorizado (indexado por PubMed)
Estudiado en
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Resultado principal
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Quién lo pagó

Financiación
Financiado por la industria
Grupo de la industria
Almond Board of California

Según 1 financiador declarado.

Publicación

Publicado
2026-03-16 · J Nutr · vol. 156 · número 5 · pág. 101484
Editorial
Elsevier BV
Citado
1 cita · más que el 91% de estudios similares · 4.2× el promedio de su campo
Impacto
Entre el 10 % más citado de su campo
Referencias
38 trabajos
Acceso
De pago
Áreas de investigación
Nuts composition and effects · Dementia and Cognitive Impairment Research · Nutritional Studies and Diet
Palabras clave
prediabetes, executive function, processing speed, cognitive function, oxidative stress, lipid peroxidation, alpha-tocopherol, C-reactive protein, glycemic control, insulin resistance, middle-aged adults, Asian Indians, dietary intervention, weight loss, HbA1c, CANTAB, cognitive decline prevention, diabetes prevention, Mediterranean diet
MeSH
humans, prediabetic state, thiobarbituric acid reactive substances, blood glucose, alpha-tocopherol, c-reactive protein, cognition, oxidative stress, dietary supplements, adult, middle aged, india, female, male, executive function, prunus dulcis, processing speed, south asian people, cognitive enhancement

5 autores

  • Seema Gulati🇮🇳National Diabetes Obesity and Cholesterol Foundation; Diabetes Foundation
  • Anoop Misra🇮🇳 · autor de correspondenciaNational Diabetes Obesity and Cholesterol Foundation; Diabetes Foundation
  • Rajneesh Tiwari🇮🇳National Diabetes Obesity and Cholesterol Foundation
  • Ravindra Mohan Pandey🇮🇳All India Institute of Medical Sciences
  • Meenu Sharma🇮🇳National Diabetes Obesity and Cholesterol Foundation

Resumen

El texto original del estudio, en el idioma en que se publicó.

Background

Prediabetes is potentially recognized as a stage of heightened risk not only for diabetes but also for early cognitive decline, driven by insulin resistance, oxidative stress, and low-grade inflammation.

Objectives

The aim of this study was to evaluate the effect of daily almond supplementation on cognitive performance and biochemical markers in middle-aged Asian Indians with prediabetes, who are at high risk for metabolic and cognitive decline.

Methods

This 24-wk, open-label, parallel-arm randomized controlled trial was conducted at a tertiary care center in New Delhi. A total of 60 adults aged 40-60 y with prediabetes were randomly assigned to an almond group (n = 29; almonds providing 20% of daily energy with diet and exercise) or a control group (n = 31; isocaloric diet and exercise without almonds). Cognitive function was assessed at baseline and 24 wk using the Cambridge neuropsychological test automated battery (CANTAB), covering executive function, memory, attention, processing speed, and working memory. Anthropometry, glycemia, plasma α-tocopherol, thiobarbituric acid reactive substances (TBARS), and high-sensitivity C-reactive protein were also measured.

Results

At 24 wk, the almond group showed significant improvements in executive function [One Touch Stockings of Cambridge; β = -2.5, 95% confidence interval (CI): -4.4, -0.6, P = 0.01] and in processing speed (reaction time; β = 73.8, 95% CI: 25.7, 122.0, P = 0.003; β = 39.3, 95% CI: 9.4, 69.1, P = 0.011) compared with controls. There were also significant reductions in weight, body mass index, waist circumference, fasting and postprandial glucose, glycosylated hemoglobin, and TBARS, along with increased plasma α-tocopherol (all P < 0.05).

Conclusions

Six months of almond supplementation improved executive function, processing speed, and overall cognition, reduced oxidative stress (TBARS), and improved plasma α-tocopherol and glycemia in Asian Indians with prediabetes. These findings suggest that almonds provide dual cognitive and metabolic benefits in this high-risk population. However, the moderate sample size and 24-wk duration warrant confirmation in larger and longer-term trials. This trial was registered at clinicaltrials.gov as NCT05322304.

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