Cognitive Function Clinical Trial
Official title:
Cognition Intervention Study Dortmund- Glycemic Index (CogniDo GI)
The Cognition Intervention Study Dortmund (CogniDo) and the Cognition Intervention Study Dortmund PLUS (CogniDo PLUS) investigated the short-term effects of having school lunch versus skipping it on children's basal (CogniDo) and executive (CogniDo PLUS) cognitive functions in the afternoon. The The Cognition Intervention Study Dortmund Continued (Coco) connected this two previous studies and investigates the effect of having school lunch versus skipping it on children's basal and executive cognitive functions later in the afternoon. The present study the Cognition Intervention Study Dortmund- Glycemic Index (CogniDo GI) examines the influence of the gylcemic index of lunch on cognitive performance of school children in the afternoon.
Glucose is the main fuel of the human brain. However, which impact the glycemic index of
lunch has on cognitive performance is not clear. A recently published review by Philippou
and Constantinou suggested cautiously that a low-GI meal may favor cognitive functions in
adults, but note that their findings are inconclusive due to differences in study design,
study sample (e.g. size, age), time of testing and the cognitive domain being examined.
Because of cerebral particularities, children may react highly sensitive to variations of
glycose supply. Therefore, an optimised composition of meals at favourable mealtime should
be considered for optimal cognitive performance. The increasing implementation of all-day
schools in Germany requires the children's catering for lunch at school.
As prior intake of food can have an influence on the physiological effect of test meal, the
children's dietary intake in the mid-morning is standardized. The intervention is integrated
in everyday school life: 9.15 a.m. standardized snack within the frame of the regular break,
9.45 a.m. to 12.25 p.m. everyday school life, 12.25 p.m. lunch with a high GI-rice or a low
GI-rice and a water beverage, 12.45 p.m. to 13.15 p.m. regular lunch break, 13.15 p.m.
computerized tests of executive cognitive and basal (alertness) functioning.
Parameters of cognition with relevance to everyday school life are measured by a
computerized test program developed by the Institute of Working Learning and Aging (ALA).
Usual eating behaviour, sleep behaviour, physical activity and parental education were
determined as control variables by questionnaires for children, parents.
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Allocation: Randomized, Intervention Model: Crossover Assignment, Masking: Open Label
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