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Food Hardness Modulates Behavior, Cognition, and Brain Activation: A Systematic Review of Animal and Human Studies.

Nutrients
January 1, 1970
Khaled Al-Manei et al. (6 authors)
Journal ArticleReviewSystematic ReviewHuman Study
Study Details

Study Goal

The researchers aimed to evaluate the effect of food hardness (hard vs. soft diets) on behavior, cognition, and brain activation in animals and humans.

Results Summary

A hard food diet improved behavioral task performance in 48% of animal studies, with some human studies showing positive associations between chewing hard food, cognition, and brain function. However, 44% of animal studies found no differential effects, and methodological variations hindered meta-analysis.

Population

Animals and humans (18 animal studies, 6 human studies).

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (8)
InterventionDirectionEndpointPopulationDosageImpactClaim #
hard food diet
increase
behavioral task performance
animals
-
improved
#1
soft food diets
neutral
behavioral task performance
animals
8%
showed
#2
food hardness
no change
behavioral tests
animals
-
showed no differential effects
#3
chewing hard food
increase
cognition performance
humans
-
positive association
#4
chewing hard food
increase
brain function
humans
-
positive association
#5
dietary food hardness
increase
behavior
animals and humans
-
beneficial effects
#6
dietary food hardness
increase
cognition
animals and humans
-
beneficial effects
#7
dietary food hardness
increase
brain function
animals and humans
-
beneficial effects
#8
Abstract

Food hardness is one of the dietary features that may impact brain functions. We performed a systematic review to evaluate the effect of food hardness (hard food versus soft food diet) on behavior, cognition, and brain activation in animals and humans (PROSPERO ID: CRD42021254204). The search was conducted on 29 June 2022 using Medline (Ovid), Embase, and Web of Science databases. Data were extracted, tabulated by food hardness as an intervention, and summarized by qualitative synthesis. The SYRCLE and JBI tools were used to assess the risk of bias (RoB) of individual studies. Of the 5427 studies identified, 18 animal studies and 6 human studies met the inclusion criteria and were included. The RoB assessment indicated that 61% of animal studies had unclear risks, 11% had moderate risks, and 28% had low risks. All human studies were deemed to have a low risk of bias. The majority (48%) of the animal studies showed that a hard food diet improved behavioral task performance compared to soft food diets (8%). However, 44% of studies also showed no differential effects of food hardness on behavioral tests. It was also evident that certain regions of the brain were activated in response to changes in food hardness in humans, with a positive association between chewing hard food, cognition performance, and brain function. However, variations in the methodologies of the included studies hindered the meta-analysis execution. In conclusion, our findings highlight the beneficial effects of dietary food hardness on behavior, cognition, and brain function in both animals and humans, however, this effect may depend on several factors that require further understanding of the causality.

Medical Subject Headings (MeSH)
AnimalsHumansBrainCognitionDietFoodHardness
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality80/10
Citation Metrics
Total Citations11
Citations/Year5.5
Relative Citation Ratio4.15
NIH Percentile90.7%
Research Impact Scores
APT Score0.75
Weight Score0.83
Normalized Score0.66
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