Meta AnalysisID 7120

膳食椰子油预防和治疗痴呆症效果的系统评价与Meta分析

CRD42023395601

What is the effect of VCO on cognition and quality of life on ILWD in community and in-patient settings when compared to not consuming VCO in any form?

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Meta Analysis Id
7120
Evidence Id
15678
Core Evidence Id
15678
Source Meta Analysis Id
7107
Herb2 Meta Analysis Id
HBMA007107
Crd Id
CRD42023395601
Title
The effect of dietary coconut oil in prevention and treatment of dementia: a systematic review and meta-analysis
Review Question
What is the effect of VCO on cognition and quality of life on ILWD in community and in-patient settings when compared to not consuming VCO in any form?
Study Type Included
The review will consider any meta-analyses and randomised controlled trials (RCTs); in the absence of meta-analyses and RCTs, other research designs of a quantitative nature, such as non-randomised controlled trials, before and after studies, cohort studies, case control studies, descriptive studies, case series/reports will be considered for inclusion on effectiveness of VCO in ILWD in hospital and community healthcare settings.
Condition Being Studied
Older adults diagnosed with mild to moderate dementia.
Participant
The intervention will be oral consumption of VCO/KD/MCT supplementation to induce ketogenesis on cognition, functioning, memory & behaviour performances and QoL in individuals living with MCI/ AD/Dementia in hospital and community in the UK, no gender restrictions and no ethnicity restrictions. The comparison will be a condition when the individual did not consume VCO in any form & the outcome will be to determine how did the oral consumption of VCO affected the cognition, functioning, memory & behaviour performance. The adverse effects of VCO and the barriers to consume VCO. For the purposes of this systematic review, the population, intervention, comparators and outcomes (PICO) framework are as follows. PICO Population - ILWD Intervention - Oral consumption of VCO Comparison - Not consuming VCO in any form Outcome - Effectiveness on cognitive, functioning, memory & behaviour performance Studies in cognitively healthy individuals, individuals diagnosed with diabetes, cancer, HIV infection, chronic kidney disease, liver disease, or any other condition that may affect lipid metabolism, studies which report multiple chronic conditions and those referred to older frail individuals showing signs of disorientation without a specific diagnosis of dementia will be excluded.
Animal
Human Disease Modelled
Intervention
The intervention will be oral consumption of VCO that aims to affect the cognition, functioning, memory and the behaviour performances positively (Henderson et al. 2009).
Comparator Control
Interventions will be compared to usual care which consist of not consuming VCO in any form, or having placebo or any other oils (Fish oil, cod liver oil)
Main Outcome
The primary outcome is improve cognitive performance, to monitor the changes from baseline in the AD Assessment Scale–Cognitive (ADAS-Cog, MMSE), Category/Letter Fluency, Activities of Daily Living (ADLs), Neuropsychiatric Inventory, if the effects sustain after cessation of VCO administration, changes in Geriatric Depression Scale, changes in Ketone and C-Reactive Protein assays and adverse events related to VCO usage during the treatment periods. The adverse effects for example gastrointestinal system side effects, diarrhoea, nausea, flatulence, stomach discomfort, hyperactivity or derangements in lipid parameters of VCO (Ota et al 2019; Newport 2014; Gandotra et al 2014; Maynard et al, 2013; Henderson et al, 2009, any dropouts and the barriers to consume VCO. Measures of effect Effect sizes expressed as odds ratio (for categorical data) and weighted mean differences (for continuous data), and their 95% confidence intervals will be calculated for analysis.
Outcome Measure
Additional Outcome
Study Method
Systematic review
Keyword
Coconut Oil; Cocos; Cognition; Dementia; Dietary Fats, Unsaturated; Humans; Quality of Life
Contact
Kirti Paik-Inkar [email protected]
Organisational Affiliation
University of West London https://www.uwl.ac.uk/
Funding Source
Self funded Grant number(s) State the funder, grant or award number and the date of award Not applicable
Other Selection Criteria
Final Publication
Same Topic Review
Published Protocol
Review Type
Language
English
Country
England
Review Stage
Review Ongoing
First Submission Date
2023-06-24
Registration Date
2023-09-01
Anticipated Start Date
2023-01-01
Anticipated Completion Date
2023-10-31
Title Cn
膳食椰子油预防和治疗痴呆症效果的系统评价与Meta分析
Title En
The effect of dietary coconut oil in prevention and treatment of dementia: a systematic review and meta-analysis
Bilingual Status
complete