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This Neuroprotective Compound May Slow Cognitive Decline, Study Shows

Molly Knudsen, M.S., RDN
Author:
August 29, 2024
Molly Knudsen, M.S., RDN
Registered Dietitian Nutritionist
By Molly Knudsen, M.S., RDN
Registered Dietitian Nutritionist
Molly Knudsen, M.S., RDN is a Registered Dietician Nutritionist with a bachelor’s degree in nutrition from Texas Christian University and a master’s in nutrition interventions, communication, and behavior change from Tufts University. She lives in Newport Beach, California, and enjoys connecting people to the food they eat and how it influences health and wellbeing.
Woman drinking from a mug and reading a book on the couch.
Image by MILLES STUDIO / Stocksy
August 29, 2024

Not-so-obvious risk factors for poor cognition and brain health are actually measures of heart health, blood vessel (aka vascular) health, and metabolism—like high cholesterol, hypertension, and diabetes. 

One promising way of protecting brain health is citicoline. This nutritional ingredient is taken as a supplement, and a study published in Clinical Interventions in Aging shows just how beneficial it may be in preventing cognitive decline1 or those already showing signs of it. 

Let’s take a closer look. 

What is citicoline?  

First, we need to understand what choline is. Choline is a naturally occurring compound found in foods (like eggs, fish, soybeans, and beef). And the liver also produces small amounts of choline internally as cytidine-diphosphocholine—or CDP-choline. 

Citicoline is the supplemental form of this compound. It’s the same chemical structure, just a different name to clarify the source. 

Research shows that citicoline supports the brain by helping to:

  • Maintain the integrity of neuronal cell membranes
  • Modulate neurotransmitters like serotonin, dopamine, and norepinephrine
  • Protect against inflammation 

Researchers of an in-depth review of the research on citicoline use for people with mild cognitive impairment2 or MCI—an early (but diagnosable) decline in mental abilities—concluded it consistently improved cognitive function, especially if those deficits were related to vascular health. 

And this newly published study further supports this established relationship.

Taking citicoline for a year may improve cognition for people with cognitive deficits

Over the course of a year, 81 people with subjective cognitive complaints (SCC) or MCI and vascular risk factors took one gram of citicoline daily. Researchers used a variety of validated tests to assess a person’s cognition at the beginning and end of the study. 

At the end of the study, folks with SCC (self-reported feelings of confusion or memory loss) showed significant improvements in language and memory tests. 

And people with MCI showed significant improvements in total scores for areas like memory, attention, language, and visuospatial skills3 (like buttoning a shirt or making a bed).

What’s even more impressive is that 12 people with MCI—which remember is diagnosable cognitive impairment—reverted to SCC at the end because they no longer met the criteria for MCI. 

A downside to this study though is that there was no control group (everyone received the supplement). So we don’t know how citicoline compares to no additional cognitive support. 

The takeaway

This is another strong study showing how daily citicoline use is beneficial for brain function, especially for people already experiencing signs of memory loss or cognitive decline.

Citicoline doesn’t require a prescription and many memory-supporting products contain this compound (here are our favorites). Benefits have been reported with daily use of 500 milligrams to one gram4

And researchers hypothesize that even longer-term use of this nutrition ingredient is likely linked to even more neuroprotective effects.  

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