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Mitigating Traumatic Brain Injury: A Narrative Review of Supplementation and Dietary Protocols.

Nutrients
January 1, 1970
Federica Conti et al. (5 authors)
Journal ArticleReviewHuman Study
Study Details

Study Goal

The researchers aimed to summarize the neuroprotective effects of choline in the context of traumatic brain injury (TBI) outcomes and assess its potential role in supplementation and dietary protocols.

Results Summary

The abstract suggests choline is among the compounds under investigation for its neuroprotective effects in TBI, but specific results regarding its efficacy are not detailed. The review highlights the potential of various nutrients, including choline, to mitigate TBI-related damage.

Population

Individuals affected by or at high risk for traumatic brain injuries (TBIs).

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (7)
InterventionDirectionEndpointPopulationDosageImpactClaim #
creatine monohydrate
decrease
inflammation
-
-
help decrease
#1
creatine monohydrate
decrease
neural damage
-
-
reduce
#2
creatine monohydrate
increase
energy supply to the brain
-
-
maintain adequate
#3
omega-3 fatty acids (DHA and EPA)
decrease
inflammation
-
-
help decrease
#4
omega-3 fatty acids (DHA and EPA)
decrease
neural damage
-
-
reduce
#5
omega-3 fatty acids (DHA and EPA)
increase
energy supply to the brain
-
-
maintain adequate
#6
melatonin supplementation
increase
sleep disturbances
post-TBI
-
may improve
#7
Abstract

Traumatic brain injuries (TBIs) constitute a significant public health issue and a major source of disability and death in the United States and worldwide. TBIs are strongly associated with high morbidity and mortality rates, resulting in a host of negative health outcomes and long-term complications and placing a heavy financial burden on healthcare systems. One promising avenue for the prevention and treatment of brain injuries is the design of TBI-specific supplementation and dietary protocols centred around nutraceuticals and biochemical compounds whose mechanisms of action have been shown to interfere with, and potentially alleviate, some of the neurophysiological processes triggered by TBI. For example, evidence suggests that creatine monohydrate and omega-3 fatty acids (DHA and EPA) help decrease inflammation, reduce neural damage and maintain adequate energy supply to the brain following injury. Similarly, melatonin supplementation may improve some of the sleep disturbances often experienced post-TBI. The scope of this narrative review is to summarise the available literature on the neuroprotective effects of selected nutrients in the context of TBI-related outcomes and provide an evidence-based overview of supplementation and dietary protocols that may be considered in individuals affected by-or at high risk for-concussion and more severe head traumas. Prophylactic and/or therapeutic compounds under investigation include creatine monohydrate, omega-3 fatty acids, BCAAs, riboflavin, choline, magnesium, berry anthocyanins, Boswellia serrata, enzogenol, N-Acetylcysteine and melatonin. Results from this analysis are also placed in the context of assessing and addressing important health-related and physiological parameters in the peri-impact period such as premorbid nutrient and metabolic health status, blood glucose regulation and thermoregulation following injury, caffeine consumption and sleep behaviours. As clinical evidence in this research field is rapidly emerging, a comprehensive approach including appropriate nutritional interventions has the potential to mitigate some of the physical, neurological, and emotional damage inflicted by TBIs, promote timely and effective recovery, and inform policymakers in the development of prevention strategies.

Medical Subject Headings (MeSH)
HumansBrain Injuries, TraumaticDietary SupplementsFatty Acids, Omega-3Neuroprotective AgentsMelatoninCreatineDiet
Study Links
Quality Scores
SafetyNot Assessed
Efficacy65/10
Quality75/10
Citation Metrics
Total Citations3
Citations/Year3.0
Research Impact Scores
APT Score0.25
Weight Score1.46
Normalized Score0.61
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