Diet, inflammation and the gut microbiome: mechanisms for obesity-associated cognitive impairment
Open accessAbstract
Poor diet and obesity are associated with cognitive impairment throughout adulthood, and increased dementia risk in aging. Here we review the current literature interrogating the mechanisms by which diets high in fat, or fat and sugar lead to cognitive impairment, focusing on changes to gut microbiome composition, inflammatory signalling and blood-brain barrier integrity. Preclinical studies indicate weight gain is not necessary for diet-induced cognitive impairment. Rather, gut microbiome composition, and systemic and central inflammatory processes appear to contribute to diet-induced cognitive impairment. While both obese humans and rodents exhibit reduced blood-brain barrier integrity, cognitive impairments precede these changes, suggesting other mechanisms may underly diet-induced cognitive changes. Other potential candidates include hormone, glucoregulatory and cardiovascular changes. Poor diet and obesity act through multiple mechanisms to affect cognitive health and the challenge for future research is to identify key processes that can be reversed to improve cognition and quality of life.
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A poor diet and obesity are associated with GM alterations, cognitive dysfunction, and an increased risk for dementia.
“Conversely, a poor diet and obesity are associated with GM alterations, cognitive dysfunction, and an increased risk for dementia [reviewed in (511)].”
From Signalling cognition: The gut microbiota and hypothalamic-pituitary-adrenal axis (2023) · cites this paper as [511]
Proposed mechanisms linking poor diet and obesity to cognitive dysfunction include changes in GM composition and function, alterations in microbial metabolites, compromised barrier integrity, peripheral and central inflammatory processes, and hormonal, glucoregulatory, and cardiovascular changes.
“Proposed mechanisms include changes in GM composition and function, alterations in microbial metabolites, compromised barrier integrity, and peripheral and central inflammatory processes, as well as hormonal, glucoregulatory, and cardiovascular changes (502, 511, 512).”
From Signalling cognition: The gut microbiota and hypothalamic-pituitary-adrenal axis (2023) · cites this paper as [511]
The effect of SCFAs on inflammation can be mediated by improvement of the intestinal barrier, potentially preventing immune molecules and bacterial LPS from translocating into the periphery and thus reducing systemic inflammation and ultimately neuroinflammation.
“The effect of SCFAs on inflammation can be mediated by improvement of the intestinal barrier (361), thereby potentially preventing immune molecules and bacterial LPS translocating into the periphery and thus reducing systemic inflammation and ultimately neuroinflammation (362).”
From Diet and the Microbiota–Gut–Brain Axis: Sowing the Seeds of Good Mental Health (2021) · cites this paper as [362]
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Diet and the Microbiota–Gut–Brain Axis: Sowing the Seeds of Good Mental Health
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Going with the grain: Fiber, cognition, and the microbiota-gut-brain-axis
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- Authors
- Leigh, S.-J., & Morris, M. J.
- Affiliations
- UNSW Sydney (AU)
- Corresponding author
- Morris, Margaret J.
- Venue
- Biochimica et Biophysica Acta (BBA) - Molecular Basis of Disease
- Publisher
- Elsevier BV
- Published
- 2020-06
- Volume
- 1866
- Issue
- 6
- Pages
- 165767
- ISSN
- 0925-4439 (ISSN-L)
- OpenAlex
- W3011638844
- Cited by
- 221
- References
- 145
- Citations by year
- 2026: 20 · 2025: 44 · 2024: 41 · 2023: 50 · 2022: 35 · 2021: 24 · 2020: 7
- FWCI
- 2.78
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Biochimica et Biophysica Acta (BBA) - Molecular Basis of Disease (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Health and Medical Research Council (1126929)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
- Health Sciences › Medicine › Epidemiology › Adipokines, Inflammation, and Metabolic Diseases
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
- Keywords
- obesity, cognitive impairment, high-fat diet, high-fat high-sugar diet, gut microbiota, inflammation, blood-brain barrier integrity, dementia risk, weight gain, glucoregulation, cardiovascular changes
- MeSH terms
- Gastrointestinal Microbiome, Blood-Brain Barrier, Humans, Inflammation, Obesity, Quality of Life, Weight Gain, Diet, High-Fat, Cognitive Dysfunction
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