Evidence map›Paper›PMID 40939691›Full record

Trial reportThe American journal of clinical nutrition2025

The effect of milk fat globule membrane phospholipid supplementation on cognitive function in older adults with subjective memory complaints-a randomized, double-blind, placebo-controlled trial.

Ian T Zajac, Naomi Kakoschke, Stefanie Evas, Barbara Kuhn-Sherlock, Katie Wood, Rebecca King, Lizanne Arnoldy, James Dekker, Caroline Gunn, Maher Fuad and 3 more

Abstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in The American journal of clinical nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Is Ergothioneine an Important Source of Plasma TrimethylamineAntioxidants (Basel, Switzerland) · 2026
    Article
  5. Review
  6. Article
  7. Review
  8. Antioxidant and Anti-Inflammatory Activities of Probiotic Strains.International journal of molecular sciences · 2026
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Ian T ZajacHealth & Biosecurity, Commonwealth Scientific and Industrial Research Organisation, Adelaide, Australia; Flinders University, College of Education Psychology and Social Work, Adelaide, South Australia. Electronic address: ian.zajac@flinders.edu.au.
Naomi KakoschkeHealth & Biosecurity, Commonwealth Scientific and Industrial Research Organisation, Adelaide, Australia.
Stefanie EvasHealth & Biosecurity, Commonwealth Scientific and Industrial Research Organisation, Adelaide, Australia; School of Psychology, Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, Australia.
Barbara Kuhn-SherlockBKS Consulting, Hamilton, New Zealand, Australia.
Katie WoodHealth & Biosecurity, Commonwealth Scientific and Industrial Research Organisation, Adelaide, Australia.
Rebecca KingSwinburne Neuroimaging, Centre for Mental Health and Brain Sciences, School of Health Sciences, Swinburne University of Technology, Melbourne, Australia.
Lizanne ArnoldySwinburne Neuroimaging, Centre for Mental Health and Brain Sciences, School of Health Sciences, Swinburne University of Technology, Melbourne, Australia.
James DekkerFonterra Research and Development Centre, New Zealand, Australia.
Caroline GunnFonterra Research and Development Centre, New Zealand, Australia.
Maher FuadFonterra Research and Development Centre, New Zealand, Australia.
Andrew ScholeySwinburne Neuroimaging, Centre for Mental Health and Brain Sciences, School of Health Sciences, Swinburne University of Technology, Melbourne, Australia; Monash University, Nutrition Dietetics and Food, School of Clinical Sciences, Victoria, Australia; Division of Psychology, Northumbria University, Newcastle-upon-Tyne NE1 8ST UK.
Alastair MacGibbonFonterra Research and Development Centre, New Zealand, Australia.
David J WhiteSwinburne Neuroimaging, Centre for Mental Health and Brain Sciences, School of Health Sciences, Swinburne University of Technology, Melbourne, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMilk fat globule membrane (MFGM) phospholipids have been linked to improved cognitive function, especially in infants, but evidence in healthy older adults is limited.

objectivesThis project investigated MFGM phospholipid supplementation in older adults and focused on clinically meaningful cognitive function and other health-related outcomes.

methodsThis study was a multicenter, repeated-measures, parallel groups, randomized, double-blind, placebo-controlled trial. A total of N = 263 participants aged 55-75 y were randomly assigned to receive: 1) powdered milk fortified with low-dose MFGM (1.7-g phospholipid/d); 2) powdered milk fortified with high-dose MFGM (4.0-g phospholipid/d); or 3) rice starch powder (Control). Randomization used minimization to balance groups across study sites, sex, age, and Montreal Cognitive Assessment scores (MoCA). Participants consumed the product daily for 16 wk and attended their local study site at baseline, week 8, and endpoint. At each visit, they completed various cognitive, behavioral, biochemical, and physical measures.

resultsFor the primary cognitive outcome, Repeatable Battery for Neuropsychological Status (RBANS), there were no significant treatment effects, nor for the secondary cognitive outcome, Computerized Mental Performance Assessment System (COMPASS); however, alertness (Bond-Lader Visual Analogue Scales) was better maintained during cognitive testing at endpoint in the high-dose group. TNF-α was reduced in the high-dose group, whereas γ-aminobutyric acid (GABA) and serotonin increased in both MFGM groups. Cholesterol and low-density lipoprotein (LDL) were also reduced in both MFGM groups. Active B12 increased, and homocysteine tended to decrease in the high-dose group.

conclusionsAlthough no significant effects were evident for cognitive function, subjective alertness during cognitive testing was improved in the high-dose group. Reduced inflammation, cholesterol, and LDL impacts for long-term cardiovascular health, linked with cognitive decline in aging. MFGM supplementation positively impacted active B12 (high and low dose) and homocysteine (high dose only), which have been associated with brain health. Longer study durations are needed to demonstrate cognitive benefits. This trial was registered at Australian New Zealand Clinical Trials Registry as ACTRN12620000270910; www.anzctr.org.au.

Indexed as

CognitionDietary SupplementsGlycolipidsGlycoproteinsMemory DisordersPhospholipidsAgedAnimalsDouble-Blind MethodFemaleHumansLipid DropletsMaleMiddle AgedGlycolipidsGlycoproteinsmilk fat globulePhospholipidsAcute moodClinical trialCognitive functionComplex milk lipidsDairy intakeDietary supplementationGABAMilk fat globule membranePhospholipidsSerotonin

Identifiers

PMID40939691
PMCPMC12799387

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.