Skip to main content
Top
Published in: Alzheimer's Research & Therapy 1/2018

Open Access 01-12-2018 | Research

Effects of lifetime cumulative ginseng intake on cognitive function in late life

Authors: Silvia Kyungjin Lho, Tae Hui Kim, Kyung Phil Kwak, Kayoung Kim, Bong Jo Kim, Shin Gyeom Kim, Jeong Lan Kim, Tae Hyun Kim, Seok Woo Moon, Jae Young Park, Joon Hyuk Park, Seonjeong Byun, Seung Wan Suh, Ji Young Seo, Yoonseop So, Seung-Ho Ryu, Jong Chul Youn, Kyoung Hwan Lee, Dong Young Lee, Dong Woo Lee, Seok Bum Lee, Jung Jae Lee, Ju Ri Lee, Hyeon Jeong, Hyun-Ghang Jeong, Jin Hyeong Jhoo, Kyuhee Han, Jong Woo Hong, Ji Won Han, Ki Woong Kim

Published in: Alzheimer's Research & Therapy | Issue 1/2018

Login to get access

Abstract

Background

We investigated the effects of lifetime cumulative ginseng intake on cognitive function in a community-dwelling population-based prospective cohort of Korean elders.

Methods

Community-dwelling elders (N = 6422; mean age = 70.2 ± 6.9 years, education = 8.0 ± 5.3 years, female = 56.8%) from the Korean Longitudinal Study on Cognitive Aging and Dementia were included. Among them, 3918 participants (61.0%) completed the 2-year and 4-year follow-up evaluations. Subjects were categorized according to cumulative ginseng intake at baseline evaluation; no use group, low use (< 5 years) group, and high use (≥ 5 years) group. One-way analysis of covariance (ANCOVA) was conducted to compare the impact of cumulative ginseng intake on baseline Consortium to Establish a Registry for Alzheimer’s Disease Assessment Packet neuropsychological battery total score (CERAD total score) and Mini-Mental State Examination (MMSE) score among the three groups while adjusting for potential covariates. A repeated-measures ANCOVA was performed to investigate the impacts on the changes in CERAD total scores and MMSE scores during the 4 years of follow-up.

Results

The high use group showed higher CERAD total scores compared to the no use group after controlling for age, sex, education years, socioeconomic status, smoking, alcohol intake, presence of hypertension, stroke history, Geriatric Depression Scale, Cumulative Illness Rating Scale, and presence of the APOE e4 allele (F(2, 4762) = 3.978, p = 0.019). The changes of CERAD total score for 2 or 4 years of follow-up did not differ according to the use of ginseng.

Conclusions

Cumulative ginseng use for longer than 5 years may be beneficial to cognitive function in late life.
Appendix
Available only for authorised users
Literature
3.
go back to reference Radad K, Gille G, Liu L, Rausch W-D. Use of ginseng in medicine with emphasis on neurodegenerative disorders. J Pharmacol Sci. 2006;100(3):175–86.CrossRefPubMed Radad K, Gille G, Liu L, Rausch W-D. Use of ginseng in medicine with emphasis on neurodegenerative disorders. J Pharmacol Sci. 2006;100(3):175–86.CrossRefPubMed
4.
go back to reference Howes M-JR, Perry E. The role of phytochemicals in the treatment and prevention of dementia. Drugs Aging. 2011;28(6):439–68.CrossRefPubMed Howes M-JR, Perry E. The role of phytochemicals in the treatment and prevention of dementia. Drugs Aging. 2011;28(6):439–68.CrossRefPubMed
6.
go back to reference Howes M-JR, Fang R, Houghton PJ. Effect of Chinese Herbal Medicine on Alzheimer's Disease. Int Rev Neurobiol. 2017;135:29–56.CrossRefPubMed Howes M-JR, Fang R, Houghton PJ. Effect of Chinese Herbal Medicine on Alzheimer's Disease. Int Rev Neurobiol. 2017;135:29–56.CrossRefPubMed
7.
go back to reference Mohanan P, Subramaniyam S, Mathiyalagan R, Yang D-C. Molecular signaling of ginsenosides Rb1, Rg1, and Rg3 and their mode of actions. J Ginseng Res. 2018;40(2):123-32. Mohanan P, Subramaniyam S, Mathiyalagan R, Yang D-C. Molecular signaling of ginsenosides Rb1, Rg1, and Rg3 and their mode of actions. J Ginseng Res. 2018;40(2):123-32.
8.
go back to reference Heo JH, Lee ST, Chu K, Oh M, Park HJ, Shim JY, Kim M. An open-label trial of Korean red ginseng as an adjuvant treatment for cognitive impairment in patients with Alzheimer’s disease. Eur J Neurol. 2008;15(8):865–8.CrossRefPubMed Heo JH, Lee ST, Chu K, Oh M, Park HJ, Shim JY, Kim M. An open-label trial of Korean red ginseng as an adjuvant treatment for cognitive impairment in patients with Alzheimer’s disease. Eur J Neurol. 2008;15(8):865–8.CrossRefPubMed
9.
go back to reference Lee S-T, Chu K, Sim J-Y, Heo J-H, Kim M. Panax ginseng enhances cognitive performance in Alzheimer disease. Alzheimer Dis Assoc Disord. 2008;22(3):222–6.CrossRefPubMed Lee S-T, Chu K, Sim J-Y, Heo J-H, Kim M. Panax ginseng enhances cognitive performance in Alzheimer disease. Alzheimer Dis Assoc Disord. 2008;22(3):222–6.CrossRefPubMed
10.
go back to reference Heo J-H, Lee S-T, Oh MJ, Park H-J, Shim J-Y, Chu K, Kim M. Improvement of cognitive deficit in Alzheimer’s disease patients by long term treatment with Korean red ginseng. J Ginseng Res. 2011;35(4):457–61.CrossRefPubMedPubMedCentral Heo J-H, Lee S-T, Oh MJ, Park H-J, Shim J-Y, Chu K, Kim M. Improvement of cognitive deficit in Alzheimer’s disease patients by long term treatment with Korean red ginseng. J Ginseng Res. 2011;35(4):457–61.CrossRefPubMedPubMedCentral
11.
go back to reference Heo J-H, Lee S-T, Chu K, Oh MJ, Park H-J, Shim J-Y, Kim M. Heat-processed ginseng enhances the cognitive function in patients with moderately severe Alzheimer's disease. Nutr Neurosci. 2012;15(6):278–82.CrossRefPubMed Heo J-H, Lee S-T, Chu K, Oh MJ, Park H-J, Shim J-Y, Kim M. Heat-processed ginseng enhances the cognitive function in patients with moderately severe Alzheimer's disease. Nutr Neurosci. 2012;15(6):278–82.CrossRefPubMed
12.
go back to reference Wang Y, Yang G, Gong J, Lu F, Diao Q, Sun J, Zhang K, Tian J, Liu J. Ginseng for Alzheimer's disease: a systematic review and meta-analysis of randomized controlled trials. Curr Top Med Chem. 2016;16(5):529–36.CrossRefPubMed Wang Y, Yang G, Gong J, Lu F, Diao Q, Sun J, Zhang K, Tian J, Liu J. Ginseng for Alzheimer's disease: a systematic review and meta-analysis of randomized controlled trials. Curr Top Med Chem. 2016;16(5):529–36.CrossRefPubMed
13.
go back to reference Persson J, Bringlöv E, Nilsson L-G, Nyberg L. The memory-enhancing effects of Ginseng and Ginkgo biloba in healthy volunteers. Psychopharmacology. 2004;172(4):430–4.CrossRefPubMed Persson J, Bringlöv E, Nilsson L-G, Nyberg L. The memory-enhancing effects of Ginseng and Ginkgo biloba in healthy volunteers. Psychopharmacology. 2004;172(4):430–4.CrossRefPubMed
14.
go back to reference Kim TH, Park JH, Lee JJ, Jhoo JH, Kim B-J, Kim J-L, Kim SG, Youn J, Ryu S-H, Lee DY. Overview of the Korean longitudinal study on cognitive aging and dementia. Alzheimers Dement. 2013;9(4):626–7.CrossRef Kim TH, Park JH, Lee JJ, Jhoo JH, Kim B-J, Kim J-L, Kim SG, Youn J, Ryu S-H, Lee DY. Overview of the Korean longitudinal study on cognitive aging and dementia. Alzheimers Dement. 2013;9(4):626–7.CrossRef
15.
go back to reference Lee JH, Lee KU, Lee DY, Kim KW, Jhoo JH, Kim JH, Lee KH, Kim SY, Han SH, Woo JI. Development of the Korean version of the Consortium to Establish a Registry for Alzheimer's Disease Assessment Packet (CERAD-K): clinical and neuropsychological assessment batteries. J Gerontol B Psychol Sci Soc Sci. 2002;57(1):47–53.CrossRef Lee JH, Lee KU, Lee DY, Kim KW, Jhoo JH, Kim JH, Lee KH, Kim SY, Han SH, Woo JI. Development of the Korean version of the Consortium to Establish a Registry for Alzheimer's Disease Assessment Packet (CERAD-K): clinical and neuropsychological assessment batteries. J Gerontol B Psychol Sci Soc Sci. 2002;57(1):47–53.CrossRef
16.
go back to reference Sheehan DV, Lecrubier Y, Sheehan KH, Amorim P, Janavs J, Weiller E, Hergueta T, Baker R, Dunbar GC. The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. J Clin Psychiatry. 1998;59(Suppl 20):22–33. quiz 34-57PubMed Sheehan DV, Lecrubier Y, Sheehan KH, Amorim P, Janavs J, Weiller E, Hergueta T, Baker R, Dunbar GC. The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. J Clin Psychiatry. 1998;59(Suppl 20):22–33. quiz 34-57PubMed
17.
go back to reference Yoo SW, Kim YS, Noh JS, Oh KS, Kim C-H, Namkoong K, Chae J-H, Lee GC, Jeon S-I, Min K-J, et al. Validity of Korean Version of the Mini-International Neuropsychiatric Interview. Anxiety Mood. 2006;2(1):50–5. Yoo SW, Kim YS, Noh JS, Oh KS, Kim C-H, Namkoong K, Chae J-H, Lee GC, Jeon S-I, Min K-J, et al. Validity of Korean Version of the Mini-International Neuropsychiatric Interview. Anxiety Mood. 2006;2(1):50–5.
18.
go back to reference Lee DY, Lee KU, Lee JH, Kim KW, Jhoo JH, Kim SY, Yoon JC, Woo SI, Ha J, Woo JI. A normative study of the CERAD neuropsychological assessment battery in the Korean elderly. J Int Neuropsychol Soc. 2004;10(1):72–81.CrossRefPubMed Lee DY, Lee KU, Lee JH, Kim KW, Jhoo JH, Kim SY, Yoon JC, Woo SI, Ha J, Woo JI. A normative study of the CERAD neuropsychological assessment battery in the Korean elderly. J Int Neuropsychol Soc. 2004;10(1):72–81.CrossRefPubMed
19.
go back to reference Kim TH, Jhoo JH, Park JH, Kim JL, Ryu SH, Moon SW, Choo IH, Lee DW, Yoon JC, Do YJ, et al. Korean version of mini mental status examination for dementia screening and its’ short form. Psychiatry Investig. 2010;7(2):102–8.CrossRefPubMedPubMedCentral Kim TH, Jhoo JH, Park JH, Kim JL, Ryu SH, Moon SW, Choo IH, Lee DW, Yoon JC, Do YJ, et al. Korean version of mini mental status examination for dementia screening and its’ short form. Psychiatry Investig. 2010;7(2):102–8.CrossRefPubMedPubMedCentral
20.
go back to reference Chandler M, Lacritz L, Hynan L, Barnard H, Allen G, Deschner M, Weiner M, Cullum C. A total score for the CERAD neuropsychological battery. Neurology. 2005;65(1):102–6.CrossRefPubMed Chandler M, Lacritz L, Hynan L, Barnard H, Allen G, Deschner M, Weiner M, Cullum C. A total score for the CERAD neuropsychological battery. Neurology. 2005;65(1):102–6.CrossRefPubMed
21.
go back to reference Diagnostic And Statistical Manual of Mental Disorders: DSM-IV. Washington, DC: American Psychiatric Association; 1994. Diagnostic And Statistical Manual of Mental Disorders: DSM-IV. Washington, DC: American Psychiatric Association; 1994.
22.
23.
go back to reference Miller MD, Paradis CF, Houck PR, Mazumdar S, Stack JA, Rifai AH, Mulsant B, Reynolds CF 3rd. Rating chronic medical illness burden in geropsychiatric practice and research: application of the Cumulative Illness Rating Scale. Psychiatry Res. 1992;41(3):237–48.CrossRefPubMed Miller MD, Paradis CF, Houck PR, Mazumdar S, Stack JA, Rifai AH, Mulsant B, Reynolds CF 3rd. Rating chronic medical illness burden in geropsychiatric practice and research: application of the Cumulative Illness Rating Scale. Psychiatry Res. 1992;41(3):237–48.CrossRefPubMed
24.
go back to reference Bae JN, Cho MJ. Development of the Korean version of the Geriatric Depression Scale and its short form among elderly psychiatric patients. J Psychosom Res. 2004;57(3):297–305.CrossRefPubMed Bae JN, Cho MJ. Development of the Korean version of the Geriatric Depression Scale and its short form among elderly psychiatric patients. J Psychosom Res. 2004;57(3):297–305.CrossRefPubMed
25.
go back to reference D'angelo L, Grimaldi R, Caravaggi M, Marcoli M, Perucca E, Lecchini S, Frigo G, Crema A. A double-blind, placebo-controlled clinical study on the effect of a standardized ginseng extract on psychomotor performance in healthy volunteers. J Ethnopharmacol. 1986;16(1):15–22.CrossRefPubMed D'angelo L, Grimaldi R, Caravaggi M, Marcoli M, Perucca E, Lecchini S, Frigo G, Crema A. A double-blind, placebo-controlled clinical study on the effect of a standardized ginseng extract on psychomotor performance in healthy volunteers. J Ethnopharmacol. 1986;16(1):15–22.CrossRefPubMed
26.
go back to reference Sørensen H, Sonne J. A double-masked study of the effects of ginseng on cognitive functions. Curr Ther Res. 1996;57(12):959–68.CrossRef Sørensen H, Sonne J. A double-masked study of the effects of ginseng on cognitive functions. Curr Ther Res. 1996;57(12):959–68.CrossRef
27.
go back to reference Kennedy D, Reay J, Scholey A. Effects of 8 weeks administration of Korean Panax ginseng extract on the mood and cognitive performance of healthy individuals. J Ginseng Res. 2007;31(1):34.CrossRef Kennedy D, Reay J, Scholey A. Effects of 8 weeks administration of Korean Panax ginseng extract on the mood and cognitive performance of healthy individuals. J Ginseng Res. 2007;31(1):34.CrossRef
29.
go back to reference Welsh K, Butters N, Hughes J, Mohs R, Heyman A. Detection of abnormal memory decline in mild cases of Alzheimer's disease using CERAD neuropsychological measures. Arch Neurol. 1991;48(3):278–81.CrossRefPubMed Welsh K, Butters N, Hughes J, Mohs R, Heyman A. Detection of abnormal memory decline in mild cases of Alzheimer's disease using CERAD neuropsychological measures. Arch Neurol. 1991;48(3):278–81.CrossRefPubMed
30.
go back to reference Franco-Marina F, García-González JJ, Wagner-Echeagaray F, Gallo J, Ugalde O, Sánchez-García S, Espinel-Bermúdez C, Juárez-Cedillo T, Rodríguez MÁV, García-Peña C. The Mini-mental State Examination revisited: ceiling and floor effects after score adjustment for educational level in an aging Mexican population. Int Psychogeriatr. 2010;22(1):72–81.CrossRefPubMed Franco-Marina F, García-González JJ, Wagner-Echeagaray F, Gallo J, Ugalde O, Sánchez-García S, Espinel-Bermúdez C, Juárez-Cedillo T, Rodríguez MÁV, García-Peña C. The Mini-mental State Examination revisited: ceiling and floor effects after score adjustment for educational level in an aging Mexican population. Int Psychogeriatr. 2010;22(1):72–81.CrossRefPubMed
Metadata
Title
Effects of lifetime cumulative ginseng intake on cognitive function in late life
Authors
Silvia Kyungjin Lho
Tae Hui Kim
Kyung Phil Kwak
Kayoung Kim
Bong Jo Kim
Shin Gyeom Kim
Jeong Lan Kim
Tae Hyun Kim
Seok Woo Moon
Jae Young Park
Joon Hyuk Park
Seonjeong Byun
Seung Wan Suh
Ji Young Seo
Yoonseop So
Seung-Ho Ryu
Jong Chul Youn
Kyoung Hwan Lee
Dong Young Lee
Dong Woo Lee
Seok Bum Lee
Jung Jae Lee
Ju Ri Lee
Hyeon Jeong
Hyun-Ghang Jeong
Jin Hyeong Jhoo
Kyuhee Han
Jong Woo Hong
Ji Won Han
Ki Woong Kim
Publication date
01-12-2018
Publisher
BioMed Central
Published in
Alzheimer's Research & Therapy / Issue 1/2018
Electronic ISSN: 1758-9193
DOI
https://doi.org/10.1186/s13195-018-0380-0

Other articles of this Issue 1/2018

Alzheimer's Research & Therapy 1/2018 Go to the issue