The Effect of Consumption of Almonds and Snack Mix Daily for 6 Months on Cognitive Function in Older Adults

The study is designed as a controlled trial that tests the effects of 6 month supplementation
with 1.5 or 3 ounces of almonds or 3 ounces of snack mix a day on cognitive function in older
adults. Subjects will be randomly assigned to one of the three groups. Secondary outcomes
include plasma biomarkers of oxidative stress and inflammation. Participants will be
recruited from community-dwelling men and women aged greater than of equal to 50 yr and less
than or equal to 75 years and potential participants will be screened to meet cognitive and
functional criteria. Participants will be pre-screened by telephone; those who appear to meet
criteria will undergo further screening.

Inclusion Criteria:

- men and women age >50 - 75 years

- body mass index >25-35 kg/m2

- Mini mental state exam (MMSE) score >24

- must be able to give written informed consent

Exclusion Criteria:

- history of active small bowel disease or resection

- atrophic gastritis

- uncontrolled blood pressure or untreated hypertension alcoholism (>2 drinks/d or 14
drinks/week)

- abnormal hematologic parameters that are determined by the study MD to influence study
outcomes.

- endocrine disorders including diabetes or current pharmacological treatment of
diabetes and untreated thyroid disease

- pancreatic disease

- anemia, and bleeding disorders

- nut allergy

- major chronic illness that might interfere with the study outcomes

- active cancer except for prostate cancer or cancer-free for at least 5 years

- unwilling to not use lutein, n3 fatty acid, or choline supplements for 2 months prior
to study start

- diseases that interfere with fat absorption, e.g. colitis, celiac disease, Crohn's
disease, cystic fibrosis (as determined by screening interview)

- rheumatologic diseases including gout or inflammatory arthritis

- immune deficiency conditions including autoimmune dieases, human immune deficiency
virus (HIV); history of organ transplantation

- medications that interfere with fat absorption, e.g. bile sequestrants (as determined
by screening interview)

- use of antipsychotic, antimanic, anti-inflammatory (except for aspirin and non
steroidal anti-inflammatory drugs[NSAIDS]), monoamine inhibitors, or dementia
medications

- inability to discontinue aspirin, NSAIDS for 72 hours prior to and for the duration of
testing at study visits (baseline, 3 and 6 months)

- daily intake of proton pump inhibitors or H2 blockers

- smoking or use of nicotine patches or gum (within past 6 months)

- use of drugs suspected of interfering with metabolism of blood clotting with the
exception of aspirin and NSAIDS, e.g. warfarin (as determined by screening interview)

- stroke, head injury with loss of consciousness or seizures.

- history or clinical manifestation of any significant neurologic disorder in the
opinion of the investigator.