Food assistance benefits are tied to slower cognitive decline in older adults, new study suggests

CNN

3 days ago

For older adults who may otherwise be food-insecure, participating in food assistance benefits may be associated with a slower cognitive decline as they age, according to new research.
Compared with eligible people who were not participating in the US Supplemental Nutritional Assistance Program, SNAP participants showed a slower decline in cognitive function during a 10-year period, essentially maintaining up to three additional years of cognitive health, according to the study presented Wednesday at the Alzheimer's Association International Conference in Toronto.
'We expected that SNAP might be protective for cognitive health based on prior research linking food insecurity to faster cognitive decline. But what did surprise us was the persistence of the effect over a decade — and the fact that the benefit was equivalent to preserving two to three extra years of cognitive health,' Linlin Da, lead author of the study and a Ph.D. candidate in health services research at the University of Georgia, said in an email.
'This study is important because it shows that supporting basic needs like food access can have long-term benefits for brain health, something not widely recognized,' Da said. 'In a time when we're seeking ways to delay or prevent Alzheimer's disease and related dementia, this suggests that public health and social policy can play a role alongside medical approaches.'
It's estimated that nearly 37% of SNAP participants are in households with older adults or people with disabilities, and on average, SNAP participants may receive an estimated $6.16 per day per person in benefits.
SNAP, known previously as the Food Stamp Program, helped an average of more than 41 million low-income people in the United States in a typical month last year, according to the Center on Budget and Policy Priorities.
Now, President Trump's One Big Beautiful Bill Act makes the largest cuts to food stamps in the program's 86-year history, jeopardizing assistance for millions of people. The nonpartisan Congressional Budget Office estimates that the law will reduce federal spending on SNAP by almost $187 billion over the next decade.
Some public health experts worry that while cuts to SNAP would lead to budgetary savings, it also could produce higher rates of food insecurity and poorer health outcomes in the long run, according to the nonprofit KFF, formerly known as the Kaiser Family Foundation. And some Democratic state leaders are warning about potential consequences.
'During a time when many American families are already struggling, food assistance programs such as SNAP are more essential than ever,' Illinois Gov. JB Pritzker said in a news release Tuesday. 'Under the veneer of 'cost savings,' the Trump Administration is slashing benefits and threatening the well-being of hundreds of thousands of Illinoisans, putting their health and welfare at risk. Our state deserves better.'
The researchers on the new study, from the University of Georgia, analyzed data on more than 2,000 adults 50 and older across the United States. About half of them were enrolled in SNAP in 2010, and the other half were eligible for SNAP but did not participate in the program.
Every two years between 2010 and 2020, the researchers interviewed the study participants to assess their cognition, memory and executive function, including their ability to carry out tasks or to plan. Each person was given a cognitive score based on the assessments.
The assessments, which have not yet been published in a peer-reviewed journal, showed that those enrolled in SNAP had a slower rate of cognitive decline in cognition, memory and executive function during the 10-year period.
'The decline in global cognitive function was 0.10 points slower per year for SNAP participants compared to nonparticipants,' Da said. 'While that may sound small, over a 10-year period, this adds up to about one full point of preserved cognition. To put it in clinical terms, this slower decline could delay the onset of mild cognitive impairment by nearly a decade for someone starting at a healthy cognitive baseline.'
When the researchers analyzed their data by race and ethnicity, they found that there was a slightly faster decline in cognition and memory among Black and Hispanic adults compared with White adults, but no significant racial differences were observed for executive function. However, SNAP participation was linked with much stronger cognitive benefits and slower decline among the White adults.
As a 10-year study, the new research covers 'a good length of time' to determine the benefits of diet and SNAP as associated with cognitive health, Dr. Shae Datta, a neurologist at NYU Langone Health and brand partner for the supplement company Qunol, said in an email.
'Having the means to buy nutritious food is important for preventing cognitive decline,' said Datta, who was not involved in the new study. 'This study suggested that SNAP participation, or any nutritional support program can delay the onset of cognitive impairment or dementia. Translating in a greater ability to manage their activities of daily living and remain independent longer.'
While the new study suggests only an association between SNAP participation and cognitive decline, rather than a causal relationship, the researchers emphasized that not having adequate access to food can negatively affect cognitive function. SNAP participation may help improve someone's nutritional intake, thus potentially slowing cognitive decline.
'When people don't have access to healthy nutrition programs, they may have inadequate intake of, for example, brain healthy fats, omega-3 fatty acids, which are found in fish, fish like lake trout, mackerel, herring, albacore tuna, sardines and wild salmon,' said preventive neurologist Dr. Richard Isaacson, director of research at the Institute for Neurodegenerative Diseases in Florida, who was not involved in the new study.
'Having a balanced diet can neutralize a lot of the risk elements related to developing cognitive decline. The way that I would think about this is, the Mediterranean-style diet is by far the most evidence-based when it comes to reducing the risk of cognitive decline,' Isaacson said. 'But a Mediterranean-style diet is rich in green, leafy vegetables. Vegetables are expensive. Fatty fish are expensive. So nutrition assistance programs can really fill the gap.'
A Mediterranean-style diet includes mostly vegetables, fruits, beans, nuts, lentils, whole grains and healthy fats, such as extra virgin olive oil and avocados. The diet may include a moderate amount of natural cheese and yogurt, but it is low in red meat and sugar.
Overall, the potential health benefits of participating in a food assistance program for an older adult who otherwise would be food-insecure are based on whether that adult uses the program to access brain healthy foods while taking other steps to maintain cognitive health, said Isaacson, who established one of the first Alzheimer's prevention clinics in the United States.
'You can't eat a magic blueberry and think you're going to prevent Alzheimer's disease,' he said. 'Healthy nutrition, exercising on a regular basis, seeing a doctor regularly to control blood pressure, cholesterol, diabetes, vascular risk factors – you need to do all of these different things to have the most benefit.'
CNN's Nathaniel Meyersohn contributed to this report.