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Nutrient

Choline

An essential nutrient for the liver, the cell membrane and the neurotransmitter acetylcholine; key in pregnancy.
Category
Scientific evidence
Low-moderate
Number of findings
1
Sources
Our own summaries · Cited studies
Recommended dose and how to use
≈425–550 mg/day (requirements). Sources: egg, liver, soy.

How to take it

≈425–550 mg/day (requirements). Sources: egg, liver, soy.

Safety

Safe; very high doses cause a fishy body odor and lower blood pressure.

Effect by goal · level of evidence

Pregnancy and baby's brain development

improves Low-moderate study (A)

Review: choline is key in pregnancy (membranes, neurotransmission, brain development). Supplementing it improves some outcomes and protects against neurological and metabolic damage in animal and human studies. Most pregnant women do not reach the recommended 450 mg/day.

View the study (study) →

In depth

⏱ 1 min read

Choline is an essential nutrient that the body cannot synthesize in sufficient quantities to meet its needs, so it must be obtained mainly through the diet, and yet it is one of the micronutrients most frequently deficient in the general population, especially among pregnant women, where insufficient intake during gestation has measurable consequences for the fetus's brain development and the child's cognitive outcomes in later years; eggs are the most concentrated dietary source of choline, with about 150 milligrams per egg, almost a third of the recommended daily intake for adults, and for that reason they are literally irreplaceable from a nutritional standpoint for brain health.

Choline acts as a precursor of acetylcholine, the neurotransmitter involved in memory, attention, and muscle control; as a precursor of phosphatidylcholine, a critical component of cell membranes that regulates intracellular transport; and as a donor of methyl groups in epigenetic processes that affect global gene expression; this multiplicity of functions explains why choline deficits during fetal development have such broad and lasting effects on the architecture of the central nervous system, affecting the organization of the hippocampus and prefrontal cortex, regions that are fundamental for learning and long-term memory.

Choline and Alzheimer's risk

A prospective study of almost seven years with 1,024 older adults found that eating at least one egg per week was associated with a 47 percent reduction in the risk of developing Alzheimer's disease, and that this effect persisted in the analysis of postmortem brain samples: participants who ate more eggs had significantly fewer amyloid plaques and fewer neurofibrillary tangles, the two definitive pathological markers of the disease; 40 percent of this protective association was directly attributable to the choline content of the egg, underscoring the specific importance of this nutrient in the neurobiology of brain aging.

References

  1. Zeisel, S.H. (2006). Choline: critical role during fetal development and dietary requirements in adults. Annu Rev Nutr 26.
  2. Blusztajn, J.K. et al. (2017). Neuroprotective actions of dietary choline. Nutrients 9, 8.
  3. Institute of Medicine. (1998). Dietary Reference Intakes for Thiamin, Riboflavin, Niacin, Vitamin B6, Folate, Vitamin B12, Pantothenic Acid, Biotin, and Choline. National Academies Press.
  4. Zeisel, S.H.; da Costa, K.A. (2009). Choline: an essential nutrient for public health. Nutr Rev 67, 11.
  5. Fischer, L.M. et al. (2010). Dietary choline requirements of women: effects of estrogen and genetic variation. Am J Clin Nutr 92, 5.
  6. Shaw, G.M. et al. (2009). Choline and risk of neural tube defects in a folate-fortified population. Epidemiology 20, 5.
  7. Caudill, M.A. (2010). Pre- and postnatal health: evidence of increased choline needs. J Am Diet Assoc 110, 8.
  8. McCann, J.C. et al. (2006). An overview of evidence for a causal relation between dietary availability of choline during development and cognitive function. Neurosci Biobehav Rev 30, 5.
  9. Ylilauri, M.P. et al. (2019). Associations of dietary choline intake with risk of incident dementia and with cognitive performance. Am J Clin Nutr 110, 6.
  10. Zeisel, S.H. (2017). Choline, Other Methyl-Donors and Epigenetics. Nutrients 9, 5.

Information, not medical advice. Scientific evidence reflects the quality of the studies.

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