Go Ad-Free
logoThe People's Perspective on Medicine

Choline Boosts Brain Power Throughout Lifespan

Eggs are rich in cholesterol but also in choline. Studies show that adequate betaine and choline boost brain function in older adults.

Researchers have known for a long time that the biochemical choline is critical for the proper neurological development of newborns. This compound is the basic building block for the neurotransmitter acetylcholine. There is also evidence that consuming extra choline boosts brain function for senior citizens.

Does Choline Boost Brain Function? PREDIMED-Plus Tests the Hypothesis

People who are overweight or obese and those who have metabolic syndrome are at greater risk for cognitive decline as they grow older. New findings from the PREDIMED-Plus trial of the Mediterranean diet show that dietary intake of choline and betaine can make a positive difference in that risk (American Journal of Clinical Nutrition, May 2026). This is a long-term study of an energy-reduced Mediterranean diet coupled with physical activity and support for weight loss compared to general Mediterranean diet advice. Both groups took cognitive tests at the outset and after two years. They answered detailed dietary questionnaires at periodic intervals.

6,610 adults with metabolic syndrome participated in the trial. Those who consumed the highest levels of choline or betaine performed better on their cognitive tests. Eggs are particularly rich in choline. Betaine may be found in whole grains, spinach, beets and shellfish. Higher choline intake was associated with improvements in attention and language. Those consuming more betaine had better executive function. The changes were modest, but they suggest that such dietary choices could help people maintain healthy cognitive function longer.

Could Eggs Be Good for the Brain?

Eggs are high in cholesterol, so for years Americans have been cautioned to moderate their consumption. On the other hand, eggs also provide certain nutrients such as choline and lutein that are beneficial for the brain. An analysis of data from nearly 900 older adults suggests that egg consumption helps women remember words better. The analysis is fresh, although the data were collected long ago.

The volunteers entered the Rancho Bernardo Study between 1988 and 1991. They also answered detailed dietary questionnaires and took cognitive tests. About four years passed between their entry into the study and their second round of mental assessments.

The investigators report that women who ate more eggs did slightly better on a part of the test termed “category fluency” (Nutrients, Nov. 18, 2024). Both men and women who ate between two and four eggs a week had lower cholesterol levels than those who never ate eggs or those who ate multiple eggs a day.

The researchers conclude that

“egg consumption does not have detrimental effects and may even have a role in the maintenance of cognitive function.”

Previous Study Suggested Choline Boosts Brain Power:

Scientists have evidence that choline intake over the lifespan may affect cognitive function in later years. In one study, investigators collected dietary information on roughly 1,400 middle aged adults (American Journal of Clinical Nutrition, Dec. 2011). Over the next decade, the study participants took several tests of memory and cognitive ability. Some also underwent MRI scans of their brains.

Those with higher choline intake scored better on mental function tests. Foods that are high in choline include eggs, liver, milk, oily fish, chicken and soybeans.

That research took place in Framingham, Massacusetts, but the evidence extends far beyond Americans. Other studies have also found that choline boosts brain function. A long-term cohort study in China found that higher choline intake helped slow cognitive decline over 22 years (Nutrients, Aug. 26, 2024).

Citations
  • Vásquez-Lorente H et al, "Dietary choline and betaine intake and 2-year changes in cognitive function in older adults with overweight or obesity and metabolic syndrome: A prospective cohort analysis." American Journal of Clinical Nutrition, May 2026. DOI: 10.1016/j.ajcnut.2026.101265
  • Kritz-Silverstein D & Bettencourt R, "Egg consumption and 4-year change in cognitive function in older men and women: The Rancho Bernardo Study." Nutrients, Nov. 18, 2024. DOI: 10.3390/nu16162765
  • Poly C et al, "The relation of dietary choline to cognitive performance and white-matter hyperintensity in the Framingham Offspring Cohort." American Journal of Clinical Nutrition, Dec. 2011. DOI: 10.3945/ajcn.110.008938
  • Huang F et al, "Dietary Choline Intake Is Beneficial for Cognitive Function and Delays Cognitive Decline: A 22-Year Large-Scale Prospective Cohort Study from China Health and Nutrition Survey." Nutrients, Aug. 26, 2024. DOI: 10.3390/nu16172845
Rate this article
star-fullstar-emptystar-fullstar-emptystar-fullstar-emptystar-fullstar-emptystar-fullstar-emptystar-fullstar-emptystar-fullstar-emptystar-fullstar-emptystar-fullstar-emptystar-fullstar-empty
4.6- 42 ratings
About the Author
Terry Graedon, PhD, is a medical anthropologist and co-host of The People’s Pharmacy radio show, co-author of The People’s Pharmacy syndicated newspaper columns and numerous books, and co-founder of The People’s Pharmacy website. Terry taught in the Duke University School of Nursing and was an adjunct assistant professor in the Department of Anthropology. She is a Fellow of the Society of Applied Anthropology. Terry is one of the country's leading authorities on the science behind folk remedies..
Tired of the ads on our website?

Now you can browse our website completely ad-free for just $5 / month. Stay up to date on breaking health news and support our work without the distraction of advertisements.

Browse our website ad-free
Join over 150,000 Subscribers at The People's Pharmacy

We're empowering you to make wise decisions about your own health, by providing you with essential health information about both medical and alternative treatment options.