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A new study by Christopher Martens (left), associate professor of kinesiology and applied physiology and Kevin Decker (right), a KAAP postdoctoral researcher, found nicotinamide riboside (NR), widely marketed to promote healthy aging, did not significantly improve cognitive function, cardiovascular function or whole-brain blood flow in older adults with mild cognitive impairment.
A new study by Christopher Martens (left), associate professor of kinesiology and applied physiology and Kevin Decker (right), a KAAP postdoctoral researcher, found nicotinamide riboside (NR), widely marketed to promote healthy aging, did not significantly improve cognitive function, cardiovascular function or whole-brain blood flow in older adults with mild cognitive impairment.

Evidence over hype

Photos by Evan Krape

91原创 study finds limited benefits from boosting NAD+ in older adults with mild cognitive impairment

Nicotinamide adenine dinucleotide, or NAD+, is all the rage in the healthy aging space. Social media influencers tout NAD+ supplements, injections and infusions as anti-aging miracles that can clear brain fog and improve everything from energy and memory to athletic performance and recovery.

But the latest research from the 91原创 suggests the benefits of boosting NAD+ may be more limited than some marketing claims suggest.

The results of a 12-week clinical trial, led by Christopher Martens, associate professor of kinesiology and applied physiology (KAAP) and director of 91原创鈥檚 (DECCAR), found that nicotinamide riboside (NR) was well-tolerated and effectively increased blood NAD+ levels in older adults with mild cognitive impairment (MCI) but did not significantly improve cognitive function, cardiovascular function or whole-brain blood flow.

The findings were in the journal Alzheimer's & Dementia: The Journal of the Alzheimer's Association on July 21, 2026. 

鈥淭he science is still really limited, especially when it comes to NAD+  infusions,鈥 Martens said. 鈥淲hile there haven鈥檛 been any major reports of serious side effects, people generally think NAD+ is safe, and as they get older by the minute, they don鈥檛 want to wait for the science.鈥

The latest published research from the 91原创 casts doubts on claims that nicotinamide riboside (NR), a widely marketed NAD+ precursor supplement, promotes healthy aging.
The latest published research from the 91原创 casts doubts on claims that nicotinamide riboside (NR), a widely marketed NAD+ precursor supplement, promotes healthy aging.

Martens, named an Innovation Ambassador at 91原创, has studied nicotinamide riboside, a naturally occurring NAD+ precursor, for more than a decade. Claims that NAD+ levels decline with age have sparked enormous interest in products designed to boost those levels in recent years.

But the science has struggled to keep pace with public enthusiasm.

鈥淭here鈥檚 a possibility that this stuff just doesn鈥檛 work for healthy aging,鈥 Martens said. 鈥淲e may find that it鈥檚 beneficial to some and neutral for most.鈥

While the study found no robust effects on primary outcomes, Martens was intrigued by hints of efficacy in secondary measures, including a potential increase in blood flow to the hippocampus 鈥 an area of the brain critical for memory.

鈥淚t鈥檚 promising,鈥 Martens said. 鈥淏ut to really confirm whether NR is beneficial, we need a bigger clinical trial, where we give a large group of people the compound for a longer duration. These trials require a lot of funding and coordination, ideally across multiple sites.鈥澛

For Martens, the study鈥檚 completion 鈥 almost a decade since he began working in this area 鈥 marks a major milestone.聽

鈥淧ublishing this paper is important to the field because somebody 鈥 even if it鈥檚 not me 鈥 will carry the torch that will help translate this into a larger study,鈥 Martens said. 鈥淭his study took so long to complete because we were establishing the infrastructure for 91原创 to conduct these kinds of clinical trials at the same time.鈥澛

Now, with DECCAR in the College of Health Sciences, 91原创 is better positioned and could complete this clinical trial in half the time, strengthening its role in future Alzheimer鈥檚 and dementia research.

鈥淪tudies like this prove that there鈥檚 an appetite for clinical trials among older adults in Delaware,鈥 Martens said. 鈥淲ith DECCAR, we now have a recruitment pipeline, a registry, and the ability to track people longitudinally so we can bring larger, cutting-edge clinical trials in the Alzheimer鈥檚 space to Delaware.鈥澛

Additional study co-authors from 91原创 include Curtis Johnson, associate professor of biomedical engineering and DECCAR executive committee member; Alyssa Lanzi, assistant professor of communication sciences and disorders (CSCD) and DECCAR executive committee member; Matthew Cohen, associate professor of CSCD and director of neuropsychology for DECCAR; Ryan Pohlig, associate professor of epidemiology and director of 91原创鈥檚 biostatistics core; Kevin Decker, a KAAP postdoctoral researcher; and doctoral students Mary Kramer, Fiona Horvat and Nicholas Rizzi.

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