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Title: | Mediterranean, DASH, and MIND Dietary Patterns and Cognitive Function: The 2-Year Longitudinal Changes in an Older Spanish Cohort |
Author: | Nishi, Stephanie K. Babio, Nancy Gómez Martínez, Carlos Martínez-González, Miguel Ángel, 1957- Ros Rahola, Emilio Corella Piquer, Dolores Castañer, Olga Martínez, J. Alfredo, 1957- Alonso Gómez, Ángel M. Wärnberg, Julia Vioque, Jesús Romaguera, Dora López Miranda, José Estruch Riba, Ramon Tinahones, Francisco J. Lapetra, José Serra Majem, Lluís Bueno Cavanillas, Aurora Tur, Josep A. Martín Sánchez, Vicente Pintó Sala, Xavier Delgado Rodríguez, Miguel Matía Martín, Pilar Vidal i Cortada, Josep Vázquez, Clotilde Daimiel, Lidia Razquin, Cristina Coltell, Óscar Becerra Tomás, Nerea Torre Fornell, Rafael de la Abete, Itziar Sorto Sanchez, Carolina Barón López, Francisco Javier Signes Pastor, Antonio J. Konieczna, Jadwiga García Ríos, Antonio Casas Rodríguez, Rosa M. Gomez Perez, Ana Maria Santos Lozano, José Manuel García Arellano, Ana Guillem Saiz, Patricia Ni, Jiaqi Soria Florido, María Trinidad Zulet, M. Angeles Vaquero Luna, Jessica Toledo Atucha, Estefanía Fitó Colomer, Montserrat Salas Salvadó, Jordi |
Keywords: | Dieta Neurociència cognitiva Hàbits alimentaris Cognició Alimentació de les persones grans Diet Cognitive neuroscience Food habits Cognition Older people nutrition |
Issue Date: | 13-Dec-2021 |
Publisher: | Frontiers Media |
Abstract: | Background and Aims: Plant-forward dietary patterns have been associated with cardiometabolic health benefits, which, in turn, have been related to cognitive performance with inconsistent findings. The objective of this study was to examine the relationship between baseline adherence to three a priori dietary patterns (Mediterranean, DASH, and MIND diets) with 2-year changes in cognitive performance in older adults with overweight or obesity and high cardiovascular disease risk. Methods: A prospective cohort analysis was conducted within the PREDIMED-Plus trial, involving 6,647 men and women aged 55-75 years with overweight or obesity and metabolic syndrome. Using a validated, semiquantitative 143-item food frequency questionnaire completed at baseline, the dietary pattern adherence scores were calculated. An extensive neuropsychological test battery was administered at baseline and 2-year follow-up. Multivariable-adjusted linear regression models were used to assess associations between 2-year changes in cognitive function z-scores across tertiles of baseline adherence to the a priori dietary patterns. Results: Adherence to the Mediterranean diet at baseline was associated with 2-year changes in the general cognitive screening Mini-Mental State Examination (MMSE, β: 0.070; 95% CI: 0.014, 0.175, P-trend = 0.011), and two executive function-related assessments: the Trail Making Tests Part A (TMT-A, β: −0.054; 95% CI: −0.110, − 0.002, P-trend = 0.047) and Part B (TMT-B, β: −0.079; 95% CI: −0.134, −0.024, P-trend = 0.004). Adherence to the MIND diet was associated with the backward recall Digit Span Test assessment of working memory (DST-B, β: 0.058; 95% CI: 0.002, 0.114, P-trend = 0.045). However, higher adherence to the DASH dietary pattern was not associated with better cognitive function over a period of 2 years. Conclusion: In older Spanish individuals with overweight or obesity and at high cardiovascular disease risk, higher baseline adherence to the Mediterranean dietary pattern may be associated with better cognitive performance than lower adherence over a period of 2 years. |
Note: | Reproducció del document publicat a: https://doi.org/10.3389/fnagi.2021.782067 |
It is part of: | Frontiers in Aging Neuroscience, 2021, vol. 13, num. 782067 |
URI: | http://hdl.handle.net/2445/184058 |
Related resource: | https://doi.org/10.3389/fnagi.2021.782067 |
ISSN: | 1663-4365 |
Appears in Collections: | Articles publicats en revistes (IDIBAPS: Institut d'investigacions Biomèdiques August Pi i Sunyer) Publicacions de projectes de recerca finançats per la UE Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL)) Articles publicats en revistes (Ciències Clíniques) Articles publicats en revistes (Medicina) |
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