Dietary patterns are related to cognitive functioning in elderly enriched with individuals at increased risk for Alzheimer's disease

被引：38

作者：

Wesselman, L. M. P. d ^{[1
,2
]}

van Lent, D. Melo ^{[1
,3
,4
,5
]}

Schroeder, A. ^{[1
]}

van de Rest, O. ^{[6
]}

Peters, O. ^{[7
,8
,9
,10
]}

Menne, F. ^{[8
,9
,10
]}

Fuentes, M. ^{[8
,9
,10
]}

Priller, J. ^{[7
,11
]}

Spruth, E. J. ^{[7
,11
]}

Altenstein, S. ^{[11
]}

Schneider, A. ^{[1
,12
]}

Fliessbach, K. ^{[1
,12
]}

Roeske, S. ^{[1
]}

Wolfsgruber, S. ^{[1
,12
]}

Kleineidam, L. ^{[1
,12
]}

Spottke, A. ^{[1
,13
]}

Pross, V. ^{[14
]}

Wiltfang, J. ^{[15
,16
]}

Vukovich, R. ^{[15
,16
]}

Schild, A. K. ^{[1
,17
]}

Duezel, E. ^{[18
,19
]}

Metzger, C. D. ^{[18
,19
,20
]}

Glanz, W. ^{[18
]}

Buerger, K. ^{[21
,22
]}

Janowitz, D. ^{[22
]}

Perneczky, R. ^{[21
,23
,24
,25
]}

Tato, M. ^{[21
]}

Teipel, S. ^{[26
,27
]}

Kilimann, I. ^{[26
,27
]}

Laske, C. ^{[28
,29
,30
]}

Buchmann, M. ^{[28
,29
,30
]}

Ramirez, A. ^{[17
]}

Sikkes, S. A. M. ^{[2
,31
]}

Jessen, F. ^{[1
,17
]}

van der Flier, W. M. ^{[2
,32
]}

Wagner, M. ^{[1
,12
]}

机构：

[1] German Ctr Neurodegenerat Disorders DZNE, Venusberg Campus 1, D-53127 Bonn, Germany

[2] Vrije Univ Amsterdam, Dept Neurol, Alzheimer Ctr Amsterdam, Amsterdam Neurosci,Amsterdam UMC, Amsterdam, Netherlands

[3] UT Hlth, Glenn Biggs Inst Alzheimers & Neurodegenerat Dis, San Antonio, TX USA

[4] Boston Univ, Dept Neurol, Boston, MA 02215 USA

[5] Framingham Heart Dis Epidemiol Study, Framingham, MA USA

[6] Wageningen Univ & Res, Div Human Nutr & Hlth, Wageningen, Netherlands

[7] German Ctr Neurodegenerat Dis DZNE, Berlin, Germany

[8] Charite Univ Med Berlin, Hindenburgdamm 30, D-12203 Berlin, Germany

[9] Humboldt Univ, Freie Univ Berlin, Hindenburgdamm 30, D-12203 Berlin, Germany

[10] Berlin Inst Hlth, Inst Psychiat & Psychotherapy, Hindenburgdamm 30, D-12203 Berlin, Germany

[11] Charite, Dept Psychiat & Psychotherapy, Charitepl 1, D-10117 Berlin, Germany

[12] Univ Hosp Bonn, Dept Neurodegenerat Dis & Geriatr Psychiat, Venusberg Campus 1, D-53127 Bonn, Germany

[13] Univ Bonn, Dept Neurol, Venusberg Campus 1, D-53127 Bonn, Germany

[14] Study Ctr Bonn, Fac Med, Venusberg Campus 1, D-53127 Bonn, Germany

[15] German Ctr Neurodegenerat Dis DZNE, Gottingen, Germany

[16] Univ Goettingen, Univ Med Ctr Goettingen, Dept Psychiat & Psychotherapy, Von Siebold Str 5, D-37075 Gottingen, Germany

[17] Univ Cologne, Fac Med, Dept Psychiat, Kerpener Str 62, D-50924 Cologne, Germany

[18] German Ctr Neurodegenerat Dis DZNE, Magdeburg, Germany

[19] Otto Von Guericke Univ, Inst Cognit Neurol & Dementia Res IKND, Magdeburg, Germany

[20] Otto Von Guericke Univ, Dept Psychiat & Psychotherapy, Magdeburg, Germany

[21] German Ctr Neurodegenerat Dis DZNE, Feodor Lynen Str 17, Munich, Germany

[22] Ludwig Maximilians Univ Munchen, Univ Hosp, Inst Stroke & Dementia Res ISD, Feodor Lynen Str 17, D-81377 Munich, Germany

[23] Ludwig Maximilians Univ Munchen, Univ Hosp, Dept Psychiat & Psychotherapy, Munich, Germany

[24] Munich Cluster Syst Neurol SyNergy Munich, Munich, Germany

[25] Imperial Coll London, Sch Publ Hlth, Ageing Epidemiol Res Unit AGE, London, England

[26] German Ctr Neurodegenerat Dis DZNE, Rostock, Germany

[27] Rostock Univ, Dept Psychosomat Med, Med Ctr, Gehlsheimer Str 20, D-18147 Rostock, Germany

[28] German Ctr Neurodegenerat Dis DZNE, Tubingen, Germany

[29] Univ Tubingen, Sect Dementia Res, Hertie Inst Clin Brain Res, Tubingen, Germany

[30] Univ Tubingen, Dept Psychiat & Psychotherapy, Tubingen, Germany

[31] Vrije Univ Amsterdam, Fac Behav & Movement Sci FGB, Clin Dev Psychol & Clin Neuropsychol, Amsterdam, Netherlands

[32] Vrije Univ Amsterdam, Dept Epidemiol & Biostat, Amsterdam Neurosci, Amsterdam UMC, Amsterdam, Netherlands

来源：

EUROPEAN JOURNAL OF NUTRITION | 2021年 / 60卷 / 02期

关键词：

Cognition; Dementia; Mediterranean diet; MIND diet; Dietary patterns; LONG-TERM ADHERENCE; MEDITERRANEAN DIET; OLDER-ADULTS; MIND DIET; ALCOHOL-CONSUMPTION; PHYSICAL-ACTIVITY; DECLINE; DEMENTIA; ASSOCIATION; HEALTH;

D O I：

10.1007/s00394-020-02257-6

中图分类号：

R15 [营养卫生、食品卫生]; TS201 [基础科学];

学科分类号：

100403 ;

摘要：

Purpose To investigate cross-sectional associations between dietary patterns and cognitive functioning in elderly free of dementia. Methods Data of 389 participants from the German DELCODE study (52% female, 69 +/- 6 years, mean Mini Mental State Score 29 +/- 1) were included. The sample was enriched with elderly at increased risk for Alzheimer's disease (AD) by including participants with subjective cognitive decline, mild cognitive impairment (MCI) and siblings of AD patients. Mediterranean and MIND diets were derived from 148 Food Frequency Questionnaire items, and data-driven patterns by principal component analysis (PCA) of 39 food groups. Associations between dietary patterns and five cognitive domain scores were analyzed with linear regression analyses adjusted for demographics (model 1), and additionally for energy intake, BMI, other lifestyle variables and APOe4-status (model 2). For PCA-derived dietary components, final model 3 included all other dietary components. Results In fully adjusted models, adherence to Mediterranean and MIND diet was associated with better memory. The 'alcoholic beverages' PCA component was positively associated with most cognitive domains. Exclusion of MCI subjects (n = 60) revealed that Mediterranean and MIND diet were also related to language functions; associations with the alcoholic beverages component were attenuated, but most remained significant. Conclusion In line with data from elderly population samples, Mediterranean and MIND diet and some data-derived dietary patterns were related to memory and language function. Longitudinal data are needed to draw conclusions on the putative effect of nutrition on the rate of cognitive decline, and on the potential of dietary interventions in groups at increased risk for AD.

引用

页码：849 / 860

页数：12

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