No Association between Dietary Patterns and Risk for Cognitive Decline in Older Women with 9-Year Follow-Up: Data from the Women's Health Initiative Memory Study

被引:80
作者
Haring, Bernhard [1 ]
Wu, Chunyuan [2 ]
Mossavar-Rahmani, Yasmin [4 ]
Snetselaar, Linda [5 ]
Brunner, Robert [6 ]
Wallace, Robert B. [5 ]
Neuhouser, Marian L. [3 ]
Wassertheil-Smoller, Sylvia [4 ]
机构
[1] Univ Wurzburg, Comprehens Heart Failure Ctr, Dept Internal Med 1, D-97080 Wurzburg, Germany
[2] Fred Hutchinson Canc Res Ctr, Womens Hlth Initiat, 1124 Columbia St, Seattle, WA 98104 USA
[3] Fred Hutchinson Canc Res Ctr, Div Hlth Sci, 1124 Columbia St, Seattle, WA 98104 USA
[4] Albert Einstein Coll Med, Dept Epidemiol & Populat, Bronx, NY 10467 USA
[5] Univ Iowa, Dept Epidemiol, Coll Publ Hlth, Iowa City, IA USA
[6] Univ Nevada, Sch Med, Dept Nutr, Reno, NV 89557 USA
基金
美国国家卫生研究院;
关键词
Diet; Hypertension; Mild cognitive impairment; Dementia; Cognitive decline; RANDOMIZED CONTROLLED-TRIAL; ESTROGEN PLUS PROGESTIN; CONJUGATED EQUINE ESTROGENS; CORONARY-HEART-DISEASE; MEDITERRANEAN DIET; POSTMENOPAUSAL WOMEN; ALZHEIMERS-DISEASE; EATING INDEX; CARDIOVASCULAR-DISEASE; DEMENTIA;
D O I
10.1016/j.jand.2015.12.017
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
Background Data on the association between dietary patterns and age-related cognitive decline are inconsistent. Objective To determine whether dietary patterns assessed by the alternate Mediterranean diet score (aMED), the Healthy Eating Index-2010 (HEI-2010), the Alternate Healthy Eating Index 2010 (AHEI-2010), or the Dietary Approach to Stop Hypertension (DASH) diet score are associated with cognitive decline in older women, and to examine whether dietary patterns modify the risk for cognitive decline in women with hypertension. Design Prospective, longitudinal cohort study. Food frequency questionnaires were used to derive dietary patterns at baseline. Hypertension was defined as self-report of current drug therapy for hypertension or clinic measurement of systolic blood pressure >= 140 mm Hg or diastolic blood pressure >= 90 mm Hg. Participants and setting Postmenopausal women (N=6,425) aged 65 to 79 years who participated in the Women's Health Initiative Memory Study and were cognitively intact at baseline. Main outcome measures Cognitive decline was defined as cases of mild cognitive impairment (MCI) or probable dementia (PD). Cases were identified through rigorous screening and expert adjudication. Statistical analyses performed Cox proportional hazards models with multivariable adjustment were used to estimate the relative risk for developing MCI or PD. Results During a median follow-up of 9.11 years, we documented 499 cases of MCI and 390 of PD. In multivariable analyses we did not detect any statistically significant relationships across quintiles of aMED, HEI-2010, DASH, and AHEI-2010 scores and MCI or PD (P values for trend=0.30, 0.44, 0.23, and 0.45). In women with hypertension, we found no significant association between dietary patterns and cognitive decline (P values for trend=0.19, 0.08, 0.07, and 0.60). Conclusions Dietary patterns characterized by the aMED, HEI-2010, AHEI-2010, or DASH dietary score were not associated with cognitive decline in older women. Adherence to a healthy dietary pattern did not modify the risk for cognitive decline in women with hypertension.
引用
收藏
页码:921 / U51
页数:11
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