Healthy nutrition and selected micronutrients can delay the cognitive decline in the elderly

Global aging population worldwide increasing. As growing age, the aging related issues like dementia came to be seen not as an inevitable condition at the old age phase, but as a condition that results from the competition between multiple risk factors and protective factors acquired throughout life. There is currently no cure for dementia. Thus, strategies to prevent or delay onset of dementia by changes in lifestyle factors, such as diet, are important as non-pharmacological therapy. A healthy nutrition contributes in delaying the cognitive decline for the elderly people and dementia patients. Cognitive decline is a normal part of the aging process and it is a main clinical identification in between elderly and dementia. The group of B Vitamins (B1, B2, B6, B12) are significantly associated with healthy neuropsychological function. The lack of B12 can show impairment of cognition and neurologic deficit and impacts on educational achievement. The cognitive impairment is a main clinical symptom of dementia which can raise the prevalence rates of cognitive impairment that can be dementia accordingly at the end of life.

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Informant Questionnaire on Cognitive Decline in the Elderly--Farsi Version

PsycTESTS Dataset ◽

10.1037/t73529-000 ◽

2019 ◽

Author(s):

Mahshid Foroughan ◽

Zahra Jafari ◽

Ida Ghaemmagham Farahani ◽

Vahid Rashedi

Keyword(s):

Cognitive Decline ◽

The Elderly ◽

Farsi Version

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Role of Nut Consumption in the Management of Cognitive Decline - A Mini-Review

Current Alzheimer Research ◽

10.2174/1567205015666180202100721 ◽

2018 ◽

Vol 15 (9) ◽

pp. 877-882 ◽

Cited By ~ 4

Author(s):

Blanka Klimova ◽

Kamil Kuca ◽

Martin Valis ◽

Jakub Hort

Keyword(s):

Cognitive Decline ◽

Cognitive Functions ◽

Dietary Intervention ◽

Social Issues ◽

Older Individuals ◽

Active Life ◽

Healthy Nutrition ◽

Health Aging ◽

Review Study

Background: Currently, there is a significant increase in the number of older generation groups, which may result in serious economic and social issues. Therefore, there is a need to prolong the active life of these older individuals, especially by focusing on modifying lifestyle factors such as healthy nutrition. In fact, recent research has shown that, for example, nuts are an important part of people’s healthy diet because they have appeared to be neuroprotective compounds which might maintain or in some cases even improve people’s cognitive functions. Objective: The purpose of this review study is to explore the role of the nut nutrition in the maintenance and delay of cognitive decline among older individuals. Results: The findings indicate that the nut consumption may contribute to the delay of cognitive decline in aging. However, this nut diet is just one component of the multi-nutrient dietary intervention for health aging. Conclusion: More longitudinal controlled randomized studies have to be performed in this field to prove the efficacy of the nut nutrition for the delay of cognitive decline.

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Relation between cognitive disorders and type of physical activity: Results of the FréLE cohort

European Journal of Public Health ◽

10.1093/eurpub/ckaa165.883 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

C Dupré ◽

N Barth ◽

A El Moutawakkil ◽

F Béland ◽

F Roche ◽

...

Keyword(s):

Physical Activity ◽

Cognitive Decline ◽

Proportional Hazards ◽

Cognitive Disorders ◽

The Elderly ◽

Cognitive Status ◽

Global Test ◽

Professional Activities ◽

Beneficial Effects ◽

The Impact

Abstract Background Few previous cohorts have studied the different type of physical activities and the degree of cognitive decline. The objective of this work was to analyze the leisure, domestic and professional activities with mild and moderate cognitive disorders in older people living in community. Methods The study used data from the longitudinal and observational study, FrèLE (FRagility: Longitudinal Study of Expressions). The collected data included: socio-demographic variables, lifestyle, and health status (frailty, comorbidities, cognitive status, depression). Cognitive decline was assessed by using: MMSE (Mini-Mental State Examination) and MoCA (Montreal Cognitive Assessment). MoCA was used with two cut-offs (26 and 17) so as to define mild and moderate cognitive disorders Physical activity was assessed by the PASE (Physical Activity Scale for the Elderly), structured in three sections: leisure, domestic and professional activities. Spline and proportional hazards regression models (Cox) were used to estimate the risk of cognitive disorders. Results At baseline, 1623 participants were included and the prevalence of cognitive disorders was 6.9% (MMSE) and 7.2% (MoCA), mild cognitive disorders was 71.3%. The mean age was 77 years, and 52% of the participants were women. After a 2 years long follow-up, we found 6.9% (MMSE) and 6% (MoCA) cognitive disorders on participants. Analyses showed that domestic activities were associated to cognitive decline (HR = 0.52 [0.28-0.94] for MMSE and HR = 0.48 [0.28-0.80] for MoCA). No association were found with leisure and professional activities, and no spline were significant with mild cognitive disorders. Conclusions Analysis showed a relationship between cognitive disorders and type of physical activity, thanks to the use of specific questionnaire of elderly and two global test of cognition. These findings will contribute to the debate on the beneficial effects of physical activity on cognition. Key messages This work allowed to compare two test of cognition and their link with physical activity. It contributes to the debate on the beneficial effects of physical activity on cognition. The work allowed us to see the effect of the different types of physical activity and the impact of the statistical method on the results.

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Cognitive decline in the elderly: Is anaesthesia implicated?

Best Practice & Research Clinical Anaesthesiology ◽

10.1016/j.bpa.2011.05.001 ◽

2011 ◽

Vol 25 (3) ◽

pp. 379-393 ◽

Cited By ~ 45

Author(s):

Brendan Silbert ◽

Lisbeth Evered ◽

David A. Scott

Keyword(s):

Cognitive Decline ◽

The Elderly

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Cognitive decline, functional dependency and sociodemographic characteristics in elderly patients with bone fractures

European Journal of Investigation in Health, Psychology and Education ◽

10.3390/ejihpe5020021 ◽

2015 ◽

Vol 5 (2) ◽

pp. 221-232

Author(s):

Ana R. Ortega ◽

Mª José Calero

Keyword(s):

Elderly Patients ◽

Cognitive Decline ◽

Bone Fractures ◽

Functional Decline ◽

The Elderly ◽

Structured Interview ◽

Demographic Variables ◽

Cognitive Status ◽

Functional Dependency ◽

Functional Gain

The objective of this paper was to study the evolution of cognitive status and of functional dependency in patients over 65 and how these relate to different demographic variables. The sample consisted of 259 elderly people admitted to the Hospital Neurotraumatológico in Jaen (Spain) with a diagnosis of bone fracture. Sociodemographic data was obtained through a semi-structured interview. Furthermore, the following tests were also administered: Barthel Index, Lawton and Brody’s Scale, Phototest, and Informant Questionnaire on Cognitive Decline in the Elderly. According to the results of this study, elderly patients show increased dependency during hospitalization and a mild recovery at discharge, but without regaining their dependency values prior to hospitalization. There is a differential incidence of functional decline as a function of gender, where women have significantly lower functional dependency at home than men and they do not decline as much as men do from their status prior to hospitalization. Also, we have encountered significant inverse relations between the different levels of dependency and cognitive status, and the age of the elderly patient. Moreover, married patients experienced greater functional gain than did the widowed patients, regardless of gender.

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Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE) for the detection of dementia within a general practice (primary care) setting

Cochrane Database of Systematic Reviews ◽

10.1002/14651858.cd010771.pub3 ◽

2021 ◽

Vol 2021 (7) ◽

Author(s):

Jennifer K Burton ◽

Patricia Fearon ◽

Anna H Noel-Storr ◽

Rupert McShane ◽

David J Stott ◽

...

Keyword(s):

Primary Care ◽

General Practice ◽

Cognitive Decline ◽

Care Setting ◽

Primary Care Setting ◽

The Elderly

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The course of depression in the elderly: a longitudinal community-based study in Australia

Psychological Medicine ◽

10.1017/s0033291796004199 ◽

1997 ◽

Vol 27 (1) ◽

pp. 119-129 ◽

Cited By ~ 127

Author(s):

A. S. HENDERSON ◽

A. E. KORTEN ◽

P. A. JACOMB ◽

A. J. MACKINNON ◽

A. F. JORM ◽

...

Keyword(s):

Depressive Symptoms ◽

Cognitive Decline ◽

Service Use ◽

Community Sample ◽

The Elderly ◽

Activity Levels ◽

Sample Attrition ◽

Poor Social Support ◽

Icd 10 ◽

Depressive States

Background. We report the outcome of depressive states after 3-4 years in a community sample of the elderly.Methods. A sample of 1045 persons aged 70+ years in 1990–1 was re-interviewed after 3·6 years.Results. Mortality (21·7%) and refusal or non-availability (10·4%) were higher in those who initially had had a diagnosis or symptoms of depression. Of those with an ICD-10 depressive episode in 1990–1, 13% retained that diagnosis. Of those who were not depressed initially only 2·5% had become cases. Depression was unrelated to age or apolipoprotein E genotype. The best predictors of the number of depressive symptoms at follow-up was the number at Wave 1, followed by deterioration in health and in activities of daily living, high neuroticism, poor current health, poor social support, low current activity levels and high service use. Depressive symptoms at Wave 1 did not predict subsequent cognitive decline or dementia.Conclusions. Non-random sample attrition is unavoidable. ICD-10 criteria yield more cases than other systems, while continuous measures of symptoms confer analytical advantages. Risk factors for depressive states in the elderly have been further identified. The prognosis for these states is favourable. At the community level, depressive symptoms do not seem to predict cognitive decline, as they do in referred series.

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Mild Cognitive Impairment in Clinical Practice: A Review Article

American Journal of Alzheimer s Disease & Other Dementias® ◽

10.1177/1533317518791401 ◽

2018 ◽

Vol 33 (8) ◽

pp. 500-507 ◽

Cited By ~ 15

Author(s):

Sukanya Jongsiriyanyong ◽

Panita Limpawattana

Keyword(s):

Cognitive Impairment ◽

Mild Cognitive Impairment ◽

Cognitive Decline ◽

Preventive Intervention ◽

Lifestyle Modification ◽

The Elderly ◽

Vascular Cognitive Impairment ◽

Review Article ◽

Subjective Cognitive Impairment ◽

Rate Of Progression

The spectrum of cognitive decline in the elderly ranges from what can be classified as normal cognitive decline with aging to subjective cognitive impairment to mild cognitive impairment (MCI) to dementia. This article reviewed the up-to-date evidence of MCI including the diagnostic criteria of MCI due to Alzheimer’s disease, vascular cognitive impairment and MCI due to Parkinson disease, management and preventive intervention of MCI. There are various etiologies of MCI, and a large number of studies have been conducted to ascertain the practical modalities of preserving cognition in predementia stages. Lifestyle modification, such as aerobic exercise, is an approved modality to preserve cognitive ability and decrease the rate of progression to dementia, as well as being recommended for frailty prevention.

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