scholarly journals Mediterranean Diet, Healthy Eating Index 2005, and Cognitive Function in Middle-Aged and Older Puerto Rican Adults

2013 ◽  
Vol 113 (2) ◽  
pp. 276-281.e3 ◽  
Author(s):  
Xingwang Ye ◽  
Tammy Scott ◽  
Xiang Gao ◽  
Janice E. Maras ◽  
Peter J. Bakun ◽  
...  
Keyword(s):  
Cognitive Function ◽  
Puerto Rican ◽  
Mediterranean Diet ◽  
Healthy Eating ◽  
Healthy Eating Index ◽  
Middle Aged

scholarly journals Alternate Healthy Eating Index is Positively Associated with Cognitive Function Among Middle-Aged and Older Hispanics/Latinos in the HCHS/SOL

2020 ◽  
Vol 150 (6) ◽  
pp. 1478-1487 ◽  
Author(s):  
Mayra L Estrella ◽  
Ramon A Durazo-Arvizu ◽  
Josiemer Mattei ◽  
Yasmin Mossavar-Rahmani ◽  
Krista M Perreira ◽  
...  
Keyword(s):  
Cognitive Function ◽  
Healthy Eating ◽  
Diet Quality ◽  
Processing Speed ◽  
Verbal Memory ◽  
Verbal Fluency ◽  
Verbal Learning ◽  
Healthy Eating Index ◽  
Middle Aged ◽  
Global Cognition

ABSTRACT Background Diet quality may be an important area of focus for promoting cognitive health; however, the association between diet quality and cognitive function among Hispanics/Latinos remains largely unexamined. We hypothesized that a healthier diet quality will be associated with better cognitive function in middle-aged and older Hispanics/Latinos. Objective The objective of this study was to examine associations between the Alternate Healthy Eating Index (AHEI-2010), a measure of diet quality, and cognitive function in middle-aged and older Hispanics/Latinos. Methods Data from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) Visit 1 (2008–2011) were used (n = 8461; ages 45–74 y). Cognitive function was assessed with tests of verbal learning and memory, verbal fluency, and processing speed; a global cognition score was derived by summing the z scores of individual tests. Dietary intake was assessed via two 24-h recalls. Total AHEI-2010 score was categorized into quintiles (higher quintiles indicating healthier diet). Linear regression models were used to examine associations between AHEI-2010 quintiles and cognitive function adjusting for sociodemographic characteristics, daily energy intake, type 2 diabetes, smoking, and depressive symptoms. Results Compared with the lowest quintile, in the second to fourth AHEI-2010 quintiles, global cognition scores were significantly higher by 0.28, 0.52, and 0.48 units (P-trend = 0.042). In the second to fifth AHEI-2010 quintiles, verbal learning scores were significantly higher by 0.60, 0.62, 0.92, and 0.88 units, and verbal memory scores were higher by 0.33, 0.40, 0.52, and 0.46 units (P-trend = 0.020 and 0.007, respectively). No associations were observed between the AHEI-2010 and verbal fluency or processing speed (P-trend = 0.49 and 0.84, respectively). Among AHEI-2010 components, adequate consumption of vegetables, alcohol, and whole fruits were each associated with better cognitive function. Conclusions An overall healthier diet quality was associated with better global cognition, verbal learning, and verbal memory in middle-aged and older Hispanics/Latinos.

The Mediterranean Diet and Two-Year Changes in Cognitive Function in Puerto Rican Adults With vs. Without Type 2 Diabetes

Diabetes ◽  
2018 ◽  
Vol 67 (Supplement 1) ◽  
pp. 192-LB
Author(s):  
JOSIEMER MATTEI ◽  
SHERMAN J. BIGORNIA ◽  
MERCEDES SOTOS-PRIETO ◽  
TAMMY SCOTT ◽  
XIANG GAO ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Cognitive Function ◽  
Puerto Rican ◽  
Mediterranean Diet ◽  
The Mediterranean

scholarly journals Mediterranean Diet and Healthy Eating in Subjects with Prediabetes from the Mollerussa Prospective Observational Cohort Study

Nutrients ◽  
2021 ◽  
Vol 13 (1) ◽  
pp. 252
Author(s):  
Mireia Falguera ◽  
Esmeralda Castelblanco ◽  
Marina Idalia Rojo-López ◽  
Maria Belén Vilanova ◽  
Jordi Real ◽  
...  
Keyword(s):  
Glucose Tolerance ◽  
Mediterranean Diet ◽  
Healthy Eating ◽  
Dietary Patterns ◽  
Normal Glucose Tolerance ◽  
Healthy Eating Index ◽  
Study Cohort ◽  
Cross Sectional ◽  
Normal Glucose ◽  
Multivariable Analyses

We aimed to assess differences in dietary patterns (i.e., Mediterranean diet and healthy eating indexes) between participants with prediabetes and those with normal glucose tolerance. Secondarily, we analyzed factors related to prediabetes and dietary patterns. This was a cross-sectional study design. From a sample of 594 participants recruited in the Mollerussa study cohort, a total of 535 participants (216 with prediabetes and 319 with normal glucose tolerance) were included. The alternate Mediterranean Diet score (aMED) and the alternate Healthy Eating Index (aHEI) were calculated. Bivariable and multivariable analyses were performed. There was no difference in the mean aMED and aHEI scores between groups (3.2 (1.8) in the normoglycemic group and 3.4 (1.8) in the prediabetes group, p = 0.164 for the aMED and 38.6 (7.3) in the normoglycemic group and 38.7 (6.7) in the prediabetes group, p = 0.877 for the aHEI, respectively). Nevertheless, women had a higher mean of aMED and aHEI scores in the prediabetes group (3.7 (1.9), p = 0.001 and 40.5 (6.9), p < 0.001, respectively); moreover, they had a higher mean of aHEI in the group with normoglycemia (39.8 (6.6); p = 0.001). No differences were observed in daily food intake between both study groups; consistent with this finding, we did not find major differences in nutrient intake between groups. In the multivariable analyses, the aMED and aHEI were not associated with prediabetes (odds ratio (OR): 1.19, 95% confidence interval (CI): 0.75–1.87; p = 0.460 and OR: 1.32, 95% CI: 0.83–2.10; p = 0.246, respectively); however, age (OR: 1.04, 95% CI: 1.02–1.05; p < 0.001), dyslipidemia (OR: 2.02, 95% CI: 1.27–3.22; p = 0.003) and body mass index (BMI) (OR: 1.09, 95% CI: 1.05–1.14; p < 0.001) were positively associated with prediabetes. Physical activity was associated with a lower frequency of prediabetes (OR: 0.48, 95% CI: 0.31–0.72; p = 0.001). In conclusion, subjects with prediabetes did not show a different dietary pattern compared with a normal glucose tolerance group. However, further research is needed on this issue.

scholarly journals Serum Metabolites Associated with Healthy Dietary Patterns in Middle-Aged US Adults

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 535-535
Author(s):  
Hyunju Kim ◽  
Emily Hu ◽  
Bing Yu ◽  
Lyn Steffen ◽  
Sara Seidelmann ◽  
...  
Keyword(s):  
Healthy Eating ◽  
Dietary Patterns ◽  
Healthy Eating Index ◽  
Untargeted Metabolomics ◽  
Dietary Intakes ◽  
Linear Regression Models ◽  
Omega 3 ◽  
Middle Aged ◽  
Serum Metabolites ◽  
Dash Diet

Abstract Objectives Healthy dietary patterns are recommended for health promotion. Metabolomics can be used to identify objective biomarkers of healthy dietary patterns, which has the potential to improve dietary assessment. We used metabolomics to identify serum metabolites associated with healthy dietary patterns and the components within these dietary patterns in middle-aged US adults. Methods We evaluated known metabolites associated with 4 dietary patterns [Healthy Eating Index (HEI)-2015, Alternative Healthy Eating Index (AHEI)-2010, the Dietary Approaches to Stop Hypertension (DASH) diet, Mediterranean diet (aMED)] and their components using untargeted metabolomics in two subsamples (N1 = 1864; N2 = 2091) of the Atherosclerosis Risk in Communities Study. Dietary intakes were assessed using a food frequency questionnaire. We used multivariable linear regression models to examine associations between dietary patterns and individual serum metabolites in each sample, adjusting for sociodemographic factors, health behaviors, and clinical factors. Results 21 out of 373 metabolites (HEI = 10; AHEI = 9; DASH = 15; aMED = 2) in sample 1 and 57 out of 758 metabolites (HEI = 32; AHEI = 22; DASH = 44; aMED = 22) in sample 2 were significantly associated with healthy dietary patterns after Bonferroni correction. More than half of the significant metabolites (n1 = 10; n2 = 35) were associated with more than one dietary pattern. The DASH diet had the highest number of unique metabolites (n1 = 7; n2 = 17), a majority of which were amino acids. Other diets had similar number of unique metabolites (range: 0–3), which were mostly lipids. Some of the unique metabolites were positively associated with components of every diet. For example, N-methylproline was associated with fruit and dairy intake in the DASH diet; docosahexaenoate (22:6n3) was associated with omega-3 fatty acid intake in AHEI, and 1-docosahexaenoylglycerophosphoethanolamine was associated with plant protein and saturated fat intake in HEI. Conclusions An untargeted metabolomics approach identified many metabolites associated with healthy dietary patterns. A considerable overlap of metabolites associated with HEI, AHEI, DASH, and aMED reflects the similar food components within healthy diets. Funding Sources NIDDK, NHLBI.

scholarly journals Association of the Healthy Eating Index with Metabolic Abnormalities among Middle-Aged Adults Living in Single-Person Households in Korea

Nutrients ◽  
2021 ◽  
Vol 13 (11) ◽  
pp. 3937
Author(s):  
Yun-Jung Bae ◽  
Kwang-Won Yu ◽  
Kyung-Haeng Lee ◽  
Keum-Il Jang
Keyword(s):  
Healthy Eating ◽  
The Elderly ◽  
Healthy Eating Index ◽  
Living Alone ◽  
Older Individuals ◽  
Middle Aged ◽  
Health And Nutrition ◽  
Recall Data ◽  
Single Person ◽  
Middle Aged Adults

This study aimed to analyze the association between the dietary lifestyles and health outcomes among middle-aged (40–64 years old) and elderly (65 years old and older) individuals living alone using the Korean Healthy Eating Index (KHEI). The study was conducted with 1442 participants (475 men and 967 women) aged 40 years and older living in single-person households using the Korea National Health and Nutrition Examination Survey from 2016 to 2018. The KHEI scores were calculated based on the 24-h recall data of dietary intake. Among women living alone, the total KHEI score of the participants aged 40–64 years was 65.92, which was significantly lower than the 70.66 of those aged 65 years and older (p = 0.0152). In addition, the total score in the adequacy domain was significantly lower among the 40~64-year-old group than those aged 65 years and older (p = 0.0011). Among the elderly in single-person households, the odds of diabetes in the T1 group were 2.08 times higher than those in the T3 group according to the KHEI (95% confidence interval: 1.36–3.17). The results of this study are expected to be used as baseline data to establish nutrition, home meal replacement utilization, and health policies for the elderly living alone.

scholarly journals Nutrition Risk is Associated with Leukocyte Telomere Length in Middle-Aged Men and Women with at Least One Risk Factor for Cardiovascular Disease

Nutrients ◽  
2019 ◽  
Vol 11 (3) ◽  
pp. 508 ◽  
Author(s):  
Melissa Ventura Marra ◽  
Margaret Drazba ◽  
Ida Holásková ◽  
William Belden
Keyword(s):  
Cardiovascular Disease ◽  
Risk Factor ◽  
Telomere Length ◽  
Mediterranean Diet ◽  
Diet Quality ◽  
Healthy Eating Index ◽  
Smoking History ◽  
Leukocyte Telomere Length ◽  
Middle Aged ◽  
Nutrition Risk

Poor diet quality has been associated with several age-related chronic conditions, but its relationship to telomere length, a biological marker of cellular aging, is unclear. The purpose of this cross-sectional study was to determine whether overall diet quality was associated with relative leukocyte telomere length (rLTL) in a sample (n = 96) of nonsmoking middle-aged adults in Appalachia with at least one risk factor for cardiovascular disease. Diet quality was assessed using the Healthy Eating Index (HEI-2015), the alternate Mediterranean diet score (aMed), and the Dietary Screening Tool (DST). Peripheral rLTL was measured by quantitative real-time polymerase chain reaction. The associations between potentially confounding sociodemographic, lifestyle and health-related factors and the first and fourth rLTL quartile groups were examined using Chi-square or Fisher’s Exact tests or logistic regression. The relationships between diet quality index scores and rLTL as a continuous variable were analyzed using simple linear regression and multivariate linear models, analogous to linear covariance analyses. The rLTL ranged from 0.46 to 1.49 (mean ± SEM was 1.02 ± 0.18). Smoking history, income level, and cardiovascular health (Life’s Simple 7) were associated with the lowest and highest quartiles of rLTL and were used as covariates. In adjusted and unadjusted models, participants considered “at nutrition risk” by the DST were more likely to have shorter rLTL than those “not at risk or at potential risk” (p = 0.004). However, there was no evidence that adherence to the 2015–2020 Dietary Guidelines for Americans or to a Mediterranean diet was associated with rLTL in this sample. Intervention studies are needed to determine if improving the diet quality of those at nutrition risk results in reduced telomere attrition over time.

scholarly journals Dietary patterns: a novel approach to examine the link between nutrition and cognitive function in older individuals

2012 ◽  
Vol 25 (2) ◽  
pp. 207-222 ◽  
Author(s):  
B. Allès ◽  
C. Samieri ◽  
C. Féart ◽  
M.-A. Jutand ◽  
D. Laurin ◽  
...  
Keyword(s):  
Cognitive Function ◽  
Cognitive Decline ◽  
Healthy Eating ◽  
Dietary Patterns ◽  
A Priori ◽  
Healthy Eating Index ◽  
The Body ◽  
Cognitive Outcomes ◽  
Level Of Evidence ◽  
Novel Approach

Cognitive decline may lead to dementia whose most frequent cause is Alzheimer's disease (AD). Among the many potential risk factors of cognitive decline and AD, diet raises increasing interest. Most studies considered diet in the frame of a single nutrient approach with inconsistent results. A novel approach to examine the link between nutrition and cognitive function is the use of dietary patterns. The aim of the present review was to update and complete the body of knowledge about dietary patterns in relationship with various cognitive outcomes in the elderly. Two approaches can be used: a priori and a posteriori patterns. A priori patterns are defined by the adhesion to a pre-defined healthy diet using a score such as the Mediterranean diet (MeDi) score, the Healthy Eating Index, the Canadian Healthy Eating Index, the French National Nutrition and Health Programme (Programme National Nutrition Santé) Guideline Score (PNNS-GS), the Recommended Food Score (RFS) and Dietary Approaches to Stop Hypertension (DASH). MeDi score, RFS, PNNS-GS and DASH have been associated with lower risks of cognitive impairment, cognitive decline, and dementia or AD. Principal components analysis, reduced rank regression and clustering methods allow the identification of ‘healthy’ patterns associated with lower risk of cognitive decline. However, some studies did not report any associations with cognitive outcomes and results are discordant especially regarding MeDi and the risk of dementia. Several methodological challenges should be overcome to provide a higher level of evidence supporting the development of nutritional policies to prevent cognitive decline and AD.

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