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Adherence to a Mediterranean Diet is associated with physical and cognitive health

A cross-sectional analysis of community-dwelling older Australians

Bibliographic Data

ID22070686
AuthorsLisa Allcock (University of the Sunshine Coast), Evangeline Mantzioris (0000-0002-1480-9869, University of South Australia), Anthony Villani (0000-0003-4891-1076, University of the Sunshine Coast, corresponding author)
Year2022
Volume10
Pages1017078-1017078
Publication date2022-11-16
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2022.1017078
PMID36466491
OpenAlexW4309307632
LanguageEN
References cited91

Poor cognitive function is associated with reduced functional independence, risk of institutionalization and reduced health-related quality of life. The ability to independently perform instrumental activities of daily living (iADLs) is compromised in patients with mild cognitive impairment (MCI) or dementia. Emerging evidence suggests that adherence to a Mediterranean diet (MedDiet), may play an important protective role against cognitive decline and dementia risk, whilst preserving functional status. This cross-sectional study aimed to explore the independent associations between MedDiet adherence, cognitive risk, and functional status in community-dwelling older adults living in Australia. MedDiet adherence was assessed using the Mediterranean Diet Adherence Screener (MEDAS); a modified Lawton's iADL scale was used for the assessment of functional status and risk of cognitive impairment was assessed using the AD8 dementia screening intervention. A total of n = 294 participants were included in the final analyses (70.4 ± 6.2 years; Females, n = 201; Males, n = 91; n = 2 unspecified). Adherence to a MedDiet was positively associated with functional ability (β = 0.172; CI: 0.022, 0.132; P = 0.006) independent of age, gender, Body Mass Index (BMI), smoking status, sleep duration, physical activity duration, diabetes status, and level of education. Furthermore, MedDiet adherence was inversely associated with cognitive risk (β = −0.134; CI: −0.198, −0.007; P = 0.035) independent of all covariates. However, our sensitivity analyses further showed that adherence to a MedDiet was not associated with cognitive risk in older adults free from cognitive impairment. We showed that adherence to a MedDiet is associated with healthy physical and cognitive aging. Nevertheless, exploration of these findings in larger cohorts, using longitudinal analyses and controlling for important confounders to ascertain the direction of the relationship is warranted

Cognition · Cross-sectional study · Environmental health · Mediterranean diet · Physical activity · Physical therapy · Psychiatry · Consumer Attitudes and Food Labeling · Diet and metabolism studies · Medicine · Nutritional Studies and Diet · Psychology · Gerontology

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