Dietary glycaemic load associated with cognitive performance in elderly subjects View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2014-07-18

AUTHORS

Susan E. Power, Eibhlís M. O’Connor, R. Paul Ross, Catherine Stanton, Paul W. O’Toole, Gerald F. Fitzgerald, Ian B. Jeffery

ABSTRACT

PurposeAgeing is associated with loss of cognitive function and an increased risk of dementia which is expected to place growing demands on health and long-term care providers. Among multiple causative factors, evidence suggests that cognitive impairment in older subjects may be influenced by diet. The objective of this study was to examine the association between dietary patterns, dietary glycaemic load (GL) and cognition in older Irish adults. Methods Community-dwelling subjects (n 208; 94 males and 114 females; aged 64–93 years) were analysed. Dietary intake was assessed using a validated semi-quantitative food frequency questionnaire. Cognitive capacity was tested using the Mini-Mental State Examination (MMSE). The data were clustered to derive patterns of dietary intake. Multivariable-adjusted logistic and Poisson regression models were used to examine the relationship between dietary GL and MMSE score.ResultsElderly subjects consuming ‘prudent’ dietary patterns (high in fruit, vegetables, fish, low-fat dairy and salad dressings and low in red meat and white bread) had higher MMSE scores (better cognitive function) than those consuming ‘Western’ dietary pattern (high in red meat and white bread and low in fruit and vegetables; P < 0.05). Logistic and Poisson regression analyses both indicated that the MMSE score was inversely associated with the GL of the diet (P < 0.05) even after adjusting for age, gender, diabetes, hypertension, healthy food diversity, nutritional status, residential property price, cardiovascular medications and energy intake.ConclusionIn this community-dwelling elderly Irish cohort, consumption of a high glycaemic diet is associated with poorer cognitive performance as assessed by the MMSE. More... »

PAGES

557-568

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00394-014-0737-5

DOI

http://dx.doi.org/10.1007/s00394-014-0737-5

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1049535520

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/25034880


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48 schema:description PurposeAgeing is associated with loss of cognitive function and an increased risk of dementia which is expected to place growing demands on health and long-term care providers. Among multiple causative factors, evidence suggests that cognitive impairment in older subjects may be influenced by diet. The objective of this study was to examine the association between dietary patterns, dietary glycaemic load (GL) and cognition in older Irish adults. Methods Community-dwelling subjects (n 208; 94 males and 114 females; aged 64–93 years) were analysed. Dietary intake was assessed using a validated semi-quantitative food frequency questionnaire. Cognitive capacity was tested using the Mini-Mental State Examination (MMSE). The data were clustered to derive patterns of dietary intake. Multivariable-adjusted logistic and Poisson regression models were used to examine the relationship between dietary GL and MMSE score.ResultsElderly subjects consuming ‘prudent’ dietary patterns (high in fruit, vegetables, fish, low-fat dairy and salad dressings and low in red meat and white bread) had higher MMSE scores (better cognitive function) than those consuming ‘Western’ dietary pattern (high in red meat and white bread and low in fruit and vegetables; P < 0.05). Logistic and Poisson regression analyses both indicated that the MMSE score was inversely associated with the GL of the diet (P < 0.05) even after adjusting for age, gender, diabetes, hypertension, healthy food diversity, nutritional status, residential property price, cardiovascular medications and energy intake.ConclusionIn this community-dwelling elderly Irish cohort, consumption of a high glycaemic diet is associated with poorer cognitive performance as assessed by the MMSE.
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56 Irish adults
57 Irish cohort
58 MMSE scores
59 Mini-Mental State Examination
60 Multivariable
61 Poisson regression
62 Poisson regression models
63 State Examination
64 adults
65 age
66 association
67 capacity
68 cardiovascular medications
69 care providers
70 causative factors
71 cognition
72 cognitive capacity
73 cognitive function
74 cognitive impairment
75 cognitive performance
76 cohort
77 community-dwelling subjects
78 consumption
79 data
80 demand
81 dementia
82 diabetes
83 diet
84 dietary glycaemic load
85 dietary intake
86 dietary patterns
87 diversity
88 elderly subjects
89 energy intake
90 evidence
91 examination
92 factors
93 food diversity
94 food frequency questionnaire
95 frequency questionnaire
96 function
97 gender
98 glycaemic load
99 health
100 healthy food diversity
101 high glycaemic diet
102 higher MMSE scores
103 hypertension
104 impairment
105 intake
106 load
107 logistics
108 long-term care providers
109 loss
110 medications
111 method
112 model
113 multiple causative factors
114 nutritional status
115 objective
116 older Irish adults
117 older subjects
118 patterns
119 performance
120 poor cognitive performance
121 prices
122 property prices
123 providers
124 questionnaire
125 regression
126 regression models
127 relationship
128 residential property prices
129 risk
130 risk of dementia
131 scores
132 semi-quantitative food frequency questionnaire
133 status
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