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Dietary Pattern, Hypertension and Cognitive Function in an Older Population: 10-Year Longitudinal Survey

Background: There is a paucity of studies that have explored the association between dietary pattern and cognitive function, and whether there is an interaction between dietary pattern and hypertension in relation to older people's cognitive functioning. Methods: We analyzed data from the China...

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Autores principales: Xu, Xiaoyue, Parker, Deborah, Shi, Zumin, Byles, Julie, Hall, John, Hickman, Louise
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6062638/
https://www.ncbi.nlm.nih.gov/pubmed/30079333
http://dx.doi.org/10.3389/fpubh.2018.00201
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author Xu, Xiaoyue
Parker, Deborah
Shi, Zumin
Byles, Julie
Hall, John
Hickman, Louise
author_facet Xu, Xiaoyue
Parker, Deborah
Shi, Zumin
Byles, Julie
Hall, John
Hickman, Louise
author_sort Xu, Xiaoyue
collection PubMed
description Background: There is a paucity of studies that have explored the association between dietary pattern and cognitive function, and whether there is an interaction between dietary pattern and hypertension in relation to older people's cognitive functioning. Methods: We analyzed data from the China Health and Nutrition (CHNS) survey. Dietary data have been collected since 1991, and cognitive function interview data were collected between 1997 and 2006. We analyzed ten years of data, including 4,847 participants with 10,658 observations (aged ≥55 years). Exploratory factor analysis was used to identify dietary patterns. Cognitive function measures include cognitive global scores and verbal memory scores. Linear mixed models were used to investigate the association between dietary patterns, hypertension and cognitive function. Results: Three dietary patterns were identified by factor analysis, named “Traditional Chinese,” “Protein-rich,” and “Starch-rich” dietary pattern. A Protein-rich dietary pattern (high intake of milk, eggs and soymilk) was significantly associated with higher cognitive global scores and verbal memory scores, while the starch-rich dietary pattern (high intake of salted vegetable and legumes) was significantly associated with lower cognitive global and verbal memory scores. In addition, we found that participants with hypertension were independently associated with significant low cognitive function. Conclusion: The study reinforces the importance of diet in preventing cognitive decline among the older population. Identification of older populations who had hypertension should be targeted in intervention studies to maintain their cognitive health.
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spelling pubmed-60626382018-08-03 Dietary Pattern, Hypertension and Cognitive Function in an Older Population: 10-Year Longitudinal Survey Xu, Xiaoyue Parker, Deborah Shi, Zumin Byles, Julie Hall, John Hickman, Louise Front Public Health Public Health Background: There is a paucity of studies that have explored the association between dietary pattern and cognitive function, and whether there is an interaction between dietary pattern and hypertension in relation to older people's cognitive functioning. Methods: We analyzed data from the China Health and Nutrition (CHNS) survey. Dietary data have been collected since 1991, and cognitive function interview data were collected between 1997 and 2006. We analyzed ten years of data, including 4,847 participants with 10,658 observations (aged ≥55 years). Exploratory factor analysis was used to identify dietary patterns. Cognitive function measures include cognitive global scores and verbal memory scores. Linear mixed models were used to investigate the association between dietary patterns, hypertension and cognitive function. Results: Three dietary patterns were identified by factor analysis, named “Traditional Chinese,” “Protein-rich,” and “Starch-rich” dietary pattern. A Protein-rich dietary pattern (high intake of milk, eggs and soymilk) was significantly associated with higher cognitive global scores and verbal memory scores, while the starch-rich dietary pattern (high intake of salted vegetable and legumes) was significantly associated with lower cognitive global and verbal memory scores. In addition, we found that participants with hypertension were independently associated with significant low cognitive function. Conclusion: The study reinforces the importance of diet in preventing cognitive decline among the older population. Identification of older populations who had hypertension should be targeted in intervention studies to maintain their cognitive health. Frontiers Media S.A. 2018-07-20 /pmc/articles/PMC6062638/ /pubmed/30079333 http://dx.doi.org/10.3389/fpubh.2018.00201 Text en Copyright © 2018 Xu, Parker, Shi, Byles, Hall and Hickman. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health
Xu, Xiaoyue
Parker, Deborah
Shi, Zumin
Byles, Julie
Hall, John
Hickman, Louise
Dietary Pattern, Hypertension and Cognitive Function in an Older Population: 10-Year Longitudinal Survey
title Dietary Pattern, Hypertension and Cognitive Function in an Older Population: 10-Year Longitudinal Survey
title_full Dietary Pattern, Hypertension and Cognitive Function in an Older Population: 10-Year Longitudinal Survey
title_fullStr Dietary Pattern, Hypertension and Cognitive Function in an Older Population: 10-Year Longitudinal Survey
title_full_unstemmed Dietary Pattern, Hypertension and Cognitive Function in an Older Population: 10-Year Longitudinal Survey
title_short Dietary Pattern, Hypertension and Cognitive Function in an Older Population: 10-Year Longitudinal Survey
title_sort dietary pattern, hypertension and cognitive function in an older population: 10-year longitudinal survey
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6062638/
https://www.ncbi.nlm.nih.gov/pubmed/30079333
http://dx.doi.org/10.3389/fpubh.2018.00201
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