Association between dietary patterns and cognitive function among 70-year-old Japanese elderly: a cross-sectional analysis of the SONIC study
Background An increasing number of studies in Western countries have shown that healthy dietary patterns may have a protective effect against cognitive decline and dementia. However, information on this relationship among non-Western populations with different cultural settings is extremely limited....
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| Published in | Nutrition journal Vol. 16; no. 1; p. 56 |
|---|---|
| Main Authors | , , , , , , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
London
BioMed Central
11.09.2017
BioMed Central Ltd Springer Nature B.V BMC |
| Subjects | |
| Online Access | Get full text |
| ISSN | 1475-2891 1475-2891 |
| DOI | 10.1186/s12937-017-0273-2 |
Cover
| Abstract | Background
An increasing number of studies in Western countries have shown that healthy dietary patterns may have a protective effect against cognitive decline and dementia. However, information on this relationship among non-Western populations with different cultural settings is extremely limited. We aim to examine the relationship between dietary patterns and cognitive function among older Japanese people.
Methods
This cross-sectional study included 635 community-dwelling people aged 69–71 years who participated in the prospective cohort study titled Septuagenarians, Octogenarians, Nonagenarians Investigation with Centenarians (SONIC). Diet was assessed over a one-month period with a validated, brief-type, self-administered diet history questionnaire. Dietary patterns from thirty-three predefined food groups [energy-adjusted food (g/d)] were extracted by factor analysis. Cognitive function was assessed using the Japanese version of the Montreal Cognitive Assessment (MoCA-J). Multivariate regression analysis was performed to examine the relationship between dietary patterns and cognitive function.
Results
Three dietary patterns were identified: the ‘Plant foods and fish’, ‘Rice and miso soup’, and ‘Animal food’ patterns. The ‘Plant foods and fish’ pattern, characterized by high intakes of green and other vegetables, soy products, seaweeds, mushrooms, potatoes, fruit, fish, and green tea, was significantly associated with a higher MoCA-J score [MoCA-J score per one-quartile increase in dietary pattern: β = 0.56 (95% CI: 0.33, 0.79),
P
for trend <0.001]. This association was still evident after adjustment for potential confounding factors [β = 0.41 (95% CI: 0.17, 0.65),
P
for trend <0.001]. In contrast, neither the ‘Rice and miso soup’ nor the ‘Animal food’ pattern was related to cognitive function. To confirm the possibility of reverse causation we also conducted a sensitivity analysis excluding 186 subjects who reported substantial changes in their diet for any reason, but the results did not change materially.
Conclusion
This preliminary cross-sectional study suggests that a diet with high intakes of vegetables, soy products, fruit, and fish may have a beneficial effect on cognitive function in older Japanese people. Further prospective studies are needed to confirm this finding. |
|---|---|
| AbstractList | Background
An increasing number of studies in Western countries have shown that healthy dietary patterns may have a protective effect against cognitive decline and dementia. However, information on this relationship among non-Western populations with different cultural settings is extremely limited. We aim to examine the relationship between dietary patterns and cognitive function among older Japanese people.
Methods
This cross-sectional study included 635 community-dwelling people aged 69–71 years who participated in the prospective cohort study titled Septuagenarians, Octogenarians, Nonagenarians Investigation with Centenarians (SONIC). Diet was assessed over a one-month period with a validated, brief-type, self-administered diet history questionnaire. Dietary patterns from thirty-three predefined food groups [energy-adjusted food (g/d)] were extracted by factor analysis. Cognitive function was assessed using the Japanese version of the Montreal Cognitive Assessment (MoCA-J). Multivariate regression analysis was performed to examine the relationship between dietary patterns and cognitive function.
Results
Three dietary patterns were identified: the ‘Plant foods and fish’, ‘Rice and miso soup’, and ‘Animal food’ patterns. The ‘Plant foods and fish’ pattern, characterized by high intakes of green and other vegetables, soy products, seaweeds, mushrooms, potatoes, fruit, fish, and green tea, was significantly associated with a higher MoCA-J score [MoCA-J score per one-quartile increase in dietary pattern: β = 0.56 (95% CI: 0.33, 0.79),
P
for trend <0.001]. This association was still evident after adjustment for potential confounding factors [β = 0.41 (95% CI: 0.17, 0.65),
P
for trend <0.001]. In contrast, neither the ‘Rice and miso soup’ nor the ‘Animal food’ pattern was related to cognitive function. To confirm the possibility of reverse causation we also conducted a sensitivity analysis excluding 186 subjects who reported substantial changes in their diet for any reason, but the results did not change materially.
Conclusion
This preliminary cross-sectional study suggests that a diet with high intakes of vegetables, soy products, fruit, and fish may have a beneficial effect on cognitive function in older Japanese people. Further prospective studies are needed to confirm this finding. BACKGROUND: An increasing number of studies in Western countries have shown that healthy dietary patterns may have a protective effect against cognitive decline and dementia. However, information on this relationship among non-Western populations with different cultural settings is extremely limited. We aim to examine the relationship between dietary patterns and cognitive function among older Japanese people. METHODS: This cross-sectional study included 635 community-dwelling people aged 69–71 years who participated in the prospective cohort study titled Septuagenarians, Octogenarians, Nonagenarians Investigation with Centenarians (SONIC). Diet was assessed over a one-month period with a validated, brief-type, self-administered diet history questionnaire. Dietary patterns from thirty-three predefined food groups [energy-adjusted food (g/d)] were extracted by factor analysis. Cognitive function was assessed using the Japanese version of the Montreal Cognitive Assessment (MoCA-J). Multivariate regression analysis was performed to examine the relationship between dietary patterns and cognitive function. RESULTS: Three dietary patterns were identified: the ‘Plant foods and fish’, ‘Rice and miso soup’, and ‘Animal food’ patterns. The ‘Plant foods and fish’ pattern, characterized by high intakes of green and other vegetables, soy products, seaweeds, mushrooms, potatoes, fruit, fish, and green tea, was significantly associated with a higher MoCA-J score [MoCA-J score per one-quartile increase in dietary pattern: β = 0.56 (95% CI: 0.33, 0.79), P for trend <0.001]. This association was still evident after adjustment for potential confounding factors [β = 0.41 (95% CI: 0.17, 0.65), P for trend <0.001]. In contrast, neither the ‘Rice and miso soup’ nor the ‘Animal food’ pattern was related to cognitive function. To confirm the possibility of reverse causation we also conducted a sensitivity analysis excluding 186 subjects who reported substantial changes in their diet for any reason, but the results did not change materially. CONCLUSION: This preliminary cross-sectional study suggests that a diet with high intakes of vegetables, soy products, fruit, and fish may have a beneficial effect on cognitive function in older Japanese people. Further prospective studies are needed to confirm this finding. An increasing number of studies in Western countries have shown that healthy dietary patterns may have a protective effect against cognitive decline and dementia. However, information on this relationship among non-Western populations with different cultural settings is extremely limited. We aim to examine the relationship between dietary patterns and cognitive function among older Japanese people. This cross-sectional study included 635 community-dwelling people aged 69-71 years who participated in the prospective cohort study titled Septuagenarians, Octogenarians, Nonagenarians Investigation with Centenarians (SONIC). Diet was assessed over a one-month period with a validated, brief-type, self-administered diet history questionnaire. Dietary patterns from thirty-three predefined food groups [energy-adjusted food (g/d)] were extracted by factor analysis. Cognitive function was assessed using the Japanese version of the Montreal Cognitive Assessment (MoCA-J). Multivariate regression analysis was performed to examine the relationship between dietary patterns and cognitive function. Three dietary patterns were identified: the 'Plant foods and fish', 'Rice and miso soup', and 'Animal food' patterns. The 'Plant foods and fish' pattern, characterized by high intakes of green and other vegetables, soy products, seaweeds, mushrooms, potatoes, fruit, fish, and green tea, was significantly associated with a higher MoCA-J score [MoCA-J score per one-quartile increase in dietary pattern: β = 0.56 (95% CI: 0.33, 0.79), P for trend <0.001]. This association was still evident after adjustment for potential confounding factors [β = 0.41 (95% CI: 0.17, 0.65), P for trend <0.001]. In contrast, neither the 'Rice and miso soup' nor the 'Animal food' pattern was related to cognitive function. To confirm the possibility of reverse causation we also conducted a sensitivity analysis excluding 186 subjects who reported substantial changes in their diet for any reason, but the results did not change materially. This preliminary cross-sectional study suggests that a diet with high intakes of vegetables, soy products, fruit, and fish may have a beneficial effect on cognitive function in older Japanese people. Further prospective studies are needed to confirm this finding. An increasing number of studies in Western countries have shown that healthy dietary patterns may have a protective effect against cognitive decline and dementia. However, information on this relationship among non-Western populations with different cultural settings is extremely limited. We aim to examine the relationship between dietary patterns and cognitive function among older Japanese people.BACKGROUNDAn increasing number of studies in Western countries have shown that healthy dietary patterns may have a protective effect against cognitive decline and dementia. However, information on this relationship among non-Western populations with different cultural settings is extremely limited. We aim to examine the relationship between dietary patterns and cognitive function among older Japanese people.This cross-sectional study included 635 community-dwelling people aged 69-71 years who participated in the prospective cohort study titled Septuagenarians, Octogenarians, Nonagenarians Investigation with Centenarians (SONIC). Diet was assessed over a one-month period with a validated, brief-type, self-administered diet history questionnaire. Dietary patterns from thirty-three predefined food groups [energy-adjusted food (g/d)] were extracted by factor analysis. Cognitive function was assessed using the Japanese version of the Montreal Cognitive Assessment (MoCA-J). Multivariate regression analysis was performed to examine the relationship between dietary patterns and cognitive function.METHODSThis cross-sectional study included 635 community-dwelling people aged 69-71 years who participated in the prospective cohort study titled Septuagenarians, Octogenarians, Nonagenarians Investigation with Centenarians (SONIC). Diet was assessed over a one-month period with a validated, brief-type, self-administered diet history questionnaire. Dietary patterns from thirty-three predefined food groups [energy-adjusted food (g/d)] were extracted by factor analysis. Cognitive function was assessed using the Japanese version of the Montreal Cognitive Assessment (MoCA-J). Multivariate regression analysis was performed to examine the relationship between dietary patterns and cognitive function.Three dietary patterns were identified: the 'Plant foods and fish', 'Rice and miso soup', and 'Animal food' patterns. The 'Plant foods and fish' pattern, characterized by high intakes of green and other vegetables, soy products, seaweeds, mushrooms, potatoes, fruit, fish, and green tea, was significantly associated with a higher MoCA-J score [MoCA-J score per one-quartile increase in dietary pattern: β = 0.56 (95% CI: 0.33, 0.79), P for trend <0.001]. This association was still evident after adjustment for potential confounding factors [β = 0.41 (95% CI: 0.17, 0.65), P for trend <0.001]. In contrast, neither the 'Rice and miso soup' nor the 'Animal food' pattern was related to cognitive function. To confirm the possibility of reverse causation we also conducted a sensitivity analysis excluding 186 subjects who reported substantial changes in their diet for any reason, but the results did not change materially.RESULTSThree dietary patterns were identified: the 'Plant foods and fish', 'Rice and miso soup', and 'Animal food' patterns. The 'Plant foods and fish' pattern, characterized by high intakes of green and other vegetables, soy products, seaweeds, mushrooms, potatoes, fruit, fish, and green tea, was significantly associated with a higher MoCA-J score [MoCA-J score per one-quartile increase in dietary pattern: β = 0.56 (95% CI: 0.33, 0.79), P for trend <0.001]. This association was still evident after adjustment for potential confounding factors [β = 0.41 (95% CI: 0.17, 0.65), P for trend <0.001]. In contrast, neither the 'Rice and miso soup' nor the 'Animal food' pattern was related to cognitive function. To confirm the possibility of reverse causation we also conducted a sensitivity analysis excluding 186 subjects who reported substantial changes in their diet for any reason, but the results did not change materially.This preliminary cross-sectional study suggests that a diet with high intakes of vegetables, soy products, fruit, and fish may have a beneficial effect on cognitive function in older Japanese people. Further prospective studies are needed to confirm this finding.CONCLUSIONThis preliminary cross-sectional study suggests that a diet with high intakes of vegetables, soy products, fruit, and fish may have a beneficial effect on cognitive function in older Japanese people. Further prospective studies are needed to confirm this finding. Abstract Background An increasing number of studies in Western countries have shown that healthy dietary patterns may have a protective effect against cognitive decline and dementia. However, information on this relationship among non-Western populations with different cultural settings is extremely limited. We aim to examine the relationship between dietary patterns and cognitive function among older Japanese people. Methods This cross-sectional study included 635 community-dwelling people aged 69–71 years who participated in the prospective cohort study titled Septuagenarians, Octogenarians, Nonagenarians Investigation with Centenarians (SONIC). Diet was assessed over a one-month period with a validated, brief-type, self-administered diet history questionnaire. Dietary patterns from thirty-three predefined food groups [energy-adjusted food (g/d)] were extracted by factor analysis. Cognitive function was assessed using the Japanese version of the Montreal Cognitive Assessment (MoCA-J). Multivariate regression analysis was performed to examine the relationship between dietary patterns and cognitive function. Results Three dietary patterns were identified: the ‘Plant foods and fish’, ‘Rice and miso soup’, and ‘Animal food’ patterns. The ‘Plant foods and fish’ pattern, characterized by high intakes of green and other vegetables, soy products, seaweeds, mushrooms, potatoes, fruit, fish, and green tea, was significantly associated with a higher MoCA-J score [MoCA-J score per one-quartile increase in dietary pattern: β = 0.56 (95% CI: 0.33, 0.79), P for trend <0.001]. This association was still evident after adjustment for potential confounding factors [β = 0.41 (95% CI: 0.17, 0.65), P for trend <0.001]. In contrast, neither the ‘Rice and miso soup’ nor the ‘Animal food’ pattern was related to cognitive function. To confirm the possibility of reverse causation we also conducted a sensitivity analysis excluding 186 subjects who reported substantial changes in their diet for any reason, but the results did not change materially. Conclusion This preliminary cross-sectional study suggests that a diet with high intakes of vegetables, soy products, fruit, and fish may have a beneficial effect on cognitive function in older Japanese people. Further prospective studies are needed to confirm this finding. |
| ArticleNumber | 56 |
| Audience | Academic |
| Author | Rakugi, Hiromi Ikebe, Kazunori Masui, Yukie Sasaki, Satoshi Okubo, Hitomi Arai, Yasumichi Gondo, Yasuyuki Nakagawa, Takeshi Sugimoto, Ken Kabayama, Mai Inagaki, Hiroki Ishizaki, Tatsuro Maeda, Yoshinobu Kamide, Kei |
| Author_xml | – sequence: 1 givenname: Hitomi surname: Okubo fullname: Okubo, Hitomi email: okubo.h.aa@niph.go.jp organization: Department of Health Promotion, National Institute of Public Health – sequence: 2 givenname: Hiroki surname: Inagaki fullname: Inagaki, Hiroki organization: Tokyo Metropolitan Geriatric Hospital and Institute of Gerontology – sequence: 3 givenname: Yasuyuki surname: Gondo fullname: Gondo, Yasuyuki organization: Department of Clinical Thanatology and Geriatric Behavioral Science, Osaka University Graduate School of Human Sciences – sequence: 4 givenname: Kei surname: Kamide fullname: Kamide, Kei organization: Department of Health Science, Osaka University Graduate School of Medicine – sequence: 5 givenname: Kazunori surname: Ikebe fullname: Ikebe, Kazunori organization: Department of Prosthodontics, Gerontology and Oral Rehabilitation, Osaka University Graduate School of Dentistry – sequence: 6 givenname: Yukie surname: Masui fullname: Masui, Yukie organization: Tokyo Metropolitan Geriatric Hospital and Institute of Gerontology – sequence: 7 givenname: Yasumichi surname: Arai fullname: Arai, Yasumichi organization: Center for Supercentenarian Medical Research, Keio University, School of Medicine – sequence: 8 givenname: Tatsuro surname: Ishizaki fullname: Ishizaki, Tatsuro organization: Tokyo Metropolitan Geriatric Hospital and Institute of Gerontology – sequence: 9 givenname: Satoshi surname: Sasaki fullname: Sasaki, Satoshi organization: Department of Social and Preventive Epidemiology, School of Public Health, The University of Tokyo – sequence: 10 givenname: Takeshi surname: Nakagawa fullname: Nakagawa, Takeshi organization: University Research Priority Program “Dynamics in Healthy Aging”, The University of Zurich, Zurich, Switzerland and Japan Society for the Promotion of Science – sequence: 11 givenname: Mai surname: Kabayama fullname: Kabayama, Mai organization: Department of Health Science, Osaka University Graduate School of Medicine – sequence: 12 givenname: Ken surname: Sugimoto fullname: Sugimoto, Ken organization: Department of Geriatric and General Medicine, Osaka University Graduate School of Medicine – sequence: 13 givenname: Hiromi surname: Rakugi fullname: Rakugi, Hiromi organization: Department of Geriatric and General Medicine, Osaka University Graduate School of Medicine – sequence: 14 givenname: Yoshinobu surname: Maeda fullname: Maeda, Yoshinobu organization: Department of Prosthodontics, Gerontology and Oral Rehabilitation, Osaka University Graduate School of Dentistry |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/28893250$$D View this record in MEDLINE/PubMed |
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| Contributor | Ryuno, Hirochika Ogawa, Madoka Takeya, Yasushi Inomata, Chisato Takami, Yoichi Ishioka, Yoshiko Lily Oguro, Ryosuke Ito, Norihisa Yamamoto, Koichi |
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| Copyright | The Author(s). 2017 COPYRIGHT 2017 BioMed Central Ltd. Copyright BioMed Central 2017 |
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| Keywords | Cognitive function, Dietary pattern Factor analysis Japanese Elderly |
| Language | English |
| License | Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. cc-by |
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| PublicationTitle | Nutrition journal |
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| References_xml | – volume: 54 start-page: 309 year: 2015 ident: 273_CR10 publication-title: Eur J Nutr doi: 10.1007/s00394-014-0713-0 – volume: 47 start-page: 873 year: 1999 ident: 273_CR29 publication-title: J Am Geriatr Soc doi: 10.1111/j.1532-5415.1999.tb03848.x – volume: 7 start-page: 889 year: 2016 ident: 273_CR7 publication-title: Adv Nutr doi: 10.3945/an.116.012138 – volume: 14 start-page: 1200 year: 2011 ident: 273_CR17 publication-title: Public Health Nutr doi: 10.1017/S1368980011000504 – volume: 12 start-page: 1013 year: 2013 ident: 273_CR44 publication-title: Ageing Res Rev doi: 10.1016/j.arr.2013.05.004 – volume: 53 start-page: 695 year: 2005 ident: 273_CR25 publication-title: J Am Geriatr Soc doi: 10.1111/j.1532-5415.2005.53221.x – volume: 42 start-page: 556 year: 2014 ident: 273_CR15 publication-title: J Dent doi: 10.1016/j.jdent.2014.02.015 – volume: 105 start-page: 1251 year: 2011 ident: 273_CR22 publication-title: Br J Nutr doi: 10.1017/S0007114510004782 – volume: 6 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An increasing number of studies in Western countries have shown that healthy dietary patterns may have a protective effect against cognitive decline... An increasing number of studies in Western countries have shown that healthy dietary patterns may have a protective effect against cognitive decline and... Background An increasing number of studies in Western countries have shown that healthy dietary patterns may have a protective effect against cognitive decline... BACKGROUND: An increasing number of studies in Western countries have shown that healthy dietary patterns may have a protective effect against cognitive... Abstract Background An increasing number of studies in Western countries have shown that healthy dietary patterns may have a protective effect against... |
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| SubjectTerms | Aged Aging Algae Analysis Animals Asian Continental Ancestry Group Body Mass Index Clinical Nutrition Cognition Cognitive ability Cognitive function, Dietary pattern Cross-Sectional Studies dementia Dementia disorders Diet eating habits Elderly Factor analysis Female fish Fishes Food Food and nutrition food frequency questionnaires Food groups Food plants Fruit Fruits Geriatrics Green tea Health Promotion and Disease Prevention Health risk assessment Humans Japan Japanese Japanese people macroalgae Male Medicine Medicine & Public Health miso mushrooms Nutrition Assessment Older people potatoes prospective studies protective effect Psychological aspects Regression analysis Seafood Seaweeds Sensitivity analysis Socioeconomic Factors soups Surveys and Questionnaires Vegetables Vitamin E Womens health |
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| Title | Association between dietary patterns and cognitive function among 70-year-old Japanese elderly: a cross-sectional analysis of the SONIC study |
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