Validation of a MIND diet screener in older adults

IF 11.1 1区 医学 Q1 CLINICAL NEUROLOGY
Desarae A. Dempsey, Puja Agarwal, Shane Fernandez, Jared R. Brosch, Sujuan Gao, Daniel O. Clark, Frederick W. Unverzagt, Liana G. Apostolova, David G. Clark, Martin R. Farlow, Sunu Mathew, Sophia Wang, Michelle Quirke, Yolanda Graham-Dotson, Colette Blach, Leyla Schimmel, Rima Kaddurah-Daouk, Andrew J. Saykin, Shannon L. Risacher, Alzheimer Gut Microbiome Project Consortium
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Abstract

INTRODUCTION

Higher adherence to the Mediterranean-DASH (Dietary Approaches to Stop Hypertension) Intervention for Neurodegenerative Delay (MIND) diet has been associated with reduced Alzheimer's disease (AD) risk. This study assessed the validity of a brief 15-item MIND diet screener compared to a comprehensive food frequency questionnaire (FFQ).

METHODS

The validity of an adapted MIND diet screener relative to the VioScreen FFQ was evaluated in 92 older adults from the Indiana Alzheimer's Disease Research Center (IADRC). Correlation coefficients and tertile-based classification statistics were used, and FFQ nutrient profiles were examined across screener-based MIND diet tertiles.

RESULTS

MIND diet scores from the screener showed strong positive correlation (r = 0.71, ρ = 0.70, p < 0.001) and comparable ranking ability (63% correctly classified, 1% grossly misclassified, kw = 0.67) compared to those from the FFQ, as well as significant associations with nutrient profiles.

CONCLUSION

The MIND diet screener is an acceptable, time-efficient tool for estimating MIND diet scores in older adults.

Highlights

  • The MIND diet screener effectively differentiated participants by diet quality.
  • Agreement between instrument scores was consistent across diagnostic groups.
  • Reliability of the screener over approximately 1 year was comparable to the FFQ.
  • The MIND diet screener is an acceptable tool for use in time-constrained settings.
  • Future studies should confirm validity using objective biomarkers.

Abstract Image

老年人MIND饮食筛检的验证。
高依从性地中海- dash(饮食方法停止高血压)干预神经退行性延迟(MIND)饮食与降低阿尔茨海默病(AD)风险相关。本研究评估了简短的15项MIND饮食筛选与综合食物频率问卷(FFQ)的有效性。方法对来自印第安纳州阿尔茨海默病研究中心(IADRC)的92名老年人进行了适应性MIND饮食筛查相对于VioScreen FFQ的有效性评估。使用相关系数和基于三级的分类统计,并对基于筛选的MIND日粮tile的FFQ营养谱进行了检查。结果与FFQ的评分相比,筛选器的mind饮食评分与可比排序能力(63%正确分类,1%严重错误分类,kw = 0.67)呈强正相关(r = 0.71, ρ = 0.70, p < 0.001),并且与营养成分谱有显著相关性。结论MIND饮食筛查是一种可接受的、高效的评估老年人MIND饮食评分的工具。MIND饮食筛选器通过饮食质量有效地区分了参与者。各诊断组仪器评分的一致性是一致的。在大约1年的时间里,筛选器的可靠性与FFQ相当。MIND饮食筛选器在时间有限的情况下是一种可接受的工具。未来的研究应该使用客观的生物标志物来证实有效性。
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来源期刊
Alzheimer's & Dementia
Alzheimer's & Dementia 医学-临床神经学
CiteScore
14.50
自引率
5.00%
发文量
299
审稿时长
3 months
期刊介绍: Alzheimer's & Dementia is a peer-reviewed journal that aims to bridge knowledge gaps in dementia research by covering the entire spectrum, from basic science to clinical trials to social and behavioral investigations. It provides a platform for rapid communication of new findings and ideas, optimal translation of research into practical applications, increasing knowledge across diverse disciplines for early detection, diagnosis, and intervention, and identifying promising new research directions. In July 2008, Alzheimer's & Dementia was accepted for indexing by MEDLINE, recognizing its scientific merit and contribution to Alzheimer's research.
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