根据经验得出的饮食模式与老年男性认知能力的关系:男性骨质疏松性骨折(MrOS)研究结果

IF 4.3 3区 材料科学 Q1 ENGINEERING, ELECTRICAL & ELECTRONIC
Tara S. Rogers-Soeder , Sheena Patel , James M. Shikany , Lisa Langsetmo , Suzanne E. Judd , Kristine E. Ensrud , Erin LeBlanc , Jane A. Cauley , Susan Redline , Howard A. Fink , Nancy E. Lane , Osteoporotic Fractures in Men (MrOS) Study Research Group
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引用次数: 0

摘要

本研究旨在研究老年男性平均 4.6 (± 0.3) 年的膳食模式评分与认知能力以及认知能力下降风险之间的关联。在访问 1(3/2000-4/2002)时,通过食物频率问卷对饮食进行了评估,并通过因子分析得出了饮食模式(西式和谨慎式)。分析队列包括 4231 名居住在社区、年龄在 65 岁或以上的美国男性。在访问1和访问2(2005年3月至2006年5月)时,用改良小型精神状态检查(3MS)和Trails B测试评估认知功能。采用混合效应回归模型估算饮食模式得分与认知能力和认知能力下降风险之间的关系。模型 1 根据年龄、就诊地点和总能量摄入量 (TEI) 进行了调整。模型 2 进一步调整了钙和维生素 D 补充剂的使用、体重指数 (BMI)、体力活动、吸烟、糖尿病和高血压(西式饮食组)以及教育程度、钙和维生素 D 补充剂的使用、抑郁症、体重指数、体力活动、吸烟和中风(谨慎饮食组)。在模型 1 中,坚持谨慎饮食模式与较高的 3MS 分数有关,但与模型 2 无关。4.6 (± 0.3) 年后的第 2 次就诊时,膳食模式得分与认知能力下降风险之间没有独立关联。在解释西方饮食模式与更好的认知评分之间的关联时应谨慎。要了解饮食模式与老年男性认知能力之间复杂的相互作用,还需要进一步的研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Associations of empirically derived dietary patterns and cognitive performance in older men: Results of the Osteoporotic Fractures in Men (MrOS) study

Objective

The aim of this study was to examine associations between empirically derived dietary pattern scores and cognition, as well as risk of cognitive decline, over an average of 4.6 (± 0.3) years in older men.

Materials and methods

This analysis was conducted as part of the Osteoporotic Fractures in Men (MrOS) prospective cohort study. Diet was assessed at Visit 1 (3/2000–4/2002) by food frequency questionnaire, and dietary patterns (Western and Prudent) were derived by factor analysis. The analytic cohort comprised 4231 community-dwelling American men who were aged 65 years or more. Cognitive function was assessed with the Modified Mini-Mental State exam (3MS) and the Trails B test at Visit 1 and at Visit 2 (3/2005–5/2006). Associations between dietary pattern score and cognition and risk of cognitive decline were estimated using mixed effects regression models. Model 1 was adjusted for age, clinic site and total energy intake (TEI). Model 2 was further adjusted for calcium and vitamin D supplement use, body mass index (BMI), physical activity, smoking, diabetes and hypertension (Western diet group) and education, calcium and vitamin D supplement use, depression, BMI, physical activity, smoking and stroke (Prudent diet group).

Results

Adherence to the Western dietary pattern was associated with higher 3MS scores and shorter Trails B test time at Visit 1 in Model 2. Adherence to the Prudent dietary pattern was associated with higher 3MS scores in Model 1 but not Model 2. There were no independent associations between dietary pattern scores and risk of cognitive decline 4.6 (± 0.3) years later at Visit 2.

Conclusion

The results do not support a robust protective effect of the Prudent dietary pattern on cognition in the MrOS cohort. Associations between the Western dietary pattern and better cognitive scores should be interpreted with caution. Further research is needed to understand the complex interactions between dietary patterns and cognition in older men.

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CiteScore
7.20
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