Sex differences in the relationship between dietary pattern adherence and cognitive function among older adults: findings from the NuAge study

Abstract Background Consumption of a prudent dietary pattern rich in healthy nutrients is associated with enhanced cognitive performance in older adulthood, while a Western dietary pattern low in healthy nutrients is associated with poor age-related cognitive function. Sex differences exist in dieta...

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Main Authors: Danielle D’Amico, Matthew D. Parrott, Carol E. Greenwood, Guylaine Ferland, Pierrette Gaudreau, Sylvie Belleville, Danielle Laurin, Nicole D. Anderson, Marie-Jeanne Kergoat, Jose A. Morais, Nancy Presse, Alexandra J. Fiocco
Format: Article
Language:English
Published: BMC 2020-06-01
Series:Nutrition Journal
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12937-020-00575-3
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author Danielle D’Amico
Matthew D. Parrott
Carol E. Greenwood
Guylaine Ferland
Pierrette Gaudreau
Sylvie Belleville
Danielle Laurin
Nicole D. Anderson
Marie-Jeanne Kergoat
Jose A. Morais
Nancy Presse
Alexandra J. Fiocco
author_facet Danielle D’Amico
Matthew D. Parrott
Carol E. Greenwood
Guylaine Ferland
Pierrette Gaudreau
Sylvie Belleville
Danielle Laurin
Nicole D. Anderson
Marie-Jeanne Kergoat
Jose A. Morais
Nancy Presse
Alexandra J. Fiocco
author_sort Danielle D’Amico
collection DOAJ
description Abstract Background Consumption of a prudent dietary pattern rich in healthy nutrients is associated with enhanced cognitive performance in older adulthood, while a Western dietary pattern low in healthy nutrients is associated with poor age-related cognitive function. Sex differences exist in dietary intake among older adults; however, there is a paucity of research examining the relationship between sex-specific dietary patterns and cognitive function in later life. Methods The current study aimed to investigate sex differences in the relationship between sex-specific dietary pattern adherence and global cognitive function at baseline and over a 3-year follow-up in 1268 community-dwelling older adults (M age  = 74 years, n = 664 women, n = 612 men) from the Quebec Longitudinal Study on Nutrition and Successful Aging (NuAge). A 78-item Food Frequency Questionnaire was used to estimate dietary intake over the previous year. Sex-specific dietary pattern scores were derived using principal component analysis. Global cognition was assessed using the Modified Mini-Mental State Examination (3MS). Results Adjusted linear mixed effects models indicated that a healthy, prudent dietary pattern was not associated with baseline cognitive performance in men or women. No relationship was found between Western dietary pattern adherence and baseline cognitive function in women. Among men, adherence to an unhealthy, Western dietary pattern was associated with poorer baseline cognitive function (β = − 0.652, p = 0.02, 95% CI [− 1.22, − 0.65]). No association was found between prudent or Western dietary patterns and cognitive change over time in men or women. Conclusions These findings highlight the importance of conducting sex-based analyses in aging research and suggest that the relationship between dietary pattern adherence and cognitive function in late life may be sex-dependent.
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spelling doaj.art-d59bc649099444cb98bdecd515b442c62022-12-22T00:24:00ZengBMCNutrition Journal1475-28912020-06-011911810.1186/s12937-020-00575-3Sex differences in the relationship between dietary pattern adherence and cognitive function among older adults: findings from the NuAge studyDanielle D’Amico0Matthew D. Parrott1Carol E. Greenwood2Guylaine Ferland3Pierrette Gaudreau4Sylvie Belleville5Danielle Laurin6Nicole D. Anderson7Marie-Jeanne Kergoat8Jose A. Morais9Nancy Presse10Alexandra J. Fiocco11Department of Psychology, Ryerson UniversityPERFORM Centre, Concordia UniversityRotman Research Institute, Baycrest Health SciencesDepartment of Nutrition, Université de MontréalDepartment of Medicine and Centre hospitalier de l’Université de Montréal (CHUM), Université de MontréalCentre de Recherche de l’Institut Universitaire de Gériatrie de Montréal (CRIUGM)Centre d’excellence sur le vieillissement de Québec, Université LavalRotman Research Institute, Baycrest Health SciencesCentre de Recherche de l’Institut Universitaire de Gériatrie de Montréal (CRIUGM)Division of Geriatric Medicine, McGill UniversityCentre de Recherche de l’Institut Universitaire de Gériatrie de Montréal (CRIUGM)Department of Psychology, Ryerson UniversityAbstract Background Consumption of a prudent dietary pattern rich in healthy nutrients is associated with enhanced cognitive performance in older adulthood, while a Western dietary pattern low in healthy nutrients is associated with poor age-related cognitive function. Sex differences exist in dietary intake among older adults; however, there is a paucity of research examining the relationship between sex-specific dietary patterns and cognitive function in later life. Methods The current study aimed to investigate sex differences in the relationship between sex-specific dietary pattern adherence and global cognitive function at baseline and over a 3-year follow-up in 1268 community-dwelling older adults (M age  = 74 years, n = 664 women, n = 612 men) from the Quebec Longitudinal Study on Nutrition and Successful Aging (NuAge). A 78-item Food Frequency Questionnaire was used to estimate dietary intake over the previous year. Sex-specific dietary pattern scores were derived using principal component analysis. Global cognition was assessed using the Modified Mini-Mental State Examination (3MS). Results Adjusted linear mixed effects models indicated that a healthy, prudent dietary pattern was not associated with baseline cognitive performance in men or women. No relationship was found between Western dietary pattern adherence and baseline cognitive function in women. Among men, adherence to an unhealthy, Western dietary pattern was associated with poorer baseline cognitive function (β = − 0.652, p = 0.02, 95% CI [− 1.22, − 0.65]). No association was found between prudent or Western dietary patterns and cognitive change over time in men or women. Conclusions These findings highlight the importance of conducting sex-based analyses in aging research and suggest that the relationship between dietary pattern adherence and cognitive function in late life may be sex-dependent.http://link.springer.com/article/10.1186/s12937-020-00575-3Older adultsDietary patternsPrudent dietWestern dietCognitive functionSex differences
spellingShingle Danielle D’Amico
Matthew D. Parrott
Carol E. Greenwood
Guylaine Ferland
Pierrette Gaudreau
Sylvie Belleville
Danielle Laurin
Nicole D. Anderson
Marie-Jeanne Kergoat
Jose A. Morais
Nancy Presse
Alexandra J. Fiocco
Sex differences in the relationship between dietary pattern adherence and cognitive function among older adults: findings from the NuAge study
Nutrition Journal
Older adults
Dietary patterns
Prudent diet
Western diet
Cognitive function
Sex differences
title Sex differences in the relationship between dietary pattern adherence and cognitive function among older adults: findings from the NuAge study
title_full Sex differences in the relationship between dietary pattern adherence and cognitive function among older adults: findings from the NuAge study
title_fullStr Sex differences in the relationship between dietary pattern adherence and cognitive function among older adults: findings from the NuAge study
title_full_unstemmed Sex differences in the relationship between dietary pattern adherence and cognitive function among older adults: findings from the NuAge study
title_short Sex differences in the relationship between dietary pattern adherence and cognitive function among older adults: findings from the NuAge study
title_sort sex differences in the relationship between dietary pattern adherence and cognitive function among older adults findings from the nuage study
topic Older adults
Dietary patterns
Prudent diet
Western diet
Cognitive function
Sex differences
url http://link.springer.com/article/10.1186/s12937-020-00575-3
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