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Mediterranean Diet and Cognitive Status in Free-Living Elderly: A Cross-Sectional Study in Northern Italy.

Journal of the American College of Nutrition
August 1, 2018
Ramona De Amicis et al. (12 authors)
Journal ArticleObservational StudyResearch Support, Non-U.S. Gov'tHuman StudyClinical
Study Details

Study Goal

The researchers aimed to investigate the association between adherence to the Mediterranean diet (including wine consumption) and cognitive function in an elderly Italian urban population.

Results Summary

The study found that wine consumption was associated with a lower risk of cognitive impairment (OR = 0.37; 95% CI, 0.16-0.84; p = 0.018), suggesting a protective effect. No adverse effects or safety concerns related to wine were reported.

Population

Italian urban elderly aged ≥ 65 years (80 men, 199 women).

Effective Dosage

Not specified

Duration

Not specified (cross-sectional study)

Interactions

None mentioned

Extracted Claims (4)
InterventionDirectionEndpointPopulationDosageImpactClaim #
Mediterranean diet (MD) pattern
decrease
cognitive impairment
Italian urban sample aged ≥ 65 years
odds ratio (OR) = 0.39; 95% confidence interval (CI), 0.15-0.99; p = 0.045
was associated with a lower risk of
#1
consumption of wine
decrease
cognitive impairment
Italian urban sample aged ≥ 65 years
odds ratio (OR) = 0.37; 95% confidence interval (CI), 0.16-0.84; p = 0.018
was associated with a lower risk of
#2
consumption of nuts
decrease
cognitive impairment
Italian urban sample aged ≥ 65 years
odds ratio (OR) = 0.30; 95% confidence interval (CI), 0.13-0.69, p = 0.005
was associated with a lower risk of
#3
other food groups
no change
cognitive impairment
Italian urban sample aged ≥ 65 years
no significant change
No association was found with
#4
Abstract

OBJECTIVE: Few data are available on the Italian elderly population with regard to adherence to the Mediterranean diet (MD) and cognitive impairment. Our aim was to investigate adherence to the MD and its association with cognitive function in an Italian urban sample. METHODS: A cross-sectional study of 279 participants aged ≥ 65 years (80 men, 199 women) was carried out at a nutritional center. Adherence to the MD was evaluated using a 14-item questionnaire. Cognitive function was assessed with the Mini-Mental State Examination (MMSE). RESULTS: The clinical and nutritional assessments performed revealed 30.1% to have a dietary pattern in accordance with the MD; 13.6% had suspected or mild cognitive impairment (MMSE score ≤ 23). The MD pattern was associated with a lower risk of cognitive impairment (odds ratio [OR] = 0.39; 95% confidence interval [CI], 0.15-0.99; p = 0.045), as was the consumption of wine (OR = 0.37; 95% CI, 0.16-0.84; p = 0.018) and nuts (OR = 0.30; 95% CI, 0.13-0.69, p = 0.005). No association was found with other food groups. CONCLUSION: A closer adherence to the MD was associated with a better cognitive status. Further cohort studies and randomized controlled trials are warranted.

Medical Subject Headings (MeSH)
AgedCognitionCognition DisordersCohort StudiesCross-Sectional StudiesDiet, MediterraneanFemaleHumansItalyMaleNutrition AssessmentOdds RatioRisk FactorsSurveys and Questionnaires
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality65/10
Citation Metrics
Total Citations25
Citations/Year3.6
Relative Citation Ratio1.45
NIH Percentile63.8%
Research Impact Scores
APT Score0.75
Weight Score1.91
Normalized Score0.63
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