MIND Diet and Cognitive Function in Puerto Rican Older Adults.
Study Goal
The researchers aimed to examine the association between long-term adherence to the MIND diet and cognitive function over 8 years, and whether socioeconomic factors influenced this relationship.
Results Summary
Higher adherence to the MIND diet was associated with better cognitive function at baseline and over 8 years, but not with cognitive trajectory. Socioeconomic factors like education, income, and job complexity acted as confounders but did not modify the diet-cognition relationship.
Population
Puerto Rican adults aged 45-75 residing in the Boston, MA area.
Effective Dosage
Not specified
Duration
8 years
Interactions
None mentioned
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
highest, versus lowest, MIND quintile | increase | cognition function | Puerto Rican adults residing in the Boston, MA area (aged 45-75 years at baseline) | β = 0.093; 95% CI: 0.035, 0.152; p trend = .0019 | was associated with better cognition function | #1 |
highest, versus lowest, MIND quintile | no change | cognitive trajectory over 8 years | Puerto Rican adults residing in the Boston, MA area (aged 45-75 years at baseline) | - | not associated with | #2 |
Education <=8th grade | decrease | cognitive function | Puerto Rican adults residing in the Boston, MA area (aged 45-75 years at baseline) | β = -0.339; 95% CI: 0.394, -0.286; p < .0001 | significantly associated with lower cognitive function | #3 |
income-to-poverty ratio <120% | decrease | cognitive function | Puerto Rican adults residing in the Boston, MA area (aged 45-75 years at baseline) | β = -0.049; 95% CI: -0.092, -0.007; p = .024 | significantly associated with lower cognitive function | #4 |
higher job complexity | increase | cognition function | Puerto Rican adults residing in the Boston, MA area (aged 45-75 years at baseline) | β = 0.008; 95% CI: 0.006, 0.011; p < .0001 | associated with better cognition function | #5 |
Adherence to the MIND diet | increase | cognitive function | Puerto Rican adults residing in the Boston, MA area (aged 45-75 years at baseline) | - | was associated with better cognitive function at baseline and over 8 years of follow-up | #6 |
MIND diet | no change | 8-year cognitive trajectory | Puerto Rican adults residing in the Boston, MA area (aged 45-75 years at baseline) | - | was not associated with | #7 |
BACKGROUND: Healthy diets have been associated with better cognitive function. Socioeconomic factors including education, poverty, and job complexity may modify the relationship between diet and cognition. METHODS: We used adjusted linear mixed models to examine the association between long-term adherence to the Mediterranean-Dietary Approaches to Stop Hypertension - Intervention for Neurodegenerative Delay (MIND) diet and cognitive function over 8 years of follow-up in Puerto Rican adults residing in the Boston, MA area (aged 45-75 years at baseline). We also examined whether the MIND diet-cognition association was confounded or modified by socioeconomic measures. RESULTS: In both cross-sectional and longitudinal analyses the highest, versus lowest, MIND quintile was associated with better cognition function (β = 0.093; 95% CI: 0.035, 0.152; p trend = .0019), but not with cognitive trajectory over 8 years. Education <=8th grade (β = -0.339; 95% CI: 0.394, -0.286; p < .0001) and income-to-poverty ratio <120% (β = -0.049; 95% CI: -0.092, -0.007; p = .024) were significantly associated with lower cognitive function, while higher job complexity (β = 0.008; 95% CI: 0.006, 0.011; p < .0001) was associated with better cognition function. These variables acted as confounders, but not effect modifiers of the MIND-diet-cognitive function relationship. CONCLUSION: Adherence to the MIND diet was associated with better cognitive function at baseline and over 8 years of follow-up; however, MIND diet was not associated with 8-year cognitive trajectory. More studies are needed to better understand whether the MIND diet is protective against long-term cognitive decline.