Dietary patterns and cognitive function in Korean older adults

PURPOSE: The objectives of this study were to identify major dietary patterns and to investigate the association between dietary patterns and cognitive function in older adults. METHODS: This is a cross-sectional study. The data from the Korean Multi-Rural Communities Cohort Study, which is a part o...

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Veröffentlicht in:European journal of nutrition 2015-03, Vol.54 (2), p.309-318
Hauptverfasser: Kim, Jihye, Yu, Areum, Choi, Bo Youl, Nam, Jung Hyun, Kim, Mi Kyung, Oh, Dong Hoon, Kim, Kirang, Yang, Yoon Jung
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container_issue 2
container_start_page 309
container_title European journal of nutrition
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creator Kim, Jihye
Yu, Areum
Choi, Bo Youl
Nam, Jung Hyun
Kim, Mi Kyung
Oh, Dong Hoon
Kim, Kirang
Yang, Yoon Jung
description PURPOSE: The objectives of this study were to identify major dietary patterns and to investigate the association between dietary patterns and cognitive function in older adults. METHODS: This is a cross-sectional study. The data from the Korean Multi-Rural Communities Cohort Study, which is a part of the Korean Genome Epidemiology Study, were used. There were 806 (340 men and 466 women) subjects aged ≥60 years. Usual dietary intake was assessed using a quantitative food frequency questionnaire with 106 food items. Cognitive function was assessed using the Korean version Mini-Mental State Examination (MMSE-KC). We conducted factor analysis using the principal component analysis method to identify the major dietary patterns. The association between major dietary patterns and cognitive function was investigated by logistic regression analysis. RESULTS: Three major dietary patterns were identified and assigned descriptive names based on the food items with high loadings: “prudent” pattern, “bread, egg, and dairy” pattern, and “white rice only” pattern. As the white rice only pattern scores increased, a significant decreasing trend for MMSE-KC scores was observed after adjusting for covariates. The bread, egg, and dairy pattern was inversely related to the risk of cognitive impairment, and the white rice only pattern was positively associated with the risk of cognitive impairment. CONCLUSIONS: This study suggests that specific dietary patterns were significantly associated with cognitive impairment in older adults. In particular, like the white rice only pattern, a rice-centered diet without well-balanced meals may increase the risk of cognitive impairment. However, since our study is a cross-sectional design, the possibility of reverse causality should be considered.
doi_str_mv 10.1007/s00394-014-0713-0
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METHODS: This is a cross-sectional study. The data from the Korean Multi-Rural Communities Cohort Study, which is a part of the Korean Genome Epidemiology Study, were used. There were 806 (340 men and 466 women) subjects aged ≥60 years. Usual dietary intake was assessed using a quantitative food frequency questionnaire with 106 food items. Cognitive function was assessed using the Korean version Mini-Mental State Examination (MMSE-KC). We conducted factor analysis using the principal component analysis method to identify the major dietary patterns. The association between major dietary patterns and cognitive function was investigated by logistic regression analysis. RESULTS: Three major dietary patterns were identified and assigned descriptive names based on the food items with high loadings: “prudent” pattern, “bread, egg, and dairy” pattern, and “white rice only” pattern. As the white rice only pattern scores increased, a significant decreasing trend for MMSE-KC scores was observed after adjusting for covariates. The bread, egg, and dairy pattern was inversely related to the risk of cognitive impairment, and the white rice only pattern was positively associated with the risk of cognitive impairment. CONCLUSIONS: This study suggests that specific dietary patterns were significantly associated with cognitive impairment in older adults. In particular, like the white rice only pattern, a rice-centered diet without well-balanced meals may increase the risk of cognitive impairment. However, since our study is a cross-sectional design, the possibility of reverse causality should be considered.</description><identifier>ISSN: 1436-6207</identifier><identifier>EISSN: 1436-6215</identifier><identifier>DOI: 10.1007/s00394-014-0713-0</identifier><identifier>PMID: 24842708</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Aged ; Aged, 80 and over ; Aging - ethnology ; breads ; central nervous system diseases ; Chemistry ; Chemistry and Materials Science ; cognition ; Cognitive Dysfunction - epidemiology ; Cognitive Dysfunction - ethnology ; Cognitive Dysfunction - etiology ; Cognitive Dysfunction - prevention &amp; control ; Cohort Studies ; Cross-Sectional Studies ; Diet - adverse effects ; Diet - ethnology ; eating habits ; eggs ; Elder Nutritional Physiological Phenomena ; elderly ; epidemiology ; factor analysis ; Female ; food frequency questionnaires ; Food Handling ; food intake ; genome ; Humans ; Male ; men ; Middle Aged ; Nutrition ; Nutrition Policy ; Nutrition Surveys ; Original Contribution ; Oryza - adverse effects ; Patient Compliance - ethnology ; Principal Component Analysis ; Psychiatric Status Rating Scales ; regression analysis ; Republic of Korea - epidemiology ; rice ; risk ; Risk Factors ; Rural Health - ethnology ; women</subject><ispartof>European journal of nutrition, 2015-03, Vol.54 (2), p.309-318</ispartof><rights>Springer-Verlag Berlin Heidelberg 2014</rights><rights>Springer-Verlag Berlin Heidelberg 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c532t-266532d746e738fbe224982d33a347ca7fca49f7ebcce07957b4352311df46933</citedby><cites>FETCH-LOGICAL-c532t-266532d746e738fbe224982d33a347ca7fca49f7ebcce07957b4352311df46933</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00394-014-0713-0$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00394-014-0713-0$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24842708$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kim, Jihye</creatorcontrib><creatorcontrib>Yu, Areum</creatorcontrib><creatorcontrib>Choi, Bo Youl</creatorcontrib><creatorcontrib>Nam, Jung Hyun</creatorcontrib><creatorcontrib>Kim, Mi Kyung</creatorcontrib><creatorcontrib>Oh, Dong Hoon</creatorcontrib><creatorcontrib>Kim, Kirang</creatorcontrib><creatorcontrib>Yang, Yoon Jung</creatorcontrib><title>Dietary patterns and cognitive function in Korean older adults</title><title>European journal of nutrition</title><addtitle>Eur J Nutr</addtitle><addtitle>Eur J Nutr</addtitle><description>PURPOSE: The objectives of this study were to identify major dietary patterns and to investigate the association between dietary patterns and cognitive function in older adults. METHODS: This is a cross-sectional study. The data from the Korean Multi-Rural Communities Cohort Study, which is a part of the Korean Genome Epidemiology Study, were used. There were 806 (340 men and 466 women) subjects aged ≥60 years. Usual dietary intake was assessed using a quantitative food frequency questionnaire with 106 food items. Cognitive function was assessed using the Korean version Mini-Mental State Examination (MMSE-KC). We conducted factor analysis using the principal component analysis method to identify the major dietary patterns. The association between major dietary patterns and cognitive function was investigated by logistic regression analysis. RESULTS: Three major dietary patterns were identified and assigned descriptive names based on the food items with high loadings: “prudent” pattern, “bread, egg, and dairy” pattern, and “white rice only” pattern. As the white rice only pattern scores increased, a significant decreasing trend for MMSE-KC scores was observed after adjusting for covariates. The bread, egg, and dairy pattern was inversely related to the risk of cognitive impairment, and the white rice only pattern was positively associated with the risk of cognitive impairment. CONCLUSIONS: This study suggests that specific dietary patterns were significantly associated with cognitive impairment in older adults. In particular, like the white rice only pattern, a rice-centered diet without well-balanced meals may increase the risk of cognitive impairment. 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Yu, Areum ; Choi, Bo Youl ; Nam, Jung Hyun ; Kim, Mi Kyung ; Oh, Dong Hoon ; Kim, Kirang ; Yang, Yoon Jung</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c532t-266532d746e738fbe224982d33a347ca7fca49f7ebcce07957b4352311df46933</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aging - ethnology</topic><topic>breads</topic><topic>central nervous system diseases</topic><topic>Chemistry</topic><topic>Chemistry and Materials Science</topic><topic>cognition</topic><topic>Cognitive Dysfunction - epidemiology</topic><topic>Cognitive Dysfunction - ethnology</topic><topic>Cognitive Dysfunction - etiology</topic><topic>Cognitive Dysfunction - prevention &amp; control</topic><topic>Cohort Studies</topic><topic>Cross-Sectional Studies</topic><topic>Diet - adverse effects</topic><topic>Diet - ethnology</topic><topic>eating habits</topic><topic>eggs</topic><topic>Elder Nutritional Physiological Phenomena</topic><topic>elderly</topic><topic>epidemiology</topic><topic>factor analysis</topic><topic>Female</topic><topic>food frequency questionnaires</topic><topic>Food Handling</topic><topic>food intake</topic><topic>genome</topic><topic>Humans</topic><topic>Male</topic><topic>men</topic><topic>Middle Aged</topic><topic>Nutrition</topic><topic>Nutrition Policy</topic><topic>Nutrition Surveys</topic><topic>Original Contribution</topic><topic>Oryza - adverse effects</topic><topic>Patient Compliance - ethnology</topic><topic>Principal Component Analysis</topic><topic>Psychiatric Status Rating Scales</topic><topic>regression analysis</topic><topic>Republic of Korea - epidemiology</topic><topic>rice</topic><topic>risk</topic><topic>Risk Factors</topic><topic>Rural Health - ethnology</topic><topic>women</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kim, Jihye</creatorcontrib><creatorcontrib>Yu, Areum</creatorcontrib><creatorcontrib>Choi, Bo Youl</creatorcontrib><creatorcontrib>Nam, Jung Hyun</creatorcontrib><creatorcontrib>Kim, Mi Kyung</creatorcontrib><creatorcontrib>Oh, Dong Hoon</creatorcontrib><creatorcontrib>Kim, Kirang</creatorcontrib><creatorcontrib>Yang, Yoon Jung</creatorcontrib><collection>AGRIS</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium &amp; 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Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of nutrition</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kim, Jihye</au><au>Yu, Areum</au><au>Choi, Bo Youl</au><au>Nam, Jung Hyun</au><au>Kim, Mi Kyung</au><au>Oh, Dong Hoon</au><au>Kim, Kirang</au><au>Yang, Yoon Jung</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Dietary patterns and cognitive function in Korean older adults</atitle><jtitle>European journal of nutrition</jtitle><stitle>Eur J Nutr</stitle><addtitle>Eur J Nutr</addtitle><date>2015-03-01</date><risdate>2015</risdate><volume>54</volume><issue>2</issue><spage>309</spage><epage>318</epage><pages>309-318</pages><issn>1436-6207</issn><eissn>1436-6215</eissn><abstract>PURPOSE: The objectives of this study were to identify major dietary patterns and to investigate the association between dietary patterns and cognitive function in older adults. METHODS: This is a cross-sectional study. The data from the Korean Multi-Rural Communities Cohort Study, which is a part of the Korean Genome Epidemiology Study, were used. There were 806 (340 men and 466 women) subjects aged ≥60 years. Usual dietary intake was assessed using a quantitative food frequency questionnaire with 106 food items. Cognitive function was assessed using the Korean version Mini-Mental State Examination (MMSE-KC). We conducted factor analysis using the principal component analysis method to identify the major dietary patterns. The association between major dietary patterns and cognitive function was investigated by logistic regression analysis. RESULTS: Three major dietary patterns were identified and assigned descriptive names based on the food items with high loadings: “prudent” pattern, “bread, egg, and dairy” pattern, and “white rice only” pattern. As the white rice only pattern scores increased, a significant decreasing trend for MMSE-KC scores was observed after adjusting for covariates. The bread, egg, and dairy pattern was inversely related to the risk of cognitive impairment, and the white rice only pattern was positively associated with the risk of cognitive impairment. CONCLUSIONS: This study suggests that specific dietary patterns were significantly associated with cognitive impairment in older adults. In particular, like the white rice only pattern, a rice-centered diet without well-balanced meals may increase the risk of cognitive impairment. However, since our study is a cross-sectional design, the possibility of reverse causality should be considered.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>24842708</pmid><doi>10.1007/s00394-014-0713-0</doi><tpages>10</tpages></addata></record>
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subjects Aged
Aged, 80 and over
Aging - ethnology
breads
central nervous system diseases
Chemistry
Chemistry and Materials Science
cognition
Cognitive Dysfunction - epidemiology
Cognitive Dysfunction - ethnology
Cognitive Dysfunction - etiology
Cognitive Dysfunction - prevention & control
Cohort Studies
Cross-Sectional Studies
Diet - adverse effects
Diet - ethnology
eating habits
eggs
Elder Nutritional Physiological Phenomena
elderly
epidemiology
factor analysis
Female
food frequency questionnaires
Food Handling
food intake
genome
Humans
Male
men
Middle Aged
Nutrition
Nutrition Policy
Nutrition Surveys
Original Contribution
Oryza - adverse effects
Patient Compliance - ethnology
Principal Component Analysis
Psychiatric Status Rating Scales
regression analysis
Republic of Korea - epidemiology
rice
risk
Risk Factors
Rural Health - ethnology
women
title Dietary patterns and cognitive function in Korean older adults
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