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Association between dietary patterns and cognitive function among 70-year-old Japanese elderly: a cross-sectional analysis of the SONIC study.
Nutr J 2017; 16(1):56NJ

Abstract

BACKGROUND

An increasing number of studies in Western countries have shown that healthy dietary patterns may have a protective effect against cognitive decline and dementia. However, information on this relationship among non-Western populations with different cultural settings is extremely limited. We aim to examine the relationship between dietary patterns and cognitive function among older Japanese people.

METHODS

This cross-sectional study included 635 community-dwelling people aged 69-71 years who participated in the prospective cohort study titled Septuagenarians, Octogenarians, Nonagenarians Investigation with Centenarians (SONIC). Diet was assessed over a one-month period with a validated, brief-type, self-administered diet history questionnaire. Dietary patterns from thirty-three predefined food groups [energy-adjusted food (g/d)] were extracted by factor analysis. Cognitive function was assessed using the Japanese version of the Montreal Cognitive Assessment (MoCA-J). Multivariate regression analysis was performed to examine the relationship between dietary patterns and cognitive function.

RESULTS

Three dietary patterns were identified: the 'Plant foods and fish', 'Rice and miso soup', and 'Animal food' patterns. The 'Plant foods and fish' pattern, characterized by high intakes of green and other vegetables, soy products, seaweeds, mushrooms, potatoes, fruit, fish, and green tea, was significantly associated with a higher MoCA-J score [MoCA-J score per one-quartile increase in dietary pattern: β = 0.56 (95% CI: 0.33, 0.79), P for trend <0.001]. This association was still evident after adjustment for potential confounding factors [β = 0.41 (95% CI: 0.17, 0.65), P for trend <0.001]. In contrast, neither the 'Rice and miso soup' nor the 'Animal food' pattern was related to cognitive function. To confirm the possibility of reverse causation we also conducted a sensitivity analysis excluding 186 subjects who reported substantial changes in their diet for any reason, but the results did not change materially.

CONCLUSION

This preliminary cross-sectional study suggests that a diet with high intakes of vegetables, soy products, fruit, and fish may have a beneficial effect on cognitive function in older Japanese people. Further prospective studies are needed to confirm this finding.

Authors+Show Affiliations

Department of Health Promotion, National Institute of Public Health, 2-3-6 Minami, Wako-shi, Saitama, 351-0197, Japan. okubo.h.aa@niph.go.jp.Tokyo Metropolitan Geriatric Hospital and Institute of Gerontology, Tokyo, Japan.Department of Clinical Thanatology and Geriatric Behavioral Science, Osaka University Graduate School of Human Sciences, Osaka, Japan.Department of Health Science, Osaka University Graduate School of Medicine, Osaka, Japan.Department of Prosthodontics, Gerontology and Oral Rehabilitation, Osaka University Graduate School of Dentistry, Osaka, Japan.Tokyo Metropolitan Geriatric Hospital and Institute of Gerontology, Tokyo, Japan.Center for Supercentenarian Medical Research, Keio University, School of Medicine, Tokyo, Japan.Tokyo Metropolitan Geriatric Hospital and Institute of Gerontology, Tokyo, Japan.Department of Social and Preventive Epidemiology, School of Public Health, The University of Tokyo, Tokyo, Japan.University Research Priority Program "Dynamics in Healthy Aging", The University of Zurich, Zurich, Switzerland and Japan Society for the Promotion of Science, Tokyo, Japan.Department of Health Science, Osaka University Graduate School of Medicine, Osaka, Japan.Department of Geriatric and General Medicine, Osaka University Graduate School of Medicine, Osaka, Japan.Department of Geriatric and General Medicine, Osaka University Graduate School of Medicine, Osaka, Japan.Department of Prosthodontics, Gerontology and Oral Rehabilitation, Osaka University Graduate School of Dentistry, Osaka, Japan.No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28893250

Citation

Okubo, Hitomi, et al. "Association Between Dietary Patterns and Cognitive Function Among 70-year-old Japanese Elderly: a Cross-sectional Analysis of the SONIC Study." Nutrition Journal, vol. 16, no. 1, 2017, p. 56.
Okubo H, Inagaki H, Gondo Y, et al. Association between dietary patterns and cognitive function among 70-year-old Japanese elderly: a cross-sectional analysis of the SONIC study. Nutr J. 2017;16(1):56.
Okubo, H., Inagaki, H., Gondo, Y., Kamide, K., Ikebe, K., Masui, Y., ... Maeda, Y. (2017). Association between dietary patterns and cognitive function among 70-year-old Japanese elderly: a cross-sectional analysis of the SONIC study. Nutrition Journal, 16(1), p. 56. doi:10.1186/s12937-017-0273-2.
Okubo H, et al. Association Between Dietary Patterns and Cognitive Function Among 70-year-old Japanese Elderly: a Cross-sectional Analysis of the SONIC Study. Nutr J. 2017 Sep 11;16(1):56. PubMed PMID: 28893250.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Association between dietary patterns and cognitive function among 70-year-old Japanese elderly: a cross-sectional analysis of the SONIC study. AU - Okubo,Hitomi, AU - Inagaki,Hiroki, AU - Gondo,Yasuyuki, AU - Kamide,Kei, AU - Ikebe,Kazunori, AU - Masui,Yukie, AU - Arai,Yasumichi, AU - Ishizaki,Tatsuro, AU - Sasaki,Satoshi, AU - Nakagawa,Takeshi, AU - Kabayama,Mai, AU - Sugimoto,Ken, AU - Rakugi,Hiromi, AU - Maeda,Yoshinobu, AU - ,, Y1 - 2017/09/11/ PY - 2017/05/10/received PY - 2017/08/16/accepted PY - 2017/9/13/entrez PY - 2017/9/13/pubmed PY - 2018/6/22/medline KW - Cognitive function, Dietary pattern KW - Elderly KW - Factor analysis KW - Japanese SP - 56 EP - 56 JF - Nutrition journal JO - Nutr J VL - 16 IS - 1 N2 - BACKGROUND: An increasing number of studies in Western countries have shown that healthy dietary patterns may have a protective effect against cognitive decline and dementia. However, information on this relationship among non-Western populations with different cultural settings is extremely limited. We aim to examine the relationship between dietary patterns and cognitive function among older Japanese people. METHODS: This cross-sectional study included 635 community-dwelling people aged 69-71 years who participated in the prospective cohort study titled Septuagenarians, Octogenarians, Nonagenarians Investigation with Centenarians (SONIC). Diet was assessed over a one-month period with a validated, brief-type, self-administered diet history questionnaire. Dietary patterns from thirty-three predefined food groups [energy-adjusted food (g/d)] were extracted by factor analysis. Cognitive function was assessed using the Japanese version of the Montreal Cognitive Assessment (MoCA-J). Multivariate regression analysis was performed to examine the relationship between dietary patterns and cognitive function. RESULTS: Three dietary patterns were identified: the 'Plant foods and fish', 'Rice and miso soup', and 'Animal food' patterns. The 'Plant foods and fish' pattern, characterized by high intakes of green and other vegetables, soy products, seaweeds, mushrooms, potatoes, fruit, fish, and green tea, was significantly associated with a higher MoCA-J score [MoCA-J score per one-quartile increase in dietary pattern: β = 0.56 (95% CI: 0.33, 0.79), P for trend <0.001]. This association was still evident after adjustment for potential confounding factors [β = 0.41 (95% CI: 0.17, 0.65), P for trend <0.001]. In contrast, neither the 'Rice and miso soup' nor the 'Animal food' pattern was related to cognitive function. To confirm the possibility of reverse causation we also conducted a sensitivity analysis excluding 186 subjects who reported substantial changes in their diet for any reason, but the results did not change materially. CONCLUSION: This preliminary cross-sectional study suggests that a diet with high intakes of vegetables, soy products, fruit, and fish may have a beneficial effect on cognitive function in older Japanese people. Further prospective studies are needed to confirm this finding. SN - 1475-2891 UR - https://www.unboundmedicine.com/medline/citation/28893250/Association_between_dietary_patterns_and_cognitive_function_among_70_year_old_Japanese_elderly:_a_cross_sectional_analysis_of_the_SONIC_study_ L2 - https://nutritionj.biomedcentral.com/articles/10.1186/s12937-017-0273-2 DB - PRIME DP - Unbound Medicine ER -