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Alternate Healthy Eating Index is Positively Associated with Cognitive Function Among Middle-Aged and Older Hispanics/Latinos in the HCHS/SOL.
J Nutr. 2020 06 01; 150(6):1478-1487.JN

Abstract

BACKGROUND

Diet quality may be an important area of focus for promoting cognitive health; however, the association between diet quality and cognitive function among Hispanics/Latinos remains largely unexamined. We hypothesized that a healthier diet quality will be associated with better cognitive function in middle-aged and older Hispanics/Latinos.

OBJECTIVE

The objective of this study was to examine associations between the Alternate Healthy Eating Index (AHEI-2010), a measure of diet quality, and cognitive function in middle-aged and older Hispanics/Latinos.

METHODS

Data from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) Visit 1 (2008-2011) were used (n = 8461; ages 45-74 y). Cognitive function was assessed with tests of verbal learning and memory, verbal fluency, and processing speed; a global cognition score was derived by summing the z scores of individual tests. Dietary intake was assessed via two 24-h recalls. Total AHEI-2010 score was categorized into quintiles (higher quintiles indicating healthier diet). Linear regression models were used to examine associations between AHEI-2010 quintiles and cognitive function adjusting for sociodemographic characteristics, daily energy intake, type 2 diabetes, smoking, and depressive symptoms.

RESULTS

Compared with the lowest quintile, in the second to fourth AHEI-2010 quintiles, global cognition scores were significantly higher by 0.28, 0.52, and 0.48 units (P-trend = 0.042). In the second to fifth AHEI-2010 quintiles, verbal learning scores were significantly higher by 0.60, 0.62, 0.92, and 0.88 units, and verbal memory scores were higher by 0.33, 0.40, 0.52, and 0.46 units (P-trend = 0.020 and 0.007, respectively). No associations were observed between the AHEI-2010 and verbal fluency or processing speed (P-trend = 0.49 and 0.84, respectively). Among AHEI-2010 components, adequate consumption of vegetables, alcohol, and whole fruits were each associated with better cognitive function.

CONCLUSIONS

An overall healthier diet quality was associated with better global cognition, verbal learning, and verbal memory in middle-aged and older Hispanics/Latinos.

Authors+Show Affiliations

Institute for Minority Health Research, University of Illinois at Chicago, Chicago, IL 60612, USA.Department of Public Health Sciences, Loyola University, Chicago, IL 60153, USA.Department of Nutrition, Harvard University TH Chan School of Public Health, Boston, MA 02115, USA.Departments of Medicine and Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY 10461, USA.Department of Social Medicine, School of Medicine, University of North Carolina at Chapel Hill, NC 27599, USA.School of Public Health and Health Sciences, University of Massachusetts Amherst, Amherst, MA 01003, USA.Collaborative Studies Coordinating Center, Department of Biostatistics, University of North Carolina at Chapel Hill, Chapel Hill, NC 27516, USA.Department of Neuroscience, Shiley-Marcos Alzheimer's Disease Research Center, University of California San Diego, San Diego, CA 92093, USA.Department of Psychology, San Diego State University, San Diego, CA 92182, USA.Institute for Minority Health Research, University of Illinois at Chicago, Chicago, IL 60612, USA.Rush Alzheimer's Disease Center and Department of Psychiatry and Behavioral Sciences, Rush University Medical Center, Chicago, IL 60612, USA.

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

32091597

Citation

Estrella, Mayra L., et al. "Alternate Healthy Eating Index Is Positively Associated With Cognitive Function Among Middle-Aged and Older Hispanics/Latinos in the HCHS/SOL." The Journal of Nutrition, vol. 150, no. 6, 2020, pp. 1478-1487.
Estrella ML, Durazo-Arvizu RA, Mattei J, et al. Alternate Healthy Eating Index is Positively Associated with Cognitive Function Among Middle-Aged and Older Hispanics/Latinos in the HCHS/SOL. J Nutr. 2020;150(6):1478-1487.
Estrella, M. L., Durazo-Arvizu, R. A., Mattei, J., Mossavar-Rahmani, Y., Perreira, K. M., Siega-Riz, A. M., Sotres-Alvarez, D., González, H. M., Gallo, L. C., Daviglus, M. L., & Lamar, M. (2020). Alternate Healthy Eating Index is Positively Associated with Cognitive Function Among Middle-Aged and Older Hispanics/Latinos in the HCHS/SOL. The Journal of Nutrition, 150(6), 1478-1487. https://doi.org/10.1093/jn/nxaa023
Estrella ML, et al. Alternate Healthy Eating Index Is Positively Associated With Cognitive Function Among Middle-Aged and Older Hispanics/Latinos in the HCHS/SOL. J Nutr. 2020 06 1;150(6):1478-1487. PubMed PMID: 32091597.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Alternate Healthy Eating Index is Positively Associated with Cognitive Function Among Middle-Aged and Older Hispanics/Latinos in the HCHS/SOL. AU - Estrella,Mayra L, AU - Durazo-Arvizu,Ramon A, AU - Mattei,Josiemer, AU - Mossavar-Rahmani,Yasmin, AU - Perreira,Krista M, AU - Siega-Riz,Anna Maria, AU - Sotres-Alvarez,Daniela, AU - González,Hector M, AU - Gallo,Linda C, AU - Daviglus,Martha L, AU - Lamar,Melissa, PY - 2019/10/06/received PY - 2019/11/04/revised PY - 2020/01/27/accepted PY - 2021/06/01/pmc-release PY - 2020/2/25/pubmed PY - 2020/2/25/medline PY - 2020/2/25/entrez KW - AHEI-2010 KW - HCHS/SOL KW - Hispanics KW - Latinos KW - cognitive function KW - diet quality KW - dietary pattern KW - minority health SP - 1478 EP - 1487 JF - The Journal of nutrition JO - J Nutr VL - 150 IS - 6 N2 - BACKGROUND: Diet quality may be an important area of focus for promoting cognitive health; however, the association between diet quality and cognitive function among Hispanics/Latinos remains largely unexamined. We hypothesized that a healthier diet quality will be associated with better cognitive function in middle-aged and older Hispanics/Latinos. OBJECTIVE: The objective of this study was to examine associations between the Alternate Healthy Eating Index (AHEI-2010), a measure of diet quality, and cognitive function in middle-aged and older Hispanics/Latinos. METHODS: Data from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) Visit 1 (2008-2011) were used (n = 8461; ages 45-74 y). Cognitive function was assessed with tests of verbal learning and memory, verbal fluency, and processing speed; a global cognition score was derived by summing the z scores of individual tests. Dietary intake was assessed via two 24-h recalls. Total AHEI-2010 score was categorized into quintiles (higher quintiles indicating healthier diet). Linear regression models were used to examine associations between AHEI-2010 quintiles and cognitive function adjusting for sociodemographic characteristics, daily energy intake, type 2 diabetes, smoking, and depressive symptoms. RESULTS: Compared with the lowest quintile, in the second to fourth AHEI-2010 quintiles, global cognition scores were significantly higher by 0.28, 0.52, and 0.48 units (P-trend = 0.042). In the second to fifth AHEI-2010 quintiles, verbal learning scores were significantly higher by 0.60, 0.62, 0.92, and 0.88 units, and verbal memory scores were higher by 0.33, 0.40, 0.52, and 0.46 units (P-trend = 0.020 and 0.007, respectively). No associations were observed between the AHEI-2010 and verbal fluency or processing speed (P-trend = 0.49 and 0.84, respectively). Among AHEI-2010 components, adequate consumption of vegetables, alcohol, and whole fruits were each associated with better cognitive function. CONCLUSIONS: An overall healthier diet quality was associated with better global cognition, verbal learning, and verbal memory in middle-aged and older Hispanics/Latinos. SN - 1541-6100 UR - https://www.unboundmedicine.com/medline/citation/32091597/Alternate_Healthy_Eating_Index_is_Positively_Associated_with_Cognitive_Function_Among_Middle_Aged_and_Older_Hispanics/Latinos_in_the_HCHS/SOL_ L2 - https://academic.oup.com/jn/article-lookup/doi/10.1093/jn/nxaa023 DB - PRIME DP - Unbound Medicine ER -