Adherence to the planetary health diet and cognitive decline: findings from the ELSA-Brasil study.

Autor: Gomes Gonçalves N; Division of Geriatrics, University of São Paulo Medical School, São Paulo, Brazil., Cacau LT; Department of Nutrition, School of Public Health, University of São Paulo, São Paulo, Brazil., Ferreira NV; Amazônia Adventist College, Pará, Brazil., Lotufo PA; Center for Clinical and Epidemiological Research, Hospital Universitario, University of São Paulo, São Paulo, Brazil., Goulart AC; Center for Clinical and Epidemiological Research, Hospital Universitario, University of São Paulo, São Paulo, Brazil., Viana MC; Department of Social Medicine, Federal University of Espírito Santo, Vitória, Brazil., Barreto SM; Preventive and Social Medicine Department, Clinical Hospital/ EBSERH, Federal University of Minas Gerais, Belo Horizonte, Brazil., Bensenor IM; Center for Clinical and Epidemiological Research, Hospital Universitario, University of São Paulo, São Paulo, Brazil., Marchioni DM; Department of Nutrition, School of Public Health, University of São Paulo, São Paulo, Brazil., Suemoto CK; Division of Geriatrics, University of São Paulo Medical School, São Paulo, Brazil. cksuemoto@usp.br.
Jazyk: angličtina
Zdroj: Nature aging [Nat Aging] 2024 Oct; Vol. 4 (10), pp. 1465-1476. Date of Electronic Publication: 2024 Jun 28.
DOI: 10.1038/s43587-024-00666-4
Abstrakt: The EAT-Lancet Commission proposed a planetary health diet to improve human health within planetary boundaries; however, little is known about the association between adherence to this diet and cognitive decline. We used data from three waves of the Brazilian Longitudinal Study of Adult Health to evaluate the association between the planetary health diet and cognitive decline using linear mixed-effects models. Here we show that in 11,737 participants (mean (s.d.) age 51.6 (9.0) years, 54% women and 53% white), higher adherence to the planetary health diet was associated with slower memory decline (P = 0.046) and that income was a modifier in this association (P < 0.001). Adherence to the planetary health diet was associated with slower decline of memory (P = 0.040) and global cognition (P = 0.009) in high-income participants. No association was found among low-income participants. The results of our study highlight that the promotion of healthy dietary patterns should take into consideration income barriers as well as differences in dietary habits to achieve high adherence.
(© 2024. The Author(s), under exclusive licence to Springer Nature America, Inc.)
Databáze: MEDLINE
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