Mediterranean diet score linked to cognitive functioning in Czech women: a cross-sectional population-based study
Language English Country Germany Media electronic
Document type Journal Article
PubMed
40650788
PubMed Central
PMC12255573
DOI
10.1007/s00394-025-03752-4
PII: 10.1007/s00394-025-03752-4
Knihovny.cz E-resources
- Keywords
- Aging, Cognition, Cognitive decline, Diet, Dietary habits, Mediterranean,
- MeSH
- Diet Surveys MeSH
- Adult MeSH
- Cognition * MeSH
- Cognitive Dysfunction * prevention & control epidemiology MeSH
- Middle Aged MeSH
- Humans MeSH
- Cross-Sectional Studies MeSH
- Aged MeSH
- Diet, Mediterranean * statistics & numerical data MeSH
- Check Tag
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Male MeSH
- Aged MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Geographicals
- Czech Republic epidemiology MeSH
PURPOSE: The evidence suggests that adherence to the Mediterranean diet (MD) may be beneficial in preventing cognitive decline. We aimed to explore this association in a Central European population. METHODS: A total of 6,028 men and women from the Czech arm of the HAPIEE study were included in the analysis. Dietary data were collected using a food frequency questionnaire, and MD score (MDS) was calculated based on nine food groups. The MDS (range 0-17 points) was classified into three groups: low (0-7), medium (8-10), high (11-17). Cognitive function was measured using four tests assessing verbal memory and learning, verbal fluency, and attention, mental speed and concentration, and composite score, each of them converted to z-score. The associations between MDS and cognitive function were analyzed using multivariate linear regression in men and women. RESULTS: There were no significant associations in men. By contrast, women with a dietary score of 8-10 points (B = 0.05, 95% CI: -0.002; 0.097), and those with a score of 11-17 points (B = 0.08, 95% CI: 0.016; 0.140) had a higher composite cognitive score than women in lowest adherence group. Regarding specific domains, women in the highest adherence group had significantly better immediate verbal memory (B = 0.12, 95% CI: 0.031; 0.205) and delayed recall (B = 0.12, 95% CI: 0.027; 0.212), respectively, than those in the lowest adherence group. CONCLUSION: Higher adherence to the MDS was associated with better cognitive functioning in verbal memory and composite cognitive score in Czech women. The results suggest that the Mediterranean diet may help to improve cognitive functioning.
Department of Public Health Faculty of Medicine Masaryk University 625 00 Brno Czech Republic
RECETOX Faculty of Science Masaryk University Kamenice 753 3 D29 625 00 Brno Czech Republic
The National Institute of Public Health Šrobárova 49 48 100 00 Praha Czech Republic
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