---
_id: '53774'
abstract:
- lang: eng
  text: <jats:p>&lt;b&gt;&lt;i&gt;Aim:&lt;/i&gt;&lt;/b&gt; To examine the association
    between a healthy diet, assessed by the Healthy Diet Indicator (HDI), and cognitive
    decline in older adults. &lt;b&gt;&lt;i&gt;Methods:&lt;/i&gt;&lt;/b&gt; Data from
    21,837 participants aged ≥55 years from 3 cohorts (Survey in Europe on Nutrition
    and the Elderly, a Concerted Action [SENECA], Rotterdam Study [RS], Nurses' Health
    Study [NHS]) were analyzed. HDI scores were based on intakes of saturated fatty
    acids, polyunsaturated fatty acids, mono- and disaccharides, protein, cholesterol,
    fruits and vegetables, and fiber. The Telephone Interview for Cognitive Status
    in NHS and Mini-Mental State Examination in RS and SENECA were used to assess
    cognitive function from multiple repeated measures. Using multivariable-adjusted,
    mixed linear regression, mean differences in annual rates of cognitive decline
    by HDI quintiles were estimated. &lt;b&gt;&lt;i&gt;Results:&lt;/i&gt;&lt;/b&gt;
    Multivariable-adjusted differences in rates in the highest versus the lowest HDI
    quintile were 0.01 (95% CI -0.01, 0.02) in NHS, 0.00 (95% CI -0.02, 0.01) in RS,
    and 0.00 (95% CI -0.05, 0.05) in SENECA with a pooled estimate of 0.00 (95% CI
    -0.01, 0.01), &lt;i&gt;I&lt;/i&gt;&lt;sup&gt;2&lt;/sup&gt; = 0%. &lt;b&gt;&lt;i&gt;Conclusions:&lt;/i&gt;&lt;/b&gt;
    A higher HDI score was not related to reduced rates of cognitive decline in European
    and American older adults.</jats:p>
author:
- first_name: Agnes A.M.
  full_name: Berendsen, Agnes A.M.
  last_name: Berendsen
- first_name: Jae H.
  full_name: Kang, Jae H.
  last_name: Kang
- first_name: Ondine
  full_name: van de Rest, Ondine
  last_name: van de Rest
- first_name: Nicole
  full_name: Jankovic, Nicole
  last_name: Jankovic
- first_name: Ellen
  full_name: Kampman, Ellen
  last_name: Kampman
- first_name: Jessica C.
  full_name: Kiefte-de Jong, Jessica C.
  last_name: Kiefte-de Jong
- first_name: Oscar H.
  full_name: Franco, Oscar H.
  last_name: Franco
- first_name: M. Arfan
  full_name: Ikram, M. Arfan
  last_name: Ikram
- first_name: Hynek
  full_name: Pikhart, Hynek
  last_name: Pikhart
- first_name: Lena Maria
  full_name: Nilsson, Lena Maria
  last_name: Nilsson
- first_name: Hermann
  full_name: Brenner, Hermann
  last_name: Brenner
- first_name: Paolo
  full_name: Boffetta, Paolo
  last_name: Boffetta
- first_name: Snorri Bjorn
  full_name: Rafnsson, Snorri Bjorn
  last_name: Rafnsson
- first_name: Deborah
  full_name: Gustafson, Deborah
  last_name: Gustafson
- first_name: Andreas
  full_name: Kyrozis, Andreas
  last_name: Kyrozis
- first_name: Antonia
  full_name: Trichopoulou, Antonia
  last_name: Trichopoulou
- first_name: Edith J.M.
  full_name: Feskens, Edith J.M.
  last_name: Feskens
- first_name: Francine
  full_name: Grodstein, Francine
  last_name: Grodstein
- first_name: Lisette C.P.G.M.
  full_name: de Groot, Lisette C.P.G.M.
  last_name: de Groot
citation:
  ama: 'Berendsen AAM, Kang JH, van de Rest O, et al. Association of Adherence to
    a Healthy Diet with Cognitive Decline in European and American Older Adults: A
    Meta-Analysis within the CHANCES Consortium. <i>Dementia and Geriatric Cognitive
    Disorders</i>. 2017;43(3-4):215-227. doi:<a href="https://doi.org/10.1159/000464269">10.1159/000464269</a>'
  apa: 'Berendsen, A. A. M., Kang, J. H., van de Rest, O., Jankovic, N., Kampman,
    E., Kiefte-de Jong, J. C., Franco, O. H., Ikram, M. A., Pikhart, H., Nilsson,
    L. M., Brenner, H., Boffetta, P., Rafnsson, S. B., Gustafson, D., Kyrozis, A.,
    Trichopoulou, A., Feskens, E. J. M., Grodstein, F., &#38; de Groot, L. C. P. G.
    M. (2017). Association of Adherence to a Healthy Diet with Cognitive Decline in
    European and American Older Adults: A Meta-Analysis within the CHANCES Consortium.
    <i>Dementia and Geriatric Cognitive Disorders</i>, <i>43</i>(3–4), 215–227. <a
    href="https://doi.org/10.1159/000464269">https://doi.org/10.1159/000464269</a>'
  bibtex: '@article{Berendsen_Kang_van de Rest_Jankovic_Kampman_Kiefte-de Jong_Franco_Ikram_Pikhart_Nilsson_et
    al._2017, title={Association of Adherence to a Healthy Diet with Cognitive Decline
    in European and American Older Adults: A Meta-Analysis within the CHANCES Consortium},
    volume={43}, DOI={<a href="https://doi.org/10.1159/000464269">10.1159/000464269</a>},
    number={3–4}, journal={Dementia and Geriatric Cognitive Disorders}, publisher={S.
    Karger AG}, author={Berendsen, Agnes A.M. and Kang, Jae H. and van de Rest, Ondine
    and Jankovic, Nicole and Kampman, Ellen and Kiefte-de Jong, Jessica C. and Franco,
    Oscar H. and Ikram, M. Arfan and Pikhart, Hynek and Nilsson, Lena Maria and et
    al.}, year={2017}, pages={215–227} }'
  chicago: 'Berendsen, Agnes A.M., Jae H. Kang, Ondine van de Rest, Nicole Jankovic,
    Ellen Kampman, Jessica C. Kiefte-de Jong, Oscar H. Franco, et al. “Association
    of Adherence to a Healthy Diet with Cognitive Decline in European and American
    Older Adults: A Meta-Analysis within the CHANCES Consortium.” <i>Dementia and
    Geriatric Cognitive Disorders</i> 43, no. 3–4 (2017): 215–27. <a href="https://doi.org/10.1159/000464269">https://doi.org/10.1159/000464269</a>.'
  ieee: 'A. A. M. Berendsen <i>et al.</i>, “Association of Adherence to a Healthy
    Diet with Cognitive Decline in European and American Older Adults: A Meta-Analysis
    within the CHANCES Consortium,” <i>Dementia and Geriatric Cognitive Disorders</i>,
    vol. 43, no. 3–4, pp. 215–227, 2017, doi: <a href="https://doi.org/10.1159/000464269">10.1159/000464269</a>.'
  mla: 'Berendsen, Agnes A. M., et al. “Association of Adherence to a Healthy Diet
    with Cognitive Decline in European and American Older Adults: A Meta-Analysis
    within the CHANCES Consortium.” <i>Dementia and Geriatric Cognitive Disorders</i>,
    vol. 43, no. 3–4, S. Karger AG, 2017, pp. 215–27, doi:<a href="https://doi.org/10.1159/000464269">10.1159/000464269</a>.'
  short: A.A.M. Berendsen, J.H. Kang, O. van de Rest, N. Jankovic, E. Kampman, J.C.
    Kiefte-de Jong, O.H. Franco, M.A. Ikram, H. Pikhart, L.M. Nilsson, H. Brenner,
    P. Boffetta, S.B. Rafnsson, D. Gustafson, A. Kyrozis, A. Trichopoulou, E.J.M.
    Feskens, F. Grodstein, L.C.P.G.M. de Groot, Dementia and Geriatric Cognitive Disorders
    43 (2017) 215–227.
date_created: 2024-04-29T11:24:07Z
date_updated: 2024-06-17T09:01:18Z
doi: 10.1159/000464269
intvolume: '        43'
issue: 3-4
language:
- iso: eng
page: 215-227
publication: Dementia and Geriatric Cognitive Disorders
publication_identifier:
  issn:
  - 1420-8008
  - 1421-9824
publication_status: published
publisher: S. Karger AG
status: public
title: 'Association of Adherence to a Healthy Diet with Cognitive Decline in European
  and American Older Adults: A Meta-Analysis within the CHANCES Consortium'
type: journal_article
user_id: '105192'
volume: 43
year: '2017'
...
