Dayeon Shin1, Simona C Kwon2, Mi Hye Kim3, Kyung Won Lee4, Soe Yeon Choi5, Nitin Shivappa6, James R Hébert6, Hae-Kyung Chung7. 1. Department of Public Health, Food Studies and Nutrition, Syracuse University, Syracuse, New York, USA. 2. Department of Population Health, NYU School of Medicine, New York, New York, USA. 3. Department of Food and Nutrition, Hoseo University, Asan, Chungnam, Republic of Korea. 4. Division of Epidemiology and Health Index, Center for Genome Science, Korea National Institute of Health, Korea Centers for Disease Control and Prevention, Chungcheongbuk-do, Republic of Korea. 5. Department of Nutritional Sciences and Food Management, Ewha Woman's University, Seoul, Republic of Korea. 6. Department of Epidemiology and Biostatistics, and the Cancer Prevention and Control Program, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina, USA; Connecting Health Innovations, LLC, Columbia, South Carolina, USA. 7. Department of Food and Nutrition, Hoseo University, Asan, Chungnam, Republic of Korea. Electronic address: hkchung@hoseo.edu.
Abstract
OBJECTIVE: To examine the association between the inflammatory potential of diet and the quality of cognitive function in an older adult Korean population. METHODS: A total of 239 participants (88 men and 151 women) ages ≥65 y were selected from various health centers in Korea. To assess the inflammatory potential of diet, Energy-adjusted Dietary Inflammatory Index (E-DII) scores were computed based on a single 24-h recall. Cognitive function was assessed using the Korean Mini-Mental State Examination. Multiple linear and logistic regression models were fit to estimate the association between E-DII scores and the degree of cognitive function. RESULTS: E-DII scores were significantly inversely associated with Korean Mini-Mental State Examination score in both unadjusted and adjusted models, after controlling for sex, age, body mass index, sleep hours, supplement use, education level, self-reported health conditions, history of dementia, and physical activity (β = -1.33, 95% confidence interval [CI] = -1.95, -0.71, P <0.0001; β = -0.58, 95% CI = -1.11, -0.06, P = 0.03, respectively). Participants in the highest E-DII tertile had increased risk for mild or moderate cognitive impairment compared with those in the lowest E-DII tertile (adjusted odds ratio 6.32, 95% CI 1.18-33.78; P for trend = 0.0031). CONCLUSIONS: Higher E-DII scores were associated with increased risk of cognitive impairment, suggesting that consuming a proinflammatory diet is associated with increased risk for cognitive impairment in the older Korean adults.
OBJECTIVE: To examine the association between the inflammatory potential of diet and the quality of cognitive function in an older adult Korean population. METHODS: A total of 239 participants (88 men and 151 women) ages ≥65 y were selected from various health centers in Korea. To assess the inflammatory potential of diet, Energy-adjusted Dietary Inflammatory Index (E-DII) scores were computed based on a single 24-h recall. Cognitive function was assessed using the Korean Mini-Mental State Examination. Multiple linear and logistic regression models were fit to estimate the association between E-DII scores and the degree of cognitive function. RESULTS: E-DII scores were significantly inversely associated with Korean Mini-Mental State Examination score in both unadjusted and adjusted models, after controlling for sex, age, body mass index, sleep hours, supplement use, education level, self-reported health conditions, history of dementia, and physical activity (β = -1.33, 95% confidence interval [CI] = -1.95, -0.71, P <0.0001; β = -0.58, 95% CI = -1.11, -0.06, P = 0.03, respectively). Participants in the highest E-DII tertile had increased risk for mild or moderate cognitive impairment compared with those in the lowest E-DII tertile (adjusted odds ratio 6.32, 95% CI 1.18-33.78; P for trend = 0.0031). CONCLUSIONS: Higher E-DII scores were associated with increased risk of cognitive impairment, suggesting that consuming a proinflammatory diet is associated with increased risk for cognitive impairment in the older Korean adults.
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