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Healthy Aging pp 263-274 | Cite as

Nutrition and Healthy Aging

  • Amy C. EllisEmail author
Chapter

Abstract

Hippocrates is credited with saying, “Let food be thy medicine and medicine be thy food.” Although important throughout the life span, nutrition is foundational for healthy aging. Consequences of inadequate nutrition include decreased immune function, poor skin integrity, and loss of independence. Physiological and psychosocial barriers to good nutrition tend to arise with advancing age. Polypharmacy can also increase nutritional risk with the potential for food-drug interactions and unintended side effects.

Although energy needs decline with age, requirements for certain nutrients such as protein and vitamin D increase, making a nutrient-dense diet even more important. Yet, an increasing percentage of seniors are overweight and undernourished. Most adults over age 65 have at least one nutrition-related chronic disease; among the most common are type 2 diabetes, hypertension, atherosclerotic cardiovascular disease, or a combination of these. While overly restrictive diets are contraindicated, healthy eating patterns underpin both primary and secondary prevention of these chronic conditions. In addition to physical health, food and diet affect quality of life and cultural expression. Thus, strategies to ensure nutritional adequacy promote both physical and psychosocial aspects of healthy aging.

Keywords

Nutrition Aging Malnutrition Weight management Nutrient density Diet pattern 

References

  1. 1.
    Fakhouri TH, Ogden CL, Carroll MD, Kit BK, Flegal KM. Prevalence of obesity among older adults in the United States, 2007–2010. NCHS Data Brief. 2012;106:1–8.Google Scholar
  2. 2.
    Porter Starr KN, McDonald SR, Bales CW. Nutritional vulnerability in older adults: a continuum of concerns. Curr Nutr Rep. 2015;4(2):176–84.PubMedPubMedCentralCrossRefGoogle Scholar
  3. 3.
    Leslie W, Hankey C. Aging, nutritional status and health. Healthcare (Basel). 2015;3(3):648–58.CrossRefGoogle Scholar
  4. 4.
    Hunter GR, Gower BA, Kane BL. Age related shift in visceral fat. Int J Body Compos Res. 2010;8(3):103–8.PubMedPubMedCentralGoogle Scholar
  5. 5.
    Marzetti E, Calvani R, Tosato M, Cesari M, Di Bari M, Cherubini A, et al. Sarcopenia: an overview. Aging Clin Exp Res. 2017;29(1):11–7.PubMedCrossRefGoogle Scholar
  6. 6.
    JafariNasabian P, Inglis JE, Reilly W, Kelly OJ, Ilich JZ. Aging human body: changes in bone, muscle and body fat with consequent changes in nutrient intake. J Endocrinol. 2017;234(1):R37–51.PubMedCrossRefGoogle Scholar
  7. 7.
    Demontiero O, Vidal C, Duque G. Aging and bone loss: new insights for the clinician. Ther Adv Musculoskelet Dis. 2012;4(2):61–76.PubMedPubMedCentralCrossRefGoogle Scholar
  8. 8.
    Karastergiou K, Smith SR, Greenberg AS, Fried SK. Sex differences in human adipose tissues – the biology of pear shape. Biol Sex Differ. 2012;3(1):13.PubMedPubMedCentralCrossRefGoogle Scholar
  9. 9.
    Manini TM. Energy expenditure and aging. Ageing Res Rev. 2010;9(1):1–11.PubMedCrossRefGoogle Scholar
  10. 10.
    St-Onge MP, Gallagher D. Body composition changes with aging: the cause or the result of alterations in metabolic rate and macronutrient oxidation? Nutrition. 2010;26(2):152–5.PubMedCrossRefGoogle Scholar
  11. 11.
    United States Department of Agriculture. DRI tables and application reports: National Academies Press. 2018. Available from: https://www.nal.usda.gov/fnic/dri-tables-and-application-reports.
  12. 12.
    Paddon-Jones D, Sheffield-Moore M, Zhang XJ, Volpi E, Wolf SE, Aarsland A, et al. Amino acid ingestion improves muscle protein synthesis in the young and elderly. Am J Physiol Endocrinol Metab. 2004;286(3):E321–8.PubMedCrossRefGoogle Scholar
  13. 13.
    Paddon-Jones D, Campbell WW, Jacques PF, Kritchevsky SB, Moore LL, Rodriguez NR, et al. Protein and healthy aging. Am J Clin Nutr. 2015;101(6):1339S–45S.PubMedCrossRefPubMedCentralGoogle Scholar
  14. 14.
    Boirie Y, Gachon P, Beaufrere B. Splanchnic and whole-body leucine kinetics in young and elderly men. Am J Clin Nutr. 1997;65(2):489–95.PubMedCrossRefGoogle Scholar
  15. 15.
    Volpi E, Mittendorfer B, Wolf SE, Wolfe RR. Oral amino acids stimulate muscle protein anabolism in the elderly despite higher first-pass splanchnic extraction. Am J Phys. 1999;277(3 Pt 1):E513–20.Google Scholar
  16. 16.
    Deer RR, Volpi E. Protein intake and muscle function in older adults. Curr Opin Clin Nutr Metab Care. 2015;18(3):248–53.PubMedPubMedCentralCrossRefGoogle Scholar
  17. 17.
    Houston DK, Nicklas BJ, Ding J, Harris TB, Tylavsky FA, Newman AB, et al. Dietary protein intake is associated with lean mass change in older, community-dwelling adults: the Health, Aging, and Body Composition (Health ABC) Study. Am J Clin Nutr. 2008;87(1):150–5.PubMedCrossRefGoogle Scholar
  18. 18.
    Bauer J, Biolo G, Cederholm T, Cesari M, Cruz-Jentoft AJ, Morley JE, et al. Evidence-based recommendations for optimal dietary protein intake in older people: a position paper from the PROT-AGE Study Group. J Am Med Dir Assoc. 2013;14(8):542–59.PubMedCrossRefPubMedCentralGoogle Scholar
  19. 19.
    Deutz NE, Wolfe RR. Is there a maximal anabolic response to protein intake with a meal? Clin Nutr. 2013;32(2):309–13.PubMedCrossRefGoogle Scholar
  20. 20.
    Nuttall FQ. Body mass index: obesity, BMI, and health: a critical review. Nutr Today. 2015;50(3):117–28.PubMedPubMedCentralCrossRefGoogle Scholar
  21. 21.
    Executive summary of the clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults. Arch Intern Med. 1998;158(17):1855–67.Google Scholar
  22. 22.
    Winter JE, MacInnis RJ, Wattanapenpaiboon N, Nowson CA. BMI and all-cause mortality in older adults: a meta-analysis. Am J Clin Nutr. 2014;99(4):875–90.PubMedCrossRefPubMedCentralGoogle Scholar
  23. 23.
    Amundson DE, Djurkovic S, Matwiyoff GN. The obesity paradox. Crit Care Clin. 2010;26(4):583–96.PubMedCrossRefGoogle Scholar
  24. 24.
    Childers DK, Allison DB. The ‘obesity paradox’: a parsimonious explanation for relations among obesity, mortality rate and aging? Int J Obes. 2010;34(8):1231–8.CrossRefGoogle Scholar
  25. 25.
    de Hollander EL, Bemelmans WJ, Boshuizen HC, Friedrich N, Wallaschofski H, Guallar-Castillon P, et al. The association between waist circumference and risk of mortality considering body mass index in 65- to 74-year-olds: a meta-analysis of 29 cohorts involving more than 58 000 elderly persons. Int J Epidemiol. 2012;41(3):805–17.PubMedPubMedCentralCrossRefGoogle Scholar
  26. 26.
    Brown P. Waist circumference in primary care. Prim Care Diabetes. 2009;3(4):259–61.PubMedCrossRefGoogle Scholar
  27. 27.
    Waters DL, Ward AL, Villareal DT. Weight loss in obese adults 65 years and older: a review of the controversy. Exp Gerontol. 2013;48(10):1054–61.PubMedPubMedCentralCrossRefGoogle Scholar
  28. 28.
    Osher E, Stern N. Obesity in elderly subjects: in sheep’s clothing perhaps, but still a wolf! Diabetes Care. 2009;32(Suppl 2):S398–402.PubMedPubMedCentralCrossRefGoogle Scholar
  29. 29.
    Richman EL, Stampfer MJ. Weight loss and mortality in the elderly: separating cause and effect. J Intern Med. 2010;268(2):103–5.PubMedCrossRefGoogle Scholar
  30. 30.
    Villareal DT, Apovian CM, Kushner RF, Klein S, American Society for N, Naaso TOS. Obesity in older adults: technical review and position statement of the American Society for Nutrition and NAASO, the Obesity Society. Obes Res. 2005;13(11):1849–63.PubMedCrossRefGoogle Scholar
  31. 31.
    Mathus-Vliegen EM, Obesity Management Task Force of the European Association for the Study of O. Prevalence, pathophysiology, health consequences and treatment options of obesity in the elderly: a guideline. Obes Facts. 2012;5(3):460–83.PubMedCrossRefGoogle Scholar
  32. 32.
    Locher JL, Goldsby TU, Goss AM, Kilgore ML, Gower B, Ard JD. Calorie restriction in overweight older adults: do benefits exceed potential risks? Exp Gerontol. 2016;86:4–13.PubMedPubMedCentralCrossRefGoogle Scholar
  33. 33.
    National Institute of Diabetes and Digestive and Kidney Diseases. Prescription medications to treat overweight and obesity. National Institutes of Health: 2018 [Available from: https://www.niddk.nih.gov/health-information/weight-management/prescription-medications-treat-overweight-obesity.
  34. 34.
    Herrera AP, Snipes SA, King DW, Torres-Vigil I, Goldberg DS, Weinberg AD. Disparate inclusion of older adults in clinical trials: priorities and opportunities for policy and practice change. Am J Public Health. 2010;100(Suppl 1):S105–12.PubMedPubMedCentralCrossRefGoogle Scholar
  35. 35.
    Giordano S, Victorzon M. Bariatric surgery in elderly patients: a systematic review. Clin Interv Aging. 2015;10:1627–35.PubMedPubMedCentralGoogle Scholar
  36. 36.
    Caceres BA, Moskowitz D, O’Connell T. A review of the safety and efficacy of bariatric surgery in adults over the age of 60: 2002–2013. J Am Assoc Nurse Pract 2015;27(7):403–10.Google Scholar
  37. 37.
    Gaddey HL, Holder K. Unintentional weight loss in older adults. Am Fam Physician. 2014;89(9):718–22.PubMedGoogle Scholar
  38. 38.
    Bruyere O, Cavalier E, Buckinx F, Reginster JY. Relevance of vitamin D in the pathogenesis and therapy of frailty. Curr Opin Clin Nutr Metab Care. 2017;20(1):26–9.PubMedCrossRefGoogle Scholar
  39. 39.
    Fried LP, Tangen CM, Walston J, Newman AB, Hirsch C, Gottdiener J, et al. Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci. 2001;56(3):M146–56.PubMedCrossRefPubMedCentralGoogle Scholar
  40. 40.
    Artaza-Artabe I, Saez-Lopez P, Sanchez-Hernandez N, Fernandez-Gutierrez N, Malafarina V. The relationship between nutrition and frailty: effects of protein intake, nutritional supplementation, vitamin D and exercise on muscle metabolism in the elderly. A systematic review. Maturitas. 2016;93:89–99.PubMedCrossRefGoogle Scholar
  41. 41.
    Bonnefoy M, Berrut G, Lesourd B, Ferry M, Gilbert T, Guerin O, et al. Frailty and nutrition: searching for evidence. J Nutr Health Aging. 2015;19(3):250–7.PubMedCrossRefGoogle Scholar
  42. 42.
    Lorenzo-Lopez L, Maseda A, de Labra C, Regueiro-Folgueira L, Rodriguez-Villamil JL, Millan-Calenti JC. Nutritional determinants of frailty in older adults: a systematic review. BMC Geriatr. 2017;17(1):108.PubMedPubMedCentralCrossRefGoogle Scholar
  43. 43.
    Cereda E. Mini nutritional assessment. Curr Opin Clin Nutr Metab Care. 2012;15(1):29–41.PubMedCrossRefGoogle Scholar
  44. 44.
    By the American Geriatrics Society Beers Criteria Update Expert P. American Geriatrics Society 2015 updated beers criteria for potentially inappropriate medication use in older adults. J Am Geriatr Soc. 2015;63(11):2227–46.CrossRefGoogle Scholar
  45. 45.
    Costilla VC, Foxx-Orenstein AE. Constipation: understanding mechanisms and management. Clin Geriatr Med. 2014;30(1):107–15.PubMedCrossRefGoogle Scholar
  46. 46.
    Schuster BG, Kosar L, Kamrul R. Constipation in older adults: stepwise approach to keep things moving. Can Fam Physician. 2015;61(2):152–8.PubMedPubMedCentralGoogle Scholar
  47. 47.
    Little MO. Updates in nutrition and polypharmacy. Curr Opin Clin Nutr Metab Care. 2018;21(1):4–9.PubMedCrossRefGoogle Scholar
  48. 48.
    Morelli L, Capurso L. FAO/WHO guidelines on probiotics: 10 years later. J Clin Gastroenterol. 2012;46(Suppl):S1–2.PubMedCrossRefGoogle Scholar
  49. 49.
    Kumar M, Babaei P, Ji B, Nielsen J. Human gut microbiota and healthy aging: recent developments and future prospective. Nutr Healthy Aging. 2016;4(1):3–16.PubMedPubMedCentralCrossRefGoogle Scholar
  50. 50.
    Martinez-Martinez MI, Calabuig-Tolsa R, Cauli O. The effect of probiotics as a treatment for constipation in elderly people: a systematic review. Arch Gerontol Geriatr. 2017;71:142–9.PubMedCrossRefGoogle Scholar
  51. 51.
    Toniazzo MP, Amorim PS, Muniz FW, Weidlich P. Relationship of nutritional status and oral health in elderly: systematic review with meta-analysis. Clin Nutr. 2017;Google Scholar
  52. 52.
    Murphy C. The chemical senses and nutrition in older adults. J Nutr Elder. 2008;27(3–4):247–65.PubMedCrossRefGoogle Scholar
  53. 53.
    Gergerich E, Shobe M, Christy K. Sustaining our nation’s seniors through federal food and nutrition programs. J Nutr Gerontol Geriatr. 2015;34(3):273–91.PubMedCrossRefGoogle Scholar
  54. 54.
    Steiner JF, Stenmark SH, Sterrett AT, Paolino AR, Stiefel M, Gozansky WS, et al. Food insecurity in older adults in an integrated health care system. J Am Geriatr Soc. 2018;Google Scholar
  55. 55.
    Deutz NE, Bauer JM, Barazzoni R, Biolo G, Boirie Y, Bosy-Westphal A, et al. Protein intake and exercise for optimal muscle function with aging: recommendations from the ESPEN Expert Group. Clin Nutr. 2014;33(6):929–36.PubMedPubMedCentralCrossRefGoogle Scholar
  56. 56.
    Fulgoni VL 3rd. Current protein intake in America: analysis of the National Health and Nutrition Examination Survey, 2003–2004. Am J Clin Nutr. 2008;87(5):1554S–7S.PubMedCrossRefGoogle Scholar
  57. 57.
    van Vliet S, Burd NA, van Loon LJ. The skeletal muscle anabolic response to plant- versus animal-based protein consumption. J Nutr. 2015;145(9):1981–91.PubMedCrossRefGoogle Scholar
  58. 58.
    Draganidis D, Karagounis LG, Athanailidis I, Chatzinikolaou A, Jamurtas AZ, Fatouros IG. Inflammaging and skeletal muscle: can protein intake make a difference? J Nutr. 2016;146(10):1940–52.PubMedCrossRefGoogle Scholar
  59. 59.
    Devries MC, Phillips SM. Supplemental protein in support of muscle mass and health: advantage whey. J Food Sci. 2015;80(Suppl 1):A8–A15.PubMedCrossRefGoogle Scholar
  60. 60.
    Yu J, Bi X, Yu B, Chen D. Isoflavones: anti-inflammatory benefit and possible caveats. Nutrients. 2016;8(6)Google Scholar
  61. 61.
    Sacks FM, Lichtenstein A, Van Horn L, Harris W, Kris-Etherton P, Winston M, et al. Soy protein, isoflavones, and cardiovascular health: an American Heart Association Science Advisory for professionals from the Nutrition Committee. Circulation. 2006;113(7):1034–44.PubMedCrossRefGoogle Scholar
  62. 62.
    Chalvon-Demersay T, Azzout-Marniche D, Arfsten J, Egli L, Gaudichon C, Karagounis LG, et al. A systematic review of the effects of plant compared with animal protein sources on features of metabolic syndrome. J Nutr. 2017;147(3):281–92.PubMedGoogle Scholar
  63. 63.
    Rietjens I, Louisse J, Beekmann K. The potential health effects of dietary phytoestrogens. Br J Pharmacol. 2017;174(11):1263–80.PubMedCrossRefGoogle Scholar
  64. 64.
    Bedell S, Nachtigall M, Naftolin F. The pros and cons of plant estrogens for menopause. J Steroid Biochem Mol Biol. 2014;139:225–36.PubMedCrossRefGoogle Scholar
  65. 65.
    United States Department of Agriculture. 2015 – 2020 Dietary guidelines for Americans. 8th ed. 2015. Available from: https://health.gov/dietaryguidelines/2015/guidelines/.
  66. 66.
    Haack SA, Byker CJ. Recent population adherence to and knowledge of United States federal nutrition guides, 1992–2013: a systematic review. Nutr Rev. 2014;72(10):613–26.PubMedCrossRefGoogle Scholar
  67. 67.
    Sacks FM, Lichtenstein AH, Wu JHY, Appel LJ, Creager MA, Kris-Etherton PM, et al. Dietary fats and cardiovascular disease: a presidential advisory from the American Heart Association. Circulation. 2017;136(3):e1–e23.PubMedCrossRefGoogle Scholar
  68. 68.
    Patterson E, Wall R, Fitzgerald GF, Ross RP, Stanton C. Health implications of high dietary omega-6 polyunsaturated Fatty acids. J Nutr Metab. 2012;2012:539426.PubMedPubMedCentralCrossRefGoogle Scholar
  69. 69.
    Wiktorowska-Owczarek A, Berezinska M, Nowak JZ. PUFAs: structures, metabolism and functions. Adv Clin Exp Med. 2015;24(6):931–41.PubMedCrossRefGoogle Scholar
  70. 70.
    American Heart Association. Fish and Omega-3 Fatty. 2017. Available from: https://healthyforgood.heart.org/Eat-smart/Articles/Fish-and-Omega-3-Fatty-Acids.
  71. 71.
    Chowdhury R, Warnakula S, Kunutsor S, Crowe F, Ward HA, Johnson L, et al. Association of dietary, circulating, and supplement fatty acids with coronary risk: a systematic review and meta-analysis. Ann Intern Med. 2014;160(6):398–406.PubMedCrossRefGoogle Scholar
  72. 72.
    de Lorgeril M. Mediterranean diet and cardiovascular disease: historical perspective and latest evidence. Curr Atheroscler Rep. 2013;15(12):370.PubMedCrossRefGoogle Scholar
  73. 73.
    Briggs MA, Petersen KS, Kris-Etherton PM. Saturated fatty acids and cardiovascular disease: replacements for saturated fat to reduce cardiovascular risk. Healthcare (Basel). 2017;5:2.Google Scholar
  74. 74.
    Baker NR, Blakely KK. Gastrointestinal disturbances in the elderly. Nurs Clin North Am. 2017;52(3):419–31.PubMedCrossRefGoogle Scholar
  75. 75.
    O’Leary F, Samman S. Vitamin B12 in health and disease. Nutrients. 2010;2(3):299–316.PubMedPubMedCentralCrossRefGoogle Scholar
  76. 76.
    Nair R, Maseeh A. Vitamin D: the “sunshine” vitamin. J Pharmacol Pharmacother. 2012;3(2):118–26.PubMedPubMedCentralGoogle Scholar
  77. 77.
    Boucher BJ. The problems of vitamin D insufficiency in older people. Aging Dis. 2012;3(4):313–29.PubMedPubMedCentralGoogle Scholar
  78. 78.
    Bouillon R, Carmeliet G, Verlinden L, van Etten E, Verstuyf A, Luderer HF, et al. Vitamin D and human health: lessons from vitamin D receptor null mice. Endocr Rev. 2008;29(6):726–76.PubMedPubMedCentralCrossRefGoogle Scholar
  79. 79.
    Bolland MJ, Grey A, Reid IR. Calcium supplements and cardiovascular risk: 5 years on. Ther Adv Drug Saf. 2013;4(5):199–210.PubMedPubMedCentralCrossRefGoogle Scholar
  80. 80.
    Kopecky SL, Bauer DC, Gulati M, Nieves JW, Singer AJ, Toth PP, et al. Lack of evidence linking calcium with or without vitamin D supplementation to cardiovascular disease in generally healthy adults: a clinical guideline from the National Osteoporosis Foundation and the American Society for Preventive Cardiology. Ann Intern Med. 2016;165(12):867–8.PubMedCrossRefGoogle Scholar
  81. 81.
    Sunyecz JA. The use of calcium and vitamin D in the management of osteoporosis. Ther Clin Risk Manag. 2008;4(4):827–36.PubMedPubMedCentralCrossRefGoogle Scholar
  82. 82.
    Killip S, Bennett JM, Chambers MD. Iron deficiency anemia. Am Fam Physician. 2007;75(5):671–8.PubMedGoogle Scholar
  83. 83.
    Fairweather-Tait SJ, Wawer AA, Gillings R, Jennings A, Myint PK. Iron status in the elderly. Mech Ageing Dev. 2014;136–137:22–8.PubMedPubMedCentralCrossRefGoogle Scholar
  84. 84.
    Abbaspour N, Hurrell R, Kelishadi R. Review on iron and its importance for human health. J Res Med Sci. 2014;19(2):164–74.PubMedPubMedCentralGoogle Scholar
  85. 85.
    Clapp JE, Curtis CJ, Kansagra SM, Farley TA. Getting the message right: reducing sodium intake saves lives. Am J Hypertens. 2013;26(10):1181–2.PubMedCrossRefGoogle Scholar
  86. 86.
    Harnack LJ, Cogswell ME, Shikany JM, Gardner CD, Gillespie C, Loria CM, et al. Sources of sodium in US adults from 3 geographic regions. Circulation. 2017;135(19):1775–83.PubMedPubMedCentralCrossRefGoogle Scholar
  87. 87.
    Viera AJ, Wouk N. Potassium disorders: hypokalemia and hyperkalemia. Am Fam Physician. 2015;92(6):487–95.PubMedGoogle Scholar
  88. 88.
    Drewnowski A, Rehm CD, Constant F. Water and beverage consumption among adults in the United States: cross-sectional study using data from NHANES 2005–2010. BMC Public Health. 2013;13:1068.PubMedPubMedCentralCrossRefGoogle Scholar
  89. 89.
    Popkin BM, D’Anci KE, Rosenberg IH. Water, hydration, and health. Nutr Rev. 2010;68(8):439–58.PubMedPubMedCentralCrossRefGoogle Scholar
  90. 90.
    Schols JM, De Groot CP, van der Cammen TJ, Olde Rikkert MG. Preventing and treating dehydration in the elderly during periods of illness and warm weather. J Nutr Health Aging. 2009;13(2):150–7.PubMedCrossRefGoogle Scholar
  91. 91.
    Crogan NL. Nutritional problems affecting older adults. Nurs Clin North Am. 2017;52(3):433–45.PubMedCrossRefGoogle Scholar
  92. 92.
    Freeland-Graves JH, Nitzke S, Academy of Nutrition and Dietetics. Position of the academy of nutrition and dietetics: total diet approach to healthy eating. J Acad Nutr Diet. 2013;113(2):307–17.PubMedCrossRefGoogle Scholar
  93. 93.
    Kris-Etherton P, Eckel RH, Howard BV, St Jeor S, Bazzarre TL, Nutrition Committee Population Science C, et al. AHA Science Advisory: Lyon Diet Heart Study. Benefits of a Mediterranean-style, National Cholesterol Education Program/American Heart Association step I dietary pattern on cardiovascular disease. Circulation. 2001;103(13):1823–5.PubMedCrossRefGoogle Scholar
  94. 94.
    Martinez-Gonzalez MA, Salas-Salvado J, Estruch R, Corella D, Fito M, Ros E, et al. Benefits of the mediterranean diet: insights from the PREDIMED Study. Prog Cardiovasc Dis. 2015;58(1):50–60.PubMedCrossRefGoogle Scholar
  95. 95.
    Sacks FM, Svetkey LP, Vollmer WM, Appel LJ, Bray GA, Harsha D, et al. Effects on blood pressure of reduced dietary sodium and the Dietary Approaches to Stop Hypertension (DASH) diet. DASH-Sodium Collaborative Research Group. N Engl J Med. 2001;344(1):3–10.PubMedCrossRefGoogle Scholar
  96. 96.
    Saneei P, Salehi-Abargouei A, Esmaillzadeh A, Azadbakht L. Influence of Dietary Approaches to Stop Hypertension (DASH) diet on blood pressure: a systematic review and meta-analysis on randomized controlled trials. Nutr Metab Cardiovasc Dis. 2014;24(12):1253–61.PubMedCrossRefGoogle Scholar
  97. 97.
    Morris MC, Tangney CC, Wang Y, Sacks FM, Barnes LL, Bennett DA, et al. MIND diet slows cognitive decline with aging. Alzheimers Dement. 2015;11(9):1015–22.PubMedPubMedCentralCrossRefGoogle Scholar
  98. 98.
    Morris MC, Tangney CC, Wang Y, Sacks FM, Bennett DA, Aggarwal NT. MIND diet associated with reduced incidence of Alzheimer’s disease. Alzheimers Dement. 2015;11(9):1007–14.PubMedPubMedCentralCrossRefGoogle Scholar
  99. 99.
    Morris MC. Nutrition and risk of dementia: overview and methodological issues. Ann N Y Acad Sci. 2016;1367(1):31–7.PubMedPubMedCentralCrossRefGoogle Scholar

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© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of Human Nutrition and Hospitality ManagementUniversity of AlabamaTuscaloosaUSA

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