Abstract
Background
Some authors have indicated that the cognitive decline may be due to an inadequate nutritional status.
Aim of study
To determine the association between food and nutrient intakes and cognitive capacity score in a group of institutionalized elderly people.
Methods
The study subjects were 178 elderly (≥65 years of age) institutionalized people from the Madrid region. The diets of these subjects were recorded using the precise weighing method over a 7-day period, and their cognitive capacity assessed using the Short Portable Mental Status Questionnaire (SPMSQ). Subjects were grouped into those who did not incur errors (SPMSQ = 0) and who incurred one or more errors (SPMSQ > 0). Since an association was seen between the SPMSQ test score and age (r = 0.2030; p < 0.01), the subjects were also grouped according to whether they were above or below the percentile 50 (P50) for this variable (83 years).
Results
The subjects with no errors in the SPMSQ test (32%) consumed greater quantities of cereals, eggs, oils, and fats. After adjusting for energy intake and educational level an inverse association was seen between fish and vegetable consumption and cognitive capacity score. In addition, these subjects had greater intakes of carbohydrates, polyunsaturated fatty acids, riboflavin, and vitamins C, D, and E. After adjusting for energy intake, a negative relationship was found between cognitive capacity score and the intake of fibre, vitamin B6, and folic acid.
Conclusion
In general, the subjects of our study showed an adequate mental capacity, but those who made no errors in the SPMSQ test had more satisfactory diets. This shows the importance of the diet in the maintenance of cognitive function.
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Abbreviations
- SPMSQ:
-
Short Portable Mental State Questionnaire
- MMSE:
-
Mini Mental State Examination
- BMI:
-
Body mass index
- PUFAs:
-
Polyunsaturated fatty acids
- MUFAs:
-
Monounsaturated fatty acids
- SFAs:
-
Saturated fatty acids
References
Bermejo LM, Requejo AM, Aparicio A, Ortega RM (2007) Problemática nutricional de las mujeres de edad avanzada. La alimentación como condicionante de su salud y calidad de vida. In: Ortega RM (ed) Nutrición en población femenina. Desde la infancia a la edad avanzada, Ergón, Madrid, pp 101–115
Ortega RM, Requejo AM, Andrés P, López-Sobaler AM, Quintas E, Redondo R et al (1997) Dietary intake and cognitive function in a group of elderly people. Am J Clin Nutr 66:803–809
Gaugler JE, Duval S, Anderson KA, Kane RL (2007) Predicting nursing home admission in the U.S: a meta-analysis. BMC Geriatr 19:13–27
Requejo AM, Ortega RM, Robles F, Navia B, Faci M, Aparicio A (2003) Influence of nutrition on cognitive function in a group of elderly, independently living people. Eur J Clin Nutr 57(Suppl 1):S54–S57
Meertens L, Solano L (2005) Vitamin B12, folic acid and mental function in the elderly. Invest Clin 46:53–63
Miller AL (2003) The methionine-homocysteine cycle and its effects on cognitive diseases. Altern Med Rev 8:7–19
Selhub J, Bagley LC, Miller J, Rosenberg IH (2000) B vitamins, homocysteine, and neurocognitive function in the elderly. Am J Clin Nutr 71(2):S614–S620
Aparicio A, Bermejo LM, Rodríguez-Rodríguez E, Andrés P, Ortega RM, López-Sobaler AM (2008) Influenced of vitamin E status on cognitive function in elderly people. Eur J Nutraceuticals Funct Foods 19:30–32
Honda K, Casadesus G, Petersen RB, Perry G, Smith MA (2004) Oxidative stress and redox-active iron in Alzheimer’s disease. Ann N Y Acad Sci 1012:179–182
Ortega RM, Requejo AM, López-Sobaler AM, Andrés P, Navia B, Perea JM, Robles F (2002) Cognitive function in elderly people is influenced by vitamin E status. J Nutr 132(7):2065–2068
Wengreen HJ, Munger RG, Corcoran CD, Zandi P, Hayden KM, Fotuhi M, Skoog I, Norton MC, Tschanz J, Breitner JC, Welsh-Bohmer KA (2007) Antioxidant intake and cognitive function of elderly men and women: the Cache County Study. J Nutr Health Aging 11:230–237
Tabet N, Mantle D, Walker Z, Orrell M (2002) Endogenous antioxidants activities in relation to concurrent vitamins A, C, and E intake in dementia. Int Psychogeriatr 14:7–15
Bermejo LM, Aparicio A, Andrés P, López-Sobaler AM, Ortega RM (2006) The influence of fruit and vegetable intake on the nutritional status and plasma homocysteine levels of institutionalised elderly people. Public Health Nutr 10(3):266–272
Rodríguez-Rodríguez E, Ortega RM, López-Sobaler AM, Aparicio A, Bermejo LM, Marín-Arias L (2006) The relationship between antioxidant nutrient intake and cataracts in older people. Int J Vitam Nutr Res 76:359–366
De La Cámara C, Lobo A, Saz P, Día JL, Grupo ZARADEMP (1998) The MMSE and other screening instruments in dementia. Inf Psiquiátr 153–154:325–336
Ortega RM, Povea FI (2006) Estudio dietético. In: Requejo AM, Ortega RM (eds) Nutriguía. Manual de nutrición clínica en atención primaria. Editorial Complutense, Madrid, pp 335–345
Ortega RM, López-Sobaler AM, Andrés P, Requejo AM, Aparicio A, Molinero LM (2004) DIAL software for assessing diets and food calculations. Departamento de Nutrición (UCM) and Alce Ingeniería, S.A. Madrid. http://www.alceingenieria.net/nutricion.htm. Accessed 10 Feb 2009
Ortega RM, López-Sobaler AM, Requejo AM, Andrés P (2008) La composición de los alimentos. Herramienta básica para la valoración nutricional. Editorial Complutense, Madrid
World Health Organization (1985) Requirements of energy and proteins. Report of a joint FAO/WHO/ONU expert consultation, World Health Organization: Geneva. Technical report series 724, pp 71–80
Dallosso HM, Morgan K, Bassey EJ, Ebrahim SB, Fentem PH, Arie TH (1998) Levels of customary physical activity among the old and very old living at home. J Epidemiol Community Health 42:121–127
World Health Organization (1995) The use and interpretation of anthropometry—Report of a WHO Expert Committee. Technical report series 854, World Health Organization, Geneva
García-Montalvo JL, Rodríguez L, Ruipérez I (1992) Valoración del cuestionario de Pfeiffer y la escala de incapacidad mental de la Cruz Roja en la detección del deterioro mental en los pacientes externos de un servicio de geriatría. Rev Esp Geriatr Gerontol 27:129–133
Ichazo B, Vila J, Sancho R, Alegre N (2004) Valoración de dependencias y salud geriátrica. Aten Primaria 34:504–509
Yeh SC, Liu YY (2003) Influence of social support on cognitive function in the elderly. BCM Health Serv Res 3(1):9
Molaschi M, Ponzetto M, D’Agostino E, Francisetti F, Maero B, Maina P et al (2001) Assessment of cognitive and functional status in hospitalized elderly. Recenti Prog Med 92:327–331
Ortega RM, Rodríguez L, Andrés P, Gaspar MJ, Robles F, Jiménez A et al (1996) Functional and psychic deterioration in elderly people may be aggravated by folate deficiency. J Nutr 126(8):1992–1999
Ullegaddi R, Powers HJ, Gariballa SE (2004) B-group vitamin supplementation mitigates oxidative damage after acute ischaemic stroke. Clin Sci (Lond) 107:477–484
Ortega RM, Jiménez A, Andres P, Faci M, Lolo JM, Lozano MC, Bermejo LM, López-Sobaler AM, Requejo AM (2002) Homocysteine levels in elderly Spanish people: influence of pyridoxine, vitamin B12 and folic acid intakes. J Nutr Health Aging 6:69–71
Fillenbaum GG, Kuchibhatla MN, Hanlon JT, Artz MB, Pieper CF, Schmader KE, Dysken MW, Gray SL (2005) Dementia and Alzheimer’s disease in community-dwelling elders taking vitamin C and/or vitamin E. Ann Pharmacother 39:2009–2014
Wolters M, Hickstein M, Flintermann A, Tewes U, Hahn A (2005) Cognitive performance in relation to vitamin status in healthy elderly German women-the effect of 6-month multivitamin supplementation. Prev Med 41:253–259
Ravaglia G, Forti P, Lucicesare A, Pisacane N, Rietti E, Mangialashe F, Cecchetti R, Patterson C, Mecocci P (2008) Plasma tocopherols and risk of cognitive impairment in an elderly Italian cohort. Am J Clin Nutr 87:1306–1313
Kang JH, Grodstein F (2008) Plasma carotenoids and tocopherols and cognitive function: a prospective study. Neurobiol Aging 29:1394–1403
Maxwell CJ, Hicks MS, Hogan DB, Basran J, Ebly EM (2005) Supplemental use of antioxidant vitamins and subsequent risk of cognitive decline and dementia. Dement Geriatr Cogn Disord 20:45–51
Zandi PP, Anthony JC, Khachaturian AS, Stone SV, Gustafson D, Tschanz JT et al (2004) Reduced risk of Alzheimer disease in users of antioxidant vitamin supplements: the Cache County Study. Arch Neurol 61:82–88
Salerno-Kennedy R, Cashman KD (2007) The relationship between nutrient intake and cognitive performance in people at risk of dementia. Ir J Med Sci 176:193–198
Kalmjin S, van Boxtel MP, Ocké M, Verschuren WM, Kromhout D, Launer LJ (2004) Dietary intake of fatty acids in relation to cognitive performance at middle age. Neurology 62:275–280
Van Gelder BM, Tijhuis M, Kalmjin S, Kromhout D (2007) Fish consumption, n-3 fatty acids, and subsequent 5-y cognitive decline in elderly men: the Zutphen Elderly Study. Am J Clin Nutr 85:1142–1147
Larrieu S, Letenneur L, Helmer C, Dartigues JF, Barberger-Gateau P (2004) Nutritional factors and risk of incident dementia in the PAQUID longitudinal cohort. J Nutr Health Aging 8:150–154
Kalmjin S (2000) Fatty acid intake and the risk of dementia and cognitive decline: a review of clinical and epidemiological studies. J Nutr Health Aging 4:202–207
Youdim KA, Martin A, Joseph JA (2000) Essential fatty acids and the brain: possible health implications. Int J Dev Neurosci 18:383–399
Cooper JL (2003) Dietary lipids in the aetiology of Alzheimer’s disease: implications for therapy. Drugs Aging 20:399–418
Mesulam M (2004) The cholinergic lesion of Alzheimer’s disease: pivotal factor or side show? Learn Mem 11:43–49
Terry AV Jr, Buccafusco JJ (2003) The cholinergic hypothesis of age and Alzheimer’s disease-related cognitive deficits: recent challenges and their implications for novel drug development. J Pharmacol Exp Ther 306:821–827
Acknowledgment
This work was funded by Unilever Netherlands via the Universidad-Empresa project (138/2000).
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The authors declare that they have no conflict of interest.
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Aparicio Vizuete, A., Robles, F., Rodríguez-Rodríguez, E. et al. Association between food and nutrient intakes and cognitive capacity in a group of institutionalized elderly people. Eur J Nutr 49, 293–300 (2010). https://doi.org/10.1007/s00394-009-0086-y
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DOI: https://doi.org/10.1007/s00394-009-0086-y