DASH and Mediterranean-Type Dietary Patterns to Maintain Cognitive Health

Current Nutrition Reports

Volumn 3, Issue 1, 2014, Pages 51-61

  Tangney, Christy C ^a  

^a RUSH UNIVERSITY MEDICAL CENTER   (United States)

Author keywords

Accordance; Adherence; Alzheimer's disease; Cognitive decline; DASH diet; Dementia; Diet patterns; Dietary scores; Incident dementia; Mediterranean diet; Mild cognitive impairment

Indexed keywords

ALZHEIMER DISEASE; CLINICAL TRIAL (TOPIC); COGNITION; DASH DIET; DIET; DIETARY COMPLIANCE; FOLLOW UP; FOOD FREQUENCY QUESTIONNAIRE; HUMAN; MEDITERRANEAN DIET; MILD COGNITIVE IMPAIRMENT; OUTCOME ASSESSMENT; PRIORITY JOURNAL; REVIEW; SCORING SYSTEM;

EID: 84906222633     PISSN: None     EISSN: 21613311     Source Type: Journal    
DOI: 10.1007/s13668-013-0070-2     Document Type: Review

References (56)

1. Appel LJ, Brands MW, Daniels SR, Karanja N, Elmer PJ, Sacks FM, et al. Dietary approaches to prevent and treat hypertension: a scientific statement from the American Heart Association. Hypertension. 2006;47: 296-308.
2. Ard JD, Grambow SC, Liu D, Slentz CA, Kraus WE, Svetkey LP. PREMIER s. The effect of the PREMIER interventions on insulin sensitivity. Diabetes Care. 2004;27: 340-7.
3. Saczynski JS, Jonsdottir MK, Garcia ME, Jonsson PV, Peila R, Eiriksdottir G, et al. Cognitive impairment: an increasingly important complication of type 2 diabetes: the age, gene/environment susceptibility-Reykjavik study. Am J Epidemiol. 2008;168: 1132-9.
4. Kivipelto M, Ngandu T, Fratiglioni L, Viitanen M, Kareholt I, Winblad B, et al. Obesity and vascular risk factors at midlife and the risk of dementia and Alzheimer disease. Arch Neurol. 2005;62: 1556-60.
5. Novak V, Hajjar I. The relationship between blood pressure and cognitive function. Nat Rev Cardiol. 2010;7: 686-98.
6. Mitrou PN, Kipnis V, Thiebaut AC, Reedy J, Subar AF, Wirfalt E, et al. Mediterranean dietary pattern and prediction of all-cause mortality in a US population: results from the NIH-AARP Diet and Health Study. Arch Intern Med. 2007;167: 2461-8.
7. Martinez-Gonzalez MA, de la Fuente-Arrillaga C, Nunez-Cordoba JM, Basterra-Gortari FJ, Beunza JJ, Vazquez Z, et al. Adherence to Mediterranean diet and risk of developing diabetes: prospective cohort study. BMJ. 2008;336: 1348-51.
8. Gardener H, Wright CB, Gu Y, Demmer RT, Boden-Albala B, Elkind MS, et al. Mediterranean-style diet and risk of ischemic stroke, myocardial infarction, and vascular death: the Northern Manhattan Study. Am J Clin Nutr. 2011;94: 1458-64.
9. Lourida I, Soni M, ThompsonCoon J, Purandare N, Lang IA, Ukoumunne OC, et al. Mediterranean diet, cognitive function, and dementia: a systematic review. Epidemiology. 2013;24: 479-89. This excellent systematic review addresses many issues surrounding the role of a Mediterranean diet and cognitive health. Their critique largely focuses on how cognitive outcomes are measured (specific tests) what covariates are included, whether reliability and validity of diet measures was reported, etc.
10. Obarzanek E, Vollmer WM, Lin PH, Cooper LS, Young DR, Ard JD, et al. Effects of individual components of multiple behavior changes: the PREMIER trial. Am J Health Behav. 2007;31: 545-60.
11. Sacks FM, Campos H. Dietary therapy in hypertension. N Engl J Med. 2010;362: 2102-12.
12. Keys A. How to eat well and stay well the Mediterranean way. New York: Doubleday; 1975.
13. Willett WC, Sacks F, Trichopoulou A, Drescher G, Ferro-Luzzi A, Helsing E, et al. Mediterranean diet pyramid: a cultural model for healthy eating. Am J Clin Nutr. 1995;61: 1402S-6S.
14. de Souza RJ, Swain JF, Appel LJ, Sacks FM. Alternatives for macronutrient intake and chronic disease: a comparison of the OmniHeart diets with popular diets and with dietary recommendations. Am J Clin Nutr. 2008;88: 1-11.
15. Leuenberger V, Gache P, Sutter K, Rieder Nakhle A. High blood pressure and alcohol consumption. Rev Med Suisse. 2006;2: 2041-2.
16. Simopoulos AP. The Mediterranean diets: What is so special about the diet of Greece? The scientific evidence. J Nutr. 2001;131: 3065S-73S.
17. Hoffman R, Gerber M. Evaluating and adapting the Mediterranean diet for non-Mediterranean populations: a critical appraisal. Nutr Rev. 2013;71: 573-84. This paper is an excellent review of the changes and differences in the Mediterranean foods that constitute this healthy lifestyle. How such foods are prepared and grown gives us insight into how crude our dietary indices may be because such differences are missed.
18. Bach-Faig A, Berry EM, Lairon D, Reguant J, Trichopoulou A, Dernini S, et al. Mediterranean diet pyramid today. Science and cultural updates. Public Health Nutr. 2011;14: 2274-84.
19. Folsom AR, Parker ED, Harnack LJ. Degree of concordance with DASH diet guidelines and incidence of hypertension and fatal cardiovascular disease. Am J Hypertens. 2007;20: 225-32.
20. Epstein DE, Sherwood A, Smith PJ, Craighead L, Caccia C, Lin P, et al. Determinants and consequences of adherence to the dietary approaches to stop hypertension diet in African-American and white adults with high blood pressure: results from the ENCORE trial. J Acad Nutr Diet. 2012;112: 1763-73. This is a key paper describing the dietary treatments and how DASH adherence was assessed in a trial designed to improve cardiovascular outcomes in a high risk US population in which repeat cognitive testing has occurred over a short 4 month period. The trial involved two active treatments--- a DASH dietary modification or a DASH dietary modification plus weight loss against usual care.
21. Fung TT, Chiuve SE, McCullough ML, Rexrode KM, Logroscino G, Hu FB. Adherence to a DASH-style diet and risk of coronary heart disease and stroke in women. Arch Intern Med. 2008;168: 713-20.
22. Trichopoulou A, Costacou T, Bamia C, Trichopoulos D. Adherence to a Mediterranean diet and survival in a Greek population. N Engl J Med. 2003;348: 2599-608.
23. Fung TT, Rexrode KM, Mantzoros CS, Manson JE, Willett WC, Hu FB. Mediterranean diet and incidence of and mortality from coronary heart disease and stroke in women. Circulation. 2009;119: 1093-100.
24. Panagiotakos DB, Pitsavos C, Arvaniti F, Stefanadis C. Adherence to the Mediterranean food pattern predicts the prevalence of hypertension, hypercholesterolemia, diabetes and obesity, among healthy adults; the accuracy of the MedDietScore. Prev Med. 2007;44: 335-40.
25. Estruch R, Ros E, Salas-Salvado J, Covas MI, Corella D, Aros F, et al. Primary prevention of cardiovascular disease with a Mediterranean diet. N Engl J Med. 2013;368: 1279-90. This paper described a large parallel group randomized clinical trial of 2 Medit interventions versus low fat control on cardiovascular outcomes. It is an important primary prevention trial, in which repeated diet measurements of adherence are reported.
26. Schroder H, Fito M, Estruch R, Martinez-Gonzalez MA, Corella D, Salas-Salvado J, et al. A short screener is valid for assessing Mediterranean diet adherence among older Spanish men and women. J Nutr. 2011;141: 1140-5.
27. Brookmeyer R, Johnson E, Ziegler-Graham K, Arrighi HM. Forecasting the global burden of Alzheimer's disease. Alzheimers Dement. 2007;3: 186-91.
28. Panza F, Frisardi V, Capurso C, D'Introno A, Colacicco AM, Imbimbo BP, et al. Late-life depression, mild cognitive impairment, and dementia: possible continuum? Am J Geriatr Psychiatr. 2010;18: 98-116.
29. Panza F, D'Introno A, Colacicco AM, Capurso C, Del Parigi A, Caselli RJ, et al. Current epidemiology of mild cognitive impairment and other predementia syndromes. Am J Geriatr Psychiatr. 2005;13: 633-44.
30. Morris MC, Evans DA, Hebert LE, Bienias JL. Methodological issues in the study of cognitive decline. Am J Epidemiol. 1999;149: 789-93.
31. Smith PJ, Blumenthal JA, Babyak MA, Craighead L, Welsh-Bohmer KA, Browndyke JN, et al. Effects of the dietary approaches to stop hypertension diet, exercise, and caloric restriction on neurocognition in overweight adults with high blood pressure. Hypertension. 2010;55: 1331-8. This paper describes a trial designed to improve cardiovascular outcomes in a high-risk U. S. population sample in which repeat cognitive testing has occurred over a short 4-month period. The trial involved two active treatments-a DASH dietary modification or a DASH dietary modification plus weight loss against usual care. Cognitive improvements were noted in both DASH interventions.
32. Tangney C, Li H, Barnes LL, Schneider J, Bennett D, Morris M. Accordance to dietary approaches to stop hypertension (DASH) is associated with slower cognitive decline. Alzheimers Dement. 2013;9: P135. In this abstract, the investigators describe the associations between DASH accordance scores and cognitive changes in more than 800 older adults in the MAP cohort. All cognitive domains were inversely associated with DASH scores. Individual DASH scores also were examined.
33. Norton MC, Dew J, Smith H, Fauth E, Piercy KW, Breitner JC, et al. Lifestyle behavior pattern is associated with different levels of risk for incident dementia and Alzheimer's disease: the Cache County study. J Am Geriatr Soc. 2012;60: 405-12.
34. Wengreen H, Munger RG, Cutler A, Quach A, Bowles A, Corcoran C, et al. Prospective study of dietary approaches to stop hypertension- and Mediterranean-style dietary patterns and age-related cognitive change: the cache county study on memory, health and aging. Am J Clin Nutr. 2013;98: 1272-81. This is a key paper of a U. S. cohort of 3, 861 men and women in whom both DASH and Medit scores were assessed in relation to repeated cognitive measures. Higher scores of each pattern were consistently associated higher cognitive function over an 11-year period.
35. KesseGuyot E, Andreeva VA, Lassale C, Ferry M, Jeandel C, Hercberg S, et al. the SU. VI. MAX Research Group. Mediterranean diet and cognitive function: a French study1-4. Am J Clin Nutr. 2013;97: 369-76.
36. Scarmeas N, Stern Y, Mayeux R, Luchsinger JA. Mediterranean diet, Alzheimer disease, and vascular mediation. Arch Neurol. 2006;63: 1709-17.
37. Scarmeas N, Luchsinger JA, Schupf N, Brickman AM, Cosentino S, Tang MX, et al. Physical activity, diet, and risk of Alzheimer disease. JAMA. 2009;302: 627-37. Both greater physical activity and great accordance to a Medit pattern were independently associated with lower risk of Alzheimer's disease in two N. Y. cohorts.
38. Scarmeas N, Stern Y, Mayeux R, Manly JJ, Schupf N, Luchsinger JA. Mediterranean diet and mild cognitive impairment. Arch Neurol. 2009;66: 216-25.
39. Gu Y, Luchsinger JA, Stern Y, Scarmeas N. Mediterranean diet, inflammatory and metabolic biomarkers, and risk of Alzheimer's disease. J Alzheimers Dis. 2010;22: 483-92.
40. Feart C, Samieri C, Rondeau V, Amieva H, Portet F, Dartigues JF, et al. Adherence to a Mediterranean diet, cognitive decline, and risk of dementia. JAMA. 2009;302: 638-48.
41. Tsivgoulis G, Judd S, Letter AJ, Alexandrov AV, Howard GDH, Nahab F, et al. Adherence to a Mediterranean diet and risk of incident cognitive impairment. Neurology. 2013;80: 1684-92.
42. Samieri C, Grodstein F, Rosner BA, Kang JH, Cook NR, Manson JE, et al. Mediterranean diet and cognitive function in older age. Epidemiology. 2013;24: 490-9. In a cognitive substudy of 6, 174 older women from the Women's Health study, diet information was obtained in 1998 and the alternate MeDi scores calculated. Five years later, a series of cognitive tests were administered, followed by assessments 2 years later and again in 4 years. The aMeDi scores were not associated with cognitive changes.
43. Samieri C, Okereke OI, Devore EE, Grodstein F. Long-term adherence to the Mediterranean diet is associated with overall cognitive status, but not cognitive decline, in women. J Nutr. 2013;143: 493-9.
44. Tangney CC, Kwasny MJ, Li H, Wilson RS, Evans DA, Morris MC. Adherence to a Mediterranean-type dietary pattern and cognitive decline in a community population. Am J Clin Nutr. 2011;93: 601-7. In a Chicago-based cohort of 3, 780 older persons (60% black, 40% male), diet was assessed with a FFQ and MedDiet scores constructed. These scores were inversely related to global cognitive changes.
45. Vercambre M, Grodstein F, Berr C, Kang JH. Mediterranean Diet and Cognitive Decline in Women with Cardiovascular Disease or Risk Factors. J Acad Nutr Diet. 2012;112: 816-23. In this all female cohort, the Womens' Antioxidant Cardiovascular study, two different Medit scores were calculated for 2, 504 persons aged 65 years or more. Neither score was related to cognitive decline over 5. 4 years.
46. Roberts RO, Geda YE, Cerhan JR, Knopman DS, Cha RH, Christianson TJ, et al. Vegetables, unsaturated fats, moderate alcohol intake, and mild cognitive impairment. Dement Geriatr Cogn Disord. 2010;29: 413-23.
47. Appel LJ, Moore TJ, Obarzanek E, Vollmer WM, Svetkey LP, Sacks FM, et al. A clinical trial of the effects of dietary patterns on blood pressure. DASH Collaborative Research Group. N Engl J Med. 1997;336: 1117-24.
48. Lin PH, Appel LJ, Funk K, Craddick S, Chen C, Elmer P, et al. The PREMIER intervention helps participants follow the Dietary Approaches to Stop Hypertension dietary pattern and the current Dietary Reference Intakes recommendations. J Am Diet Assoc. 2007;107: 1541-51.
49. Scarmeas N, Stern Y, Tang MX, Mayeux R, Luchsinger JA. Mediterranean diet and risk for Alzheimer's disease. Ann Neurol. 2006;59: 912-21.
50. Psaltopoulou T, Kyrozis A, Stathopoulos P, Trichopoulos D, Vassilopoulos D, Trichopoulou A. Diet, physical activity and cognitive impairment among elders: the EPIC-Greece cohort (European Prospective Investigation into Cancer and Nutrition). Public Health Nutr. 2008;11: 1054-62.
51. Cherbuin N, Kumar R, Anstey K. Caloric intake, but not the Mediterranean diet, is associated with cognition and mild cognitive impairment. Alzheimers Dement. 2011;7: S691.
52. Cherbuin N, Anstey KJ. The Mediterranean diet is not related to cognitive change in a large prospective investigation: the PATH Through Life study. Am J Geriatr Psychiatr. 2012;20: 635-9.
53. Gardener S, Gu Y, Rainey-Smith SR, Keogh JB, Clifton PM, Mathieson SL, et al. Adherence to a Mediterranean diet and Alzheimer's disease risk in an Australian population. Transl Psychiatry. 2012;2: e164.
54. Martínez-Lapiscina EH, Clavero P, Toledo E, Estruch R, Salas-Salvadó J, Julián BS, Sanchez-Tainta A, Ros E, Valls-Pedret C, Martinez-Gonzalez MA. Mediterranean diet improves cognition: The PREDIMED-NAVARRA randomised trial. J Neurol Neurosurg Psychiatry 2013;.
55. Godin G, Shephard RJ. A simple method to assess exercise behavior in the community. Can J Appl Sport Sci. 1985;10: 141-6.
56. Rumawas ME, Dwyer JT, McKeown NM, Meigs JB, Rogers G, Jacques PF. The development of the Mediterranean-style dietary pattern score and its application to the American diet in the Framingham Offspring Cohort. J Nutr. 2009;139: 1150-6.