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Wu PY, Chen KM, Belcastro F. Dietary patterns and depression risk in older adults: systematic review and meta-analysis. Nutr Rev 2020; 79:976-987. [PMID: 33236111 DOI: 10.1093/nutrit/nuaa118] [Citation(s) in RCA: 23] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023] Open
Abstract
CONTEXT Diet may be one of the modifiable environmental factors that could reduce depressive symptoms or abate the development of depression without side effects. However, previous reviews mainly focused on general adult populations. OBJECTIVE The aim of this systematic review and meta-analysis was to explore the association between healthy dietary patterns and depression risk in older adults. DATA SOURCES Eight databases were searched up to September 2019. The inclusion criteria were older adults aged ≥ 65 years, healthy dietary patterns, depression assessed by a physician or by validated screening tools, and quantitative study design. DATA EXTRACTION Data were extracted independently by 2 researchers, and the Preferred Reporting Items for Systematic Reviews and Meta-analyses guideline was followed. DATA ANALYSIS Meta-analysis was conducted by calculating the pooled odds ratio (OR) and 95% CIs. A total of 18 eligible studies were meta-analyzed. Results showed that a healthy dietary pattern is associated with a reduced risk of depression in older adults (OR, 0.85; 95%CI, 0.78-0.92; P < 0.001). There was high heterogeneity (I2 = 64.9%; P < 0.001) among the studies. Subgroup analyses indicated that sample size and depression screening tools were the main sources of study heterogeneity. CONCLUSIONS An inverse association between healthy dietary patterns and depression risk in older adults was found. However, the high heterogeneity among the studies should be considered. SYSTEMATIC REVIEW REGISTRATION PROSPERO registration no. CRD 42020169195.
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Affiliation(s)
- Pei-Yu Wu
- Center for Long-Term Care Research, Kaohsiung Medical University, Kaohsiung, Taiwan
| | - Kuei-Min Chen
- Center for Long-Term Care Research, Kaohsiung Medical University, Kaohsiung, Taiwan.,College of Nursing; and the Department of Medical Research, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
| | - Frank Belcastro
- Department of Education and Psychology, University of Dubuque, Dubuque, Iowa, USA
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Soriano G, De Barreto PS, Rolland Y, Plessz M, Goisser S, Guyonnet S, Fougère B, Vellas B, Andrieu S, Sourdet S. Ready-meal consumption in older people: association with obesity and dietary intake. Aging Clin Exp Res 2019; 31:855-861. [PMID: 30353355 DOI: 10.1007/s40520-018-1043-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2018] [Accepted: 09/21/2018] [Indexed: 11/30/2022]
Abstract
OBJECTIVE To investigate ready-meal consumption trends in older French people, its association with overall diet quality and obesity. DESIGN Cross-sectional analysis SETTING: Multidomain Alzheimer Preventive Trial (MAPT), France SUBJECTS: 421 MAPT participants (mean age 76.8 years) who filled a food frequency questionnaire. RESULTS The frequency of ready-meal consumption was low, with nearly 90% of participants declaring consuming ≤ 1 ready-meal per week. Compared to non- and low-consumers (≤ 1 ready-meal/week), regular consumers (≥ 2 ready-meals/week) were older (p < 0.01), more often frail and pre-frail (p 0.04), with impaired cognition (p = 0.02) and functional status (p = 0.02), with more depressive symptoms (p = 0.03) and more difficulties with preparing meals (p = 0.01). Results from multivariate analyses showed that regular ready-meal consumption was not associated with obesity (p = 0.26) and diet quality (p = 0.37). CONCLUSIONS In our sample, few older people declared consumption of 2 or more ready-meals per week, this consumption was not associated with a higher prevalence of obesity or a lower diet quality, despite the fact that these subject were older, with a lower physical and cognitive status. These findings suggest that, for these people with difficulties in meal preparation, convenience foods consumed occasionally could help to maintain diet quality and weight status.
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Affiliation(s)
- Gaëlle Soriano
- Institut du Vieillissement, Gérontopôle, Université Toulouse III Paul Sabatier, 37, Allées Jules Guesde, 31000, Toulouse, France.
- Inserm UMR1027, Université de Toulouse III Paul Sabatier, Toulouse, France.
| | - Philippe Souto De Barreto
- Institut du Vieillissement, Gérontopôle, Université Toulouse III Paul Sabatier, 37, Allées Jules Guesde, 31000, Toulouse, France
- Inserm UMR1027, Université de Toulouse III Paul Sabatier, Toulouse, France
| | - Yves Rolland
- Institut du Vieillissement, Gérontopôle, Université Toulouse III Paul Sabatier, 37, Allées Jules Guesde, 31000, Toulouse, France
- Inserm UMR1027, Université de Toulouse III Paul Sabatier, Toulouse, France
| | | | - Sabine Goisser
- Institut du Vieillissement, Gérontopôle, Université Toulouse III Paul Sabatier, 37, Allées Jules Guesde, 31000, Toulouse, France
- Institute for Biomedicine of Aging (IBA), Friedrich-Alexander-Universität (FAU) Erlangen-Nürnberg, Nuremberg, Germany
| | - Sophie Guyonnet
- Institut du Vieillissement, Gérontopôle, Université Toulouse III Paul Sabatier, 37, Allées Jules Guesde, 31000, Toulouse, France
- Inserm UMR1027, Université de Toulouse III Paul Sabatier, Toulouse, France
| | - Bertrand Fougère
- Institut du Vieillissement, Gérontopôle, Université Toulouse III Paul Sabatier, 37, Allées Jules Guesde, 31000, Toulouse, France
| | - Bruno Vellas
- Institut du Vieillissement, Gérontopôle, Université Toulouse III Paul Sabatier, 37, Allées Jules Guesde, 31000, Toulouse, France
- Inserm UMR1027, Université de Toulouse III Paul Sabatier, Toulouse, France
| | - Sandrine Andrieu
- Institut du Vieillissement, Gérontopôle, Université Toulouse III Paul Sabatier, 37, Allées Jules Guesde, 31000, Toulouse, France
- Inserm UMR1027, Université de Toulouse III Paul Sabatier, Toulouse, France
| | - Sandrine Sourdet
- Institut du Vieillissement, Gérontopôle, Université Toulouse III Paul Sabatier, 37, Allées Jules Guesde, 31000, Toulouse, France
- Inserm UMR1027, Université de Toulouse III Paul Sabatier, Toulouse, France
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Mazza E, Fava A, Ferro Y, Moraca M, Rotundo S, Colica C, Provenzano F, Terracciano R, Greco M, Foti D, Gulletta E, Russo D, Bosco D, Pujia A, Montalcini T. Impact of legumes and plant proteins consumption on cognitive performances in the elderly. J Transl Med 2017; 15:109. [PMID: 28532453 PMCID: PMC5440936 DOI: 10.1186/s12967-017-1209-5] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2017] [Accepted: 05/12/2017] [Indexed: 12/14/2022] Open
Abstract
BACKGROUND Numerous studies have investigated the role of the dietary factors in the prevention of cognitive decline but the short-term effects of foods choice on cognitive performances in the elderly are poorly explored. Our aim was to investigate the choice of foods among elderly Italian individuals and the association with cognitive function. METHODS In this longitudinal study, the participants were 214 individuals aged ≥65 years with a score >20 at the Mini Mental State Examination. The cognitive sub-test of ADAScale was used to detect cognitive decline progression over 12 months. Food choices was measured by a combination of a 24-h recall and a seven-day diet record and Principal Components Analysis. RESULTS The Principal Components Analysis identified four food and four nutrient patterns. MMSE and ADAS-cog score after 1 year were found to be associated with legumes pattern (B = 0.25, p = 0.007; 95% CI 0.07/0.44; and B = -0.10, p = 0.006; CI -0.79/-0.30, respectively). A dietary pattern including plant proteins was independently associated with an improved ADAS-cog after 1 year (B = 0.584, p = 0.04; OR 1.79, CI 0.04-0.42). CONCLUSIONS The Principal Components Analysis is useful to investigate the choice of foods and nutrients in the elderly. We demonstrated an association between legumes pattern with cognitive performances.
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Affiliation(s)
- Elisa Mazza
- Department of Clinical and Experimental Medicine, Nutrition Unit, University Magna Grecia, Viale S. Venuta, 88100, Catanzaro, Italy
| | - Antonietta Fava
- Department of Medical and Surgical Science, Nutrition Unit, University Magna Grecia, Catanzaro, Italy
| | - Yvelise Ferro
- Department of Medical and Surgical Science, Nutrition Unit, University Magna Grecia, Catanzaro, Italy
| | - Marta Moraca
- Department of Medical and Surgical Science, Nutrition Unit, University Magna Grecia, Catanzaro, Italy
| | - Stefania Rotundo
- Department of Medical and Surgical Science, Nutrition Unit, University Magna Grecia, Catanzaro, Italy
| | - Carmela Colica
- Department of Pharmacology, CNR, ISN, University Magna Graecia, Catanzaro, Italy
| | - Francesco Provenzano
- Department of Clinical and Experimental Medicine, Nutrition Unit, University Magna Grecia, Viale S. Venuta, 88100, Catanzaro, Italy
| | - Rosa Terracciano
- Department of Health Science, Laboratory Unit, University Magna Grecia, Catanzaro, Italy
| | - Marta Greco
- Department of Health Science, Laboratory Unit, University Magna Grecia, Catanzaro, Italy
| | - Daniela Foti
- Department of Health Science, Laboratory Unit, University Magna Grecia, Catanzaro, Italy
| | - Elio Gulletta
- Department of Health Science, Laboratory Unit, University Magna Grecia, Catanzaro, Italy
| | - Diego Russo
- Department of Health Science, Laboratory Unit, University Magna Grecia, Catanzaro, Italy
| | - Domenico Bosco
- Neurology Unit, S. Giovanni di Dio Hospital, Crotone, Italy
| | - Arturo Pujia
- Department of Medical and Surgical Science, Nutrition Unit, University Magna Grecia, Catanzaro, Italy
| | - Tiziana Montalcini
- Department of Clinical and Experimental Medicine, Nutrition Unit, University Magna Grecia, Viale S. Venuta, 88100, Catanzaro, Italy.
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