Abstract
Background: Latinos experience a disproportionate burden of chronic disease (e.g., diabetes, obesity, depression), which increases their risk for cognitive decline. Evidence suggests that healthy dietary patterns may be positively associated with cognitive function and psychosocial outcomes; however, there is a paucity of studies examining dietary patterns among Latinos. The purpose of the present study was to examine relationships between Mediterranean-DASH Intervention for Neurodegenerative Delay (MIND), the Mediterranean diet, cognition, and psychological distress among middle-aged and older Latinos.
Methods: A cross-sectional study was conducted among Latinos (N = 61; Mage = 58.59 ± 8.66, 67% female). Food consumption was assessed using the Block 2005 Food Frequency Questionnaire and was used to compute MIND and Mediterranean diet scores. NIH Toolbox was used to assess perceived stress, general life satisfaction, sadness, and loneliness. Multiple linear regressions with adjustment for covariates (e.g., age, sex, and education) were conducted. Results: MIND diet scores significantly predicted executive function (β = .301, p = .018) and did not significantly predict other domains of cognition or psychological distress. The MedDiet scores significantly predicted perceived stress levels (β = −.437, p = .001), general life satisfaction (β = .411, p = .002), sadness (β = −.335, p = .039), and digit span backward scores (β = −.326, p = .020); however, the MedDiet did not significantly predict loneliness (β = −.097, p = .500), or any other domains of cognition.
Discussion: Findings demonstrate that the MIND diet was associated with better executive function while the MedDiet was associated with reduced stress and sadness as well as increased life satisfaction. Future studies may consider culturally tailoring dietary patterns for Latinos to increase adherence and thereby improve cognitive and psychological outcomes.
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References
Administration for Community Living. (2020). Profile of older Americans. https://acl.gov/aging-and-disability-in-america/data-and-research/profile-older-americans
Block, G., Wakimoto, P., Jensen, C., Mandel, S., & Green, R. R. (2006). Validation of a food frequency questionnaire for Hispanics. Preventing Chronic Disease, 3(3), A77.
Bonaccio, M., Di Castelnuovo, A., Costanzo, S., Pounis, G., Persichillo, M., Cerletti, C., et al. (2018). Mediterranean-type diet is associated with higher psychological resilience in a general adult population: Findings from the Moli-sani study. European Journal of Clinical Nutrition, 72(1), 1–160. https://doi.org/10.1038/ejcn.2017.150
Boumenna, T., Scott, T. M., Lee, J. S., Zhang, X., Kriebel, D., Tucker, K. L., & Palacios, N. (2022). MIND diet and cognitive function in Puerto Rican older adults. Journals of Gerontology: Series A, 77(3), 605–613. https://doi.org/10.1093/gerona/glab261
Cooper, J. A., Sagar, H. J., Jordan, N., Harvey, N. S., & Sullivan, E. V. (1991). Cognitive impairment in early, untreated Parkinson’s disease and its relationship to motor disability. Brain, 114(5), 2095–2122. https://doi.org/10.1093/brain/114.5.2095
Davis, C., Bryan, J., Hodgson, J., & Murphy, K. (2015). Definition of the Mediterranean diet: A literature review. Nutrients, 7(11), 11. https://doi.org/10.3390/nu7115459
Fischer, R., & Maier, O. (2015). Interrelation of oxidative stress and inflammation in neurodegenerative disease: Role of TNF. Oxidative Medicine and Cellular Longevity, 2015, e610813. https://doi.org/10.1155/2015/610813
Fox, R. S., Manly, J. J., Slotkin, J., Peipert, J. D., & Gershon, R. C. (2021). Reliability and validity of the Spanish-language version of the NIH toolbox. Assessment, 28(2), 457–471. https://doi.org/10.1177/1073191120913943
Fresán, U., Bes-Rastrollo, M., Segovia-Siapco, G., Sanchez-Villegas, A., Lahortiga, F., de la Rosa, P. A., & Martínez-Gonzalez, M. A. (2019). Does the MIND diet decrease depression risk? A comparison with Mediterranean diet in the SUN cohort. European Journal of Nutrition, 58(3), 1271–1282. https://doi.org/10.1007/s00394-018-1653-x
Fuller-Iglesias, H. R., & Antonucci, T. C. (2016). Familism, social network characteristics, and well-being among older adults in Mexico. Journal of Cross-Cultural Gerontology, 31, 1–17. https://doi.org/10.1007/s10823-015-9278-5
Fung, T. T., McCullough, M. L., Newby, P. K., Manson, J. A. E., Meigs, J. B., Rifai, N., et al. (2005). Diet-quality scores and plasma concentrations of markers of inflammation and endothelial dysfunction. The American Journal of Clinical Nutrition, 82(1), 163–173. https://doi.org/10.1093/AJCN.82.1.163
Gershon, R. C., Wagster, M. V., Hendrie, H. C., Fox, N. A., Cook, K. F., & Nowinski, C. J. (2013). NIH toolbox for assessment of neurological and behavioral function. Neurology, 80(11 Suppl 3), S2–S6. https://doi.org/10.1212/WNL.0b013e3182872e5f
Gonzalez, R., & Padilla, A. M. (2016). Positive psychology assessment among Latinos. In E. C. Chang, C. A. Downey, J. K. Hirsch, & N. J. Lin (Eds.), Positive psychology in racial and ethnic groups: Theory, research, and practice (pp. 151–170). American Psychological Association. https://doi.org/10.1037/14799-008
Heiss, G., Snyder, M. L., Teng, Y., Schneiderman, N., Llabre, M. M., Cowie, C., et al. (2014). Prevalence of metabolic syndrome among Hispanics/Latinos of diverse background: The Hispanic Community Health Study/Study of Latinos. Diabetes Care, 37(8), 2391–2399. https://doi.org/10.2337/dc13-2505
Hernandez, R., Cheung, E., Liao, M., Boughton, S. W., Tito, L. G., & Sarkisian, C. (2018). The association between depressive symptoms and cognitive functioning in older Hispanic/Latino adults enrolled in an exercise intervention: Results from the “¡Caminemos!” study. Journal of Aging and Health, 30(6), 843–862. https://doi.org/10.1177/0898264317696776
Hodge, A., Almeida, O. P., English, D. R., Giles, G. G., & Flicker, L. (2013). Patterns of dietary intake and psychological distress in older Australians: Benefits not just from a Mediterranean diet. International Psychogeriatrics, 25(3), 456–466. https://doi.org/10.1017/S1041610212001986
Hood, K. K., Lawrence, J. M., Anderson, A., Bell, R., Dabelea, D., Daniels, S., et al. (2012). Metabolic and inflammatory links to depression in youth with diabetes. Diabetes Care, 35(12), 2443–2446. https://doi.org/10.2337/dc11-2329
Isasi, C. R., Parrinello, C. M., Jung, M. M., Carnethon, M. R., Birnbaum-Weitzman, O., Espinoza, R. A., et al. (2015). Psychosocial stress is associated with obesity and diet quality in Hispanic/Latino adults. Annals of Epidemiology, 25(2), 84–89. https://doi.org/10.1016/J.ANNEPIDEM.2014.11.002
Kim, J., Montagnani, M., Koh, K. K., & Quon, M. J. (2006). Reciprocal relationships between insulin resistance and endothelial dysfunction. Circulation, 113(15), 1888–1904. https://doi.org/10.1161/CIRCULATIONAHA.105.563213
Krueger, K. R., Wilson, R. S., Bennett, D. A., & Aggarwal, N. T. (2009). A battery of tests for assessing cognitive function in older Latino persons. Alzheimer Disease and Associated Disorders, 23(4), 384–388.
Loughrey, D. G., Lavecchia, S., Brennan, S., Lawlor, B. A., & Kelly, M. E. (2017). The impact of the Mediterranean diet on the cognitive functioning of healthy older adults: A systematic review and meta-analysis. Advances in Nutrition, 8(4), 571–586.
Martínez-González, M. A., & Sánchez-Villegas, A. (2004). The emerging role of Mediterranean diets in cardiovascular epidemiology: Monounsaturated fats, olive oil, red wine or the whole pattern? European Journal of Epidemiology, 19(1), 9–13. https://doi.org/10.1023/b:ejep.0000013351.60227.7b
Martinez-Gonzalez, M. A., Bes-Rastrollo, M., Serra-Majem, L., Lairon, D., Estruch, R., & Trichopoulou, A. (2009). Mediterranean food pattern and the primary prevention of chronic disease: Recent developments. Nutrition Reviews, 67(Suppl 1), S111–S116. https://doi.org/10.1111/J.1753-4887.2009.00172.X
Morris, M. C., Tangney, C. C., Wang, Y., Sacks, F. M., Barnes, L. L., Bennett, D. A., & Aggarwal, N. T. (2015a). MIND diet slows cognitive decline with aging. Alzheimer’s & Dementia, 11(9), 1015–1022. https://doi.org/10.1016/j.jalz.2015.04.011
Morris, M. C., Tangney, C. C., Wang, Y., Sacks, F. M., Bennett, D. A., & Aggarwal, N. T. (2015b). MIND diet associated with reduced incidence of Alzheimer’s disease. Alzheimer’s & Dementia, 11(9), 1007–1014. https://doi.org/10.1016/j.jalz.2014.11.009
Moustafa, B., Trifan, G., Isasi, C. R., Lipton, R. B., Sotres-Alvarez, D., Cai, J., et al. (2022). Association of Mediterranean diet with cognitive decline among diverse Hispanic or Latino adults from the Hispanic Community Health Study/Study of Latinos. JAMA Network Open, 5(7), e2221982. https://doi.org/10.1001/jamanetworkopen.2022.21982
Mozaffarian, D., Benjamin, E. J., Go, A. S., Arnett, D. K., Blaha, M. J., Cushman, M., et al. (2016). Heart disease and stroke statistics—2016 update a report from the American Heart Association. Circulation, 133(4), e38–e48. https://doi.org/10.1161/CIR.0000000000000350/FORMAT/EPUB
Muñoz-García, M., Cervantes, S., Razquin, C., Guillén-Grima, F., Toledo, J. B., Martínez-González, M. Á., & Toledo, E. (2019). Validation study of a Spanish version of the modified telephone interview for cognitive status (STICS-m). Gaceta Sanitaria, 33(5), 415–420. https://doi.org/10.1016/j.gaceta.2018.05.004
Oddo, V. M., Welke, L., McLeod, A., Pezley, L., **a, Y., Maki, P., et al. (2022). Adherence to a Mediterranean diet is associated with lower depressive symptoms among U.S. adults. Nutrients, 14(2), 278. https://doi.org/10.3390/NU14020278
Sadeghi, O., Keshteli, A. H., Afshar, H., Esmaillzadeh, A., & Adibi, P. (2021). Adherence to Mediterranean dietary pattern is inversely associated with depression, anxiety and psychological distress. Nutritional Neuroscience, 24(4), 248–259. https://doi.org/10.1080/1028415X.2019.1620425
Sahasrabudhe, N., Lee, J. S., Zhang, X., Scott, T., Punnett, L., Tucker, K. L., & Palacios, N. (2023). Adherence to Mediterranean diet and depressive symptomatology among Boston area Puerto Ricans. The Journals of Gerontology: Series A, 78(2), 258–266. https://doi.org/10.1093/gerona/glac057
Salari-Moghaddam, A., Keshteli, A. H., Mousavi, S. M., Afshar, H., Esmaillzadeh, A., & Adibi, P. (2019). Adherence to the MIND diet and prevalence of psychological disorders in adults. Journal of Affective Disorders, 256, 96–102. https://doi.org/10.1016/j.jad.2019.05.056
Smith, A. (1982). Symbol digit modalities test (SDMT). Manual (Revised). Western Psychological Services.
Sofi, F., Macchi, C., Abbate, R., Gensini, G. F., & Casini, A. (2014). Mediterranean diet and health status: An updated meta-analysis and a proposal for a literature-based adherence score. Public Health Nutrition, 17(12), 2769–2782.
Trenerry, M., DeBoe, J., & Leber, W. (1989). Stroop neuropsychological screening test manual: Psychological assessment resources. Psychological Assessment Resources.
Van Den Brink, A. C., Brouwer-Brolsma, E. M., Berendsen, A. A. M., & Van De Rest, O. (2019). The Mediterranean, Dietary Approaches to Stop Hypertension (DASH), and Mediterranean-DASH Intervention for Neurodegenerative Delay (MIND) diets are associated with less cognitive decline and a lower risk of Alzheimer’s disease—A review. Advances in Nutrition, 10(6), 1040–1065. https://doi.org/10.1093/advances/nmz054
Vauzour, D., Camprubi-Robles, M., Miquel-Kergoat, S., Andres-Lacueva, C., Bánáti, D., Barberger-Gateau, P., et al. (2017). Nutrition for the aging brain: Towards evidence for an optimal diet. Ageing Research Reviews, 35, 222–240. https://doi.org/10.1016/J.ARR.2016.09.010
Virani, S. S., Alonso, A., Aparicio, H. J., Benjamin, E. J., Bittencourt, M. S., Callaway, C. W., et al. (2021). Heart disease and stroke statistics—2021 update: A report from the American Heart Association. Circulation, 143(8), e254–e743. https://doi.org/10.1161/CIR.0000000000000950
Wagner, M., Agarwal, P., Leurgans, S. E., Bennett, D. A., Schneider, J. A., Capuano, A. W., & Grodstein, F. (2023). The association of MIND diet with cognitive resilience to neuropathologies. Alzheimer’s & Dementia, 19, 3644–3653. https://doi.org/10.1002/alz.12982
Wassertheil-Smoller, S., Arredondo, E., Cai, J., Castenada, S., Choca, J. P., Gallo, L., et al. (2014). Depression, anxiety, antidepressant use, and cardiovascular disease among Hispanic men and women of different national backgrounds: Results from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL). Annals of Epidemiology, 24(11), 822–830. https://doi.org/10.1016/j.annepidem.2014.09.003
Wechsler, D. (1987). Wechsler memory scale-revised. Psychological Corporation.
Weintraub, S., Dikmen, S. S., Heaton, R. K., Tulsky, D. S., Zelazo, P. D., Bauer, P. J., et al. (2013). Cognition assessment using the NIH toolbox. Neurology, 80(11 Suppl 3), S54–S64. https://doi.org/10.1212/WNL.0b013e3182872ded
Welsh, K. A., Butters, N., Mohs, R. C., Beekly, D., Edland, S., Fillenbaum, G., & Heyman, A. (1994). The consortium to establish a registry for Alzheimer’s Disease (CERAD). Part V. A normative study of the neuropsychological battery. Neurology, 44(4), 609–614. https://doi.org/10.1212/WNL.44.4.609
Wilson, R. S., Barnes, L. L., Krueger, K. R., Hoganson, G., Bienias, J. L., & Bennett, D. A. (2005). Early and late life cognitive activity and cognitive systems in old age. Journal of the International Neuropsychological Society, 11(4), 400–407. https://doi.org/10.1017/S1355617705050459
Wu, L., & Sun, D. (2017). Adherence to Mediterranean diet and risk of develo** cognitive disorders: An updated systematic review and meta-analysis of prospective cohort studies. Scientific Reports, 7, 41317. https://doi.org/10.1038/SREP41317
Wu, S., Vega, W. A., Resendez, J., & **, H. (2016). Latinos and Alzheimer’s disease: New numbers behind the crisis. USC Edward R. Roybal Institute on Aging and the Latinos Against Alzheimer’s Network.
Zaragoza-Martí, A., Ferrer-Cascales, R., Hurtado-Sánchez, J. A., Laguna-Pérez, A., & Cabañero-Martínez, M. J. (2018). Relationship between adherence to the Mediterranean diet and health-related quality of life and life satisfaction among older adults. The Journal of Nutrition, Health & Aging, 22, 89–96.
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Morales, D., Guzman, J., Soto, Y., Aguiñaga, S. (2023). The Mediterranean and MIND Dietary Patterns: Associations with Cognition and Psychological Distress Among Latinos. In: Angel, J.L., Drumond Andrade, F.C., Riosmena, F., Mejia-Arango, S. (eds) Older Mexicans and Latinos in the United States. Springer, Cham. https://doi.org/10.1007/978-3-031-48809-2_8
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