Document Detail


Monounsaturated, trans, and saturated Fatty acids and cognitive decline in women.
MedLine Citation:
PMID:  21568955     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To prospectively assess effects of select dietary fats on cognitive decline.
DESIGN: Prospective observational; 3-year follow-up.
SETTING: Northwestern University.
PARTICIPANTS: Four hundred eighty-two women aged 60 and older who participated in the Women's Health Initiative (WHI) Observational Study or in the control group of the WHI Diet Modification arm.
MEASUREMENTS: Dietary intake from a validated food frequency questionnaire (FFQ) administered twice (mean 2.7 years apart) before baseline cognitive assessment (mean 2.9 years after second FFQ) was averaged. Testing of memory, vision, executive function, language, and attention was performed twice, 3 years apart. A global Z-score was created for both time points by averaging all Z-scores for each participant, and global cognitive change was defined as the difference between follow-up and baseline Z-scores.
RESULTS: Median intake of saturated fat (SFA), trans-fat, (TFA), dietary cholesterol (DC), and monounsaturated fat (MUFA) was 18.53, 3.45, 0.201, and 19.39 g/d, respectively. There were no associations between degree of cognitive decline and intake of SFA (P=.69), TFA (P=.54), or DC (P=.64) after adjusting for baseline cognition, total energy intake, age, education, reading ability, apolipoprotein E ɛ4 allele, body mass index, estrogen and beta-blocker use, and intake of caffeine and other fatty acids. In contrast, MUFA intake was associated with lower cognitive decline in fully adjusted linear regression models, with mean decline (standard error) of 0.21 (0.05) in the lowest and 0.05 (0.05) in the highest quartiles (P=.02). This effect of MUFA intake was primarily in the visual and memory domains (P=.03 for both).
CONCLUSION: Greater intake of SFA, TFA, and DC was not associated with cognitive decline, whereas greater MUFA intake was associated with less cognitive decline.
Authors:
Asghar Z Naqvi; Brian Harty; Kenneth J Mukamal; Anne M Stoddard; Mara Vitolins; Julie E Dunn
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of the American Geriatrics Society     Volume:  59     ISSN:  1532-5415     ISO Abbreviation:  J Am Geriatr Soc     Publication Date:  2011 May 
Date Detail:
Created Date:  2011-05-16     Completed Date:  2011-07-26     Revised Date:  2012-05-01    
Medline Journal Info:
Nlm Unique ID:  7503062     Medline TA:  J Am Geriatr Soc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  837-43     Citation Subset:  IM    
Copyright Information:
© 2011, Copyright the Authors. Journal compilation © 2011, The American Geriatrics Society.
Affiliation:
Harvard Medical School, Boston, Massachusetts, USA. anaqvi@bidmc.harvard.edu
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MeSH Terms
Descriptor/Qualifier:
Aged
Cognition Disorders / chemically induced*,  epidemiology
Diet Surveys
Fatty Acids / adverse effects*
Fatty Acids, Monounsaturated / adverse effects*
Female
Humans
Illinois / epidemiology
Least-Squares Analysis
Linear Models
Middle Aged
Prospective Studies
Risk Factors
Trans Fatty Acids / adverse effects*
Grant Support
ID/Acronym/Agency:
N01WH22110/WH/WHI NIH HHS; N01WH24152/WH/WHI NIH HHS; N01WH32100-2/WH/WHI NIH HHS; N01WH32105-6/WH/WHI NIH HHS; N01WH32108-9/WH/WHI NIH HHS; N01WH32111-13/WH/WHI NIH HHS; N01WH32115/WH/WHI NIH HHS; N01WH32118-32119/WH/WHI NIH HHS; N01WH32122/WH/WHI NIH HHS; N01WH42107-26/WH/WHI NIH HHS; N01WH42129-32/WH/WHI NIH HHS; N01WH44221/WH/WHI NIH HHS; R01 AG018695-01A1/AG/NIA NIH HHS; R01 AG018695-01A1/AG/NIA NIH HHS; T32 AT000051/AT/NCCAM NIH HHS; T32 AT000051-05/AT/NCCAM NIH HHS
Chemical
Reg. No./Substance:
0/Fatty Acids; 0/Fatty Acids, Monounsaturated; 0/Trans Fatty Acids
Comments/Corrections

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