Department of Food Science and Nutrition, School of the Environment, University of the Aegean, 2 Mitropoliti Ioakim str., GR-81400 Myrina, Greece.
Department of Public Health Policy, School of Public Health, University of West Attica, Athens University Campus, 196 Alexandras Ave., GR-11521 Athens, Greece.
Maturitas. 2024 Jun;184:107952. doi: 10.1016/j.maturitas.2024.107952. Epub 2024 Feb 28.
The increasing number of older people raises important health concerns because, in part, of the associated cognitive and functional impairment. The United Nations is taking action with its Decade of Healthy Ageing (2021-2030) campaign, by promoting Sustainable Development Goals and shifting our focus towards more sustainable diets. In this mini-review, sustainable dietary patterns are evaluated, with a focus on healthy plant-based diets, the Mediterranean diet, the Dietary Approaches to Stop Hypertension (DASH) diet, and the Mediterranean-DASH Intervention for Neurodegenerative Delay diet. The review analyzes and describes whether older people's cognitive performance can benefit from the adoption of these sustainable diets. The results of primary studies indicate that the Mediterranean diet and healthy plant-based diets can prevent cognitive impairment by improving cognitive function, language and memory. Plant-based dietary patterns with incorporated Mediterranean foods (high consumption of fruit, vegetables, and fish) are associated with delayed cognitive ageing. Additionally, adherence to the Mediterranean-DASH Intervention for Neurodegenerative Delay diet is associated with improved cognitive resilience and lower risk of dementia after 16 years of follow-up. Although consumption of red meat and elevated body mass index are both associated with cognitive dysfunction, some studies have had contradictory findings. Concerns exist regarding the development of chronic diseases, cognitive and functional impairment, as well as disability as age advances. Thus, the policies of the United Nations should ensure healthy ageing for all older individuals. Nonetheless, more research is required to evaluate older people's willingness and readiness to adopt a more sustainable way of eating.
人口老龄化的加剧引发了重要的健康问题,部分原因是与认知和功能障碍相关。联合国正在通过其“健康老龄化十年”(2021-2030 年)运动采取行动,通过促进可持续发展目标,将重点转向更可持续的饮食。在这个迷你综述中,评估了可持续的饮食模式,重点关注健康的植物性饮食、地中海饮食、停止高血压的饮食方法(DASH)以及地中海- DASH 干预延缓神经退行性疾病饮食。该综述分析并描述了老年人的认知表现是否可以从采用这些可持续饮食中受益。主要研究的结果表明,地中海饮食和健康的植物性饮食可以通过改善认知功能、语言和记忆来预防认知障碍。纳入地中海食物(高水果、蔬菜和鱼类摄入)的植物性饮食模式与认知衰老延迟有关。此外,坚持地中海-DASH 干预延缓神经退行性疾病饮食与认知弹性提高和痴呆风险降低有关,随访 16 年后得出这一结果。尽管食用红肉和体重指数升高都与认知功能障碍有关,但一些研究的结果却相互矛盾。随着年龄的增长,人们对慢性病、认知和功能障碍以及残疾的发展存在担忧。因此,联合国的政策应确保所有老年人都能健康老龄化。然而,需要进一步的研究来评估老年人采用更可持续的饮食方式的意愿和准备情况。