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000181663 0247_ $$2doi$$a10.1016/j.lanwpc.2021.100372
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000181663 1001_ $$0P:(DE-He78)e71d98af5fac4f81eb58e74b7b3095c2$$aZhu, Anna$$b0$$eFirst author$$udkfz
000181663 245__ $$aInteraction between plant-based dietary pattern and air pollution on cognitive function: a prospective cohort analysis of Chinese older adults
000181663 260__ $$a[Amsterdam]$$bElsevier$$c2022
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000181663 520__ $$aBackground.Air pollution is a risk factor for poor cognitive function, while a plant-based dietary pattern is associated with better cognitive function. We aimed to explore their interaction with cognitive function among older adults.Methods.We used a prospective cohort of old individuals, including 6525 participants of the Chinese Longitudinal Healthy Longevity Survey (CLHLS), aged 65-110 years and with normal cognition at baseline. Air pollution measurement was derived using satellite-derived annual average fine particulate matter (PM2.5) concentrations based on residential locations. Plant-based diet index (PDI) was calculated using survey responses to assess the dietary pattern. Repeated measures of the Mini-Mental State Examination (MMSE) were utilized to assess cognitive function. We applied the Cox proportional hazard regression to explore the associations and further stratified the analysis by PDI.Findings.During a median of 5·6-year follow-up, 1537 (23·6%) out of 6525 participants with normal cognition at baseline developed poor cognitive function (MMSE <18). Living in areas with the highest quintile of cumulative PM2.5 was associated with a 46% increase in the risk of developing poor cognitive function (hazard ratio (HR): 1·46, 95% confidence interval (CI): 1·20, 1·77), compared to those living in areas with the lowest quintile. We observed a significant interaction between cumulative PM2.5 and PDI (p-interaction: 0·04), with the corresponding associations of cumulative PM2.5 being more pronounced among participants with lower PDI (HR: 1·68, 95% CI: 1·26, 2·24) than those with higher PDI (HR: 1·28, 95% CI: 0·98, 1·68).Interpretation.Plant-based dietary pattern may attenuate detrimental impacts of PM2.5 on cognitive function among older adults. Adherence to the plant-based dietary pattern could be used to prevent adverse neurological effects caused by air pollution, especially in developing regions.
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000181663 7001_ $$aChen, Hui$$b1
000181663 7001_ $$aShen, Jie$$b2
000181663 7001_ $$00000-0003-2678-9217$$aWang, Xiaoxi$$b3
000181663 7001_ $$aLi, Zhihui$$b4
000181663 7001_ $$aZhao, Ai$$b5
000181663 7001_ $$aShi, Xiaoming$$b6
000181663 7001_ $$aYan, Lijing$$b7
000181663 7001_ $$aZeng, Yi$$b8
000181663 7001_ $$aYuan, Changzheng$$b9
000181663 7001_ $$00000-0002-5002-118X$$aJi, John S.$$b10
000181663 773__ $$0PERI:(DE-600)3052289-4$$a10.1016/j.lanwpc.2021.100372$$gVol. 20, p. 100372 -$$p100372$$tThe lancet / Regional Health$$v20$$x2666-6065$$y2022
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