Home > Publications database > Interaction between plant-based dietary pattern and air pollution on cognitive function: a prospective cohort analysis of Chinese older adults > print

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024 7 _ |a 10.1016/j.lanwpc.2021.100372
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100 1 _ |a Zhu, Anna
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245 _ _ |a Interaction between plant-based dietary pattern and air pollution on cognitive function: a prospective cohort analysis of Chinese older adults
260 _ _ |a [Amsterdam]
|c 2022
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500 _ _ |a Missing Journal: The Lancet Regional Health - Western Pacific (The Lancet Regional Health - Western Pacific) = 2666-6065 (import from CrossRef, Journals: inrepo02.dkfz.de) / #EA:C070# / epub
520 _ _ |a Background.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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700 1 _ |a Chen, Hui
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700 1 _ |a Shen, Jie
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700 1 _ |a Wang, Xiaoxi
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700 1 _ |a Li, Zhihui
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700 1 _ |a Zhao, Ai
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700 1 _ |a Shi, Xiaoming
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700 1 _ |a Yan, Lijing
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700 1 _ |a Zeng, Yi
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700 1 _ |a Yuan, Changzheng
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700 1 _ |a Ji, John S.
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773 _ _ |a 10.1016/j.lanwpc.2021.100372
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