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Updated: Nov 25, 2025

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Published on: November 6, 2017
Changes in a specific dietary pattern and incident dementia: A prospective cohort study.
Yukai Lu1, Sanae Matsuyama1, Yumi Sugawara1
1Division of Epidemiology, Department of Health Informatics and Public Health, School of Public Health, Tohoku University Graduate School of Medicine, Sendai, Miyagi, Japan.
Increasing adherence to the Japanese diet reduced dementia risk in older adults. Decreasing adherence elevated dementia risk, highlighting the diet's protective role. This study tracked dietary changes and dementia incidence over time.
Area of Science:
- Gerontology
- Nutritional Epidemiology
- Neuroscience
Background:
- Previous research links the Japanese diet to lower dementia risk.
- The impact of long-term changes in Japanese diet adherence on dementia risk is not well understood.
Purpose of the Study:
- To investigate the association between long-term changes in Japanese diet adherence and the risk of incident dementia.
- Focus on older Japanese individuals.
Main Methods:
- Dietary data collected via food frequency questionnaires in 1994 and 2006.
- Japanese Diet Index (JDI8) used to score adherence; changes categorized.
- Cox proportional hazards model applied to 3146 participants followed for 5.7 years for dementia incidence.
Main Results:
- A significant trend (p<0.0001) observed between JDI8 score changes and dementia risk.
- Greatly decreased adherence showed a 1.72 HR (1.13, 2.62).
- Greatly increased adherence showed a 0.62 HR (0.38, 1.02) for dementia.
Conclusions:
- Increased adherence to the Japanese diet is associated with a reduced risk of incident dementia.
- Decreased adherence to the Japanese diet is associated with an elevated risk of incident dementia.
- Dietary patterns play a crucial role in dementia prevention among older adults.
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