ArticleJournal of the Academy of Nutrition and Dietetics2012
Mediterranean diet and cognitive decline in women with cardiovascular disease or risk factors.
Article in Journal of the Academy of Nutrition and Dietetics, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 10 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
50 citing papers in PubMed, 10 syntheses or guidelines pooled it, 99 citations in OpenAlex.
- Anti-inflammatory dietary patterns and cognitive aging in older adults: a scoping review of mechanistic, clinical, and nursing implications.Frontiers in nutrition · 2026Pooled it
- Whole Dietary Patterns, Cognitive Decline and Cognitive Disorders: A Systematic Review of Prospective and Intervention Studies.Nutrients · 2023Pooled it
- Association between the mediterranean diet and cognitive health among healthy adults: A systematic review and meta-analysis.Frontiers in nutrition · 2022Pooled it
- The Mediterranean, Dietary Approaches to Stop Hypertension (DASH), and Mediterranean-DASH Intervention for Neurodegenerative Delay (MIND) Diets Are Associated with Less Cognitive Decline and a Lower Risk of Alzheimer's Disease-A Review.Advances in nutrition (Bethesda, Md.) · 2019Pooled it
- The Impact of Dietary Factors on Indices of Chronic Disease in Older People: A Systematic Review.The journal of nutrition, health & aging · 2018Pooled it
- The Association between the Mediterranean Dietary Pattern and Cognitive Health: A Systematic Review.Nutrients · 2017Pooled it
- Mediterranean Diet, Cognitive Function, and Dementia: A Systematic Review of the Evidence.Advances in nutrition (Bethesda, Md.) · 2016Pooled it
- Dietary patterns and successful ageing: a systematic review.European journal of nutrition · 2016Pooled it
- Dietary patterns, cognitive decline, and dementia: a systematic review.Advances in nutrition (Bethesda, Md.) · 2015Pooled it
- Association of mediterranean diet with mild cognitive impairment and Alzheimer's disease: a systematic review and meta-analysis.Journal of Alzheimer's disease : JAD · 2014Pooled it
- Mediterranean diet and cognitive function in older age.Epidemiology (Cambridge, Mass.) · 2013Trial
- Virgin olive oil supplementation and long-term cognition: the PREDIMED-NAVARRA randomized, trial.The journal of nutrition, health & aging · 2013Trial
- Caffeine and cognitive decline in elderly women at high vascular risk.Journal of Alzheimer's disease : JAD · 2013Trial
- Ferroptotic neurodegeneration and diet: a narrative review.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026Review
- Impact of Diverse Dietary Patterns on Cognitive Health: Cumulative Evidence from Prospective Cohort Studies.Nutrients · 2025Review
- Mediterranean diet score linked to cognitive functioning in Czech women: a cross-sectional population-based study.European journal of nutrition · 2025Article
- Associations of anti-inflammatory diet with cognitive impairment, physical dysfunction, depressive symptoms, and Multimorbidity in Chinese elderly: a national community-based study.BMC public health · 2025Article
- Dietary Patterns and Alzheimer's Disease: An Updated Review Linking Nutrition to Neuroscience.Nutrients · 2023Review
- Greater intake of the MEDI diet is associated with better cognitive trajectory in older adults with type 2 diabetes.Diabetes research and clinical practice · 2022Observational
- Long-term diet quality and its change in relation to late-life subjective cognitive decline.The American journal of clinical nutrition · 2022Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
backgroundCardiovascular disease and vascular risk factors increase rates of cognitive impairment, but very little is known regarding prevention in this high-risk group. The heart-healthy Mediterranean-type dietary pattern may beneficially influence both vascular and cognitive outcomes.
objectivesWe examined the association between Mediterranean-style diet and cognitive decline in women with prevalent vascular disease or ≥3 coronary risk factors. DESIGN/PARTICIPANTS/
settingProspective cohort study among 2,504 women participants in the Women's Antioxidant Cardiovascular Study (WACS), a cohort of female health professionals. Adherence to a Mediterranean-style diet was determined at WACS baseline (1995-1996) using a 0- to 9-point scale with higher scores indicating higher adherence. In 1998-2000, participants aged ≥65 years underwent a telephone cognitive battery including five tests of global cognition, verbal memory, and category fluency. Tests were administered three additional times across 5.4 years. STATISTICAL ANALYSES PERFORMED: We used multivariable-adjusted generalized linear models for repeated measures to compare the annual rates of cognitive score changes across tertiles of Mediterranean diet score, as assessed at WACS baseline.
resultsIn both basic- and multivariable-adjusted models, consuming a Mediterranean-style diet was not related to cognitive decline. No effect modification was detected by age, education, depression, cardiovascular disease severity at WACS baseline, or level of cognition at initial assessment.
conclusionsIn women at higher risk of cognitive decline due to vascular disease or risk factors, adherence to a Mediterranean-style diet was not associated with subsequent 5-year cognitive change.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.