Evidence map›Paper›PMID 30347812›Full record

ArticleNutrients2018

Mediterranean Lifestyle in Relation to Cognitive Health: Results from the HELIAD Study.

Costas A Anastasiou, Mary Yannakoulia, Meropi D Kontogianni, Mary H Kosmidis, Eirini Mamalaki, Efthimios Dardiotis, Giorgos Hadjigeorgiou, Paraskevi Sakka, Angeliki Tsapanou, Anastasia Lykou and 1 more

Abstract read
In one paragraph

Article in Nutrients, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. 36-month LipiDiDiet multinutrient clinical trial in prodromal Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2021
    Trial
  3. Ferroptotic neurodegeneration and diet: a narrative review.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Review
  4. Article
  5. Article
  6. Observational
  7. Data-driven lifestyle patterns and risk of dementia in older Australian women.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
    Article
  8. Review
  9. Review
  10. Article
  11. Cumulative Stress Exposure and Cognitive Function Among Older Adults: The Moderating Role of a Healthy Lifestyle.The journals of gerontology. Series B, Psychological sciences and social sciences · 2023
    Article
  12. Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Costas A AnastasiouDepartment of Neurology, Aiginition Hospital, National and Kapodistrian University of Athens Medical School, 11528 Athens, Greece. acostas@hua.gr.ORCID 0000-0002-3536-3034
Mary YannakouliaDepartment of Nutrition and Dietetics, Harokopio University, 17671 Athens, Greece. myianna@hua.gr.
Meropi D KontogianniDepartment of Nutrition and Dietetics, Harokopio University, 17671 Athens, Greece. meropikont@gmail.com.
Mary H KosmidisLaboratory of Cognitive Neuroscience, School of Psychology, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece. kosmidis@psy.auth.gr.ORCID 0000-0001-8790-1220
Eirini MamalakiDepartment of Nutrition and Dietetics, Harokopio University, 17671 Athens, Greece. eir.mamalaki@gmail.com.
Efthimios DardiotisDepartment of Neurology, Faculty of Medicine, University of Thessaly, 41500 Larissa, Greece. ebsdar@gmail.com.
Giorgos HadjigeorgiouDepartment of Neurology, Faculty of Medicine, University of Thessaly, 41500 Larissa, Greece. gmhadji@yahoo.com.
Paraskevi SakkaAthens Association of Alzheimer's Disease and Related Disorders, 11636 Marousi, Greece. vsakka@ath.forthnet.gr.
Angeliki TsapanouDepartment of Neurology, Aiginition Hospital, National and Kapodistrian University of Athens Medical School, 11528 Athens, Greece. tsapanou@hotmail.com.ORCID 0000-0003-0471-5786
Anastasia LykouIndependent Researcher, 34100 Chalkida, Greece. alykou@googlemail.com.
Nikolaos ScarmeasDepartment of Neurology, Aiginition Hospital, National and Kapodistrian University of Athens Medical School, 11528 Athens, Greece. ns257@columbia.edu.ORCID 0000-0001-6453-8908

Funding

Alzheimer's Association IIRG-09-133014ESPA-EU program Excellence Grant (ARISTEIA) 189 10276/8/9/2011Ministry for Health and Social Solidarity (Greece) DY2b/oik.51657/14.4.2009
6 · The paper itself

Abstract

Many lifestyle factors have been linked to cognitive function but little is known about their combined effect. An overall lifestyle pattern for people living in the Mediterranean basin has been proposed, including diet, but also physical activity, sleep and daily living activities with social/intellectual aspects. We aimed to examine the associations between a combination of these lifestyle factors and detailed cognitive performance. A total of 1716 participants from the Hellenic Longitudinal Investigation of Ageing and Diet (HELIAD), a population-based study of participants ≥65 years, were included in this analysis. Lifestyle factors were evaluated using standard, validated questionnaires and a Total Lifestyle Index (TLI) was constructed. Cognitive outcomes included mild cognitive impairment (MCI) diagnosis, a composite z-score (either continuous or with a threshold at the 25th percentile) and z-scores for five cognitive domains. A higher TLI was associated with 65% reduced odds for MCI in the non-demented individuals and 43% reduced odds for low global cognition when MCI participants were excluded, a risk reduction equivalent to 9 and 2.7 fewer years of ageing, respectively. Each lifestyle factor was differentially associated with domain-specific cognitive performance. Our results suggest that a TLI, more so than single lifestyle parameters, may be related to cognitive performance.

Indexed as

CognitionLife StyleAgedCognitive DysfunctionExerciseFemaleHumansMaleSleepbrain healthcognitiondietary patternsinstrumental activities of daily livinglifestylenutrition

Identifiers

PMID30347812
PMCPMC6213445

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.