Evidence map›Paper›PMID 34293099›Full record

ArticleThe American journal of clinical nutrition2022

Long-term dietary protein intake and subjective cognitive decline in US men and women.

Tian-Shin Yeh, Changzheng Yuan, Alberto Ascherio, Bernard A Rosner, Deborah Blacker, Walter C Willett

Open access · greenAbstract read
In one paragraph

Article in The American journal of clinical nutrition, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 2 pooled it
9.4field-weighted citation impact, top 2% of its field
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

48 citing papers in PubMed, 2 syntheses or guidelines pooled it, 69 citations in OpenAlex.

  1. Sustainable dietary recommendations for the Spanish population.European journal of clinical nutrition · 2026
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  12. Evaluating dietary quality and dietary inflammatory potential in cognitive impairment patients in China.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 2 countries.

Tian-Shin YehDepartment of Epidemiology, Harvard T. H. Chan School of Public Health, Harvard University, Boston, MA, USA.
Changzheng YuanChanning Division of Network Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA.
Alberto AscherioDepartment of Epidemiology, Harvard T. H. Chan School of Public Health, Harvard University, Boston, MA, USA.
Bernard A RosnerChanning Division of Network Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA.ORCID 0000-0001-6907-0056
Deborah BlackerDepartment of Epidemiology, Harvard T. H. Chan School of Public Health, Harvard University, Boston, MA, USA.
Walter C WillettDepartment of Epidemiology, Harvard T. H. Chan School of Public Health, Harvard University, Boston, MA, USA.ORCID 0000-0003-1458-7597
Brigham and Women's Hospital · USHarvard University · US

Funding

Long Term Multidisciplinary Study of Cancer in Women: The Nurses Health StudyUM1CA186107 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI ELIASSEN, A. HEATHER, STAMPFER, MEIR · 2014 to 2023
$22.3M
NCI NIH HHS UM1 CA186107NIH HHS UM1 CA186107
6 · The paper itself

Abstract

backgroundDiet is one of the modifiable risk factors for cognitive decline. However, studies on dietary protein intake and cognitive decline have remained limited and inconclusive.

objectivesIn this study, we aimed to investigate the associations between long-term dietary protein intake and subsequent subjective cognitive decline (SCD).

methodsWe included 49,493 women from the Nurses' Health Study (NHS) (1984-2006) and 27,842 men from the Health Professionals Follow-up Study (HPFS) (1986-2002). For the NHS, average dietary intake was calculated from 7 repeated semi-quantitative FFQs (SFFQs), and SCD was assessed in 2012 and 2014. For the HPFS, average dietary intake was calculated from 5 repeated SFFQs, and SCD was assessed in 2008 and 2012. Poisson regression was used to examine the associations between dietary protein, amino acids, and various protein food sources with subsequent SCD.

resultsHigher protein intake compared with total carbohydrates was associated with lower odds of SCD. When substituting 5% energy from protein for the equivalent percentage of energy from total carbohydrates, the pooled multivariable-adjusted ORs (95% CIs) were 0.89 (0.85, 0.94) for total protein, 0.89 (0.84, 0.94) for animal protein, and 0.74 (0.62, 0.88) for plant protein. When substituting 5% of energy from animal protein with plant protein, the OR was 0.84 (95% CI: 0.72, 0.97). For protein food sources, higher intakes of beans/legumes, fish, and lean poultry were significantly associated with lower odds of SCD, but higher intake of hotdogs was associated with higher odds of SCD.

conclusionsHigher protein intake was associated with lower odds of SCD when compared isocalorically with carbohydrate. Plant protein sources were also associated with lower odds when compared with animal protein sources. Our findings suggest that adequate protein intake, and choices of protein sources could play a role in the maintenance of cognition and should be studied further.

Indexed as

AdultAgedCognitive DysfunctionDietDietary ProteinsDiet SurveysEatingFemaleFollow-Up StudiesHumansMaleMiddle AgedOdds RatioRisk FactorsUnited StatesDietary Proteinsamino acidcognitive functioncohort studydietary proteinplant proteinprotein foodsubjective cognitive decline

Identifiers

PMID34293099
PMCPMC8755047
OpenAlexW3183412652

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.