Evidence map›Paper›PMID 34315440›Full record

ArticleBMC geriatrics2021

Interaction between cognitive leisure activity and long-chain polyunsaturated fatty acid intake on global cognitive decline in a Japanese longitudinal cohort study: National Institute for Longevity Sciences-Longitudinal Study of Aging.

Chika Horikawa, Rei Otsuka, Yukiko Nishita, Chikako Tange, Yuki Kato, Takao Tanaka, Tomohiro Rogi, Hiroshi Shibata, Fujiko Ando, Hiroshi Shimokata

Abstract read
In one paragraph

Article in BMC geriatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Observational
  4. Article
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

10 authors.

Chika HorikawaDepartment of Epidemiology of Aging, National Center for Geriatrics and Gerontology, 7-430 Morioka-cho, 474-8511, Obu-City, Aichi, Japan.
Rei OtsukaDepartment of Epidemiology of Aging, National Center for Geriatrics and Gerontology, 7-430 Morioka-cho, 474-8511, Obu-City, Aichi, Japan. otsuka@ncgg.go.jp.
Yukiko NishitaDepartment of Epidemiology of Aging, National Center for Geriatrics and Gerontology, 7-430 Morioka-cho, 474-8511, Obu-City, Aichi, Japan.
Chikako TangeDepartment of Epidemiology of Aging, National Center for Geriatrics and Gerontology, 7-430 Morioka-cho, 474-8511, Obu-City, Aichi, Japan.
Yuki KatoDepartment of Epidemiology of Aging, National Center for Geriatrics and Gerontology, 7-430 Morioka-cho, 474-8511, Obu-City, Aichi, Japan.
Takao TanakaInstitute for Health Care Science, Suntory Wellness Limited, 8-1-1 Seikadai, Seika-cho, Soraku- gun, 619-0284, Kyoto, Japan.
Tomohiro RogiInstitute for Health Care Science, Suntory Wellness Limited, 8-1-1 Seikadai, Seika-cho, Soraku- gun, 619-0284, Kyoto, Japan.
Hiroshi ShibataInstitute for Health Care Science, Suntory Wellness Limited, 8-1-1 Seikadai, Seika-cho, Soraku- gun, 619-0284, Kyoto, Japan.
Fujiko AndoDepartment of Epidemiology of Aging, National Center for Geriatrics and Gerontology, 7-430 Morioka-cho, 474-8511, Obu-City, Aichi, Japan.
Hiroshi ShimokataDepartment of Epidemiology of Aging, National Center for Geriatrics and Gerontology, 7-430 Morioka-cho, 474-8511, Obu-City, Aichi, Japan.

Funding

National Center for Geriatrics and Gerontology 899-3
6 · The paper itself

Abstract

backgroundThere is a growing interest in the significance of adopting a variety of lifestyle habits for maintaining cognitive function among older adults. A lifestyle that is easy to modify, simple, and less burdensome for older people is ideal. We investigated the longitudinal association between global cognitive decline and cognitive leisure activities (CLAs) combined with long-chain polyunsaturated fatty acids (LCPUFAs) intake.

methodsThe National Institute for Longevity Sciences-Longitudinal Study of Aging (NILS-LSA) enrolled community-dwelling middle-aged and older men and women who were randomly selected from Obu-City and Higashiura Town, Aichi, Japan. Baseline data (2006-2008), including CLAs and dietary intake, were obtained from 517 participants (aged 60-84 years) with normal cognition. Global cognitive decline, defined as the Mini-Mental State Examination (MMSE) score ≤ 27, was assessed at baseline and four years later. Interaction between CLAs and LCPUFAs on cognitive decline was investigated using a multiple logistic analysis with adjustment for confounders. CLA engagement and LCPUFA intake were divided into high and low groups according to the frequency at which each participant engaged in the activity and the median intake level according to sex, respectively.

resultsA significant interaction was detected for the combination of CLA engagement and LCPUFA intake. Logistic regression coefficients revealed significant interactions when participants engaged in more than five CLA varieties. One of the CLAs, art appreciation, produced a significant main effect against cognitive decline and a significant interaction in combination with LCPUFA intake. The major LCPUFAs-docosahexaenoic acid and arachidonic acid-also exhibited a significant interaction. The combination of high LCPUFA intake and high art appreciation frequency yielded a lower adjusted odds ratio for cognitive decline than the combination of low LCPUFA and low art appreciation [0.25 (95 % confidence intervals, 0.11-0.56)].

conclusionsPreserving cognitive function might be associated with a combination of varied and high-frequency engagement in CLAs combined with high LCPUFA intake.

Indexed as

Cognitive DysfunctionLongevityAgedAgingCognitionCohort StudiesFatty Acids, UnsaturatedFemaleHumansJapanLeisure ActivitiesLongitudinal StudiesMaleMiddle AgedFatty Acids, Unsaturatedcognitive leisure activitieslong-chain polyunsaturated fatty acidsNILS-LSA

Identifiers

PMID34315440
PMCPMC8314584

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Registered trials

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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.