ArticleNutrients2024
The Mediating Role of Psychological Balance on the Effects of Dietary Behavior on Cognitive Impairment in Chinese Elderly.
Article in Nutrients, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.
- Dietary diversity and cognitive performance in older adults: a systematic review.BMC neurology · 2025Pooled it
- Associations between early childhood appetitive traits and dietary diversity in school-age children: a two-year longitudinal follow-up study.Frontiers in nutrition · 2026Article
- Loneliness and cognitive function among Chinese older adults: multiple mediating effects of activities of daily living and anxiety.Frontiers in public health · 2026Article
- Association of joint trajectories of dietary diversity and physical activity with cognitive function in older adults: a prospective cohort study.Frontiers in public health · 2026Article
- The mediating role of psychological equilibrium in the relationship between dietary variety and self-reported health among older adults in rural China.Scientific reports · 2025Article
- Uncovering a New Concept of Foodnality in Diet Recommendations for Chinese Aging Populations Based on Systematic and Bibliometric Review.Foods (Basel, Switzerland) · 2024Review
- The influence of healthy eating index on cognitive function in older adults: chain mediation by psychological balance and depressive symptoms.BMC geriatrics · 2024Article
- Can Non-farm Employment Improve Dietary Diversity of Left-Behind Family Members in Rural China?Foods (Basel, Switzerland) · 2024Article
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4 authors at 2 institutions in 1 country.
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Abstract
backgroundCognitive impairment, a significant problem in older adults, may be associated with diet. This study aims to examine the association between the dietary diversity score (DDS), dietary pattern (DP), and cognitive impairment in elderly Chinese. This research further explored the role of psychological balance (PB) as a mediator in the relationship between diet and cognitive impairment.
methodsA total of 14,318 older adults from the Chinese Longitudinal Healthy Longevity Study (CLHLS) in 2018 were included. Latent class analysis (LCA) was used to identify patterns in seven food varieties. Binary logistic regression models were used to determine factors associated with the DDS, DP, and cognitive impairment. The multiple mediation effect model was evaluated using model 6 in the PROCESS version 3.5 program.
resultsAmong the participants, 4294 (29.99%) developed cognitive impairment. Compared to people in food variety group two or lower, people with a high dietary diversity score (DDS) had lower odds of cognitive impairment. Compared to DP1, DP2 (OR = 1.24, 95%CI = 1.09 to 1.40) was associated with a higher risk of cognitive impairment, and DP4 (OR = 0.79, 95%CI = 0.69 to 0.89) was associated with a lower risk of cognitive impairment. PB mediated the relationship between DDS, DP, and cognitive impairment, with a mediating effect of 27.24% and 41.00%.
conclusionsA DP that is rich in fruits, vegetables, red meat, fish, eggs, beans, nuts, and milk was related to a lower risk of cognitive impairment. PB has an indirect impact on cognitive impairment. Our findings underscore the importance of promoting a diverse diet, which may contribute to a lower risk of cognitive impairment in older adults. The PB of the elderly should also be taken into consideration.
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