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Dietary fiber intake and risk of incident disabling dementia: the Circulatory Risk in Communities Study

Yamagishi, Kazumasa; Maruyama, Koutatsu; Ikeda, Ai; Nagao, Masanori; Noda, Hiroyuki; Umesawa, Mitsumasa; Hayama-Terada, Mina; ... Iso, Hiroyasu; + view all (2022) Dietary fiber intake and risk of incident disabling dementia: the Circulatory Risk in Communities Study. Nutritional Neuroscience 10.1080/1028415X.2022.2027592. (In press). Green open access

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Abstract

OBJECTIVES: It has been hypothesized that dietary fiber intake has a beneficial impact on prevention of dementia, but the epidemiological evidence is scant. We sought to examine whether dietary fiber intake is inversely associated with risk of dementia requiring care under the national insurance (disabling dementia). METHODS: The study setting was the Circulatory Risk in Communities Study, involving 3739 Japanese individuals aged 40-64 years at the dietary surveys (1985-99). Dietary fiber intake was estimated using the 24-hour dietary recall method. Incident disabling dementia was followed up from 1999 through 2020. Disabling dementia was further classified into that with or without a history of stroke. Hazard ratios of disabling dementia according to quartiles of total, soluble, and insoluble fiber intake were calculated using the Cox proportional hazards model. RESULTS: During a median 19.7-year follow-up, a total of 670 cases of disabling dementia developed. Dietary fiber intake was inversely associated with risk of dementia: the multivariate hazards ratios (95% confidence intervals) were 0.83 (0.67-1.04), 0.81 (0.65-1.02), and 0.74 (0.57-0.96) for individuals with the second, third, and highest quartiles of dietary fiber intake, respectively, as compared with the lowest quartile (P for trend = 0.03). The inverse association was more evident for soluble fiber intake and was confined to dementia without a history of stroke. As for fiber-containing foods, potatoes, but not vegetables or fruits, showed a similar association. CONCLUSIONS: Dietary fiber intake, especially soluble fiber, was inversely associated with risk of disabling dementia in a general Japanese population.

Type: Article
Title: Dietary fiber intake and risk of incident disabling dementia: the Circulatory Risk in Communities Study
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1080/1028415X.2022.2027592
Publisher version: https://doi.org/10.1080/1028415X.2022.2027592
Language: English
Additional information: © 2022 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License (http://creativecommons.org/licenses/by-nc-nd/4.0/).
Keywords: Dietary fiber, diet, nutrition, cognitive dysfunction, disabling dementia, epidemiology, follow-up study, cohort study
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Epidemiology and Public Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
URI: https://discovery.ucl.ac.uk/id/eprint/10144422
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