Abstract

BackgroundDecline in mental health and cognitive status starts to show its sign during middle-age and is affected by dietary factors, namely the polyphenols intake. Polyphenols have received attention in improving health issues related to aging, including decline in mental health and cognitive. The aim of this study is to determine the prevalence of poor mental health and cognitive status among middle-aged adults and its predictors in relation to polyphenols intake.MethodsSubjects’ food intakes were calculated by using dietary history questionnaire and food frequency questionnaire for polyphenols. The subjects’ mental health and cognitive status were measured by general health questionnaire-28 (GHQ-28) and Rey’s auditory verbal learning test (RAVLT).ResultsMore than 40% of middle-aged adults were identified as having signs of poor mental health. A total of 67.9% of the subjects had poor cognitive status according to RAVLT immediate recall. Hierarchical binary logistic regression indicated that fat intake was associated with somatic symptoms for both men [adjusted odds ratio (AOR) = 1.04; P < 0.05] and women (AOR = 1.06; P < 0.05). Intake of lignan (AOR = 1.071; P < 0.05) was associated with better RAVLT immediate recall among women. Additionally, high cholesterol (AOR = 3.14; P < 0.05) was associated with poor score of RAVLT delayed recall for women.ConclusionsEarly detection of poor mental health and cognitive is crucial to prevent Alzheimer’s disease in old age.

Highlights

  • With continuous increase in life expectancy due to the improvement in healthcare systems, the number of elderly population is expected to arise [1, 2]

  • A total of 349 middle-aged adults participated in this study, with 34.7% (n = 121) men and 65.3% (n = 228) women

  • This study shows that the intake of total polyphenols in the current study (994.6 ± 557.7 mg/day) was lower than those reported in other studies

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Summary

Introduction

With continuous increase in life expectancy due to the improvement in healthcare systems, the number of elderly population is expected to arise [1, 2]. Of all the changes which occur during the aging process, deterioration in mental health and cognitive is perhaps the single most disabling condition [3]. It is the most feared part of getting old. Decline in mental health and cognitive status starts to show its sign during middle-age and is affected by dietary factors, namely the polyphenols intake. The aim of this study is to determine the prevalence of poor mental health and cognitive status among middle-aged adults and its predictors in relation to polyphenols intake

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