Journal of the Korean Dietetic Association (대한영양사협회학술지)

The Korean Dietetic Association (대한영양사협회)
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The Effect of Dementia Prevention Nutrition Program Using MIND Diet on the Changes in Cognitive Function of the Elderly with High-Dementia Risks

MIND 식단교육을 이용한 치매예방 영양프로그램이 고위험 치매노인의 인지기능 변화에 미치는 영향

  • Song, Jaeeun (Dept. of Medical Nutrition, Graduate School of East-West Medical Science, Kyung Hee University) ;
  • Choi, Seong Hye (Dept. of Neurology, Inha University Hospital) ;
  • Hong, Chang Hyung (Dept. of Psychiatry, Ajou University School of Medicine) ;
  • Jeong, Jee Hyang (Dept. of Neurology, Ewha Womans University School of Medicine) ;
  • Moon, So Young (Dept. of Neurology, Ajou University School of Medicine) ;
  • Na, Hae Ri (Dept. of Neurology, Bobath Memorial Hospital) ;
  • Park, Hee Kyung (Dept. of Neurology, Ewha Womans University School of Medicine) ;
  • Park, Yoo Kyoung (Dept. of Medical Nutrition, Graduate School of East-West Medical Science, Kyung Hee University)
  • 송재은 (경희대학교 동서의학대학원 의학영양학과) ;
  • 최성혜 (인하대학교병원 신경학과) ;
  • 홍창형 (아주대학교 의과대학 정신의학과) ;
  • 정지향 (이화여자대학교 의과대학 신경학과) ;
  • 문소영 (아주대학교 의과대학 신경학과) ;
  • 나해리 (보바스기념병원 신경학과) ;
  • 박희경 (이화여자대학교 의과대학 신경학과) ;
  • 박유경 (경희대학교 동서의학대학원 의학영양학과)
  • Received : 2021.07.20
  • Accepted : 2021.09.09
  • Published : 2021.11.02
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Abstract

This study examined the effect of the Mediterranean-DASH Intervention for Neurodegenerative Delay (MIND) diet of the Korean multi-domain dementia prevention program on the cognitive functions of the elderly with dementia risk factors. We developed the program including nutrition, exercise, cognitive training, vascular disease prevention, and motivation. One- hundred and fifty-three participants aged 60~79 years with at least 1 dementia risk factor were randomly assigned in a 1:1:1 ratio to the facility-based intervention (FMI), home-based intervention (HMI), and the control group. The nutrition education program consisted of 10 classes over 24 weeks: the FMI received 7 group sessions and three 1:1 sessions, the HMI received 4 group sessions and three 1:1 sessions with 3 homework sessions. The Nutrition Quotient for Elderly (NQ-E) and the Mini Nutritional Assessment (MNA) were used to evaluate nutritional status. The Repeatable Battery for the Assessment Neuropsychological Status (RBANS), Korean Mini-Mental State Examination (K-MMSE), and the Cognitive Complaint Interview (CCI) were used to evaluate cognitive functions. A total of 136 people completed the program with an 11.1% dropout rate. The NQ-E (P=0.009) and RBANS (P=0.001) scores significantly increased in the FMI (N=45) and HMI (N=49) groups compared to the control group (N=42) after the study. The changes in the score of MNA and CCI did not differ significantly between groups. In conclusion, the nutritional intervention which focused on the MIND diet as a part of a multi-domain intervention program had a positive effect on the improvement of healthy eating habits and cognitive function scores in the high-risk dementia group.

Keywords

Acknowledgement

This research was supported by a grant of the Korea Health Technology R&D Project through the Korea Health Industry Development Institute (KHIDI) and Korea Dementia Research Center (KDRC), funded by the Ministry of Health & Welfare, Republic of Korea (grant number: HI18C0479, HU21C0016).

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