Interplay of diet, nutritional status, and psychological well-being in mild cognitive impairment among urban elders in Hyderabad, India: a cross-sectional study
摘要
As the global population ages, mild cognitive impairment (MCI) has become a growing concern due to its potential association with dementia, especially in low- and middle-income countries. This study explores relation of dietary intake, nutritional status, and psychological distress with cognitive function among elderly individuals in a low-resource urban setting in India.
MethodologyA community-based cross-sectional study was carried out among population aged 60 years and older in an urban area under the HNDSS, Addagutta, Hyderabad. A total of 153 participants were enrolled. Data were gathered through household surveys, anthropometry, a regionally adapted FFQ, and cognitive and psychological assessments using the MoCA/MoCA-Basic and DASS-21. Multivariable logistic regression models were employed to identify the independent risk factors for MCI.
ResultsOf the 153 participants from 121 households, 71.2% were identified as having mild cognitive impairment (MCI). Females had 3.93 (95% CI 1.83–8.47; p < 0.001) times higher odds of MCI compared to males. Participants experiencing stress had increased odds (AOR = 3.50, 95% CI = 1.20-10.19, p = 0.021), and Dietary intake of Docosapentaenoic (DPA) (AOR = 0.87, 95% CI = 0.80–0.94, p = 0.001) had decreased odds of MCI compared to their counterparts.
ConclusionA high burden of mild cognitive impairment was observed, and factors such as stress, education, and DPA intake showed significant associations. While these findings point to potentially modifiable pathways, the cross-sectional design prevents causal inference, underscoring the need for longitudinal studies to confirm these relationships.