Adherence to four dietary indices and the risk of all‐cause and cause‐specific dementia: Findings from the UK Biobank study

Diabetes Obes MetabPublished Prospective cohort study

Authors' conclusion

The Mediterranean Diet demonstrated the strongest association. These results highlight the potential of healthy dietary patterns to improve brain health in older adults.

Study context

Population
UK Biobank participants; mean age 55.7 years, 53.5% women; median follow-up 10.9 years621 developed dementia
Participants
121,521 participants
Exposure
Highest vs lowest adherence to four dietary indices
Outcome
Incident all-cause dementia, Alzheimer disease, vascular dementia and non-vascular dementia (ICD-10, hospital and primary care records)
Follow-up
Median 10.9 years
Methodological detailspopulation-based, UK Biobank, repeated 24-h dietary recalls, Cox proportional hazards models, adjusted
  • Population-based
  • UK Biobank
  • Repeated 24-h dietary recalls
  • Cox proportional hazards models, adjusted

Main finding

As reported in the abstract

All-cause dementia, Q4 vs Q1
Quartile 4 vs Quartile 1Hazard ratio (95% CI)
MDS
0.53(0.45–0.63)
MIND
0.61(0.48–0.78)
RFS
0.66(0.53–0.85)

Observational data: associations, not effects.

Further findings

Alzheimer disease, highest vs lowest adherence

HR (95% CI)
MDSSimilar association to all-cause dementia0.55 (0.46–0.67)
RFSSimilar association to all-cause dementia0.61 (0.47–0.80)
MINDSimilar association to all-cause dementia0.66 (0.51–0.87)

Vascular dementia

HR (95% CI)
MDSLower risk0.46 (0.31–0.68)
MINDLower risk0.68 (0.40–0.97)
Only Mediterranean Diet Score (MDS) and MIND showed a lower risk of vascular dementia

5-year landmark analysis

Associations remained in a 5-year landmark analysis

Healthy Diet Indicator (HDI) and dementia outcomes

No associations for HDI with any dementia outcome

Original publication

Adherence to four dietary indices and the risk of all‐cause and cause‐specific dementia: Findings from the UK Biobank study. Diabetes Obes Metab. Published 16 July 2025. doi:10.1111/dom.16609

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