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The journal of nutrition, health & aging

, Volume 17, Issue 4, pp 378–384 | Cite as

Body mass index, lifestyles, physical performance and cognitive decline: The “Treviso Longeva (Trelong)” study

  • Maurizio GallucciEmail author
  • S. Mazzuco
  • F. Ongaro
  • E. Di Giorgi
  • P. Mecocci
  • M. Cesari
  • D. Albani
  • G. L. Forloni
  • E. Durante
  • G. B. Gajo
  • A. Zanardo
  • M. Siculi
  • L. Caberlotto
  • C. Regini
Article

Abstract

Objectives

The relative contributions of risk factors, as body mass index (BMI), depression, chronic diseases, smoking, and lifestyles (as physical and performance activity, social contacts and reading habit) to cognitive decline in the elderly are unclear. We explored these variables in relation to 7-year cognitive decline in long-lived Italian elderly.

Design

Secondary data analysis of a longitudinal study of a representative, age-stratified, population sample.

Setting

The TREVISO LONGEVA (TRELONG) Study, in Treviso, Italy.

Participants

120 men and 189 women, age 77 years and older (mean age 80.2 ± 6.9 years) survivors after seven years of follow up.

Measurements

Cognitive decline measured as difference between Mini-Mental State Examination (MMSE) score in 2003 and in 2010; Body mass index (BMI), handgrip, Short Physical Performance Battery (SPPB) score, social contacts, reading habit, sight, hearing, schooling, mediterranean diet and multiple clinical and survey data recorded at baseline in 2003.

Results

In separate univariate analyses, age, SPPB score < 5, depressive symptoms (GDS) and more comorbidities (CCI) were associated with greater cognitive decline. Otherwise higher BMI, higher handgrip, reading habit, non-deteriorated sight and hearing, and schooling were protective. In a final multivariate model, age and higher BMI were associated with greater cognitive decline while reading habits was protective. SPPB score < 5 tends, though weakly, to be associated with greater cognitive decline. These associations remained with multivariate adjustment for gender, schooling, Charlson co-morbidity index (CCI) and baseline MMSE.

Conclusion

Age and higher baseline BMI, independent of gender, and other confounding factors, are risk factors for cognitive decline. Reading habit plays a protective role seven years later among northern Italian adults aged 70 years or older. Low physical performance tends, though weakly, to be associated with greater cognitive decline.

Key words

Cognitive decline body mass index (BMI) physical performance lifestyles 

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Copyright information

© Serdi and Springer-Verlag France 2013

Authors and Affiliations

  • Maurizio Gallucci
    • 1
    • 9
    • 10
    Email author
  • S. Mazzuco
    • 2
  • F. Ongaro
    • 2
  • E. Di Giorgi
    • 3
  • P. Mecocci
    • 4
  • M. Cesari
    • 5
  • D. Albani
    • 6
  • G. L. Forloni
    • 6
  • E. Durante
    • 7
  • G. B. Gajo
    • 7
  • A. Zanardo
    • 8
    • 9
  • M. Siculi
    • 8
  • L. Caberlotto
    • 8
  • C. Regini
    • 9
  1. 1.Cognitive Impairment CentreGeneral Hospital of TrevisoTrevisoItaly
  2. 2.Department of Statistics University of PadovaPadovaItaly
  3. 3.Territorial Health Services of TrevisoTrevisoItaly
  4. 4.Institute of Gerontology and GeriatricsUniversity HospitalPerugiaItaly
  5. 5.Institut du VieillissementUniversité de ToulouseToulouseFrance
  6. 6.Department of Neuroscience“Mario Negri” Institute for Pharmacological ResearchMilanItaly
  7. 7.Transfusional Medicine DepartmentGeneral Hospital of TrevisoTrevisoItaly
  8. 8.Clinical Pathology DepartmentGeneral Hospital of TrevisoTrevisoItaly
  9. 9.FORGEI, Interdisciplinary Geriatric Research FoundationTrevisoItaly
  10. 10.Cognitive Impairment CentreGeneral Hospital of TrevisoTrevisoItaly

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