Abstract：
BACKGROUND: Cognitive and mood status influence both personal and social daily activities, with great impact on life quality, particularly among the elderly population.
OBJECTIVE: This cross-sectional study aimed to investigate the psycho-affective status concerning eating habits within an elderly population of the Chania area in Crete, Greece.
METHODS: Cognitive status was assessed in 101 elderly subjects through the Mini-Mental State Examination (MMSE), and mood was evaluated using the Hospital Anxiety and Depression Scale (HADS). Nutritional status was assessed using a validated food frequency questionnaire.
RESULTS: Multivariable statistical analysis, after adjustment for age, marital status, education, and comorbidity, highlighted among males a positive association of the MMSE score with vegetable consumption (RR 1.18; 95%CI 1.03‒1.34) and a negative association with potato consumption (RR 0.83; 95%CI 0.72‒0.95). Conversely, among females, no statistically significant association was observed for any food. Further, among males, a protective effect on affective status was identified for chicken meat (RR 0.45; 95%CI 0.27‒0.77), fish (RR 0.41; 95%CI 0.21‒0.82), fruit (RR 0.70; 95%CI 0.52‒0.94), cereals (RR 0.67; 95%CI 0.53‒0.87), and cheese (RR 0.78; 95%CI 0.63‒0.97) consumption. Among females, the adjusted model showed a significant detrimental effect of vegetable consumption (RR 1.33; 95%CI 1.02‒1.73).
CONCLUSIONS: A predominantly vegetable-based diet-with the notable exception of fruits and legumes-was associated with better cognitive status in males, albeit not in females. A higher intake of fruit, as well as fish, chicken meat, and cheese among males was associated with a better affective status, indicating that adequate protein supply may play a role in maintaining emotional balance.
OBJECTIVE: This cross-sectional study aimed to investigate the psycho-affective status concerning eating habits within an elderly population of the Chania area in Crete, Greece.
METHODS: Cognitive status was assessed in 101 elderly subjects through the Mini-Mental State Examination (MMSE), and mood was evaluated using the Hospital Anxiety and Depression Scale (HADS). Nutritional status was assessed using a validated food frequency questionnaire.
RESULTS: Multivariable statistical analysis, after adjustment for age, marital status, education, and comorbidity, highlighted among males a positive association of the MMSE score with vegetable consumption (RR 1.18; 95%CI 1.03‒1.34) and a negative association with potato consumption (RR 0.83; 95%CI 0.72‒0.95). Conversely, among females, no statistically significant association was observed for any food. Further, among males, a protective effect on affective status was identified for chicken meat (RR 0.45; 95%CI 0.27‒0.77), fish (RR 0.41; 95%CI 0.21‒0.82), fruit (RR 0.70; 95%CI 0.52‒0.94), cereals (RR 0.67; 95%CI 0.53‒0.87), and cheese (RR 0.78; 95%CI 0.63‒0.97) consumption. Among females, the adjusted model showed a significant detrimental effect of vegetable consumption (RR 1.33; 95%CI 1.02‒1.73).
CONCLUSIONS: A predominantly vegetable-based diet-with the notable exception of fruits and legumes-was associated with better cognitive status in males, albeit not in females. A higher intake of fruit, as well as fish, chicken meat, and cheese among males was associated with a better affective status, indicating that adequate protein supply may play a role in maintaining emotional balance.
摘要：
背景：认知和情绪状态影响个人和社会日常活动，对生活质量有很大影响，尤其是老年人。
目的：这项横断面研究旨在调查克里特岛哈尼亚地区老年人口饮食习惯的心理情感状况，希腊。
方法：通过简易精神状态检查（MMSE）评估了101名老年受试者的认知状态，使用医院焦虑和抑郁量表（HADS）评估情绪。使用经过验证的食物频率问卷评估营养状况。
结果：多变量统计分析，调整后的年龄，婚姻状况,教育,和合并症，在男性中,MMSE评分与蔬菜消费量呈正相关(RR1.18;95CI1.03~1.34),与马铃薯消费量呈负相关(RR0.83;95CI0.72~0.95).相反，在女性中，没有观察到任何食物的统计学显著关联.Further,在男性中，鸡肉对情感状态有保护作用(RR0.45；95CI0.27~0.77)，鱼(RR0.41；95CI0.21~0.82)，水果（RR0.70；95CI0.52-0.94），谷物（RR0.67；95CI0.53-0.87），和奶酪（RR0.78；95CI0.63-0.97）的消费量。在女性中,调整后的模型显示了蔬菜消费的显著有害影响(RR1.33；95CI1.02~1.73)。
结论：主要以蔬菜为基础的饮食-除了水果和豆类外-与男性更好的认知状态相关，虽然不是女性。水果摄入量较高，和鱼一样,鸡肉,男性的奶酪与更好的情感状态有关，表明充足的蛋白质供应可能在维持情绪平衡方面发挥作用。
目的：这项横断面研究旨在调查克里特岛哈尼亚地区老年人口饮食习惯的心理情感状况，希腊。
方法：通过简易精神状态检查（MMSE）评估了101名老年受试者的认知状态，使用医院焦虑和抑郁量表（HADS）评估情绪。使用经过验证的食物频率问卷评估营养状况。
结果：多变量统计分析，调整后的年龄，婚姻状况,教育,和合并症，在男性中,MMSE评分与蔬菜消费量呈正相关(RR1.18;95CI1.03~1.34),与马铃薯消费量呈负相关(RR0.83;95CI0.72~0.95).相反，在女性中，没有观察到任何食物的统计学显著关联.Further,在男性中，鸡肉对情感状态有保护作用(RR0.45；95CI0.27~0.77)，鱼(RR0.41；95CI0.21~0.82)，水果（RR0.70；95CI0.52-0.94），谷物（RR0.67；95CI0.53-0.87），和奶酪（RR0.78；95CI0.63-0.97）的消费量。在女性中,调整后的模型显示了蔬菜消费的显著有害影响(RR1.33；95CI1.02~1.73)。
结论：主要以蔬菜为基础的饮食-除了水果和豆类外-与男性更好的认知状态相关，虽然不是女性。水果摄入量较高，和鱼一样,鸡肉,男性的奶酪与更好的情感状态有关，表明充足的蛋白质供应可能在维持情绪平衡方面发挥作用。
