Author:
D'Amico Danielle,Alter Udi,Laurin Danielle,Ferland Guylaine,Fiocco Alexandra J.
Abstract
<b><i>Introduction:</i></b> The objective of this study was to examine whether a healthy lifestyle composite score of social engagement, physical activity, and Mediterranean diet adherence moderates the association between psychological distress and global cognitive decline among cognitively healthy older adults (67+ years of age at baseline). <b><i>Methods:</i></b> A total of 1,272 cognitively intact older adults (<i>M</i><sub><i>age</i></sub> = 74.1 ± 4.1 years, 51.9% female) in the Quebec Longitudinal Study on Nutrition and Successful Aging (NuAge) completed a series of self-reported questionnaires to measure psychological distress and lifestyle behaviors, and the Modified Mini-Mental Examination (3MS) to assess cognitive performance at baseline and annually over 3 years. <b><i>Results:</i></b> Controlling for sociodemographic and health-related characteristics, greater psychological distress was associated with steeper cognitive decline over time among males (<i>B</i> = −0.07, 95% CI: [−0.12, −0.02]), but not females (<i>B</i> = 0.008, 95% CI: [0.03, 0.04]). Although a healthy lifestyle composite score did not statistically significantly moderate the distress-cognition relationship (<i>B</i> = −0.005, 95% CI: [−0.02, 0.01]), there was an association between higher psychological distress and greater cognitive decline at low levels of social engagement (<i>B</i> = −0.05, 95% CI: [−0.09, −0.006]), but not at high levels of social engagement (<i>B</i> = 0.02, 95% CI: [−0.03, 0.07]). <b><i>Conclusion:</i></b> This study suggests that the potentially harmful impact of stress on cognitive function may be malleable through specific healthy lifestyle behaviors and emphasizes the importance of taking a sex-based approach to cognitive aging research.