Validity of Estimated Dietary Eicosapentaenoic Acid and Docosahexaenoic Acid Intakes Determined by Interviewer-Administered Food Frequency Questionnaire Among Older Adults With Mild-to-Moderate Cognitive Impairment or Dementia

Arsenault, L. N.; Matthan, N.; Scott, T. M.; Dallal, G.; Lichtenstein, A. H.; Folstein, M. F.; Rosenberg, I.; Tucker, K. L.

doi:10.1093/aje/kwp089

Cited by 36Fatty Acid Research and HealthNutritional Studies and DietDementia and Cognitive Impairment Research

Validity of Estimated Dietary Eicosapentaenoic Acid and Docosahexaenoic Acid Intakes Determined by Interviewer-Administered Food Frequency Questionnaire Among Older Adults With Mild-to-Moderate Cognitive Impairment or Dementia

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Arsenault, L. N., Matthan, N., Scott, T. M., Dallal, G., Lichtenstein, A. H., Folstein, M. F., Rosenberg, I., Tucker, K. L.·2009·American Journal of Epidemiology

DOI 10.1093/aje/kwp089PMC PMC2733037

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Abstract

Epidemiologic research is increasingly being focused on elderly persons, many of whom exhibit mild-to-moderate cognitive impairment. This presents a challenge for collection and interpretation of self-reported dietary data. There are few reports on the impact of cognitive function and dementia on the validity of self-reported dietary intakes. Using plasma phospholipid fatty acid profiles as a biomarker of intake, the authors assessed the validity of an interviewer-administered food frequency questionnaire (FFQ) to estimate intakes of 2 marine-based omega-3 fatty acids, eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), among 273 community-dwelling adults aged > or =60 years participating in the Nutrition, Aging, and Memory in Elders Study (Boston, Massachusetts, 2002-2008). Age- and energy-adjusted Pearson correlation coefficients for correlations between dietary intakes and plasma phospholipids were consistent across categories of high and low cognitive function (r = 0.48), based on Mini-Mental State Examination score, and were similar across clinically diagnosed categories of normal functioning (r = 0.49), mild cognitive impairment (r = 0.45), and dementia (r = 0.52). The FFQ ranked 78% of subjects to within 1 quartile of their plasma phospholipid EPA + DHA quartile. This frequency was consistently high across all cognitive categories. With interviewer administration, this FFQ seems to be a valid method of assessing dietary EPA + DHA intake in older adults with mild-to-moderate cognitive impairment.

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In a pooled analysis of major European population-based studies, VaD was prevalent in 1.6% of subjects over 65 years, with large variation in 5-year age-specific prevalence.
“In a pooled analysis of major European population–based studies, VaD was prevalent in 1.6% of subjects >65 years of age, but there was a large variation in 5-year age-specific prevalence.264”
From Vascular Contributions to Cognitive Impairment and Dementia: A Statement for Healthcare Professionals From the American Heart Association/American Stroke Association (2011) · cites this paper as [264]
The Results and Statistical analysis sections describe a Boston dietary-questionnaire validation sample, not a pooled analysis of European population-based studies. Searches for vascular dementia, 1.6% prevalence, and five-year age-specific prevalence found no passage addressing the claim. (LLM, conf=0.76)
Experimental — accuracy not yet measured
Fatty acids have been used as surrogate biomarkers of dairy product and fish intake.
“fatty acids for dairy products and fish (22,24)”
From The food metabolome: a window over dietary exposure (2014) · cites this paper as [24]

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Bowman, G. L., Shannon, J., Ho, E., Traber, M. G., Frei, B. B., Oken, B., Kaye, J. A., & Quinn, J. F. (2010) · Alzheimer Disease & Associated Disorders · doi:10.1097/wad.0b013e3181f333d6 · Cited by 57 · see citing works
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DOI: 10.1093/aje/kwg290 PRACTICE OF EPIDEMIOLOGY Validity and Reproducibility of a Food Frequency Questionnaire by Cognition in an Older Biracial Sample
Morris, M. C., Tangney, C., Bienias, J. L., Evans, D. A., & Wilson, R. S. (2003)

Authors: Arsenault, L. N., Matthan, N., Scott, T. M., Dallal, G., Lichtenstein, A. H., Folstein, M. F., Rosenberg, I., & Tucker, K. L.
Affiliations: Tufts University (US)
ORCID: Matthan, N.
Scott, T. M.
Lichtenstein, A. H.
Rosenberg, I.
Tucker, K. L.
Venue: American Journal of Epidemiology
Publisher: Oxford University Press (OUP)
Published: 2009-05-11
Volume: 170
Issue: 1
Pages: 95-103
ISSN: 0002-9262 (ISSN-L)
1476-6256
DOI: 10.1093/aje/kwp089
PMC: PMC2733037
OpenAlex: W2139885372
Cited by: 36
References: 41
Citations by year: 2025: 1 · 2024: 1 · 2021: 2 · 2020: 2 · 2018: 3 · 2017: 2 · 2016: 1 · 2015: 1 · 2014: 2 · 2013: 4 · 2012: 7
FWCI: 5.49
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: American Journal of Epidemiology (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Funders: U.S. Department of Agriculture (58-1950-7-707)
Tufts Medical Center
National Institutes of Health
Agricultural Research Service (581950-7-707)
National Institute on Aging (R01AG021790, AG21790-01, 58-1950-7-707)
National Center for Research Resources (M01RR000054, MO1 RR00054)
Topics: Health Sciences › Nursing › Nutrition and Dietetics › Fatty Acid Research and Health
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
Keywords: eicosapentaenoic acid, docosahexaenoic acid, omega-3 fatty acids, dietary assessment, food frequency questionnaire, interviewer-administered questionnaire, measurement validity, plasma phospholipid fatty acids, dietary biomarkers, mild cognitive impairment, dementia, older adults
MeSH terms: Aged, Aged, 80 and over, Cognition Disorders, Dementia, Docosahexaenoic Acids, Fatty Acids, Feeding Behavior, Female, Follow-Up Studies, Humans, Male, Massachusetts, Middle Aged, Phospholipids, Surveys and Questionnaires, Retrospective Studies, Eicosapentaenoic Acid, Reproducibility of Results, Nutrition Assessment, Prevalence

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Validity of Estimated Dietary Eicosapentaenoic Acid and Docosahexaenoic Acid Intakes Determined by Interviewer-Administered Food Frequency Questionnaire Among Older Adults With Mild-to-Moderate Cognitive Impairment or Dementia

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