Prevention & lipids

Plant-Based Diet Quality, Healthy Lifestyle, and Dementia Risk in Older Adults With Cardiometabolic Diseases

JACC AdvPublished Prospective cohort study

Authors' conclusion

Dementia incidence among adults with CMDs differed substantially according to plant-based diet quality. Additional healthy lifestyle behaviors were associated with significant mitigation of dementia risk only in the presence of low hPDI.

Study context

Population
Dementia-free UK Biobank participants aged ≥55 years with ≥2 24-hour dietary recalls9,656 (13.5%) with ≥1 CMD
Participants
71,648 participants
Exposure
Cardiometabolic diseases (CMDs) and plant-based diet quality/lifestyle vs none
Outcome
Incident dementia
Follow-up
Median 12.5 years

Main finding

As reported in the abstract

Hazard ratio (95% CI)
CMDsvs No CMDsbaseline CMDs
1.90(1.53–2.35)
CMDs + high hPDIdementia risk associated with CMDs among those with high hPDI
0.39(0.20–0.74)
CMDs + high uPDIdementia risk associated with CMDs among those with high uPDI
3.24(1.64–6.40)
CMDs + low hPDI + other healthy lifestyle behaviorsrisk among participants with CMDs and low hPDI, attenuated in the presence of other healthy lifestyle behaviors
1.47(0.34–6.36)
Participants who developed dementia
825 (1.2%)

Observational data: associations, not effects.

Original publication

Plant-Based Diet Quality, Healthy Lifestyle, and Dementia Risk in Older Adults With Cardiometabolic Diseases. JACC Adv. Published 8 October 2025. doi:10.1016/j.jacadv.2025.102229

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.