PMID- 22332193 OWN - NLM STAT- MEDLINE DCOM- 20120409 LR - 20240315 IS - 1538-3687 (Electronic) IS - 0003-9942 (Print) IS - 0003-9942 (Linking) VI - 69 IP - 2 DP - 2012 Feb TI - Mediterranean diet and white matter hyperintensity volume in the Northern Manhattan Study. PG - 251-6 LID - 10.1001/archneurol.2011.548 [doi] AB - OBJECTIVE: To examine the association between a Mediterranean-style diet (MeDi) and brain magnetic resonance imaging white matter hyperintensity volume (WMHV). DESIGN: A cross-sectional analysis within a longitudinal population-based cohort study. A semiquantitative food frequency questionnaire was administered, and a score (range, 0-9) was calculated to reflect increasing similarity to the MeDi pattern. SETTING: The Northern Manhattan Study. PARTICIPANTS: A total of 1091 participants, of whom 966 had dietary information (mean age, 72 years; 59.3% women, 64.6% Hispanic, 15.6% white, and 17.5% black). MAIN OUTCOME MEASURES: The WMHV was measured by quantitative brain magnetic resonance imaging. Linear regression models were constructed to examine the association between the MeDi score and the log-transformed WMHV as a proportion of total cranial volume, controlling for sociodemographic and vascular risk factors. RESULTS: On the MeDi scale, 11.6% scored 0 to 2, 15.8% scored 3, 23.0% scored 4, 23.5% scored 5, and 26.1% scored 6 to 9. Each 1-point increase in MeDi score was associated with a lower log WMHV (beta = -.04, P = .01). The only MeDi score component that was an independent predictor of WMHV was the ratio of monounsaturated to saturated fat (beta = -.20, P = .001). CONCLUSIONS: A MeDi was associated with a lower WMHV burden, a marker of small vessel damage in the brain. However, white matter hyperintensities are etiologically heterogenous and can include neurodegeneration. Replication by other population-based studies is needed. FAU - Gardener, Hannah AU - Gardener H AD - Department of Neurology, Miller School of Medicine, University of Miami, Miami, FL 33136, USA. FAU - Scarmeas, Nikolaos AU - Scarmeas N FAU - Gu, Yian AU - Gu Y FAU - Boden-Albala, Bernadette AU - Boden-Albala B FAU - Elkind, Mitchell S V AU - Elkind MS FAU - Sacco, Ralph L AU - Sacco RL FAU - DeCarli, Charles AU - DeCarli C FAU - Wright, Clinton B AU - Wright CB LA - eng GR - K02 NS059729-04/NS/NINDS NIH HHS/United States GR - K02 NS 059729/NS/NINDS NIH HHS/United States GR - R37 NS029993/NS/NINDS NIH HHS/United States GR - K02 NS059729/NS/NINDS NIH HHS/United States GR - R37 NS029993-20/NS/NINDS NIH HHS/United States GR - R37 NS 29993/NS/NINDS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PL - United States TA - Arch Neurol JT - Archives of neurology JID - 0372436 RN - 0 (Lipids) SB - IM MH - Age Factors MH - Aged MH - Blood Pressure/physiology MH - Body Mass Index MH - Brain/*anatomy & histology MH - Cerebral Small Vessel Diseases/pathology MH - Cohort Studies MH - Cross-Sectional Studies MH - Data Interpretation, Statistical MH - Diabetes Mellitus/epidemiology MH - *Diet, Mediterranean MH - Feeding Behavior MH - Female MH - Humans MH - Life Style MH - Lipids/blood MH - Longitudinal Studies MH - Magnetic Resonance Imaging MH - Male MH - Middle Aged MH - Motor Activity/physiology MH - New York City MH - Risk Factors MH - Risk Reduction Behavior MH - Socioeconomic Factors MH - Vascular Diseases/epidemiology PMC - PMC3281550 MID - NIHMS288322 EDAT- 2012/02/15 06:00 MHDA- 2012/04/10 06:00 PMCR- 2013/02/01 CRDT- 2012/02/15 06:00 PHST- 2012/02/15 06:00 [entrez] PHST- 2012/02/15 06:00 [pubmed] PHST- 2012/04/10 06:00 [medline] PHST- 2013/02/01 00:00 [pmc-release] AID - 69/2/251 [pii] AID - 10.1001/archneurol.2011.548 [doi] PST - ppublish SO - Arch Neurol. 2012 Feb;69(2):251-6. doi: 10.1001/archneurol.2011.548.