Skip to main content
Top
Published in: Current Geriatrics Reports 4/2020

01-12-2020 | Diabetes | Nutrition, Obesity, and Diabetes (SML Ribeiro, Section Editor)

Type 2 Diabetes and Mediterranean Diet in Older Adults: a Brief Review of the Evidence

Authors: Eirini Mamalaki, Vassilis Balomenos, Nikolaos Scarmeas, Mary Yannakoulia

Published in: Current Geriatrics Reports | Issue 4/2020

Login to get access

Abstract

Purpose of Review

Mediterranean diet is a traditional, plant-based dietary pattern extensively studied for its favorable health effects. In relation to type 2 diabetes (T2D), higher adherence to the Mediterranean dietary pattern is associated with a lower risk for incidence of diabetes, better glycemic control, and improvements in cardiovascular risk factors in diabetic patients.

Recent Findings

Interestingly, most of the studies on the relationship between T2D and adherence to the Mediterranean diet have focused on younger people, whereas the available evidence in older adults (≥ 60 years old) is limited. In this age group, the quality of the diet may be affected by factors that are associated with aging, including cognitive decline, whereas T2D has been associated with an elevated risk of cognitive deficits. More studies are needed in this age group in order to further investigate the potentially crucial role of T2D and glycemic control on cognition and their relationship with Mediterranean diet and to define the underlying mechanisms.

Summary

In any case, healthcare professionals should educate older adults in adopting the basic principles of the Mediterranean diet or of other plant-based dietary patterns, as a diet promoting cognitive and cardiovascular health.
Literature
1.
go back to reference Keys A, Menotti A, Karvonen MJ, Aravanis C, Blackburn H, Buzina R, et al. The diet and 15-year death rate in the seven countries study. Am J Epidemiol. 1986;124(6):903–15.CrossRefPubMed Keys A, Menotti A, Karvonen MJ, Aravanis C, Blackburn H, Buzina R, et al. The diet and 15-year death rate in the seven countries study. Am J Epidemiol. 1986;124(6):903–15.CrossRefPubMed
6.
19.
go back to reference Alonso-Dominguez R, Gomez-Marcos MA, Patino-Alonso MC, Sanchez-Aguadero N, Agudo-Conde C, Castano-Sanchez C, et al. Effectiveness of a multifactorial intervention based on an application for smartphones, heart-healthy walks and a nutritional workshop in patients with type 2 diabetes mellitus in primary care (EMID): study protocol for a randomised controlled trial. BMJ Open. 2017;7(9):e016191. https://doi.org/10.1136/bmjopen-2017-016191.CrossRefPubMedPubMedCentral Alonso-Dominguez R, Gomez-Marcos MA, Patino-Alonso MC, Sanchez-Aguadero N, Agudo-Conde C, Castano-Sanchez C, et al. Effectiveness of a multifactorial intervention based on an application for smartphones, heart-healthy walks and a nutritional workshop in patients with type 2 diabetes mellitus in primary care (EMID): study protocol for a randomised controlled trial. BMJ Open. 2017;7(9):e016191. https://​doi.​org/​10.​1136/​bmjopen-2017-016191.CrossRefPubMedPubMedCentral
27.
36.
go back to reference •• Singh B, Parsaik AK, Mielke MM, Erwin PJ, Knopman DS, Petersen RC, et al. Association of Mediterranean diet with mild cognitive impairment and Alzheimer's disease: a systematic review and meta-analysis. J Alzheimers Dis. 2014;39(2):271–82. https://doi.org/10.3233/JAD-130830. A nice paper on the potential mechanisms linking diabetes with cognitive dysfunction. •• Singh B, Parsaik AK, Mielke MM, Erwin PJ, Knopman DS, Petersen RC, et al. Association of Mediterranean diet with mild cognitive impairment and Alzheimer's disease: a systematic review and meta-analysis. J Alzheimers Dis. 2014;39(2):271–82. https://​doi.​org/​10.​3233/​JAD-130830. A nice paper on the potential mechanisms linking diabetes with cognitive dysfunction.
Metadata
Title
Type 2 Diabetes and Mediterranean Diet in Older Adults: a Brief Review of the Evidence
Authors
Eirini Mamalaki
Vassilis Balomenos
Nikolaos Scarmeas
Mary Yannakoulia
Publication date
01-12-2020
Publisher
Springer US
Published in
Current Geriatrics Reports / Issue 4/2020
Electronic ISSN: 2196-7865
DOI
https://doi.org/10.1007/s13670-020-00340-8

Other articles of this Issue 4/2020

Current Geriatrics Reports 4/2020 Go to the issue

Dermatology and Wound Care (C Sayed, Section Editor)

Melanoma Diagnosis and Treatment in the Elderly

Geriatric Orthopedics (C Quatman and C Quatman-Yates, Section Editors)

Geriatric Orthopedics and Challenges with Mild Cognitive Impairment

Geriatric Orthopedics (C Quatman and C Quatman-Yates, Section Editors)

Mobility in Acute Care for Geriatric Patients with Orthopedic Conditions: a Review of Recent Literature

Nutrition, Obesity, and Diabetes (SML Ribeiro, Section Editor)

Diabetes, microRNA, and Nutrition in Geriatrics

Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.