健康的な食事が高齢者の慢性疾患進行を抑制(Healthy diet can slow down chronic diseases in older people)

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2025-07-28カロリンスカ研究所(KI)

スウェーデンのカロリンスカ研究所は、高齢者約2,400人を15年間追跡した研究で、果物や全粒穀物などを含む健康的な食事が心血管疾患や認知症など複数の慢性疾患の進行を遅らせると報告。逆に赤肉・加工肉・砂糖飲料などの摂取が多い炎症促進的な食事は、疾患の蓄積を早める傾向があった。高齢化社会における健康寿命延伸に向け、個別化された栄養指導の重要性が示唆されている。

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高齢者の食事パターンと多疾患併発の加速化 Dietary patterns and accelerated multimorbidity in older adults

David Abbad-Gomez,Adrián Carballo-Casla,Giorgi Beridze,Esther Lopez-Garcia,Fernando Rodríguez-Artalejo,Maria Sala,Mercè Comas,Davide Liborio Vetrano & Amaia Calderón-Larrañaga
Nature Aging  Published:28 July 2025
DOI:https://doi.org/10.1038/s43587-025-00929-8

健康的な食事が高齢者の慢性疾患進行を抑制(Healthy diet can slow down chronic diseases in older people)

Abstract

Diet could influence disease development and shape multimorbidity trajectories. Here we examined how four dietary patterns relate to 15-year multimorbidity accumulation in 2,473 community-dwelling older adults from the Swedish SNAC-K cohort. Multimorbidity was operationalized as the total number of chronic conditions and grouped into three organ systems. Higher adherence to the Mediterranean-DASH Diet Intervention for Neurodegenerative Delay, the Alternative Healthy Eating Index and the Alternative Mediterranean Diet was inversely associated with the annual rate of total chronic disease accumulation (β coefficient (95% confidence interval) per 1-s.d. increment: -0.049 (-0.065 to -0.032), -0.051 (-0.068 to -0.035) and -0.031 (-0.048 to -0.014), respectively), whereas higher adherence to the Empirical Dietary Inflammatory Index was associated with a faster rate of accumulation (0.053 (0.035–0.071)). Similar associations were observed for cardiovascular and neuropsychiatric diseases but not for musculoskeletal diseases. Some associations varied by sex and age. Our findings support diet quality as a modifiable risk factor for multimorbidity progression in older adults, with possible implications for dietary guidelines, public health strategies and clinical practice.

医療・健康
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