MIND bona Mediterranean Aniani bona Dementia: Research I Gwau

Reana oi duahia, “kwara namo” aniani dalana ese Alzheimer ia taravatua diba. Momokani sivaraina be maragi. Aniani dalana haida, tauhu idia stadilai ginigunana ai, dementia riski i maragi ida idia hahedinaraia, to harihari trial namona i no hahedinaraia namo ta. Inai pesi ese ruaosi ia hahedinaraia, bena ia giroa unai gauna dekenai dementia tauna dekena be dahaka i bada: ia ania bona ia inua namonamo, bona ia moale.

Inai be sivarai momokani, to medical hadibaia lasi. Oiemu aniani o ma tauna edena aniani oi haidaua lasi guna, dokta o registered dietitian oi herevalaia. Ita eda medical disclaimer oi itaia.

Mediterranean bona MIND aniani be dahaka?

National Institute on Aging (NIA) i hahedinaraia inai bamona (NIA on diet and Alzheimer’s):

• Mediterranean aniani: au, kaukau, whole grain, bin, kwarana bona seafood, bona olive oil idia momo; red meat, koko bona aniani momoru idia maragi.
• MIND aniani (Mediterranean–DASH Intervention for Neurodegenerative Delay): Mediterranean aniani bona blood pressure totona DASH aniani idia haheboua. Ia hahedinaraia kaukau, kaukau rohorohona bada; beri; whole grain; bin; nati; kwarana wiki ta ai nega ta; bona olive oil. Ia hadoa red meat, aniani momoru, chisi, bata o margarine, bona aniani idia gabua o fast food.

Inai aniani ese dementia riski ia hamaragia, a?

Hahedinaraia idia no hegeregere. NIA i gwau, stadi haida, to idia ibounai lasi, idia hahedinaraia Mediterranean bona MIND aniani bona dementia riski i maragi, Western aniani ida idia hahetohoa neganai, unai ai red meat, saturated fat bona suka idia momo.

2024 Lancet Commission ese research ia itaia namonamo (Lancet Commission):

• Cohort stadi ta ai, aniani namona idia ania taudia dekenai dementia riski ia maragi, 20% hegeregerena.
• Cohort toi edia stadilai bada ta ai, MIND aniani idia badinaia namonamo taudia dekenai riski ia maragi.
• To Sweden stadi ta, tauhu 28,025 idia stadilai lagani 20 hegeregerena, ia hahedinaraia aniani dalana idia gwauraia o Mediterranean aniani ida riski i no maragi.

Stadi idia tauhu idia itaia (observational) ese badina momokani idia no hahedinaraia. Inai bamona idia ania taudia, dala ma haida ai idia idau diba, hegeregerena moni, sikuli, gaukara, bona health help idia abia. Commission i gwau, aniani namona ese dementia ia taravatua, unai hahedinaraia be lasi; to au bona kaukau idia ania momo bona ultra-processed aniani idia hamaragia, unai be health gado ma haida dekenai namo, bona riski hegeregerena tau bada, diabetes bona blood pressure bada ia hadikaia diba. Ia no atoa aniani riski 14 edia list ai.

2023 MIND aniani trial dahaka ia hahedinaraia?

Harihari trial badana be New England Journal of Medicine ai 2023 ai idia halasia (MIND diet trial):

• Daika: Chicago bona Boston gabuna ai tau bada 604, lagani 65 bona latanai, lalo tahua hekwakwanai lasi, edia ruma ta dementia ia abia, tau bada (overweight), bona guna edia aniani be namo lasi.
• Dahaka idia karaia: lagani toi lalonai, haida ese MIND aniani idia badinaia, haida ese edia aniani guna idia ania. Ruma ruaosi idia noia dina ta ai kalori 250 ia maragi, bona registered dietitian edia durua idia abia negana idia.
• Dahaka ia vara: lalo tahua tes ai ruma ruaosi idia namo maragimaragi. Ruma ruaosi edia idau be maragi, bona statistically significant lasi. Kwara sken ai idia hahedinaraia haidaua be hegeregere ruma ruaosi dekenai.
• Tauanina: ruma ruaosi kilogram 5 hegeregerena (11 pounds) idia haboua.

Dahaka dainai trial ese idau ta i no hahedinaraia?

Stadilai taudia idia gwau badina haida diba. Control ruma edia aniani ia namo diba, badina edia tauanina ia haboua hegeregere. Tes oi karaia lou, unai sibona ese result ia hanamoa diba, tauhu tes dekenai idia matauraha neganai. Lagani toi be maragi diba. Tauhu momo idia sikuli namo bona European bamodia, unai dainai result be tauhu ibounai dekenai ia no hegeregere diba.

Unai dainai, hereva momokani be: lagani toi lalonai, MIND aniani ese kalori maragi aniani namona ta ia no hereaia. Unai i no gwau aniani namona be gau ta lasi. Unai i gwau, taunimanima ta ese aniani dalana ta sibona ia no abia dae dementia ia taravatua totona.

Aniani ta o supplement ta dekenai dahaka?

NIA i gwau, aniani ta oi ania o oi raka lasi, unai Alzheimer o tau bada edia lalo tahua ia maragi ia taravatua, unai hahedinaraia ta be lasi. Blueberry, kaukau rohorohona bona turmeric idia stadilai, to hahedinaraia be lasi. NIA i gwau vitamin o supplement ta i no hahedinaraia Alzheimer ia taravatua, bona unai totona idia no gwauraia. NIA i hadibaia, Alzheimer ia taravatua totona idia hoia gau taudia, idia namo lasi diba, moni ia ore, o ruaosi, bona dokta i gwau muramura ida idia hekwakwanai diba; unai dainai, gau ta oi toho lasi guna, dokta oi herevalaia (NIA on preventing Alzheimer’s).

Edena aniani be namo bona moale?

Tau bada momo dekenai, badina be aniani ia durua, idia diba, bona idia moalelaia, to taravatu auka ta lasi:

• Aniani oi laloa, oi ura henia gauna dekenai oi hamatamaia Mediterranean dalana ai: kaukau, au, bin, whole grain, kwarana bona olive oil.
• Aniani momoru oi ura henia gauna oi noho. Moale bona aniani ura be bada herea, tau bada neganai.
• Ma haida ida oi ania diba neganai. Hebou aniani be namo.
• Hebou ai oi nadua. Kaukau huria o pot ai gau oi huria, unai be hebou gaukara namona; ruma gaukara oi itaia. Ruma aniani recipe ta oi laloa, unai ese laloa lou ia havaraia diba.

Tau bada idia no kalori ia hamaragia o tauanina ia haboua dokta ida idia no herevalaia guna, bona aniani raka negana (fasting) ai hekwakwanai idia noho. Ita eda fasting hadibaia oi itaia.

Edena oi durua dementia tauna ia aniani namonamo?

Dementia taudia dekenai, namonamo aniani bona ranu idia abia, unai be gado badana. Alzheimer’s Association i gwau, tauhu haida idia laloa boio aniani totona, idia laloa vadaeni idia ania, o aniani idia momo neganai idia heau diba; aniani namo lasi ese kara haidaua ia hadikaia diba bona tauanina ia haboua diba (Alzheimer’s Association on food and eating). Inai hadibaia be Alzheimer’s Association, NIA bona Alzheimer’s Society amo:

1. Ima aniani (finger foods) oi henia. Maragimaragi, ima ai abia diba, hegeregerena sandwich maragimaragi, kokoroku maragimaragi, kwarana maragimaragi, orange maragimaragi o broccoli idia boila, unai ese taunimanima ia ania sibona cutlery lasi.
2. Table ai kala idau oi gaukaralaia. Itaia dalana ia haidaua neganai, aniani bona plate idia idau itaia ia auka diba. Plate kurokuro o boul kurokuro, kala idau place mat latanai, ia durua diba. Pattern ia noho disi bona tablecloth oi raka.
3. Nega ta ai aniani ta o rua oi henia. Plate ia honu neganai ia heau diba.
4. Aniani negana oi hamaoromaoroa. TV oi hakaua, table oi hagoadaia, bona negana ia noho. NIA i gwau, oi no haraga o oi no doria.
5. Aniani maragimaragi bona snek oi henia negana idia. Ia no ania namonamo neganai, NIA i gwau aniani maragimaragi negana idia bona kalori bada snek (NIA tips for eating well).
6. Ranu inua oi durua. Dina lalonai kapu maragimaragi ai ranu o inu ma ta oi henia, bona ranu bada aniani hegeregerena au, supu, milkshake bona smoothie. Ia no ura ranu inua, NIA i gwau jusi, ranu idia halaoa, supu (broth), milk, o decaf kopi o ti oi toho.
7. Siahu oi itaia. Taunimanima ia no diba aniani o ranu ia siahu bada.
8. Utensil bona kapu oi haidaua. Plate ena badina boul, supunu ima abia gauna bada, bona kapu gauna koukouna ida, unai ese aniani ia hagoadaia. Aniani maoromaoro lasi, oi no laloa bada.
9. Aniani ia hagoadaia ia ania bona ia hadonoa. Aniani oi utua maragimaragi o aniani manada oi henia. Ia ania neganai ia gogo o ia hadonoa hekwakwanai, dokta oi hamaoroa.
10. Oi no doria ia ania. NIA i gwau, Alzheimer murina neganai aniani ura ia maragi, unai be dala momokani.

Dokta oi hamaoroa toana gaudia

Tauanina ia maragi, aniani ia dadaraia, ia hekure o ia goada lasi, unai idia hahedinaraia ia no ania namonamo diba. Alzheimer’s Society i gwau, nidu o nidu gageva (dentures) i hisihisi, laloa hekwarahi, boga i auka, bona muramura haidaua ese aniani ura ia hamaragia diba (Alzheimer’s Society on appetite). NIA i gwau ranu lasi (dehydration) toana: uda ia kaukau, ia giroa, kudouna ia rara haraga, bona hallucination (NIA on common medical problems).

Dokta ida oi herevalaia

Oiemu aniani o ma tauna edena aniani oi haidaua bada lasi guna, dokta o registered dietitian oi herevalaia, bada herea bema diabetes, kidney gorerena, hadonoa hekwakwanai o harihari tauanina ia maragi ia noho. Dementia tauna dekena, oi henia dokta dina ta ai aniani bona ranu edena ia abia, bona dietitian o supplement ia durua diba, a lasi.

Harihari help oi abia bema taunimanima ta ia hadonoa hekwakwanai (ia gogo), o harihari ia laloa kerere, ia giroa bada o ia moru.