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Mediterranean diet score linked to cognitive functioning in Czech women: a cross-sectional population-based study
Eliška Hrežová, Dénes Stefler, Naděžda Čapková, Helena Vaclova, Martin Bobák, Hynek Pikhart. European Journal of Nutrition, 2025-07-12
Topic: Risk, prevention and care in population studies
There were no significant associations in men. By contrast, women with a dietary score of 8-10 points (B = 0.05, 95% CI: -0.002; 0.097), and those with a score of 11-17 points (B = 0.08, 95% CI: 0.016; 0.140) had a higher composite cognitive score than women in lowest adherence group. Regarding specific domains, women in the highest adherence group had significantly better immediate verbal memory (B = 0.12, 95% CI: 0.031; 0.205) and delayed recall (B = 0.12, 95% CI: 0.027; 0.212), respectively, than those in the lowest adherence group. Higher adherence to the MDS was associated with better cognitive functioning in verbal memory and composite cognitive score in Czech women. The results suggest that the Mediterranean diet may help to improve cognitive functioning.
Key findings
- There were no significant associations in men.
- By contrast, women with a dietary score of 8-10 points (B = 0.05, 95% CI: -0.002; 0.097), and those with a score of 11-17 points (B = 0.08, 95% CI: 0.016; 0.140) had a higher composite cognitive score than women in lowest adherence group.
- Regarding specific domains, women in the highest adherence group had significantly better immediate verbal memory (B = 0.12, 95% CI: 0.031; 0.205) and delayed recall (B = 0.12, 95% CI: 0.027; 0.212), respectively, than those in the lowest adherence group.
- Higher adherence to the MDS was associated with better cognitive functioning in verbal memory and composite cognitive score in Czech women.
- The results suggest that the Mediterranean diet may help to improve cognitive functioning.
Why it matters
In this cross-sectional study of Czech adults, women with higher Mediterranean diet scores had better verbal memory and overall cognitive scores, while no significant associations were found in men. The results suggest the Mediterranean diet may help improve cognitive functioning in women.
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Study details
- Participants6,028
- Evidence strengthLow
How this study scored 46/100
Published in a peer-reviewed journal. Scored zero for study design, effect reported and randomised / blinded because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (European Journal of Nutrition) |
| Journal's citation record | 1 / 4 | European Journal of Nutrition: journal h-index 149 (OpenAlex, 2026-10-29) |
| Study design | 0 / 12 | No study design recorded — scores zero, not guessed (not stated in the record — scored 0) |
| Strength of evidence | 1 / 5 | Rated “low” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 4 / 5 | 2025 — within 3 year(s) of the newest study here |
| Sample size | 3 / 4 | 6,028 participants |
| Effect reported | 0 / 3 | No effect size reported — scores zero (not stated in the record — scored 0) |
| Studied in people | 3 / 3 | Studied in people (participant count stated) |
| Randomised / blinded | 0 / 2 | No randomisation or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 1 / 7 | Cited 4 times (OpenAlex, 2026-10-10) |
| Citations per year | 1 / 5 | 1.3 citations a year over 3 year(s) since 2025 |
| Impact for its field and year | 3 / 6 | Cited 3.4× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 0 / 6 | No other study in this library cites it |
| Still being cited | 1 / 4 | Cited 4 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 3 / 4 | Last-listed author Hynek Pikhart: h-index 64 (OpenAlex, whole career) |
| Institution's track record | 2 / 3 | University College London: institution h-index 2,029 (OpenAlex) |
| Multi-centre collaboration | 2 / 3 | OpenAlex lists 4 institution(s) in 2 countries |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 40650788) |
| Free to read | 2 / 2 | Free to read |
| Total | 46 / 100 | — |
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Read the original
- DOI: 10.1007/s00394-025-03752-4
- PubMed: 40650788
- Original source →
- Free full text: European Journal of Nutrition →
Full text: free to read — OpenAlex lists this copy as free to read: the link above (checked 6 Feb 1020).
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. Check the citation against the original before you use it.
APA 7th
Hrežová, E., Stefler, D., Čapková, N., Vaclova, H., Bobák, M., & Pikhart, H. (2025). Mediterranean diet score linked to cognitive functioning in Czech women: a cross-sectional population-based study. European Journal of Nutrition. https://doi.org/10.1007/s00394-025-03752-4
Vancouver
Hrežová E, Stefler D, Čapková N, Vaclova H, Bobák M, Pikhart H. Mediterranean diet score linked to cognitive functioning in Czech women: a cross-sectional population-based study. European Journal of Nutrition. 2025. doi:10.1007/s00394-025-03752-4. PMID: 40650788.
BibTeX
@article{hrezova2025-40650788,
author = {Hrežová, Eliška and Stefler, Dénes and Čapková, Naděžda and Vaclova, Helena and Bobák, Martin and Pikhart, Hynek},
title = {{Mediterranean diet score linked to cognitive functioning in Czech women: a cross-sectional population-based study}},
journal = {European Journal of Nutrition},
year = {2025},
doi = {10.1007/s00394-025-03752-4},
pmid = {40650788},
url = {https://doi.org/10.1007/s00394-025-03752-4}
}
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