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Baseline diet was assessed using a\u00a0&gt;142\u2010item food\u2010frequency questionnaire, and PHD adherence was categorized into tertiles. Dementia and Alzheimer\u2019s dementia (AD) were clinically diagnosed. Among 581 decedents, brain autopsies quantified Alzheimer\u2019s disease, vascular, and other pathologies. Cognitive function proximate to death was measured via a standardized neuropsychological battery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>Over a median 7.5\u2010year follow\u2010up, 317 participants developed dementia. High PHD adherence was associated with lower risks of all\u2010cause dementia (hazard ratio [HR]\u00a0=\u00a00.71) and AD (HR\u00a0=\u00a00.70), reduced Alzheimer\u2019s disease\u00a0pathologies, a 2.17\u2010year delay in dementia onset, and better end\u2010of\u2010life cognition.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION<\/jats:title>\n                    <jats:p>High PHD adherence may support healthier brain aging and cognitive resilience.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/alz.71327","type":"journal-article","created":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T03:45:04Z","timestamp":1775101504000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Association of the Planetary Health Diet with dementia risk and brain pathology"],"prefix":"10.1002","volume":"22","author":[{"given":"Rongrong","family":"Yang","sequence":"first","affiliation":[{"name":"Public Health Science and Engineering College Tianjin University of Traditional Chinese Medicine  Tianjin China"},{"name":"Department of Neurobiology Aging Research Center Care Sciences and Society Karolinska Institutet  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiao","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Neurobiology Aging Research Center Care Sciences and Society Karolinska Institutet  Stockholm Sweden"},{"name":"National Clinical Research Center for Geriatrics West China Hospital Sichuan University  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abigail","family":"Dove","sequence":"additional","affiliation":[{"name":"Department of Neurobiology Aging Research Center Care Sciences and Society Karolinska Institutet  Stockholm 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