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Knowledge about factors associated with a healthy diet in people with increased dementia risk is scarce.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To analyze dietary habits and associated factors in older adults with increased dementia risk in Germany.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We used baseline-data of the AgeWell.de-trial (n\u2009=\u20091001, %\n                      <jats:sub>female\u2009<\/jats:sub>\n                      =\u200952.2, M\n                      <jats:sub>age\u2009<\/jats:sub>\n                      =\u200969.0, SD\u2009=\u20094.9). Nutrition was assessed using a composite score, comprising 11 components covered by national recommendations for a healthy diet (range\u2009=\u20090\u201311 points). Linear regressions assessed associations of sociodemographic, social, health-related and psychological factors with consumption of a healthy diet. Further, we assessed stages of change based on the transtheoretical model of behavior change.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Consumption of a healthy diet was moderate (Median\u2009=\u20094, IQR\u2009=\u20092). Female sex (b\u2009=\u20090.64, 95% CI: 0.41, 0.88), higher levels of motivation for healthy eating (b\u2009=\u20090.22, 95% CI: 0.10, 0.34) and higher self-efficacy (b\u2009=\u20090.33, 95% CI: 0.20, 0.46) were linked to a healthy diet. Regarding the stages of behavior change, the majority were in the maintenance stage (45.2%), followed by the contemplation (21.5%) and precontemplation (21.2%) stages.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Results suggest room for improvement regarding a healthy diet in our sample. Lifestyle-based interventions in older adults should be tailored towards current levels of motivation and self-efficacy of participants. Including modules targeting motivation and self-efficacy might help maximize intervention effectiveness.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/13872877251330296","type":"journal-article","created":{"date-parts":[[2025,4,15]],"date-time":"2025-04-15T10:49:05Z","timestamp":1744714145000},"page":"634-645","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Factors associated with a healthy diet and willingness to change dietary behavior in older adults at increased risk of dementia"],"prefix":"10.1177","volume":"105","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2273-5564","authenticated-orcid":false,"given":"Iris","family":"Blotenberg","sequence":"first","affiliation":[{"name":"German Centre for Neurodegenerative Diseases (DZNE), Greifswald, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6026-8573","authenticated-orcid":false,"given":"Andrea E","family":"Z\u00fclke","sequence":"additional","affiliation":[{"name":"Institute of Social Medicine, Occupational Health and Public Health (ISAP), University of Leipzig, Leipzig, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3927-6728","authenticated-orcid":false,"given":"Melanie","family":"Luppa","sequence":"additional","affiliation":[{"name":"Institute of Social Medicine, Occupational Health and Public Health (ISAP), University of Leipzig, Leipzig, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3578-7977","authenticated-orcid":false,"given":"Felix","family":"Wittmann","sequence":"additional","affiliation":[{"name":"Institute of Social Medicine, Occupational Health and Public Health (ISAP), University of Leipzig, Leipzig, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2500-5372","authenticated-orcid":false,"given":"Thomas","family":"Fankh\u00e4nel","sequence":"additional","affiliation":[{"name":"Institute of General Practice and Family Medicine, Martin-Luther-University Halle-Wittenberg, Halle, Saale, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2379-8951","authenticated-orcid":false,"given":"Solveig","family":"Weise","sequence":"additional","affiliation":[{"name":"Institute of General Practice and Family Medicine, Martin-Luther-University Halle-Wittenberg, Halle, Saale, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1421-3149","authenticated-orcid":false,"given":"Juliane","family":"D\u00f6hring","sequence":"additional","affiliation":[{"name":"Institute of General Practice, University of Kiel, Kiel, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9052-1939","authenticated-orcid":false,"given":"Catharina","family":"Escales","sequence":"additional","affiliation":[{"name":"Institute of General Practice, University of Kiel, Kiel, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3435-2242","authenticated-orcid":false,"given":"Robert P","family":"Kosilek","sequence":"additional","affiliation":[{"name":"Institute of General Practice and Family Medicine, University Hospital, LMU Munich, Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-6830-7775","authenticated-orcid":false,"given":"Irina","family":"Michel","sequence":"additional","affiliation":[{"name":"Institute of General Practice and Family Medicine, University Hospital, LMU Munich, Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5280-1075","authenticated-orcid":false,"given":"Christian","family":"Brettschneider","sequence":"additional","affiliation":[{"name":"Department of Health Economics and Health Service Research, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anke","family":"Oey","sequence":"additional","affiliation":[{"name":"State Health Department of Lower Saxony, Hannover, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9399-6470","authenticated-orcid":false,"given":"Birgitt","family":"Wiese","sequence":"additional","affiliation":[{"name":"MHH Information Technology \u2013 Science &amp; 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