Diet, Physical Activity, and Disinhibition in Middle-Aged and Older Adults: A UK Biobank Study

Nutrients. 2021 May 11;13(5):1607. doi: 10.3390/nu13051607.

Abstract

Disinhibition is a prominent feature of multiple psychiatric disorders, and has been associated with poor long-term somatic outcomes. Modifiable lifestyle factors including diet and moderate-to-vigorous physical activity (MVPA) may be associated with disinhibition, but their contributions have not previously been quantified among middle-aged/older adults. Here, among N = 157,354 UK Biobank participants aged 40-69, we extracted a single disinhibition principal component and four dietary components (prudent diet, elimination of wheat/dairy/eggs, meat consumption, full-cream dairy consumption). In addition, latent profile analysis assigned participants to one of five empirical dietary groups: prudent-moderate, unhealthy, restricted, meat-avoiding, low-fat dairy. Disinhibition was regressed on the four dietary components, the dietary grouping variable, and self-reported MVPA. In men and women, disinhibition was negatively associated with prudent diet, and positively associated with wheat/dairy/eggs elimination. In men, disinhibition was also associated with consumption of meat and full-cream dairy products. Comparing groups, disinhibition was lower in the prudent-moderate diet (reference) group compared to all other groups. Absolute βs ranged from 0.02-0.13, indicating very weak effects. Disinhibition was not associated with MVPA. In conclusion, disinhibition is associated with multiple features of diet among middle-aged/older adults. Our findings foster specific hypotheses (e.g., early malnutrition, elevated immune-response) to be tested in alternative study designs.

Keywords: behavioral disinhibition; brain health; dietary habits; physical activity; prudent diet.

Publication types

  • Observational Study

MeSH terms

  • Adult
  • Aged
  • Biological Specimen Banks
  • Cross-Sectional Studies
  • Dairy Products
  • Diet*
  • Diet, Healthy
  • Eggs
  • Exercise*
  • Female
  • Health Behavior
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Life Style
  • Male
  • Meat
  • Middle Aged
  • United Kingdom