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e with a low genetic risk from lifestyle modification in reducing CRC risk. It is unclear whether breakfast consumption and breakfast composition are independently associated with changes in cognition over a long-term period in older adults. We aimed to examine the associations between energy and macronutrient intakes at breakfast and cognitive declines. We included 2935 participants aged 55-93 y at baseline from the China Health and Nutrition Survey in our analysis. Cognition was assessed in 1997, 2000, 2004, 2006, and 2015. Dietary in