Midlife risk factors for subtypes of dementia: a nested case-control study in Taiwan
- PMID: 17623813
- DOI: 10.1097/JGP.0b013e318050c98f
Midlife risk factors for subtypes of dementia: a nested case-control study in Taiwan
Abstract
Objective: To identify the midlife risk factors for subtypes of dementia newly developed later in life.
Methods: A nested case-control study was conducted on 157 demented cases and 628 comparison cases selected from 40,636 men and women who were enrolled from 1982 to 1992. Four comparison cases were frequency-matched on age, time at enrollment (within 6 months), gender, and residential township. Midlife risk factors included vascular risk factors (body mass index [BMI], total cholesterol, total triglycerides, blood glucose, cerebrovascular accident [CVA] history, diabetes mellitus history, and hypertension history), cigarette smoking, and alcohol consumption. Dementia assessments were ascertained through the computerized data linkage from National Health Insurance Database from 2000 to 2002 and clinically confirmed by neurologists or psychiatrists. Conditional logistic regression analysis was used to estimate the matched odds ratio (OR) and its 95% confidence intervals (CI) for each risk factor.
Results: A J-shaped relationship was observed between BMI (kg/m(2)) and dementia. The multivariate-adjusted ORs (95% CI) of developing dementia were 1.84 (1.02-3.33), 1.87 (1.08-3.23) and 2.44 (1.39-4.28), respectively, for BMIs of <20.5, 23.0-25.4, >or=25.5 compared with a BMI of 20.5-22.9 as the referent group (OR = 1.0). Similar findings were observed for Alzheimer disease (AD) and vascular dementia (VaD). The association between obesity (BMI >or=25.5) and both AD and VaD was statistically significant among cigarette smokers but not among nonsmokers. Additionally, history of CVA was a significant risk factor for VaD, but not for AD.
Conclusion: Being underweight, being overweight, and a cerebrovascular accident in midlife may increase the risk of dementia in late life.
Similar articles
-
Obesity and vascular risk factors at midlife and the risk of dementia and Alzheimer disease.Arch Neurol. 2005 Oct;62(10):1556-60. doi: 10.1001/archneur.62.10.1556. Arch Neurol. 2005. PMID: 16216938
-
Body mass index in midlife and late-life as a risk factor for dementia: a meta-analysis of prospective studies.Obes Rev. 2011 May;12(5):e426-37. doi: 10.1111/j.1467-789X.2010.00825.x. Epub 2011 Feb 23. Obes Rev. 2011. PMID: 21348917 Review.
-
Vascular risk factors for incident Alzheimer disease and vascular dementia: the Cache County study.Alzheimer Dis Assoc Disord. 2006 Apr-Jun;20(2):93-100. doi: 10.1097/01.wad.0000213814.43047.86. Alzheimer Dis Assoc Disord. 2006. PMID: 16772744
-
Midlife cardiovascular risk factors and risk of dementia in late life.Neurology. 2005 Jan 25;64(2):277-81. doi: 10.1212/01.WNL.0000149519.47454.F2. Neurology. 2005. PMID: 15668425
-
Alcohol and tobacco consumption as risk factors of dementia: a review of epidemiological studies.Biomed Pharmacother. 2004 Mar;58(2):95-9. doi: 10.1016/j.biopha.2003.12.004. Biomed Pharmacother. 2004. PMID: 14992790 Review.
Cited by
-
Body mass index, weight change in midlife, and dementia incidence: the Japan Public Health Center-based Prospective Study.Alzheimers Dement (Amst). 2023 Nov 23;15(4):e12507. doi: 10.1002/dad2.12507. eCollection 2023 Oct-Dec. Alzheimers Dement (Amst). 2023. PMID: 38026757 Free PMC article.
-
Alzheimer's Disease Puzzle: Delving into Pathogenesis Hypotheses.Aging Dis. 2024 Feb 1;15(1):43-73. doi: 10.14336/AD.2023.0608. Aging Dis. 2024. PMID: 37450931 Free PMC article. Review.
-
Blood pressure and Alzheimer's disease: A review of meta-analysis.Front Neurol. 2023 Jan 11;13:1065335. doi: 10.3389/fneur.2022.1065335. eCollection 2022. Front Neurol. 2023. PMID: 36712428 Free PMC article.
-
Age-Stratified Risk of Dementia in Parkinson's Disease: A Nationwide, Population-Based, Retrospective Cohort Study in Taiwan.Front Neurol. 2021 Dec 24;12:748096. doi: 10.3389/fneur.2021.748096. eCollection 2021. Front Neurol. 2021. PMID: 35002917 Free PMC article.
-
Five-Year Change in Body Mass Index Predicts Conversion to Mild Cognitive Impairment or Dementia Only in APOE ɛ4 Allele Carriers.J Alzheimers Dis. 2021;81(1):189-199. doi: 10.3233/JAD-201360. J Alzheimers Dis. 2021. PMID: 33749649 Free PMC article.
MeSH terms
Substances
LinkOut - more resources
Full Text Sources
Medical