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Published on: March 22, 2016
Cardiovascular disease and Alzheimer's disease: common links
1Department of Epidemiology, Harvard School of Public Health, Boston, MA 02115, USA. stampfer@hsph.harvard.edu
Insights
Cardiovascular disease and its risk factors are linked to cognitive decline and Alzheimer's disease. Understanding these connections may reveal new prevention strategies for both conditions.
Area of Science:
- Neurology
- Cardiology
- Public Health
Background:
- Cardiovascular disease (CVD) and cognitive decline, including Alzheimer's disease, share common risk factors.
- Subclinical CVD is associated with an increased risk of dementia and Alzheimer's disease.
Purpose of the Study:
- To explore the association between cardiovascular health and cognitive decline.
- To identify shared risk factors for cardiovascular disease and dementia.
Main Methods:
- Literature review synthesizing evidence on cardiovascular risk factors and cognitive outcomes.
- Analysis of epidemiological data linking subclinical CVD to dementia incidence.
Main Results:
- Hypertension, high LDL cholesterol, low HDL cholesterol, and diabetes are risk factors for both CVD and dementia.
- Moderate alcohol consumption may offer protection against both CVD and dementia.
- Inflammatory markers predict cardiovascular risk but not dementia, despite biological links.
Conclusions:
- There is a significant overlap in risk factors for cardiovascular disease and cognitive decline, suggesting shared underlying mechanisms.
- These shared pathways offer promising avenues for future research and the development of preventative strategies for both conditions.
Abstract:
Growing evidence supports a strong and likely causal association between cardiovascular disease (CVD), and its risk factors, with incidence of cognitive decline and Alzheimer's disease. Individuals with subclinical CVD are at higher risk for dementia and Alzheimer's. Several cardiovascular risk factors are also risk factors for dementia, including hypertension, high LDL cholesterol, low HDL cholesterol and especially diabetes. Moderate alcohol appears to be protective for both CVD and dementia. In contrast, inflammatory markers predict cardiovascular risk, but not dementia, despite biological plausibility for such a link. The substantial overlap in risk factors points to new avenues for research and prevention.
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