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Published on: March 22, 2016
Cardiac risk factors and potential treatments in Alzheimer's disease
Christine Bergmann1, Mary Sano
1Alzheimer Disease Research Center of Mount Sinai School of Medicine, NYC, James J Peters VAMC, Bronx, NY 10468, USA.
Insights
Preventing dementia, including Alzheimer's disease, may be possible by managing cardiovascular risks like hypertension, high cholesterol, and diabetes. Early interventions targeting these factors show promise for reducing cognitive decline in older adults.
Area of Science:
- Neurology
- Public Health
- Geriatrics
Background:
- Dementia is a prevalent neurological disorder in the elderly.
- Increasing global longevity presents a significant public health challenge for dementia prevention.
- Identifying modifiable risk factors is crucial for developing interventions.
Purpose of the Study:
- To review the relationship between cardiovascular risk factors and cognitive decline.
- To examine hypertension, hyperlipidemia, and diabetes mellitus as targets for preventing dementia, including Alzheimer's disease.
- To assess the impact of related medications on cognitive health.
Main Methods:
- Review of observational studies and clinical trials.
- Focus on antihypertensive, lipid-lowering, and antidiabetic medications.
- Analysis of associations with cognitive impairment, dementia, and Alzheimer's disease risk.
Main Results:
- Cardiovascular risk factors are linked to cognitive decline and dementia.
- Medications targeting these factors are reviewed for their effect on cognition.
- Evidence suggests a potential benefit of managing these risks.
Conclusions:
- Early intervention to reduce cardiovascular risk factors may impact dementia incidence.
- Managing hypertension, hyperlipidemia, and diabetes is a potential strategy for dementia prevention.
- This approach may help reduce the future prevalence of cognitive deficits, including Alzheimer's disease.
Abstract:
Dementia is one of the commonest neurological disorders in the elderly population. In regards to the increasing longevity of populations worldwide, prevention of dementia has become a major public health challenge. There has been an intense research in the identification of modifiable risk factors for dementia. These risk factors could then be used as targets for intervention, pharmacologic or non-pharmacologic. Numerous reports of the relation between cardiovascular risk factors and cognitive decline and dementia have been published over the past years. This review focuses on the cardiovascular risk factors hypertension, hyperlipidemia and diabetes mellitus as targets for prevention of cognitive decline, overall dementia and Alzheimer's disease. Observational studies and clinical trials regarding the association between antihypertensive, lipid lowering and antidiabetic medications and the risk of impaired cognition, dementia or Alzheimer's disease are reviewed. Based on these data, we propose that early interventions at reducing these cardiovascular risk factors may have an impact on future incidence and prevalence of cognitive deficits of many etiologies including Alzheimer's disease.
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