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Heart diseases and long-term risk of dementia and Alzheimer's disease: a population-based CAIDE study
Minna Rusanen1, Miia Kivipelto2, Esko Levälahti3
1Department of Neurology, Institute of Clinical Medicine, University of Eastern Finland, Kuopio, Finland.
Insights
Late-life heart conditions like atrial fibrillation significantly raise dementia and Alzheimer's disease risk. Managing heart health is crucial for maintaining cognitive function and brain health.
Area of Science:
- Neurology
- Cardiology
- Gerontology
Background:
- Cardiovascular risk factors are linked to dementia and Alzheimer's disease (AD).
- The specific impact of heart disease on later dementia development remains unclear.
Purpose of the Study:
- To investigate the long-term risk of dementia and AD.
- Examined midlife and late-life atrial fibrillation (AF), heart failure (HF), and coronary artery disease (CAD).
Main Methods:
- Utilized the Cardiovascular Risk Factors, Aging and Dementia (CAIDE) study.
- Followed 1,510 participants over 25 years.
- Diagnosed dementia and AD in 127 participants.
Main Results:
- Late-life AF independently increased dementia (HR 2.61) and AD (HR 2.54) risk.
- The association was stronger in APOE ε4 non-carriers.
- Late-life HF showed a trend towards increased risk; CAD did not.
Conclusions:
- Heart diseases in late life elevate the risk of subsequent dementia and AD.
- Preventing and treating heart disease is vital for brain health.
- Effective management of cardiovascular conditions may protect cognitive function.
Background:
Many cardiovascular risk factors are shown to increase the risk of dementia and Alzheimer's disease (AD), but the impact of heart disease on later development of dementia is still unclear.
Objective:
The aim of the study was to investigate the long-term risk of dementia and Alzheimer's disease (AD) related to midlife and late-life atrial fibrillation (AF), heart failure (HF), and coronary artery disease (CAD) in a population-based study with a follow-up of over 25 years.
Methods:
Cardiovascular Risk Factors, Aging and Dementia (CAIDE) study includes 2000 participants who were randomly selected from four separate, population-based samples originally studied in midlife (1972, 1977, 1982, or 1987). Re-examinations were carried out in 1998 and 2005-2008. Altogether 1,510 (75.5%) persons participated in at least one re-examination, and 127 (8.4%) persons were diagnosed with dementia (of which 102 had AD).
Results:
AF in late-life was an independent risk factor for dementia (HR 2.61, 95% CI 1.05-6.47; p = 0.039) and AD (HR 2.54, 95% CI 1.04-6.16; p = 0.040) in the fully adjusted analyses. The association was even stronger among the apolipoprotein E (APOE) ε4 non-carriers. Late-life HF, but not CAD, tended to increase the risks as well. Heart diseases diagnosed at midlife did not increase the risk of later dementia and AD.
Conclusion:
Late-life heart diseases increase the subsequent risk of dementia and AD. Prevention and effective treatment of heart diseases may be important also from the perspective of brain health and cognitive functioning.
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