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Published on: February 4, 2021
Aortic Valve Calcification and the Risk of dementia: A Population-Based Study
Frank J Wolters1,2, Daniel Bos1,3,4, Meike W Vernooij1,3
1Department of Epidemiology, Erasmus MC, Rotterdam, the Netherlands.
Insights
Aortic valve calcification (AVC) did not show an association with an increased risk of dementia or cognitive decline in a large population study. Further research is needed to understand the relationship between cardiovascular health and brain health.
Area of Science:
- Cardiology
- Neurology
- Gerontology
Background:
- The link between aortic valve calcification (AVC) and dementia risk is not well-established.
- Understanding this association is crucial for identifying potential risk factors for cognitive decline.
Purpose of the Study:
- To investigate the association between CT-assessed AVC and the risk of developing dementia.
- To examine the relationship between AVC and cognitive decline in a non-demented population.
Main Methods:
- The study included 2,428 participants from the population-based Rotterdam Study, initially free of dementia.
- Aortic valve calcification was assessed using computed tomography (CT).
- Participants were followed for a median of 9.3 years for dementia incidence and cognitive decline.
Main Results:
- Aortic valve calcification was present in 33.1% of the participants.
- No significant association was found between the presence of AVC and the risk of all-cause dementia (HR: 0.89; 95% CI: 0.63-1.26).
- AVC was not associated with cognitive decline on any tested cognitive measures or global cognition.
Conclusions:
- The presence of aortic valve calcification is not associated with an increased risk of dementia.
- AVC does not appear to be a predictor of cognitive decline in the general population.
- Further research may explore other cardiovascular markers in relation to dementia risk.
Abstract:
The association of aortic valve calcification (AVC) with dementia remains unknown. In 2,428 non-demented participants from the population-based Rotterdam Study, we investigated the association of CT-assessed AVC with risk of dementia and cognitive decline. AVC was present in 33.1% of the population. During a median follow-up of 9.3 years, 160 participants developed dementia. We found no association between presence of AVC and risk of all-cause dementia [hazard ratio (HR): 0.89 (95% confidence interval (CI):0.63;1.26)]. Presence of AVC was not associated with cognitive decline on any of the cognitive tests, nor with a measure of global cognition.
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