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Long-Term Levels of LDL-C and Cognitive Function: The CARDIA Study
Matthew T Mefford1, Ligong Chen1, Cora E Lewis1
1University of Alabama at Birmingham, Birmingham, AL, USA.
Long-term high low-density lipoprotein-cholesterol (LDL-C) levels are linked to minor memory decline in middle age. This 25-year study found no impact on other cognitive functions or brain imaging markers.
Area of Science:
- Neuroscience
- Cardiovascular Health
- Aging Research
Background:
- Long-term effects of low-density lipoprotein-cholesterol (LDL-C) on middle-aged cognition remain unclear.
- Understanding this association is crucial for preventive health strategies.
Purpose of the Study:
- To investigate the association between cumulative LDL-C levels over 25 years and cognitive function in middle-aged adults.
- To explore potential impacts on brain structure and blood flow.
Main Methods:
- Prospective cohort study of Black and White US adults followed for 25 years.
- Time-averaged cumulative LDL-C calculated from serial measurements.
- Cognitive function assessed using DSST, RAVLT, and Stroop tests; brain MRI sub-study for AWMV and GM-CBFV.
Main Results:
- Higher cumulative LDL-C was associated with significantly lower scores on the Rey Auditory Visual Learning Test (RAVLT), indicating memory impairment.
- No significant associations were found between cumulative LDL-C and Digit Symbol Substitution Test (DSST), Stroop Test performance, abnormal white matter volume, or gray matter cerebral blood flow.
Conclusions:
- Cumulative LDL-C over 25 years is associated with small but significant differences in memory function.
- No evidence suggests a link between long-term LDL-C levels and other cognitive domains or brain imaging markers in this cohort.
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