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Association between falls and dementia risk: Evidence from three cohort studies
Aonan Li1, Shaojiong Zhou1, Jie Chang2
1Department of Neurology & Innovation Center for Neurological Disorders, Xuanwu Hospital, Capital Medical University, National Center for Neurological Disorders, Beijing, China.
Journal of Translational Internal Medicine
|December 24, 2025
Summary
Falls are an early indicator of dementia risk, particularly in individuals with a high genetic predisposition. This association highlights falls as a potential screening tool for cognitive decline.
Area of Science:
- Neuroscience
- Gerontology
- Genetics
Background:
- The link between falls and dementia risk is not well-established.
- Investigating the role of genetic predisposition in this relationship is crucial.
Purpose of the Study:
- To examine the association between falls and the risk of developing dementia.
- To assess how genetic risk factors modify the relationship between falls and dementia.
Main Methods:
- Utilized data from UK Biobank, CHARLS, and Xuanwu cognitive cohort (N=271,950).
- Employed Cox proportional hazards models and logistic regression to analyze falls and dementia risk.
- Assessed brain imaging data (gray matter volume, white matter hyperintensities) and polygenic risk scores (PRS).
Main Results:
- Falls significantly elevated dementia risk across all cohorts (single falls HR 1.22, multiple falls HR 1.73 in UK Biobank).
- Falls correlated with cognitive decline and brain structural changes, including reduced gray matter volume and increased white matter hyperintensities.
- A significant interaction between falls and PRS indicated higher dementia risk in individuals with multiple falls and high genetic risk (P=0.001).
Conclusions:
- Falls serve as an early warning sign for dementia, with genetic susceptibility amplifying this risk.
- Observed brain atrophy in cognition-related regions supports falls as an indicator of underlying neurological changes.
- Falls represent a simple, observable biomarker for dementia screening.
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