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Life's Essential 8, Polygenic Risk for Type 2 Diabetes, and Dementia: Evidence from the UK Biobank.
Yuanjing Li1, Örjan Ekblom1,2, Bikram Bucha1,3
1Department of Health Sciences, The Swedish School of Sport and Health Sciences, 11486 Stockholm, Sweden.
Nutrients
|July 15, 2026
Summary
High polygenic risk for type 2 diabetes increases dementia risk. However, adopting healthy lifestyle metrics (Life
Area of Science:
- Neuroscience and Genetics
- Public Health and Epidemiology
Background:
- The interplay between genetic predisposition for type 2 diabetes (T2D) and dementia risk is not fully understood.
- Assessing the role of modifiable lifestyle factors, such as Life's Essential 8 (LE8) metrics, in this association is crucial for public health strategies.
Purpose of the Study:
- To investigate the relationship between polygenic risk score (PRS) for T2D and dementia incidence.
- To examine how adherence to LE8 metrics modifies the association between T2D PRS and dementia risk.
- To determine the population-attributable risk of dementia associated with T2D PRS and LE8 components.
Main Methods:
- Utilized UK Biobank data from 437,732 participants aged ≥40 years.
- Calculated T2D PRS and assessed LE8 scores (low vs. moderate-to-high).
- Employed Cox regression and restricted cubic splines to analyze dementia incidence over a mean follow-up of 13.27 years.
Main Results:
- A dose-response relationship was found between T2D PRS and dementia, particularly vascular dementia.
- Low LE8 adherence was consistently linked to higher all-cause dementia risk across all T2D PRS levels.
- While APOE ε4 explained >35% of dementia risk, T2D PRS contributed 1%; optimal LE8 behavioral components could reduce dementia risk by 5.91–10.46%.
Conclusions:
- A genetic predisposition for T2D is associated with an increased risk of dementia, especially vascular dementia.
- Maintaining optimal LE8 metrics, particularly behavioral factors, may mitigate dementia risk irrespective of genetic predisposition.
- Multidomain lifestyle interventions are vital for dementia prevention, complementing genetic risk assessments.
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